- A Case Study of Combined Perception-Based and Perception-Free Spinal Cord Stimulator Therapy for the Management of Persistent Pain after a Total Knee Arthroplasty. [Journal Article]Pain Ther 2019PT
- CONCLUSIONS: The development of persistent pain following TKA is a significant complication that is often challenging to treat. Our case demonstrated the successful treatment of CRPS in the knee with the use of combination therapy in spinal cord stimulator therapy. We anticipate that more data will continue to emerge to assess for the safety and efficacy of combination therapy.
- Ulcerated bleeding palisaded encapsulated neuroma of the tongue. [Journal Article]Malays J Pathol 2019; 41(2):229-232MJ
- CONCLUSIONS: To our knowledge, this is the first description of an ulcerated PEN presented with an active bleed.
- Ultra-high-frequency Ultrasound to Assess Nerve Fascicles in Median Nerve Traumatic Neuroma. [Case Reports]Cureus 2019; 11(6):e4871C
- A traumatic neuroma is a major cause of persistent neuropathic pain. Diagnostic imaging tools are critical to the success of surgical treatment. Ultra-high-frequency ultrasound is a novel technology that can generate frequencies up to 70 MHz, assessing structures up to 30 μm. We report a unique case of intraoperative use of ultra-high-frequency ultrasound to provide detailed imaging of nerve fasc…
A traumatic neuroma is a major cause of persistent neuropathic pain. Diagnostic imaging tools are critical to the success of surgical treatment. Ultra-high-frequency ultrasound is a novel technology that can generate frequencies up to 70 MHz, assessing structures up to 30 μm. We report a unique case of intraoperative use of ultra-high-frequency ultrasound to provide detailed imaging of nerve fascicles, facilitating surgical excision of the mass.
- Ultrasound-guided radiofrequency ablation for treatment of Morton's neuroma: initial experience. [Journal Article]Clin Radiol 2019CR
- CONCLUSIONS: Ultrasound-guided RFA is safe, with excellent initial results in treatment of symptomatic Morton's neuroma. Further studies on long-term outcomes and comparison to other management options will be required to establish its role in management of symptomatic Morton's neuroma.
- Hearing preservation in vestibular schwannoma surgery via retrosigmoid transmeatal approach. [Journal Article]Acta Neurochir (Wien) 2019AN
- CONCLUSIONS: The retrosigmoid transmeatal approach under continuous neuromonitoring (auditory brainstem response, cochlear nerve action potentials, and continuous facial nerve monitoring) enables gross-total resection of vestibular schwannomas, while preserving hearing and facial functions. Radiological assessment and microsurgical techniques, such as meticulous tumor dissection, are also essential for functional preservation with sufficient tumor removal.
- Novel Investigation of the Deep Band of the Lateral Plantar Aponeurosis and Its Relationship With the Lateral Plantar Nerve. [Journal Article]Foot Ankle Int 2019; :1071100719864352FA
- CONCLUSIONS: When present, the deep band of the lateral plantar aponeurosis (PA) was consistently found to be crossing the lateral plantar nerve. The discovery of the location where this most commonly occurs has not been previously reported and adds an interesting dimension that elevates an anatomical study to one that has clinical potential.
- Simultaneous Contralateral Vestibular Schwannoma and Glomus Tumor of the Temporal Bone- A Case Report. [Case Reports]Iran J Otorhinolaryngol 2019; 31(105):235-238IJ
- CONCLUSIONS: Though vestibular schwannomas and glomus jugulare tumors are pathophysiologically different, they are similar in terms of symptomatology, growth pattern, diagnostic process, and therapeutic strategy. Based on this case report, it can be concluded that a vestibular evaluation demonstrates a unilateral vestibular weakness towards the side of the vestibular schwannoma, thereby facilitating clinical discrimination between the lesions.
- Volumetric growth rates of untreated vestibular schwannomas. [Journal Article]J Neurosurg 2019; :1-7JN
- CONCLUSIONS: This study comprehensively assessed VS volumetric growth rates using high-resolution images and was conducted in a large and diverse patient sample. The majority of the tumors exhibited growth, with about one-third growing at a rate of 100% per year. These findings may contribute to a consensus understanding of tumor behavior and inform clinical decisions regarding whether to intervene or observe.
- Evaluation of hepatic fibrosis by ultrasonic acoustic structure quantification. [Journal Article]Medicine (Baltimore) 2019; 98(31):e16533M
- To evaluate the diagnostic accuracy of ultrasonic acoustic structure quantification (ASQ) for grading hepatic fibrosis/cirrhosis by comparing ultrasonographic features of regions of interest on ASQ images with the pathological characteristics of stage F0-F4 hepatic fibrosis cases.We retrospectively analyzed the medical records of 97 patients with chronic hepatitis who underwent ASQ evaluation at …
To evaluate the diagnostic accuracy of ultrasonic acoustic structure quantification (ASQ) for grading hepatic fibrosis/cirrhosis by comparing ultrasonographic features of regions of interest on ASQ images with the pathological characteristics of stage F0-F4 hepatic fibrosis cases.We retrospectively analyzed the medical records of 97 patients with chronic hepatitis who underwent ASQ evaluation at the Ultrasound Room of Dongfang Hepatobiliary Surgery Hospital (Shanghai, China) between July 2012 and October 2013. Regions of interest on stored ASQ images were analyzed to obtain cm values on modes, averages, and standard deviations. Correlation analysis, principal component analysis (PCA), and multivariate analysis of variance (MANOVA) of the mean cm values with hepatic fibrosis staging were performed. A receiver operating characteristic (ROC) curve was used to assess the diagnostic accuracy of ASQ.The mean cm of ASQ correlated with the pathological stage of hepatic fibrosis, with the best correlation coefficient (r = 0.81) in the right lobe below rib 2. The best cm average 1 and 2 values, which differed significantly among different hepatic fibrosis/cirrhosis stages, were also found in this area. The maximal area under the ROC curve (0.969) was for cmaverage 1 for the F0 versus F1 to F4 group, with a low criterion (110), while the maximal criterion (145) was for cm average 2 for the F0-F3 versus F4 group, with a relatively small AUC (0.882).With objective and accurate results, ASQ analysis is a promising non-invasive method for grading hepatic fibrosis, although this should be verified in further studies.
New Search Next
- Screening for vestibular schwannoma in the context of an ageing population. [Journal Article]J Laryngol Otol 2019; 133(8):640-649JL
- CONCLUSIONS: An evidence-based approach to the investigation of asymmetric hearing loss and tinnitus in the elderly patient can be used to formulate guidelines for the rational use of magnetic resonance imaging in this population.