Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 5 de 5
Filter
Add more filters










Database
Language
Publication year range
1.
BJR Case Rep ; 7(3): 20200126, 2021 May 01.
Article in English | MEDLINE | ID: mdl-34131492

ABSTRACT

Prolapsed intervertebral discs are commonly associated with back ache and sciatica. Management is often conservative with analgesia and physiotherapy. Nerve root injections and discectomy procedures are used where conservative measures fail. Majority of patients present with symptoms of pain and motor weakness; however, a few can present as focal myositis of lower limb muscles in the distribution of radiculopathy. MRI scans of limbs are rarely done in these cases but if done can confound the radiologist. Our case report emphasize the importance of multidisciplinary approach for a L3 nerve radiculopathy with confounding clinical presentation of focal lower limb myositis of unknown etiology.

2.
J Neurosurg ; : 1-2, 2019 Feb 15.
Article in English | MEDLINE | ID: mdl-30771776
4.
Childs Nerv Syst ; 32(4): 745-7, 2016 Apr.
Article in English | MEDLINE | ID: mdl-26285762

ABSTRACT

PURPOSE: To demonstrate that despite disease progression, indirect cerebral revascularisation via EDAS for moyamoya disease is able to maintain sufficient collateral blood supply over a 12-year period. METHODS: Case report of an individual patient with surgically managed moyamoya disease followed up with imaging and outpatient clinic assessments. RESULTS: Follow-up imaging and assessment over 12 years concluded with a good functional and radiographic outcome. CONCLUSION: The extensive follow-up in our case of a 6-year-old female treated with bilateral EDAS procedures for moyamoya disease demonstrates that despite disease progression over 12 years, sufficient collateral blood supply was maintained to achieve a good functional outcome.


Subject(s)
Cerebral Revascularization/methods , Moyamoya Disease/surgery , Adolescent , Angiography, Digital Subtraction , Cerebral Angiography , Female , Humans , Longitudinal Studies , Moyamoya Disease/diagnostic imaging
5.
J Vasc Surg ; 59(4): 983-987.e2, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24368039

ABSTRACT

BACKGROUND: Critical limb ischemia (CLI) is a common condition associated with high levels of morbidity and mortality. Most work to date has focused on surgeon-oriented outcomes such as patency, but there is increasing interest in patient-oriented outcomes such as mobility and independence. OBJECTIVE: This study was conducted to determine the effect of infrainguinal lower limb bypass surgery (LLBS) on postoperative mobility in a United Kingdom tertiary vascular surgery unit and to investigate causes and consequences of poor postoperative mobility. METHODS: We collected data on all patients undergoing LLBS for CLI at our institution during a 3-year period and analyzed potential factors that correlated with poor postoperative mobility. RESULTS: During the study period, 93 index LLBS procedures were performed for patients with CLI. Median length of stay was 11 days (interquartile range, 11 days). The 12-month rates of graft patency, major amputation, and mortality were 75%, 9%, and 6%, respectively. Rates of dependence increased fourfold during the first postoperative year, from 5% preoperatively to 21% at 12 months. Predictors of poor postoperative mobility were female sex (P = .04) and poor postoperative mobility (P < .001), initially and at the 12-month follow-up. Patients with poor postoperative mobility had significantly prolonged hospital length of stay (15 vs 8 days; P < .001). CONCLUSIONS: Patients undergoing LLBS for CLI suffer significantly impaired postoperative mobility, and this is associated with prolonged hospital stay, irrespective of successful revascularization. Further work is needed to better predict patients who will benefit from revascularization and in whom a nonoperative strategy is optimal.


Subject(s)
Dependent Ambulation , Ischemia/therapy , Lower Extremity/blood supply , Mobility Limitation , Peripheral Arterial Disease/therapy , Vascular Grafting/adverse effects , Aged , Aged, 80 and over , Amputation, Surgical , Critical Illness , England , Female , Humans , Ischemia/diagnosis , Ischemia/mortality , Ischemia/physiopathology , Length of Stay , Limb Salvage , Male , Middle Aged , Patient Selection , Peripheral Arterial Disease/diagnosis , Peripheral Arterial Disease/pathology , Peripheral Arterial Disease/physiopathology , Reoperation , Retrospective Studies , Risk Factors , Time Factors , Treatment Outcome , Vascular Grafting/mortality , Vascular Patency
SELECTION OF CITATIONS
SEARCH DETAIL
...