Methylprednisolone

Publication Title: 
Pediatric Emergency Care

OBJECTIVE: The study's objective was to report a case and review the literature on the use of extracorporeal life support in the face of severe pulmonary hemorrhage for acute respiratory distress syndrome. STUDY SELECTION: This study is a single case report of a pediatric patient who was successfully managed on venovenous extracorporeal life support for severe acute respiratory distress syndrome with acute pulmonary hemorrhage secondary to Wegener disease.

Author(s): 
Joseph, Mark
Charles, Anthony G.
Publication Title: 
PLoS medicine

BACKGROUND: Postherpetic neuralgia (PHN) is a complication of acute herpes zoster, which is emerging as a preferred clinical trial model for chronic neuropathic pain. Although there are published meta-analyses of analgesic therapy in PHN, and neuropathic pain in general, the evidence base has been substantially enhanced by the recent publication of several major trials. Therefore, we have conducted a systematic review and meta-analysis for both efficacy and adverse events of analgesic therapy for PHN.

Author(s): 
Hempenstall, Kathleen
Nurmikko, Turo J.
Johnson, Robert W.
A'Hern, Roger P.
Rice, Andrew S. C.
Publication Title: 
PLoS medicine

BACKGROUND: Postherpetic neuralgia (PHN) is a complication of acute herpes zoster, which is emerging as a preferred clinical trial model for chronic neuropathic pain. Although there are published meta-analyses of analgesic therapy in PHN, and neuropathic pain in general, the evidence base has been substantially enhanced by the recent publication of several major trials. Therefore, we have conducted a systematic review and meta-analysis for both efficacy and adverse events of analgesic therapy for PHN.

Author(s): 
Hempenstall, Kathleen
Nurmikko, Turo J.
Johnson, Robert W.
A'Hern, Roger P.
Rice, Andrew S. C.
Publication Title: 
Neurology India

OBJECTIVES: We are presenting 20 cases of the intriguing clinico-electromyographic entity, now considered a potassium channel disorder, Neuromyotonia. Our experience with the clinical manifestations, underlying abnormalities and response to various therapies is documented. MATERIALS AND METHODS: Patients with diffuse pain or undulating muscle movements, with or without stiffness were sent for electromyographic and further studies. Patients with "neuromyotonic discharges" were included after exclusion of hypocalcaemia.

Author(s): 
Panagariya, Ashok
Kumar, Hrishikesh
Mathew, Vivek
Sharma, Bhawna
Publication Title: 
Neurology India

OBJECTIVES: We are presenting 20 cases of the intriguing clinico-electromyographic entity, now considered a potassium channel disorder, Neuromyotonia. Our experience with the clinical manifestations, underlying abnormalities and response to various therapies is documented. MATERIALS AND METHODS: Patients with diffuse pain or undulating muscle movements, with or without stiffness were sent for electromyographic and further studies. Patients with "neuromyotonic discharges" were included after exclusion of hypocalcaemia.

Author(s): 
Panagariya, Ashok
Kumar, Hrishikesh
Mathew, Vivek
Sharma, Bhawna
Publication Title: 
The American Journal of Forensic Medicine and Pathology

Treatment for individuals suffering from migraines and pain due to an inflammation or impingement of a nerve range from noninvasive methods such as massage, physical therapy, and medications to invasive methods such as epidural steroid injections and surgery. Each method of treatment has an associated level of risk. While minor to moderate complications from such procedures do occur, deaths are very rare. We report the first cited case of a death associated with the pain management procedure called nerve root block, also referred to as a transforaminal epidural steroid injection.

Author(s): 
Rozin, Leon
Rozin, Roman
Koehler, Steven A.
Shakir, Abdulrezzak
Ladham, Shaun
Barmada, Mamdouha
Dominick, Joseph
Wecht, Cyril H.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To demonstrate the benefit of cooperation between medical and chiropractic specialists and the usefulness of combining chiropractic and epidural injection in particular cases of back pain. CLINICAL FEATURES: Two cases of low back pain, both with disk protrusions and osteophytic changes, had no response to several weeks of alternate day (or more) chiropractic care. A third case of herniated intervertebral disks and low back pain had no improvement from treatment with epidural steroidal injection.

Author(s): 
Ben-David, B.
Raboy, M.
Publication Title: 
AJNR. American journal of neuroradiology

We report a case of increased signal in the left hemicord at the C4 level on T2-weighted MR images after chiropractic manipulation, consistent with contusion. The patient displayed clinical features of Brown-Séquard syndrome, which stabilized with immobilization and steroids. Follow-up imaging showed decreased cord swelling with persistent increased signal. After physical therapy, the patient regained strength on the left side, with residual decreased sensation to pain involving the right arm.

Author(s): 
Lipper, M. H.
Goldstein, J. H.
Do, H. M.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To describe the safety and potential therapeutic benefit of spinal manipulation postepidural injection in the nonsurgical treatment of patients with cervical and lumbar radiculopathy. METHODS: The study design was a retrospective review of outcomes of 20 cervical and 60 lumbar radiculopathy patients who underwent spinal manipulation postepidural injection in a hospital setting. Patients received either fluoroscopically guided or computed tomography (CT)-guided epidural injection of a combination of lidocaine and Depo-Medrol.

Author(s): 
Dougherty, Paul
Bajwa, Saeed
Burke, Jeanmarie
Dishman, J. Donald
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To describe the safety and potential therapeutic benefit of spinal manipulation postepidural injection in the nonsurgical treatment of patients with cervical and lumbar radiculopathy. METHODS: The study design was a retrospective review of outcomes of 20 cervical and 60 lumbar radiculopathy patients who underwent spinal manipulation postepidural injection in a hospital setting. Patients received either fluoroscopically guided or computed tomography (CT)-guided epidural injection of a combination of lidocaine and Depo-Medrol.

Author(s): 
Dougherty, Paul
Bajwa, Saeed
Burke, Jeanmarie
Dishman, J. Donald

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