Publications by authors named "Miguel Vega Arroyo"
Article Synopsis
- Degenerative cervical myelopathy (DCM) is a major cause of spinal cord dysfunction in adults, leading to significant health issues and financial costs, with most patients requiring surgery eventually.
- The review examines various pharmacological agents that might help treat mild DCM or improve surgical results, highlighting mixed evidence for effectiveness in both human and animal studies.
- Key findings indicate that while some drugs like Riluzole and Cerebrolysin show potential in animal studies, their benefits in humans are inconclusive, and more robust clinical data is needed to explore new neuroprotective therapies for DCM.
Article Synopsis
- - A case of neuromonitoring during a lumbosacral decompression surgery revealed an intraoperative deficit in the L5 nerve root through motor evoked potentials (MEP), despite no significant changes in spontaneous electromyography (sEMG).
- - MEP monitoring focused on L5-innervated muscles like the tibialis anterior and extensor hallucis longus showed fluctuations during rod alignment attempts, but these changes were not matched by sEMG activity from nearby muscles.
- - Post-surgery, the patient experienced left-sided foot drop that improved after 3 months, highlighting the need for MEP in addition to sEMG for more reliable detection of nerve root issues during spine surgery.
Background: McCune-Albright's syndrome (MAS) is a rare disorder that is characterized by café-au-lait macules, fibrous dysplasia of the skull and endocrinopathies like excessive secretion of growth hormone by a hyper-functional pituitary adenoma (PA).
Case: We describe the case of a 43-year-old male with history of Gigantism in 1990 secondary to a GH-secreting pituitary macroadenoma that was treated via microscopic transsphenoidal surgery at that time. He was reported as asymptomatic for 26 years until he developed headache and right temporal hemianopia with left amaurosis.