J Korean Neurosurg S
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J Korean Neurosurg S · Nov 2015
Acute Cervical Subdural Hematoma with Quadriparesis after Cervical Transforaminal Epidural Block.
Cervical epidural steroid injection is frequently used in the conservative management of neck pain and cervical radiculopathy. Epidural cervical transforaminal injections are usually well-tolerated with mild side effects such as transient decreased sensory and motor function, or headache due to dural puncture. ⋯ Subdural hematoma has been occurred much less common rather than epidural hematoma in the spinal cord. We report a rare catastrophic case of cervical spinal subdural hematoma with quadriparesis after cervical transforaminal epidural block.
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J Korean Neurosurg S · Nov 2015
Is the Complete Resection of Craniopharyngiomas in Adults Feasible Considering Both the Oncologic and Functional Outcomes?
To assess the impact of the complete resection of craniopharyngioma (CP) in adults on oncologic and functional outcomes. ⋯ The complete removal of a CP at first surgery can provide a chance for a cure with acceptable morbidity and mortality risks.
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J Korean Neurosurg S · Oct 2015
Usefulness of Fracture Risk Assessment Tool Using Lumbar Bone Mineral Density in Prediction of Osteoporotic Vertebral Fracture.
To investigate the value of lumbar bone mineral density (BMD) in fracture risk assessment (FRAX) tool. ⋯ In our study, the 10-year risk of major osteoporotic fracture in the OVF group of our study was lower than the recommended threshold of intervention for osteoporosis. Hence, a lower threshold for the treatment of osteoporosis may be set for the Korean population to prevent OVF. In the prediction of symptomatic OVF, FRAX tool using lumbar spine BMD may be more useful than that using femur neck BMD.
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J Korean Neurosurg S · Oct 2015
Clinical Utility of an Automated Pupillometer in Patients with Acute Brain Lesion.
The purpose of this study was to evaluate the clinical utility and validity of using a pupillometer to assess patients with acute brain lesions. ⋯ An automated pupillometer can serve as a simple and useful tool for the accurate measurement of pupillary reactivity in patients with acute brain lesions.
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J Korean Neurosurg S · Oct 2015
Case ReportsSpinal Subdural Hematoma Associated with Intracranial Subdural Hematoma.
The simultaneous occurrence of an intracranial and a spinal subdural hematoma (SDH) is rare. We describe a case of cranial SDH with a simultaneous spinal SDH. An 82-year-old woman visited the emergency room because of drowsiness and not being able to walk 6 weeks after falling down. ⋯ Spine magnetic resonance imaging revealed a thoracolumbosacral SDH. A follow-up spinal magnetic resonance imaging study that was performed 16 days later showed a significant decrease in the size of the spinal SDH. We discuss the pathogenesis of this simultaneous occurrence of spinal and cranial SDH.