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Delayed-onset lumbosacral polyradiculitis following proton precision beam therapy for localized prostate cancer: A case report.
Interv Pain Med
December 2023
Department of Physical Medicine & Rehabilitation, Johns Hopkins Hospital, 1800 Orleans St, Baltimore, MD, 21287, USA.
Article Synopsis
- Prostate cancer is a major health issue for males, being the second most diagnosed cancer globally, while radiation therapy, a common treatment, has several adverse effects, leading to interest in proton beam therapy for its precision and reduced toxicity.
- A case study of a 68-year-old man who developed delayed-onset lumbosacral polyradiculitis five months after undergoing proton beam therapy illustrates potential complications, with MRI and EMG confirming nerve root issues likely due to radiation.
- The conclusion stresses the rarity of radiation-induced lumbosacral plexopathy and underscores the importance of ongoing patient follow-up and thorough review of cancer histories post-treatment.
Rare entrapment neuropathies of the lower extremity: A narrative review.
Medicine (Baltimore)
August 2024
RoNeuro Institute, Centre for Neurological Research and Diagnostic, Cluj-Napoca, Romania.
Article Synopsis
- Lower limb entrapment neuropathies are a group of disorders that include conditions like tarsal tunnel syndrome and Morton neuroma, which, while less common, can cause significant symptoms such as pain and muscular weakness.
- Accurate diagnosis is critical, as these conditions can be confused with other issues like lumbar plexopathies, requiring thorough patient assessment and diagnostic testing, such as electrodiagnostics or advanced imaging techniques.
- This article emphasizes the need for precise diagnosis to enable effective treatment and prevent further nerve damage and muscle loss, while also discussing the various aspects of these neuropathies, including their causes and clinical presentation.
Nerve Transfers in the Management of Femoral Nerve Palsy: A Systematic Review.
Am J Phys Med Rehabil
December 2024
From the Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, Canada (AL, LR, JF); Division of Physical Medicine and Rehabilitation, Sunnybrook Health Sciences Centre, Toronto, Canada (LR); Toronto Western Hospital, University Health Network, Toronto, Canada (HB); Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Canada (HB); and Toronto Rehabilitation Institute, University Health Network, Toronto, Canada (JF).
The primary objective of this systematic review is to describe the effectiveness of nerve transfers for restoring quadriceps motor function in patients with femoral nerve palsy. MEDLINE, Embase, and CENTRAL were searched from their inception to June 2023 for any English language, primary literature investigating nerve transfers for femoral nerve palsy. Data were extracted for study and intervention characteristics, as well as clinical outcomes, including preoperative and postoperative knee extension strength, electrodiagnostic studies, functional outcomes, adverse events, and donor site morbidity.
View Article and Find Full Text PDFTreatment Complications of Head and Neck Cancers and Rehabilitation Measures: A Narrative Review.
Cureus
May 2024
Oral and Maxillofacial Surgery, Tata Main Hospital, Jamshedpur, IND.
Head and neck cancers (HNCs) are malignant tumors mainly from squamous cells in the head and neck tissues. Treatment involves a multidisciplinary approach with surgery, radiotherapy, and chemotherapy. However, the long-term prognosis for patients with advanced-stage tumors is guarded, with a median survival time of approximately 24 months.
View Article and Find Full Text PDFFemoral and obturator neuropathies.
Handb Clin Neurol
May 2024
Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada. Electronic address:
The femoral and obturator nerves both arise from the L2, L3, and L4 spinal nerve roots and descend into the pelvis before emerging in the lower limbs. The femoral nerve's primary function is knee extension and hip flexion, along with some sensory innervation to the leg. The obturator nerve's primary function is thigh adduction and sensory innervation to a small area of the medial thigh.
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