BACKGROUND Extensive research revealed the absence of reports documenting hypertensive emergencies precipitated by changes in the cervical spine posture.CASE SUMMARY We here present a 57-year-old woman diagnosed as ha...BACKGROUND Extensive research revealed the absence of reports documenting hypertensive emergencies precipitated by changes in the cervical spine posture.CASE SUMMARY We here present a 57-year-old woman diagnosed as having cervical spondylotic radiculopathy(CSR)who was scheduled for anterior cervical decompression and fusion.During post-anesthetic positioning,a sudden hypertensive surge was observed when the patient was in a supine position with the neck being slightly extended.This surge was promptly reversed through cervical flexion and head elevation.This event however required an alternate surgical approach for recovery—posterior laminoplasty and endoscopy-assisted nucleus pulposus removal.Following the 6-month outpatient follow-up period,cervical flexion and extension activities substantially improved in the patient without any episodes of increase in acute blood pressure.CONCLUSION Maintaining a safe hypotensive posture and performing rapid,thorough deco-mpression surgery may serve as effective interventions for patients presenting symptoms similar to those of CSR accompanied by hypertensive emergencies(HE).This would mitigate the underlying causes of these HEs.展开更多
Background: Involvement of lumbar spinal nerve root, revealed as pain, numbness or weakness in the lower limbs. Typically caused by the compression of nerve at the spine level. Objective: The purpose of the study was ...Background: Involvement of lumbar spinal nerve root, revealed as pain, numbness or weakness in the lower limbs. Typically caused by the compression of nerve at the spine level. Objective: The purpose of the study was to examine the patients with clinically presumed lumbar radiculopathy and find the correlation between their electrodiagnostic study and magnetic resonance imaging. Setting, duration and study type: Retrospective cross-sectional study of one year (January 2019 - February 2020) in Shifa International Hospital Islamabad. Methods: A total of 96 patients with clinically suspected lumbar radiculopathy were included. Chi-square test, international business machines (IBM) SPSS rendition 21.0 was applied on the clinical information, electrodiagnostic study and MRI were coordinated and affectability and particularity were judged. Selected patients were undergone both electrodiagnostic study and magnetic imaging resonance in the selected 1-year span. The study investigated correlation between both diagnostic tools in lumbar radiculopathy patients. Expected outcomes: Anatomical specificity in seen through magnetic resonance imaging while physiological through electrodiagnostic study, which may not correlate in the evaluation of lumbar radiculopathy.展开更多
文摘BACKGROUND Extensive research revealed the absence of reports documenting hypertensive emergencies precipitated by changes in the cervical spine posture.CASE SUMMARY We here present a 57-year-old woman diagnosed as having cervical spondylotic radiculopathy(CSR)who was scheduled for anterior cervical decompression and fusion.During post-anesthetic positioning,a sudden hypertensive surge was observed when the patient was in a supine position with the neck being slightly extended.This surge was promptly reversed through cervical flexion and head elevation.This event however required an alternate surgical approach for recovery—posterior laminoplasty and endoscopy-assisted nucleus pulposus removal.Following the 6-month outpatient follow-up period,cervical flexion and extension activities substantially improved in the patient without any episodes of increase in acute blood pressure.CONCLUSION Maintaining a safe hypotensive posture and performing rapid,thorough deco-mpression surgery may serve as effective interventions for patients presenting symptoms similar to those of CSR accompanied by hypertensive emergencies(HE).This would mitigate the underlying causes of these HEs.
文摘Background: Involvement of lumbar spinal nerve root, revealed as pain, numbness or weakness in the lower limbs. Typically caused by the compression of nerve at the spine level. Objective: The purpose of the study was to examine the patients with clinically presumed lumbar radiculopathy and find the correlation between their electrodiagnostic study and magnetic resonance imaging. Setting, duration and study type: Retrospective cross-sectional study of one year (January 2019 - February 2020) in Shifa International Hospital Islamabad. Methods: A total of 96 patients with clinically suspected lumbar radiculopathy were included. Chi-square test, international business machines (IBM) SPSS rendition 21.0 was applied on the clinical information, electrodiagnostic study and MRI were coordinated and affectability and particularity were judged. Selected patients were undergone both electrodiagnostic study and magnetic imaging resonance in the selected 1-year span. The study investigated correlation between both diagnostic tools in lumbar radiculopathy patients. Expected outcomes: Anatomical specificity in seen through magnetic resonance imaging while physiological through electrodiagnostic study, which may not correlate in the evaluation of lumbar radiculopathy.
