Search Results

You are looking at 1 - 10 of 14 items for :

  • "iatrogenic trauma" x
Clear All
Restricted access

Samuel H. Greenblatt

iatrogenic trauma, and the cause of the SAH was never determined in eight. There were 18 males and 12 females. The age range was 2 months to 86 years. The mortality rate in the entire group was 33%, including three patients who died after clipping of their aneurysms. Method Only those cases of SAH confirmed by atraumatic lumbar puncture (LP) or ventricular tap (in an infant) are included. No patient was ever tapped solely to obtain a CSF CPK. Concomitant serum CPK's were drawn within a few hours of the corresponding LP. Only 0.1 or 0.2 cc of serum or CSF

Restricted access

Robert R. Richardson, Yoon Sun Hahn and Edir B. Siqueira

H emorrhagic neuropathy is a very rare and a poorly understood clinical entity. 5 This entity refers to hemorrhage into or around a peripheral nerve, resulting in either an extraneural or an intraneural hematoma. 2, 5 It can occur spontaneously or be produced by a multitude of causally related disorders, including bleeding diathesis (natural or iatrogenic), trauma, and neoplasms. 2, 5 The most common presenting symptom is mild-to-severe pain of acute or subacute onset in the distribution of the involved nerve. 5 This is followed by signs of motor weakness

Restricted access

Dwight Parkinson and Michael West

in these cases have, on occasion, illustrated trapping of a traumatic aneurysm or arteriovenous fistula. 8, 25, 35, 52 Agents causing penetrating injuries include a diverse category of missiles, ranging from bullets to umbrella tips. 1, 8, 14, 15, 17, 18, 22, 26, 27, 50, 66 Iatrogenic trauma to intracranial arteries during intracranial surgery is also a cause that is well recognized. 2, 7, 24, 31, 33, 44, 45, 51, 54, 73 Reflecting the severity of the initial head injury, traumatic aneurysms are frequently accompanied by intracranial pathology such as vascular

Restricted access

Saim Kazan, Özgür Özdemir, Mahmut Akyüz and Recai Tuncer

cervical trauma, however, the time elapsed after the onset of trauma was different in each case (time range 15 days–18 years). In addition, two of three patients with myelomeningocele underwent operations in the craniocervical region for Chiari II malformations. 11 We believe that the formation of these intradural cysts could not be explained by just one mechanism because in these reported cases there had been accidental or iatrogenic trauma to known or unknown congenital lesions previously. Congenital asymptomatic intradural arachnoid cysts may become symptomatic after

Restricted access

Thomas Kretschmer, Gregor Antoniadis, Veit Braun, Stefan A. Rath and Hans-Peter Richter

retrospectively, 43 (35%) were surgically treated within the first 6 months after iatrogenic trauma was sustained, 40 (32%) were surgically treated 6 to 12 months after injury, and 41 (33%) were treated 1 year or more after injury. Thus, approximately two thirds (81 [65%] of 124) of the iatrogenic injuries were not surgically treated within the time interval deemed appropriate for elective secondary repair (≤ 6 months). This was usually due to delayed referral. Most patients in whom surgery was delayed until 6 months or more postiatrogenic injury had consulted many physicians

Restricted access

A brachial plexopathy due to myositis ossificans

Case report and review of the literature

John F. Reavey-Cantwell, Ira Garonzik, Michael P. Viglione, Edward F. M. McCarthy and Allan J. Belzberg

M yositis ossificans is an extraosseous nonneoplastic formation of bone and cartilage. 1 Four types of MO have been described. Myositis ossificans circumscripta, a localized, self-limited form of the disorder that occurs following blunt, penetrating, thermal, or iatrogenic trauma is the most common. 10, 18 The second type of MO occurs after closed head injury or spinal cord trauma. 10, 18 A third type occurs in the absence of any history of trauma and is known as pseudomalignant MO. 12, 15 The fourth manifestation is a rare genetic disorder known as

Restricted access

Henrich Kele, Raphaela Verheggen and Carl Detlev Reimers

carpal tunnel syndrome. We have clearly demonstrated that ultrasonography can be used to discover the cause of median nerve compression, to reveal accurately alterations in normal anatomical proportions, and, finally, to decrease the risk of an iatrogenic trauma. Acknowledgments The authors thank Dr. G. Latta and Mrs. C. Crozier for their critical revision of the manuscript. References 1. Buchberger W , Schon G , Strasser K , et al : High-resolution ultrasonography of the carpal tunnel. J Ultrasound Med 10 : 531

Restricted access

Axel Jung, Johannes Schramm, Kai Lehnerdt and Claus Herberhold

oblique course than the left RLN. 22 Traction interrupts perineural blood flow and traumatizes the nerve. 41 Other authors have demonstrated the possible influence of endotracheal tube cuff pressure on RLN injury. 1, 18, 32 The increase of the retractor-induced cuff pressure reduces mucosal blood flow unilaterally and may trap the nerve itself contralaterally. As a result of these studies deflation and reinflation of the endotracheal tube cuff is known to reduce the iatrogenic trauma to the RLN, as was demonstrated by Apfelbaum and colleagues. 1 In thyroid surgery

Restricted access

Dorothee Koch-Wiewrodt, Wolfgang Wagner and Axel Perneczky

, 20 decompression for Chiari malformation, 15 and widening the spinal canal in patients with achondroplasia. 31 Hemilaminectomy and Laminotomy To minimize iatrogenic trauma and postoperative instability, hemilaminectomy for the resection of spinal tumors or vascular malformations has been shown to have some advantages 2 , 11 , 25 , 33 and has also been applied to the treatment of spinal hematomas. 23 , 29 Postoperatively, less pain was reported, earlier patient mobilization was possible, the duration of hospital stay was shorter, and postoperative spinal

Restricted access

Erwin M. J. Cornips, Marcus L. F. Janssen and Emile A. M. Beuls

anal sphincter tone, and priapism. Adhering to a prospective study protocol initiated when we introduced the TMD technique in our department in 2000, all patients were carefully monitored perioperatively with MABPs close to preinduction values and above 70 mm Hg at all times. Moreover, all patients with significant cord compression and clinical and/or radiological myelopathy were treated with intravenous methylprednisolone according to the NASCIS-II protocol (National Acute Spinal Cord Injury Study) 4 to protect the already compromised cord against iatrogenic