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C7-T1 Full-Endoscopic Posterior Foraminotomy and Sequestrectomy Using Navigation.
Neurospine
December 2024
Departement of Neurosurgery, Sion Cantonal Hospital, Wallis, Switzerland.
The main objective of this case and video is to demonstrate the surgical technique of navigated full-endoscopic decompression and sequestrectomy at the C7-T1 level to alleviate C8 nerve root compression and manage cervicobrachialgia. Cervicobrachialgia resulting from C7-T1 disc herniation is a quite rare yet painful condition that can significantly impair motor function in the upper limb. Traditionally, open surgeries can be invasive, with prolonged recovery times and/or fusion of the level with adjacent segment disease.
View Article and Find Full Text PDFInvestigating an uncommon cause of cervicobrachial neuralgia: Cervical plexiform neurofibroma.
Radiol Case Rep
January 2025
Department of Radiology National Institute of Oncology, University Mohammed V of Rabat, Rabat, Morocco.
Plexiform neurofibroma is characterized by diffuse intraneural neoplastic overgrowth involving a long nerve segment, with tortuous expansion of its branches. It is a hallmark of Neurofibromatosis Type 1 (NF1). We report the case of a 36-year-old man with a known diagnosis of NF1, who was admitted for chronic posterior cervical pain and cervicobrachial neuralgia.
View Article and Find Full Text PDFUpper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain-The 8:1 Block.
Bioengineering (Basel)
November 2024
Orthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, Brazil.
Upper Crossed Syndrome (UCS), described by Vladimir Janda, is characterized by postural changes involving the cervical spine and trunk, leading to biomechanical limitations and cervicoscapulobrachial pain. This study proposes a mesotherapy protocol, termed the 8:1 block, to address cervicoscapulobrachialgia by targeting the scapulae and associated musculature. The scapula, central to shoulder girdle kinematics, often exhibits dyskinesis and muscular imbalances, notably the pattern referred to as scapular upper trapping (SUT).
View Article and Find Full Text PDFIntractable pain due to thoracic outlet syndrome successfully treated with percutaneous epidural adhesiolysis: A case report.
SAGE Open Med Case Rep
November 2024
Department of Anesthesiology, Showa University School of Medicine, Shinagawa-ku, Tokyo, Japan.
Thoracic outlet syndrome (TOS) is characterized by intractable cervicobrachial pain caused by strangulation of the brachial plexus and subclavian artery by structures of the superior thoracic outlet. We describe percutaneous epidural adhesiolysis for refractory pain due to TOS. A man in his 40s had received nerve block therapy for right upper extremity pain of unknown origin for 5 years.
View Article and Find Full Text PDFIntradural extramedullary cervical cavernoma.
Surg Neurol Int
August 2024
Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.
Article Synopsis
- Spinal cavernomas represent about 5% of spinal vascular malformations, with intradural cases making up only 3% and often occurring intramedullary.
- A 58-year-old woman experienced progressive neuralgia and extremity paresthesia; MRI indicated a C2-C4 lesion causing spinal cord compression.
- After a midline laminectomy for tumor removal, the lesion was identified as a cavernoma, and follow-up MRI confirmed complete resection four months later.
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