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- Spontaneous intracranial hypotension (SIH), primarily recognized by orthostatic headaches, is becoming more common thanks to better imaging technology and awareness.
- Traditionally, brain MRI findings were the focus, but recent attention has shifted to spinal MRI, as SIH is believed to result from cerebrospinal fluid leakage from the spinal dural sac.
- New imaging methods like ultrafast CT myelography and digital subtraction myelography are now considered effective for pinpointing the exact location of these fluid leaks, and the review covers the diagnosis, MRI findings, imaging techniques, and treatment options for SIH.
ALK-positive lung adenocarcinoma in a patient with rheumatoid arthritis with long-term treatment for organizing pneumonia: A case report.
Medicine (Baltimore)
December 2022
Department of Respiratory Medicine, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.
Rationale: Rheumatoid arthritis (RA) causes inflammation in various organs including the lungs. Pulmonary manifestations include inflammation of the pleura, vasculature, airway, and parenchyma, including interstitial lung disease (ILD). RA-organizing pneumonia (OP) is the third most common cause of RA-ILD.
View Article and Find Full Text PDFTraumatic lateral atlantoaxial dislocation combined with a type II odontoid fracture in a patient with ankylosing spondylitis: A case report.
Medicine (Baltimore)
October 2022
Department of Neurosurgery, Research Institute of Clinical Medicine of Jeonbuk National University, Jeonbuk National University Medical School and Hospital, Jeonju, Korea.
Rationale: Traumatic lateral atlantoaxial dislocation (AAD) combined with an odontoid fracture is extremely rare. The standards applicable to management of the traumatic lateral AAD are still in flux due to the infrequency of this injury.
Patient Concerns: We present a unique case of traumatic lateral AAD combined with a type II odontoid fracture in a patient with ankylosing spondylitis (AS).
Intrathecal morphine combined with ropivacaine induces spinal myoclonus in cancer patients with an implanted intrathecal drug delivery system: Three case reports.
Medicine (Baltimore)
May 2019
Department of Pain Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine.
Rationale: Although intrathecal opioid infusion has been used for decades for the treatment of severe pain, myoclonus as one of the complications of this therapeutic modality is now beginning to be recognized more.
Patients Concerns: Here, we report three patients who developed myoclonus after dose adjustment in intrathecal drug delivery system for the treatment of refractory cancer pain.
Diagnosis: Spinal myoclonus is a sudden, brief, shock-like muscle contractions originating from the central nervous system.
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