COVID-19 Masked by Pyogenic Lumbar Discitis and Bacteremia: A Case Report.

Case: A 65-year-old man experienced backache, and 9 days later, he developed cellulitis in his left foot. On the 20th day, his body temperature was 37°C, and he had intermittent and shallow cough. On the 29th day, he was diagnosed with pyogenic lumbar discitis and bacteremia.

Application of superb micro-vascular imaging (SMI) in obstetrics.

Superb Micro-vascular Imaging (SMI; Toshiba Medical Systems, Tokyo) is a new blood flow imaging technique that employs a unique algorithm to minimize motion artifacts by eliminating signals based on analysis of tissue movement. Compared to conventional blood flow imaging such as color and power Doppler imaging, SMI significantly reduces motion artifacts and can visualize low-velocity blood flow in small vessels. In the present report, the clinical value and future potential of SMI in obstetrics have been demonstrated for the first time.

Usefulness of direct-conversion flat-panel detector system as a quality assurance tool for high-dose-rate 192Ir source.

The routine quality assurance (QA) procedure for a high-dose-rate (HDR) 192Ir radioactive source is an important task to provide appropriate brachytherapy. Traditionally, it has been difficult to obtain good quality images using the 192Ir source due to irradiation from the high-energy gamma rays. However, a direct-conversion flat-panel detector (d-FPD) has made it possible to confirm the localization and configuration of the 192Ir source.

Long-term clinical outcome of sacral chondrosarcoma treated by total en bloc sacrectomy and reconstruction of lumbosacral and pelvic ring using intraoperative extracorporeal irradiated autologous tumor-bearing sacrum: a case report with 10 years follow-up.

Background Context: Primary malignant tumors of the sacrum are rare. Chondrosarcoma is one of the common malignant tumors arising from the sacrum. Chondrosarcoma is often invasive, and there is a high propensity for local recurrence.

Development of the Japanese version of the Fibromyalgia Impact Questionnaire (JFIQ): psychometric assessments of reliability and validity.

Aim: To perform a psychometric assessment of the Japanese version of the Fibromyalgia Impact Questionnaire (JFIQ).

Methods: Data for the psychometric assessment were collected from Japanese fibromyalgia (FM) patients who visited a clinic. Analyses were performed to examine the reliability and validity of the JFIQ.

Percutaneous aspiration of spinal terminal ventricle cysts using real-time magnetic resonance imaging and navigation.

Study Design: Clinical case series.

Objective: To present a new innovative treatment option for cysts of the terminal ventricle.

Summary Of Background Data: Invasive surgery including laminectomy and cyst fenestration has been the sole reported method of treatment for this rare pathology.

Percutaneous transthoracic fenestration of an intramedullary neurenteric cyst in the thoracic spine with intraoperative magnetic resonance image navigation and thoracoscopy.

Neurenteric cysts are rare congenital cysts typically located in the anterior cervical or thoracic spinal canal. The authors report on their experience with the successful treatment of a midthoracic neurenteric cyst in an 8-year-old boy. Percutaneous fenestration via a transthoracic, transvertebral approach with combined thorascopy and intraoperative MR imaging guidance was used, and the cyst showed lasting shrinkage.

Evaluation of standard nucleotomy for lumbar disc herniation using the Love method: results of follow-up studies after more than 10 years.

A retrospective analysis of long-term follow-up results more than 10 years after a standard nucleotomy for lumbar disc herniation with the Love method was done to determine the effectiveness of this procedure. Nucleotomy according to Love was the standard treatment for lumbar disc herniation before the various minimally invasive alternatives were recently introduced. Without long-term follow-up analysis of Love operations, evidence-based evaluation of those new methods is impossible.

Magnetic resonance imaging-guided percutaneous fenestration of a cervical intradural cyst. Case report.

The authors describe the case of a high cervical, intradural extramedullary cyst located anterior to the spinal cord in a 13-year-old boy. The lesion was fenestrated percutaneously by using real-time magnetic resonance (MR) imaging guidance and a local anesthetic agent. The patient's symptom, severe exercise-induced headache, immediately resolved after treatment.

Respiratory dysfunction in patients with chronic-onset cervical myelopathy.

Study Design: A retrospective study. OBJECTIVE To clarify the characteristics of respiratory dysfunction associated with chronic-onset cervical myelopathy.

Summary Of Background Data: In acute cervical cord injury, respiratory dysfunction, especially vital capacity (VC), is impaired, which causes respiratory complications.

Surgical treatment of idiopathic scoliosis in adults: an age-related analysis of outcome.

Study Design: A retrospective outcome study was conducted.

Objective: To analyze the clinical and radiographic outcome of surgical treatment for idiopathic scoliosis in patients treated at the age of 20 years or older.

Summary Of Background Data: Idiopathic scoliosis continues to pose problems in many patients after adolescence.

Degenerative intraspinal cyst of the cervical spine: case report and literature review.

Study Design: A case report and a literature review are presented.

Objective: To describe and review the clinical presentations, characteristic findings from imaging studies, and treatment of synovial and ganglion cysts arising within the cervical spinal canal.

Summary Of Background Data: Synovial and ganglion cysts in the cervical spine are rare.