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Intertransverse process block (ITPB) at the retro-superior costotransverse ligament (retro-SCTL) space: Evaluation of local anesthetic spread using MRI and sensory blockade in healthy volunteers.
J Clin Anesth
December 2024
Department of Anesthesia and Intensive Care, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China. Electronic address:
Background: This study evaluated the spread of a local anesthetic, using MRI and sensory blockade, after an intertransverse process block (ITPB) at the medial aspect of the retro-superior costotransverse ligament (retro-SCTL) space - the medial retro-SCTL space block.
Methods: Ten healthy volunteers received a single-injection ultrasound-guided medial retro-SCTL space block at the T4-T5 level using a mixture of 10 ml 0.5 % bupivacaine with 0.
Recurrent cervicothoracic spontaneous epidural hematoma in a toddler.
Childs Nerv Syst
November 2024
Department of Neurosurgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Background: Recurrent cases of spontaneous spinal epidural hematoma are rare, and there are no reports of spontaneous resolution and recurrence in toddlers.
Case Presentation: We present a case of a toddler with a cervical spontaneous spinal epidural hematoma, characterized by three episodes of sudden-onset transient torticollis with subsequent natural recovery. The patient was referred to our hospital after the second episode, during which symptoms were already improving.
Incidence, Risk Factors, and Functional Outcomes of Symptomatic Postoperative Spinal Epidural Hematoma: A Case-Control Study.
World Neurosurg
November 2024
Department of Neurosurgery, MedStar Georgetown University Hospital, Seattle, Washington, USA.
Background: Symptomatic postoperative spinal epidural hematomas (PEDHs) are rare complications, with significant implications on patients' functional outcomes. Strategies for PEDH prevention are poorly understood. This study sought to evaluate preoperative and intraoperative variables predicting the risk of PEDH and patients' functional outcomes after PEDH evacuation.
View Article and Find Full Text PDFComparable Overall Risk of Neurologic Adverse Events Following Cervicothoracic Interlaminar and Transforaminal Epidural Injections: An Analysis of 1.29 Million Patients.
Spine (Phila Pa 1976)
October 2024
Yale School of Medicine, Department of Orthopaedics & Rehabilitation, New Haven, CT.
Article Synopsis
- This study was a retrospective cohort analysis aimed at understanding the incidence and odds of neurologic complications after two types of spinal injections: interlaminar (IL) and transforaminal (TF) cervicothoracic epidural spinal injections (CESI).
- Researchers examined data from a large national database to compare the occurrence of post-injection neurologic complications in over a million patients who received IL-CESI and TF-CESI.
- Results indicated that while the overall rate of neurologic complications was similar for both procedures, TF-CESI had a higher risk of nerve root injury but a lower risk of epidural hematoma compared to IL-CESI, with other adverse events showing no significant differences.
Spinal ganglioneuroma: a rare and challenging tumor in the pediatric population.
Childs Nerv Syst
December 2024
Pediatric Neurosurgery Department, CHU de Brabois, Nancy, France.
Article Synopsis
- Spinal ganglioneuromas are rare neuroblastic tumors mostly found in children, originating from sympathetic ganglia near the spine, and can lead to radicular or medullary symptoms when they extend into the spinal canal.
- A thorough review of pediatric cases was conducted, highlighting a unique case treated in France, focusing on the thoraco-lumbar region due to its different surgical management requirements.
- The review identified 21 pediatric patients, predominantly females, with the majority (42.85%) of tumors located in the thoracic spine, while the featured case presented unusual symptoms including abdominal pain and renal complications.
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