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| http://dx.doi.org/10.4103/1817-1745.123702 | DOI Listing |
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Objective: While the association of a syrinx with a tethered spinal cord in the context of VACTERL (vertebral defects [V], imperforate anus or anal atresia [A], cardiac malformations [C], tracheoesophageal defects [T] with or without esophageal atresia [E], renal anomalies [R], and limb defects [L]) association is known, the incidence of idiopathic syrinxes among these patients has not previously been reported. The authors aimed to characterize the incidence of syrinxes and the pattern of congenital anomalies in pediatric patients with VACTERL association, with a specific focus on the presence of idiopathic syrinxes in this population.
Methods: An institutional database was retrospectively queried for all pediatric patients with VACTERL association.
Giant Chiari's Network in Healthy Adults.
Cureus
December 2024
Cardiovascular Surgery, Kawasaki Municipal Hospital, Kawasaki, JPN.
A 40-year-old male visited our clinic for cardiac evaluation. He had palpitations for several years, but the reason was unknown. Transthoracic echocardiography revealed a hyperechoic ribbon-shaped structure that moved vigorously in the right atrium.
View Article and Find Full Text PDFIncidence of Subdural Hygroma on Routine Early Postoperative Imaging Following Foramen Magnum Decompression for Chiari Malformation Type 1 in 156 Patients.
World Neurosurg
December 2024
Department of Neurological Sciences, Christian Medical College, Vellore, India. Electronic address:
Article Synopsis
- The study aims to assess how frequently subdural hygroma (SDH) occurs in patients with Chiari 1 malformation after surgery to decompress the foramen magnum.
- A total of 156 patients were analyzed, revealing that 41% had SDH on early postoperative scans, with approximately 34.4% of those experiencing symptoms such as headaches or CSF leaks.
- The findings indicate that while many cases of SDH are asymptomatic, those with associated ventriculomegaly pose significant risks requiring immediate medical intervention, including potential emergency treatments.
Role of spinal MRI for pre-operative work up in patients with adolescent idiopathic scoliosis: a retrospective case study and narrative review.
Spine Deform
October 2024
Department of Orthopedic Surgery, Center for Spinal Disorders, Nicklaus Children's Hospital, 3100 SW 62nd Avenue, Miami, FL, 33155, USA.
Article Synopsis
- There is variability in the practice of obtaining whole-spine MRIs before surgery for adolescents with idiopathic scoliosis (AIS), prompting this study to evaluate the benefits of uniform MRI use.
- The research included 283 asymptomatic AIS patients who had preoperative MRIs, revealing various neural axis anomalies in 9.9% of cases, with 2.1% requiring surgical intervention.
- Findings indicated that although some patients had neuromonitoring alerts related to anomalies, none experienced permanent neurological deficits post-surgery, underscoring the importance of MRI in identifying potential complications.
Giant pedunculated liver hydatid cyst causing inferior vena cava syndrome: a case report.
J Med Case Rep
October 2024
School of Public Health, Madda Walabu University, Goba, Ethiopia.
Background: Hydatid disease is a zoonotic infection caused by the species Echinococcus that typically affects the liver. Most liver hydatid cysts are asymptomatic at first, but as the cyst grows larger, symptoms, such as compression effects, start to appear. Ultrasonography and computed tomography scans are the widely used diagnostic tools, and surgery is considered the mainstay of treatment.
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