...radiates down her right buttock to her toes. The feeling is stabbing, burning, and pulsating. She always feels a pulsating, throbbing pain in those areas. She also complains of pain in her right hip. Mrs. Caretaker’s neurosurgeon, Dr. Thor Lumbar, suspects that she has nerve root compressions, one in her neck and one in her lower back. He wants to do another MRI, because he is worried that her delay in the surgery will permanently damage her spinal cord. Spinal cord or nerve root lesions, due to any cause with disorganization of motor function which is also described in (Disability Evaluation Under Social Security, n.d.)11.04B that states Significant and persistent disorganization of motor function in two extremities, resulting in sustained disturbance of gross and dexterous movements, or gait and station (Social Security Medical/ Professional Relations, n.d.). Persistent disorganization of motor function in the form of paresis or paralysis, tremor or other involuntary movements, ataxia and sensory disturbances (any or all of which may be due to cerebral, cerebellar, brain stem, spinal cord, or peripheral nerve dysfunction) which occur singly or in various combinations, frequently provides the sole or partial basis for decision in cases of neurological impairment. The assessment of impairment depends on the degree of interference with locomotion and/or interference with the use of fingers, hands and arms. Mrs. Caretaker has also mentioned that she has pain in her upper back radiates...
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...defect of the central nervous system involving incomplete closure of the tube that forms the spinal cord and column,” Dr Anona Griffith, paediatrician at Gateway Plaza in Old Harbour said. She explained that during the development of a baby the nervous tissue brain and spinal cord begins as a group of cells that resemble a plate that rolls together to form what is known as the neural tube. She noted that as it matures it becomes differentiated to form the brain, spinal cord, and its coverings both soft tissues and bone (spinal...
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...Samantha Gonzalez Neurosurgeon The brain is the greatest machine that has ever been studied. Its amazing complexity is indescribable until this day. The practice of neurology is the study of how the brain functions according to its components: the nervous system and the spinal cord structure. Neurosurgeons are the “hands on practicians” of neurology. They study and perform surgeries on the brain, the spinal cord and also treat diseases that affect the nervous system. They are the closest humans to understanding the complexity of how the brain works. Through extensive years of education they are one the most recognized medical doctors and the most devoted. Neurology is the study of diseases that affect the nervous system and neurosurgeons are its great practitioners. They also deal with diseases or damage that is done to the spinal cord. The neurological treatment of the spinal cord, and its great connection with the brain is a essential part of neurological surgery and it’s a great part of what type of surgeries, neurosurgeons perform. The long journey to neurosurgery isn’t easy, and it starts with a great devotion to work hard in a four-year college. The most important step of the education process is to be accepted to a competitive medical school. A bachelor’s degree is necessary to be accepted into medical school. It would be preferred if its a bachelor’s degree concentrated in a field that relates to pre-medicine classes. Classes such as biology, chemistry, and...
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...important specialty involved in any surgery. Now a days Anesthesia environment developed to have more than one kind of Anesthesia which include: General Anesthesia, Regional Anesthesia, And Local Anesthesia. To gain high benefits doctors improve advance techniques within regional Anesthesia contain Spinal Anesthesia and Epidural Anesthesia. Knowing more of these techniques and the differences between them is indicated. Since the Regional Anesthesia was established the anatomists face difficult problem the know the spinal and Epidural space well. It challenges them with some canal contains such as frail or fluid, and formidable bony and ligamentous barriers (1). So as we see -figure 1.1- shows the spinal anatomy, which consist of more than one layer to. First layer is dura, then Arachnoid, after that Arachnoid trabecula, and pia, finally spinal cord. The anesthetic solution must be delivered within the arachnoid membrane to result in optimal Anesthesia (1). Likewise, the Epidural Anesthesia has different penetrating place(3). Epidural Anesthesia target the space between the ligamentum flavone...
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...system. The central nervous system (or CNS for short) is made up of the spinal cord and brain, the two nerve transfer areas in our bodies. The spinal cord is very important, if it's damaged you can become paralyzed, meaning you lose all feeling and motion in that area of your body. There is many different parts of being paralyzed. There is paraplegic, meaning you lose feeling and motion of your legs. There is also tetraplegic meaning you lose feeling and motion of your arms. There is many more types of paralias but my job as a neurosurgeon is to do my best to repair the spinal cord as quickly and as efficiently as I...
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...Scoliosis | Dr. Wright Cell Physiology MSC115-71 April 4, 2013 | Johanna Casanova | Scoliosis is just one of many problems in the human body that does not discriminate against anyone. This common disorder can develop at the beginning of puberty during childhood stages and can progress to more serious problem as the child grows. According to Medline Plus, scoliosis can be legally defined as being a sideways or lateral or “S” shaped curve of the spine also known as your backbone that is part of the skeletal system whose cause is unknown (Mayo Clinic). It is a spinal disorder that can be affected by any individual’s growth process at any given point during the first twenty years of life. The spine can be developed and identified between two different structures. Structural means it is associated with neuromuscular disorder, congenital, or idiopathic or nonstructural as in a spine that is structured normally but with a lateral curvature. Both structures can only be determined by the seriousness of the deformity of the spine, location, direction, and even the cause as to what provoked the spine from becoming more abnormal than it should be (Larson 392). The spine can be characterized by twenty-six bones that associated with ligaments, tendons, and muscles that emerge from the skull and extend down to the lower back. A spine is developed to be able to help support the back of the body which supports movement...
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...innovations in medicine today is fetal surgery. Fetal surgery is an exciting, accurate, and sharp new technology and in particular the surgery they use to help myelomeningocele. It is more advanced than other surgeries and takes more time. It also uses an extensive amount of doctors. Fetal surgery for myelomeningocele (MMC) needs more specialists and surgeons in the OR compared to other surgeries. Spina Bifida Spina bifida is the most common neural tube defect (NTD) today. According to the March of Dimes, “About 1,500 to 2,000 babies are born with spina bifida each year in the United States.” (What is SB, 5). A defect forms in the spine before birth and causes a hole to be left open in the spine. Spina bifida is broken...
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...Lumbar Disc Prolapse - Understanding the disorder! Description: Lumbar disc prolapse is a spinal condition that can cause lower back pain and tingling in the lower body. Learn more on Spine and Neuro Surgery Hospital India. Lumbar Disc Prolapse Overview: A lumbar disc prolapse, also known as slipped disc or herniated disc, is a condition where a fragment of the soft central disc material squeezes out due to pressure through a tear in the annulus (disc capsule). A prolapsed fragment may compress an adjacent nerve root or the multiple roots to cause the neurological symptoms. Our discs deteriorate with age, the inner nucleus in our disc, which is like a soft gel dries out and becomes less spongy. The outer annulus is also at risk for cracking or splitting as it becomes brittle with age. If this spilt extends through the annulus, then the nucleus can squeeze out into the spinal canal, thereby pushes the nerves. Let us understand the facts about this disorder. Lumbar Disc...
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...Dinah Gibson 8/29/11 6th period When people hear the word neurosurgery, the first thought that pops into their head is brain surgery. Indeed, neurosurgeons perform brain surgery, however they are also involved in operating on other parts of the nervous system. The brain is an integral and marvelous part of a human's personality and being. Neurosurgeons are more than just brain surgeons. They are well trained to help patients with head and spine trauma, cerebrovascular disorders, such as aneurysms of the brain, and clogged arteries in the neck that can lead to stroke, chronic low back pain, birth defects, brain and spinal tumors, and abnormalities of the nerves. Disorders of the brain, spine and nerves commonly treated by neurosurgeons include: carotid artery disease, carpal tunnel syndrome, cervical spine disorders, epilepsy, head injuries, herniated disks, lumbar stenosis, spina bifida, and tumors. Becoming a neurosurgeon requires a long educational road, so be prepared for a lifelong learning experience. All neurosurgeons start with a Bachelor of Science degree, however some Bachelor of Arts graduates may be accepted into medical school programs. While in high school, take math and science classes. Also, not all medical schools require a bachelor's degree, so with good marks, some students can get accepted after two years of undergraduate studies. Check with the school for their requirements before applying. The next step is medical school, which...
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...The Basic ABCs of Minimally Invasive Spine Surgery Minimally Invasive Spine Surgery (MISS) is neither new nor experimental. Advanced technology provides surgeons with the tools to alleviate the debilitating neck and back pain felt by their patients. The main reasons that people have MISS are to either stabilize an unusual or abnormal movement within the spine or to decompress some spinal cord or pinched nerve pain and pressure. MISS successfully treats a number of spinal disorders while offering several advantages over traditional open surgery. With MISS there is little scarring, less post-operative discomfort and pain, lower risk of post-operative infections, less muscle and tendon damage, and a quicker recovery time. Depending on the reason for the operation, most MISS patients are able to resume their normal daily activities within a few weeks. Some patients will need physical therapy to regain their spinal strength while other patients may require less movement...
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...vertebrae (L5), but spondylolysis may also occur in the other lumbar vertebrae, as well as in the thoracic vertebrae. Signs and symptoms Spondylolysis pain can lead to reduced mobility and inactivity. Inactivity can result in weight gain, loss of bone density, and loss of muscle strength and flexibility of other areas of the body. Spondylolysis can progress until one or more vertebrae slip out of place which is then called spondylolisthesis. Over time, degenerative changes of spondylolysis can cause serious complications including like low back, mid back, and neck pain, spinal Stenosis (where the spinal canal becomes narrow and the spinal cord can become pinched; can occur in the neck or low back), Cauda equina syndrome (a syndrome where the nerves at the bottom of the spinal cord are compressed by an intervertebral disc or mass), Radiculopathy ( a condition where one or more spinal nerves are compressed) and Spinal Myelopathy....
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...Patients seeking a professional chiropractor at the Hoover Health and Wellness Center are often amazed by how thorough their treatment becomes. Entering the office for persistent headaches or back pain is understandable, yet these patients also receive nutritional advice to enhance their adjustments and lives. G. Forrest Edwards, D.C., D.A.B.C.O., the physician who runs the Hoover facility is dedicated to all aspects of health and wellness, including nutrition. Chiropractic care is the practice of treating a patient's illnesses or conditions through spinal adjustments. This concept, which works on the cause of the issue, rather than the symptoms associated to the issue, has been used for over a century. By keeping the neuromuscular system of the body aligned and working properly, a whole host of maladies can be treated or even reversed....
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...hospital costs in inpatient surgical patients Michael E Stokes1*, Xin Ye2, Manan Shah3, Katie Mercaldi4, Matthew W Reynolds4, Marcia FT Rupnow2 and Jeffrey Hammond2 Abstract Background: Inadequate surgical hemostasis may lead to transfusion and/or other bleeding-related complications. This study examines the incidence and costs of bleeding-related complications and/or blood product transfusions occurring as a consequence of surgery in various inpatient surgical cohorts. Methods: A retrospective analysis was conducted using Premier’s Perspective™ hospital database. Patients who had an inpatient procedure within a specialty of interest (cardiac, vascular, non-cardiac thoracic, solid organ, general, reproductive organ, knee/hip replacement, or spinal surgery) during 2006-2007 were identified. For each specialty, the rate of bleeding-related complications (including bleeding event, intervention to control for bleeding, and blood product transfusions) was examined, and hospital costs and length of stay (LOS) were compared between surgeries with and without bleeding-related complications. Incremental costs and ratios of average total hospital costs for patients with bleeding-related complications vs. those without complications were estimated using ordinary least squares (OLS) regression, adjusting for demographics, hospital characteristics, and other baseline characteristics. Models using generalized estimating equations (GEE) were also used to measure the impact...
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...Reclaim your wellness with excellent services by Fort Collins Chiropractor A large number of people nowadays are suffering from several health issues owing to hectic lifestyles and an increased dependence on technology. The practice of Chiropractic is well-known for the health maintenance of the spinal column, back areas, discs, related nerves to these areas, and overall bone health without the use of any kind of drugs or surgery. It deals with treating and preventing nervous system disorders and using effective techniques to let the body use the natural healing powers to treat several ailments in patients. The importance and benefits of the chiropractic care in such cases cannot be overemphasized enough. Fort Collins Chiropractor in Colorado offers expert chiropractic care that involves the natural art and science of adjusting misplaced and misaligned joints of the body. It is especially useful in the bone and spinal health which reduces any type of spinal nerve stress thereby promoting the overall health of an individual....
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...heard about minimally invasive spine surgery as an alternative to open spine surgery before, but weren't quite sure what it is or what it entails. True, minimally invasive surgery is an alternative to open surgery, and is becoming more and more prevalent. However, the sudden surge of this type of surgery is not because it is a type of surgery recently discovered and suddenly utilized. In fact, minimally invasive spine surgeries have been performed for decades now, and the practice is well beyond anything that could be considered exploratory or experimental. If you've thought seriously about minimally invasive surgery, you probably want to learn as much about it as possible, and the following seeks to do just that for you. A Few Minor Distinctions Open spine surgery and minimally invasive spine surgery differ in many ways, some of which are discussed in greater detail below. In a general sense, minimally invasive surgeries can be completed on an outpatient basis, meaning that no overnight hospital stay is required; open surgeries typically require at least one night's stay in a hospital or medical center. Furthermore, open spine surgeries tend to require general anesthesia to completely sedate patients throughout the course of the operation; minimally invasive spine surgeries typically use only local anesthesia...
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