Medical and Biomedical Researches

Endoscopic cranial base surgery: classification of operative approaches.

June 28th, 2008
Endoscopic cranial base surgery: classification of operative approaches. OBJECTIVE: Endoscopic cranial base surgery is a minimal access, maximally aggressive alternative to traditional transfacial, transcranial, or combined open cranial base approaches. Previous descriptions of endoscopic approaches have used varying terminology, which can be confusing to the new ...

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Disappearance of self-aggressive behavior in a brain-injured patient after deep brain stimulation of

June 28th, 2008
Disappearance of self-aggressive behavior in a brain-injured patient after deep brain stimulation of the hypothalamus: technical case report. OBJECTIVE: Self-mutilation is a severe symptom of diseases with varying etiologies. It can be observed in the context of mental retardation and after traumatic brain injury. Pharmacological treatment ...

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Microvascular decompression for intractable singultus: technical case report.

June 28th, 2008
Microvascular decompression for intractable singultus: technical case report. OBJECTIVE: Intractable singultus is a rare but significantly disruptive clinical phenomenon that often accompanies other diseases but can present in isolation due entirely to intracranial pathology. We report a case of intractable singultus that improved after microvascular decompression ...

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Progressing takayasu arteritis successfully treated by common carotid-internal carotid crossover byp

June 28th, 2008
Progressing takayasu arteritis successfully treated by common carotid-internal carotid crossover bypass grafting: technical case report. OBJECTIVE: This report describes a unique case of Takayasu arteritis with occlusion of the left common carotid artery (CCA) and the right internal carotid artery (ICA), which was successfully treated by ...

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Endovascular treatment of giant intracranial aneurysms with willis covered stents: technical case re

June 28th, 2008
Endovascular treatment of giant intracranial aneurysms with willis covered stents: technical case report. OBJECTIVE: To evaluate the efficacy of endovascular treatment of giant intracranial aneurysms with Willis covered stents (Micro-Port, Shanghai, China). CLINICAL PRESENTATION: The endovascular treatment of two cases of giant intracranial aneurysm was successfully ...

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Temporal lobectomy in acute complicated herpes simplex encephalitis: technical case report.

June 28th, 2008
Temporal lobectomy in acute complicated herpes simplex encephalitis: technical case report. OBJECTIVE: Herpes virus encephalitis is a rare, life-threatening complication of therapy in patients with brain tumors. A surgical therapeutic approach may be needed because the infection can be resistant to acyclovir in immunocompromised patients, and ...

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Acquired tonsillar herniation and syringomyelia after pleural effusion aspiration: case report.

June 28th, 2008
Acquired tonsillar herniation and syringomyelia after pleural effusion aspiration: case report. OBJECTIVE: We present a case of brachial plexus avulsion and reconstructive surgery with cerebrospinal fluid leak between the cervical subarachnoid space and the pleural cavity responsible for tonsillar herniation and syringomyelia. CLINICAL PRESENTATION: A 17-year-old ...

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Cervical myelomeningocele in adulthood: case report.

June 28th, 2008
Cervical myelomeningocele in adulthood: case report. OBJECTIVE: Cervical myelomeningocele is an extremely rare condition, accounting for only 1 to 5% of all neural tube defects. These lesions are usually diagnosed in childhood. Here, we report a case of a cervical myelomeningocele diagnosed and treated in adulthood. ...

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Venous lesions as a cause of sylvian aqueductal obstruction: case report.

June 28th, 2008
Venous lesions as a cause of sylvian aqueductal obstruction: case report. OBJECTIVE: The cases of two patients who presented with sylvian aqueductal obstruction caused by venous lesions (an ectatic vein and a developmental venous anomaly, which are uncommon causes of obstructive hydrocephalus) are reported. CLINICAL PRESENTATION: ...

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Giant craniovertebral junction hemorrhagic schwannoma: case report.

June 28th, 2008
Giant craniovertebral junction hemorrhagic schwannoma: case report. OBJECTIVE: Schwannomas located at the craniovertebral junction are rare. Intratumoral microscopic bleeding may be a common finding, but an acute hemorrhagic presentation is an unusual occurrence. CLINICAL PRESENTATION: We report the case of a 44-year-old woman with acute onset ...

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Fluctuating response of a cystic vestibular schwannoma to radiosurgery: case report.

June 28th, 2008
Fluctuating response of a cystic vestibular schwannoma to radiosurgery: case report. OBJECTIVE: A vestibular schwannoma (VS) is a benign tumor of the VIIIth cranial nerve that can often be treated by microsurgery or radiosurgery and demonstrates high tumor control rates. Radiosurgery is typically performed as gamma ...

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Rosette-forming glioneuronal tumor: pathology case report.

June 28th, 2008
Rosette-forming glioneuronal tumor: pathology case report. OBJECTIVE: Rosette-forming glioneuronal tumor is a newly described mixed glial and neuronal tumor. We describe two cases and review the literature to better characterize this entity. METHODS: Patients were surgically treated, and tumors were diagnosed by light microscopy and immunohistochemistry ...

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The Prevalence of Increased Proximal Junctional Flexion Following Posterior Instrumentation and Arth

June 28th, 2008
The Prevalence of Increased Proximal Junctional Flexion Following Posterior Instrumentation and Arthrodesis for Adolescent Idiopathic Scoliosis. STUDY DESIGN.: Retrospective case series. OBJECTIVE.: To determine the prevalence of proximal junctional sagittal plane flexion increase after posterior instrumentation and arthrodesis. SUMMARY OF BACKGROUND DATA.: Increased flexion proximal to ...

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Comparison of Results of Total Disc Replacement in Postdiscectomy Patients Versus Patients With No P

June 28th, 2008
Comparison of Results of Total Disc Replacement in Postdiscectomy Patients Versus Patients With No Previous Lumbar Surgery. STUDY DESIGN.: Data for this study were collected as part of a prospective Food and Drug Administration regulated IDE trial for the ProDisc total disc replacement. OBJECTIVE.: The purpose ...

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A Randomized Study of Back School in Women With Chronic Low Back Pain: Quality of Life at Three, Six

June 28th, 2008
A Randomized Study of Back School in Women With Chronic Low Back Pain: Quality of Life at Three, Six, and Twelve Months Follow-up. STUDY DESIGN.: A randomized controlled trial. OBJECTIVE.: To examine the effects of the back school program on quality of life in women with ...

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Aspirin for Primary Prevention of Coronary Heart Disease: Using the Framingham Risk Score to Improve

June 28th, 2008
Aspirin for Primary Prevention of Coronary Heart Disease: Using the Framingham Risk Score to Improve Utilization in a Primary Care Clinic. OBJECTIVES:: Coronary heart disease (CHD) is the number one cause of death in adults in the industrialized world, and several large studies show that aspirin ...

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The Spectrum of Thrombotic Thrombocytopenic Purpura: A Clinicopathologic Demonstration of Tacrolimus

June 28th, 2008
The Spectrum of Thrombotic Thrombocytopenic Purpura: A Clinicopathologic Demonstration of Tacrolimus-Induced Thrombotic Thrombocytopenic Purpura in a Lung Transplant Patient. Immunosuppressive drugs used post-transplantation are among the most common causes of thrombotic thrombocytopenic purpura (TTP). Diagnosis is often confounded not only by its myriad presentations, but also ...

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Is Religiosity Associated with Corporal Punishment or Child Abuse?

June 28th, 2008
Is Religiosity Associated with Corporal Punishment or Child Abuse? There is limited empiric literature available regarding religion and corporal punishment and physical child abuse. The available empiric literature deals primarily with Christian denominations. Conservative Protestants, particularly those who believe in Biblical literalism or inerrancy, spank and/or ...

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Religion and Medical Neglect.

June 28th, 2008
Religion and Medical Neglect. This is a literature review of religion-associated medical neglect of children. It attempts to document the most common denominations involved in religion-associated medical neglect. There is a discussion of the history of religious exemptions to medical care and health risks to children ...

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Atypical Autoimmune Polyglandular Syndrome Type 3 Overlapped by Chronic HCV Infection Resulting in C

June 28th, 2008
Atypical Autoimmune Polyglandular Syndrome Type 3 Overlapped by Chronic HCV Infection Resulting in Carcinogenesis and Fatal Infection. The case of a woman with insulin-dependent diabetes mellitus, autoimmune thyroiditis, atrophic gastritis, pernicious anemia, and immunologic thrombocytopenic purpura consisting of autoimmune polyglandular syndrome type 3 associated with a ...

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Cigarette Smoking During Pregnancy: Independent Associations with Religious Participation.

June 28th, 2008
Cigarette Smoking During Pregnancy: Independent Associations with Religious Participation. OBJECTIVE:: Data from a national health survey were used to test the hypothesis of a negative association of smoking in pregnancy and three measures of religious participation and importance. METHODS:: The 2002 National Survey of Family Growth ...

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Spirituality, Adolescent Suicide, and the Juvenile Justice System.

June 28th, 2008
Spirituality, Adolescent Suicide, and the Juvenile Justice System. BACKGROUND:: Spirituality is often overlooked as a coping method and resilience factor in the lives of adolescents. An improved understanding of the role of spirituality in the lives of adolescents will help in understanding the choices many teens ...

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Patient Visits to a Midwestern Primary Care Practice-Based Research Network: A Comparison to Two Nat

June 28th, 2008
Patient Visits to a Midwestern Primary Care Practice-Based Research Network: A Comparison to Two National Primary Care Data Sets. BACKGROUND:: Regional primary care practice-based research networks (PBRNs) have made important contributions to the primary care literature, but have not been well-described. This study compares pediatric patient ...

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River Tree Rope Swing Injuries.

June 28th, 2008
River Tree Rope Swing Injuries. OBJECTIVE:: To review injuries associated with falls from river tree rope swings (RTRS) and identify points of action for prevention. METHODS AND METHODS:: This study was a retrospective analysis of injury reports directly related to falls from RTRS. Case reports for ...

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Odds Ratios and Risk Ratios: What’s the Difference and Why Does It Matter?

June 28th, 2008
Odds Ratios and Risk Ratios: What\'s the Difference and Why Does It Matter? Odds ratios (OR) are commonly reported in the medical literature as the measure of association between exposure and outcome. However, it is relative risk that people more intuitively understand as a measure of ...

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