The goal of this study was to determine the incidence and severity of neurologic complications after spinal anesthesia and to examine the factors contributing to these complications. Early and late effects of 10,098 spinal anesthetics were analyzed in 8,460 patients treated at the Hospital of the University of Pennsylvania between 1948 and 1951. The comparison groups were comprised of 1,000 pat...

OBJECTIVE Our objective was to determine if antegrade cerebral perfusion (ACP) and retrograde cerebral perfusion (RCP) combined with deep hypothermia circulatory arrest in aortic arch surgery results in different mortality and neurologic outcomes. METHODS The Cochrane Library, Medline, EMBASE, CINAHL, Web of Science, and the Chinese Biomedical Database were searched for studies reporting on p...

spinal epidural lipomatosis is a rare condition which is described as the accumulation of fat in the extradural territory and often causes dural impingement. spinal epidural lipomatosis has been implicated in causing a variety of neurologic impairments ranging from back pain, radiculopathy, claudication, myelopathy or even cauda equina syndrome. we report a 46-year-old female with obesity and a...

traumatic basal ganglia hematoma is a rare condition defined as presence of hemorrhagic lesions in basal ganglia or adjacent structures suchas internal capsule, putamen and thalamus. bilateral basal ganglia hematoma are among the devastating and rare condition. we herein report a 28-year old man, a victim of car-car accident who was brought to our surgical emergency room by immediate loss of co...

BACKGROUND AND PURPOSE Small asymptomatic epidural hematomas (EDHs) are frequently managed nonoperatively with good neurologic outcome. Our goals were to determine the frequency and timing of enlargement of acute traumatic EDHs that are not immediately surgically evacuated as well as to identify factors associated with rehemorrhage. METHODS Of 252 consecutive patients with acute traumatic EDH...

In the past, neurologic deficits found in association with sacral agenesis were thought to be unamenable to surgical therapy. Recent experience and a careful review of autopsy and case reports form the literature have demonstrated that this assumption is unwarranted. Four cases of sacral agenesis are reported with description of the myelographic findings of each case. Surgical confirmation was ...

BACKGROUND Spinal epidural abscess is a rare condition with high morbidity and mortality, for which a delay in diagnosis and treatment can lead to irreversible neurologic deficit or even death. Although patients with spinal epidural abscess have systemic predisposing immunocompromised conditions, spinal intervention, or trauma, this condition has been reported as a result of perforation or fist...

BACKGROUND Treatment of unstable upper and middle thoracic spine fractures remains controversial. There is no consensus regarding optimal treatment. OBJECTIVES In this study, we evaluated the efficacy of pedicular screw in the management of middle thoracic spine fractures to correct kyphosis and anterolisthesis and improve neurologic condition of patients. PATIENTS AND METHODS Twenty-five p...

epidural abscess of the spinal column is a rare condition that can be fatal if left untreated. it promptly progresses and can cause neurologic paralysis, urinary retention or cauda equina syndrome. compromised immune system that occurs in patients with diabetes mellitus, aids, chronic renal failure, alcoholism, or cancer is a predisposing factor. it mostly occurs in adults. here we would like t...