Publications by authors named "R de A Gepp"
Epidemiological aspects of syringomyelia in a 19-year old cohort of spinal cord injury patients.
Neurocirugia (Astur : Engl Ed)
November 2024
Article Synopsis
- A 19-year study at a spinal cord injury rehabilitation center examined the prevalence and management of post-traumatic syringomyelia (PTS) in 920 patients, finding a 9% prevalence mainly in those suffering from severe injuries.
- The leading cause of injury was road traffic accidents, with thoracic spine syringomyelia being most common, and upper extremity weakness being a key reason for surgical intervention.
- Surgical procedures showed significant effectiveness in reducing the size of syrinxes, but reoperation rates were notably high, highlighting the importance of ongoing monitoring and evaluation in patients.
Background: Treatment priority in C5, C6, and C7 brachial plexus root avulsion is the recovery of shoulder function through reinnervation of shoulder muscles. The medial pectoral nerve is a potential donor for axillary nerve transfer, but outcomes are sparsely reported. This study reports the results of medial pectoral nerve transfer to the axillary nerve.
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- The study aims to understand the global impact of traumatic spine injury (TSI) in children, highlighting significant morbidity and mortality.
- It found that road traffic accidents are the leading cause of pediatric TSI, with an estimated occurrence of 14.24 cases per 100,000 children globally, resulting in around 375,734 cases and 114,975 needing surgery.
- The highest burden of pediatric TSI is in lower middle-income countries and the Southeast Asia region, indicating a need for targeted injury prevention and enhancement of neurosurgical services in these areas.
Background: Dorsal root entry zone (DREZ) lesioning may be used to treat neuropathic pain in patients with traumatic brachial plexus injuries. The clinical outcome after surgery is variable in the medical literature. We aimed to report the surgical outcome after DREZ lesioning by radiofrequency and to analyze prognostic factors such as the presence of a spinal cord injury identified before surgery.
View Article and Find Full Text PDFinfection is the primary cause of spinal hydatidosis. We describe the case of a 22-year-old man from the Brazilian Amazon region with crural spastic paraparesis and back pain. Radiological examinations showed multilocular lesions involving compression of the thoracic spine and rib injury.
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