Publications by authors named "Helena Krogman"
Article Synopsis
- * Lumbar spinal stenosis can cause pain and weakness due to nerve compression, making effective surgical approaches critical.
- * A case report highlights a patient who had endoscopic decompression for lumbar stenosis, showing both the challenges of controlling bleeding with hemostatic agents like Floseal and the potential for postoperative complications like neurogenic claudication.
Article Synopsis
- Spinal stenosis is a serious health issue, especially among older adults, and this case report discusses a 90-year-old man's treatment journey with lumbar spinal stenosis where traditional surgeries were deemed too risky.
- The patient initially experienced severe pain and poor quality of life despite various standard treatments, leading to the exploration of less invasive endoscopic spine surgery as a viable option.
- Post-surgery, the patient saw a dramatic reduction in pain levels, demonstrating the potential benefits of endoscopic procedures over open surgery for high-risk patients, while also noting some limitations of the endoscopic approach.
Radiofrequency ablation (RFA) targeting the iliohypogastric and ilioinguinal (IH/IL) nerves is a recognized treatment for lower abdominal neuropathic pain. Despite its effectiveness, RFA typically offers only a temporary reprieve, necessitating repeated procedures. RFA procedures of the IH/IL nerves have been well described but often result in patient non-compliance and commonly necessitate the use of increased sedation.
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