Publications by authors named "Paige A Lundy"
Background: Intracranial tuberculomas are rare entities commonly seen only in low- to middle-income countries where tuberculosis remains endemic. Furthermore, following adequate treatment, the development of intracranial spread is uncommon in the absence of immunosuppression.
Observations: A 22-year-old man with no history of immunosuppression presented with new-onset seizures in the setting of miliary tuberculosis status post 9 months of antitubercular therapy.
Objective: The purpose of this study was to compare the incidence of significant brainstem dysfunction (SBD) in neonates with myelomeningocele who have been treated with prenatal versus postnatal closure at a single institution.
Methods: The records and imaging of all children undergoing either prenatal (n = 27) or postnatal (n = 60) closure of myelomeningocele at the authors' institution from December 2014 through May 2021 were reviewed. SBD, fetal ventricular size, gestational age at fetal imaging and delivery, postnatal ventricular size, need for and type of hydrocephalus treatment, spinal neurological level at birth, anatomical Chiari severity, death, and prenatal or postnatal repair were factors recorded.
We present the case of a 5-month-old patient presenting with pleural migration of ventriculo-peritoneal shunt catheter who returned 2 months later with respiratory distress. Ultimately, the diagnosis of a Morgagni hernia was made. This diagnosis, though rare, should be entertained in certain clinical settings.
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- * Surveys indicate that surgical residents are interested in international humanitarian work, yet strict regulations by the ACGME and RRC create challenges for residency programs looking to offer these global electives.
- * An analysis of regulations across seven surgical specialties reveals significant variability, with some programs having clear guidelines that allow for credit for international work, while others offer minimal recognition or outright denial of such opportunities.
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- * A study reviewed 491 patients who underwent spinal cord detethering, finding that only 7 (1.4%) reported perineal pain or hypersensitivity before surgery.
- * All 7 patients experienced complete resolution of perineal symptoms post-surgery, indicating that spinal cord detethering can effectively alleviate this specific symptom along with other initial symptoms in many cases.