5 results match your criteria: "Hofstra Northwell Health-Staten Island University Hospital[Affiliation]"

Extrapyramidal signs occurring after sympathetic block for complex regional pain syndrome responding to diphenhydramine: Two case reports.

Medicine (Baltimore)

June 2018

Division of Pain Medicine, Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery-Weill Cornell Medicine, Cornell University Department of Psychiatry, Hofstra Northwell Health-Staten Island University Hospital, Staten Island, New York.

Rationale: To present an unusual extrapyramidal motor response occurring after a sympathetic block in CRPS and its successful treatment with diphenhydramine.

Patient Concerns: Severe pain related to Complex Regional Pain Syndrome type 1 interfering with activities of daily living.

Diagnoses: Complex Regional Pain Syndrome type 1.

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Objectives: To illustrate the obstacles and problems with electrical fields (EFs) in treatment and management of skin wounds. Unlike the literature that gives evidence for EF promoting wound healing, there is relatively little research to illustrate the interference of wound healing with EFs.

Materials And Methods: This is a case report of a patient who underwent spinal cord stimulator implantation, and presented with delayed wound healing postoperatively.

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Rare presentation of intrathecal morphine withdrawal psychosis.

Pain Manag

May 2017

Department of Anesthesiology, Hospital for Special Surgery, Weill Cornell Medical School, New York, NY, USA.

We report a case of a 57-year-old male patient with intrathecal morphine pump failure who presented with psychosis as part of a clinical presentation of opioid withdrawal. The patient was being treated for chronic back pain with an intrathecal morphine pump for several years. The patient spontaneously started to experience psychotic symptoms which included disorganized thinking, delusional thoughts, paranoia, auditory and visual hallucinations.

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Dorsal thoracic arachnoid webs are due to a deformity in the formation of arachnoid membrane in the spinal arachnoid space. These webs usually occur in the upper thoracic spine and are viewed on imaging as a pathogonomic 'scalpel' sign because of the resemblance on sagittal MRI to a surgical scalpel. We describe a case of a patient with a neuropathic pain presentation.

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Article Synopsis
  • A 61-year-old woman with a history of breast cancer presented with 4 days of difficulty swallowing, accompanied by lack of appetite and weight loss over the past month.
  • Neuroimaging revealed abnormalities in several cranial nerves and the spinal cord, while cerebrospinal fluid analysis showed cancerous cells.
  • She was diagnosed with leptomeningeal carcinomatosis due to her breast cancer and began radiation therapy, antihormonal treatments, and intrathecal methotrexate.
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