• Title/Summary/Keyword: Sciatica

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Dorsal Extradural Lumbar Disc Herniation Causing Cauda Equina Syndrome : A Case Report and Review of Literature

  • Kim, Jin-Sung;Lee, Sang-Ho;Arbatti, Nikhil J.
    • Journal of Korean Neurosurgical Society
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    • v.47 no.3
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    • pp.217-220
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    • 2010
  • A 73-year-old male presented with a rare dorsally sequestrated lumbar disc herniation manifesting as severe radiating pain in both leg, progressively worsening weakness in both lower extremities, and urinary incontinence, suggesting cauda equina syndrome. Magnetic resonance imaging suggested the sequestrated disc fragment located in the extradural space at the L4-L5 level had surrounded and compressed the dural sac from the lateral to dorsal sides. A bilateral decompressive laminectomy was performed under an operating microscope. A large extruded disc was found to have migrated from the ventral aspect, around the thecal sac, and into the dorsal aspect, which compressed the sac to the right. After removal of the disc fragment, his sciatica was relieved and the patient felt strength of lower extremity improved.

The Case Report of Conservative Treatment on Failed Back Surgery Syndrome (요추관 협착증 수술 실패 증후군 환자에 대한 보존적 치료 치험 1례)

  • Lee, Gil-Jae;Lee, Byeong-Yee;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.3 no.1
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    • pp.9-18
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    • 2008
  • Objective : The purpose of this study is to evaluate the conservative treatment for FBSS patient. Methods : We used Herbal medication, Acupuncture, burning Acupuncture, Physical Therapy for this patient. And we measured of VAS and ODI score to evaluate treatment effects. Results : Patient's sciatica and sensory test has improved. VAS and ODI score were also decreased.

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Traumatic Spinal Subdural Hematoma Accompanying intracranial hematoma: Spontaneous Resolution after Pumbar Puncture (외상성 구개강내 출혈과 동반된 척추경막하 출혈; 요추 전자부 자연흡수)

  • Lee, Won Tae;Kim, Seok Won
    • Journal of Trauma and Injury
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    • v.19 no.1
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    • pp.93-96
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    • 2006
  • A traumatic spinal subdural hematoma is a rare condition, and only nine cases have been reported until now. We report a rare case of concomitant intracranial hemorrhage and spinal subdural hematoma with a review of the literature. A 45-year-old man was referred to our institute after being stroke by a car. He complained of nausea, headache, back pain, and bilateral sciatica. Brain computed tomography and lumbar spine magnetic resonance images revealed both an intracerbral hemorrhage and a subdural hematoma in the L4 to S1 level. After performing a lumbar spinal puncture and draining the hemorrhagic cerebrospinal fluid (CSF), the intracranial and spinal hematomas were resolved completely without any neruologic deficits.

The Effects of Auriculotherapy for Pain Control in HIVLD with Sciatica (좌골신경통을 수반하는 요추부 추간판탈출증 환자에 대한 외이치료의 동통조절 효과)

  • Oh Young-Taek;Kwon Hyuk-Cheol
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.45-55
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    • 1999
  • This study was compared with each 2 groups (Intermittent traction therapy alone group1: Control group and Intermittent traction therapy plus Auriculotherapy group 2: Experimental group) on 20 HIVLD(Hemiated Intervertebral Lumbar Disk) patients with sciatics Each subjects were divided to control and experimental. Each group were applied Intermittent traction therapy (HOld:25, Rest:15) for 15 minute and control group were not received auricular stimulation. However experimental groups were applied auricular stimulation simultaneosly. Auricular acupuncture points(max-17, min=13) were stimulated with low frequency. high intensity Electro-Acupunture stimulator for 20 seconds per each point. Treatment and measurements(R.P and VAS) was administered to each patient during the 10 times therapy per 2 weeks. The results were significant differences between the two groups. Experimental group appeared significantly greater than before in pain, and pain relief, and significant improvement in centralization phenomenon of radiating pain.

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Effects of Auriculotherapy in the pain control of HIVLD (요추부 추간판탈출증 환자에 대한 외이치료의 동통조절 효과)

  • Oh, Young-Taek;Kwon, Hyuk-Cheol
    • Journal of Korean Physical Therapy Science
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    • v.6 no.2
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    • pp.977-988
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    • 1999
  • This study compared the effects of Intermittent traction therapy alone(Group1=Control group) and Intermittent traction therapy plus Auriculotherapy (Group2=Experimental group) to 20 Sciatica patients. Subjects were assigned to two groups with each 10. The two groups received Intermittent traction therapy (Hold:25, Rest:15) for 15 minute and experimental group did received auricular stimulation. Auricular acupuncture points(max=17, min=13) were stimulated with low frequency, high intensity Electro-Acupunture stimulator for 20 seconds per a each point. Treatment and measurements(SLR and VAS) was administered to each patient during the two weeks of 10 times therapy. The results were significant differences between the two groups. Experimental group produced significantly greater pain relief, and significant improvement of limited SLR.

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A case of sciatica; did not respond to prolotherapy and extracorporeal shock wave therapy (프롤로테라피와 체외충격파에 반응 없는 요각통(腰脚痛) 환자 1례)

  • Lee, Hye-Yoon;Hwang, Man-Suk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.2
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    • pp.57-64
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    • 2016
  • This is a case report about left leg radiating pain treated with complex traditional Korean medical intervention, while the case did not responded to prolotherapy and extracorporeal shock wave treatment for lumbar herniated intervertebral disc (HIVD). The patient was diagnosed with a piriformis problem after a physical examination and was treated with lumbar and piriformis muscle treatment. After 9 sessions of treatment for 33 days, Numeric Rating Scale (NRS) for pain has been decreased from 8 to 3. Further studies with more cases and longer observation period should be conducted to provide evidence for optimum acupuncture procedure considering its effectiveness, safety and patients' compliance altogether.

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Isolated Hemangioblastoma of the Filum Terminale

  • Cho, Hee-Cheol;Kim, Dong-Won;Kim, In-Su;Lee, Chang-Young
    • Journal of Korean Neurosurgical Society
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    • v.39 no.3
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    • pp.234-237
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    • 2006
  • The filum terminale is an exceptional location for isolated hemangioblastoma, and most commonly hemangioblastomas are present In patients with von Hippel-Lindau[VHL] syndrome. We describe here a case of hemangioblastoma of filum terminale not associated with VHL, presenting with the history of progressive back pain, particularly severe in recumbent posture, and recurrent bilateral sciatica. MRI and spinal angiography revealed a well-vasculized mass lesion in filum terminale. The tumor was resected surgically. Histological examination confirmed the hemangioblastoma diagnosis. We recommended that, although rare, hemangiblastoma of the filum terminale be included in the differential diagnosis of a patient with low back pain.

A Clinical study on the Effect of Chuna to Herniated Lumbar Disc Patients (요추 추간판 탈출증 환자의 굴곡신연기법 치료효과에 대한 임상적 고찰)

  • Lee, Gil-Jae;Lee, Byeong-Yee;Jang, Gun;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.2 no.2
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    • pp.79-88
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    • 2007
  • Objectives : This research is aimed to confirm the treating patients with herniated lumbar disc using Chuna treatment. Methods : Out of patients who were confirmed to have a herniated lumbar disc by MRI among the patients in oriental medical hospital of Kyungwon University from July 2005 to Dec 2006, we dived 15 people was treated common treatment, 15 people was treated both common treatment and Chuna treatment. We measured Visual Analog Scale(VAS) and symptom grade before and after treatment in each groups. Statistical analysis was performed by using SPSS program. Results : The result of the Visual Analog Scale(VAS) and symptom grade before and after treatment between two group, shows that the improvement of Back pain and Sciatica in common treatment with Chuna treatment group is more effective than that in only common treatment group.

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Comparison of the Improvement of Subjective Symptoms between Body Acupuncture Group & 8 Constitution Acupuncture Group (요추간판탈출증 환자의 체질침과 체침에 의한 자각적 통증감소 비교)

  • Chae, Sang-Jin;Kim, Nam-Ok;Park, Young-Chul;Son, Sung-Se
    • Journal of Acupuncture Research
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    • v.18 no.3
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    • pp.48-55
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    • 2001
  • Objective : The main cause of back pain & sciatica is HNP of L-spine. Recently, 8 Constitution Acupuncture is largely used for it, but the effects isn't announced. So we studied. The perceived pain diminishment is compared with Body acupuncture and 8 Constitution acupuncture. Methods : VAS(Visual analogue scale) was used for this research, with the pain indicator of 10 and 0 which represents a patient admission to a hospital and a status of no pain respectively. Two groups, consisting of Body acupuncture group with 17 persons and 8 Constitution acupuncture group with 12 persons, was randomly allocated for this research. SPSS(Statistical Program for Social Science) for window is used for a statistical analysis, and the independent T-test is performed to gauge the improvement of VAS, in which case, value of P below 0.05 is considered as useful. Results : The result of the VAS of comparison analysis between two groups after 10 days, shows that the improvement of subjective symptoms in Body acupuncture group is more effective than that in 8 Constitution acupuncture group. (independent T-test, P=0.009)

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Nerve Root Block with Corticosteroids, Hyaluronidase, and Local Anesthetic in the Failed Back Surgery Syndrome (FBSS) (Failed Back Surgery Syndrome (FBSS) 환자에서 Hyaluronidase를 사용한 신경근차단술의 효과)

  • Lee, Kyung-Jin;Han, Sang-Gun;Yoon, Seuk-Hwan;Kim, Jin-Soo;Lee, Young-Suk
    • The Korean Journal of Pain
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    • v.12 no.2
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    • pp.191-194
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    • 1999
  • Background: Millions of patients with chronic sciatica are still treated with epidural corticosteroids. The efficacy of epidural corticosteroids remains questionable, especially in the failed back surgery syndrome (FBSS). We studied to evaluate outcome for 10 patients with failed back surgery syndrome treated with spinal nerve root block using corticosteroids, hyaluronidase, and local anesthetics. Methods: The affected nerve roots are localized with the help of fluoroscopy and contrast dye. Local anesthetic diluted in 1,500 U hyaluronidase and 40 mg methylprednisolone is injected. A small retrospective pilot group of 10 patients with FBSS was treated. The success rate is evaluated using a visual analogue scale at 1 week and 3 month interval after the last injection. Results: Initially, 7 patients experienced good pain relief; 5 patients suspained pain relief for 3 months. No complications were observed. Conclusions: This technique is worthwhile for patients with FBSS and where epidural fibrosis is suspected to be the pain origin.

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