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Postoperative Glaucoma Decompensation Following Spine Surgery: The Importance of Proper Patient Positioning.
Cureus
November 2024
Department of Neurosurgery, Instituto Nacional de Cancerología (INCAN), Mexico City, MEX.
Article Synopsis
- Transforaminal lumbar interbody fusion (TLIF) is commonly used to treat degenerative spinal issues like disc herniations and spinal stenosis but can lead to rare complications such as vision loss.
- A case is highlighted involving a 70-year-old man who underwent TLIF and experienced complete vision loss in his left eye post-surgery, which was later confirmed as irreversible optic nerve damage.
- This incident emphasizes the critical need for careful intraoperative positioning and assessment in patients with existing eye conditions to prevent potential complications like postoperative vision loss (POVL).
Spontaneous multilevel lumbar pediculolysis associated with spondylolysis: a rare case and review of the literature.
BMC Musculoskelet Disord
November 2024
Department of Orthopedics, The Affliated Hospital of Southwest Medical University, Luzhou, Sichuan, 646000, PR China.
Background: Pediculolysis is bone hypertrophy and pseudoarthrosis caused by pedicle fracture and has often been combined with contralateral spondylolysis in previous reports. Multilevel pediculolysis with spondylolysis is extremely rare, and we report a case who underwent surgery. Cases of multisegment pediculolysis were reviewed to inspire the diagnosis and treatment of similar pathological phenomena.
View Article and Find Full Text PDFA Misplaced S2 Alar-Iliac Screw Causing L5 Spinal Nerve Injury: A Report of a Rare Case.
Cureus
November 2024
Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Mito, JPN.
Although neurovascular structures, including the superior gluteal artery, sciatic nerve, obturator nerve, internal iliac vein and artery, and lumbosacral plexus, are at risk when S2 alar-iliac (S2AI) screws are used, no cases of nerve injuries have been reported. An 84-year-old man was referred to our institute with persistent left sciatica for seven months after undergoing salvage surgery using S2AI screws for deep surgical site infection from a previous posterior interbody fusion surgery at L5-S1. Based on the radiographic and diagnostic selective nerve root block findings, a diagnosis of left L5 radiculopathy was suspected due to the left S2AI screw being caudally misplaced and severely protruding into the pelvic cavity.
View Article and Find Full Text PDFMalignant Peripheral Nerve Sheath Tumour Presenting as Sciatica in a Patient with Neurofibromatosis Type 1: Is Magnetic Resonance Imaging an Effective Screening Tool?
Eur J Case Rep Intern Med
October 2024
Division of Internal Medicine, Department of Medicine, St. Barnabas Hospital, New York, USA.
Unlabelled: Peripheral malignant nerve sheath tumours (MPNST) are rare and aggressive soft tissue sarcomas often associated with neurofibromatosis type I (NF-1). We describe a case of 26-year-old female with NF-1, initially misdiagnosed as sciatica, who was later found to have a malignant spindle cell peripheral nerve sheath tumour of the right sciatic nerve. Magnetic resonance imaging (MRI) proved to be a valuable tool for diagnosis.
View Article and Find Full Text PDFA Case of Statin-Induced Necrotizing Autoimmune Myopathy.
Cureus
October 2024
Internal Medicine, Jefferson Einstein Montgomery Hospital, East Norriton, USA.
Statins, commonly used for hyperlipidemia and more importantly having proven efficacy in lowering cardiovascular risk, are a very popular class of medications. Side effects are usually mild, and the class as a whole is generally well-tolerated by patients. However, one rare and more serious side effect is statin-induced autoimmune necrotizing myopathy.
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