Non-discogenic sciatica can be caused by any lesion along the course of the lumbosacral nerve roots and sciatic nerve. We aim to present a rare case of refractory sciatica in an otherwise healthy 25-year-old man. He complained of left leg pain without significant back pain. Extensor hallucis longus muscle was weak on the left side with limited straight leg rising. On magnetic resonance imaging,...

BACKGROUND AND PURPOSE A minority of patients who undergo microvascular decompression for hemifacial spasm do not improve after the first operation. We sought to determine the most common locations of unaddressed neurovascular contact in patients with persistent or recurrent hemifacial spasm despite prior microvascular decompression. MATERIALS AND METHODS Eighteen patients with a history of a...

introduction traumatic lumbar spondylolisthesis is rare disease and in the literature, different surgical approaches, including anterior, posterior, or combined approaches (posterior and anterior) are used to treat the lesion. case presentation we treated a case of traumatic lumbosacral spondylolisthesis using posterior approach and the patient showed a satisfactory outcome. at the final follow...

56 percutaneous nephrostomies were evaluated in 50 patients, with a malignant underlying factor in 32 and benign conditions in 24. the clinical indication was decompression for supravesical obstruction with or without azotemia in the majority of cases. less common indications were management of ureteral fistula, ureteral stricture dilatation, and pelvic stone extraction. serious complications w...

non-discogenic sciatica can be caused by any lesion along the course of the lumbosacral nerve roots and sciatic nerve. we aim to present a rare case of refractory sciatica in an otherwise healthy 25-year-old man. he complained of left leg pain without significant back pain. extensor hallucis longus muscle was weak on the left side with limited straight leg rising. on magnetic resonance imaging,...

Decompression of the carpal tunnel is a common surgical procedure. Although the incidence of the carpal tunnel syndrome increases with age, there is no clear information available on the outcome of surgery in relation to age. We studied prospectively 87 consecutive patients who underwent decompression, using a validated self-administered questionnaire, and found that improvement in symptoms and...

Endovascular stent placement for decompression of an entrapped left renal vein (LRV) between the aorta and superior mesenteric artery is an alternative to surgical decompression for treating the nutcracker syndrome. However, an interventional approach may be challenging because of the unfavorable configuration of the LRV, leading to insufficient stent anchoring. We provide a case of a life-thre...

Solitary bone cysts are benign, fluid-filled cavities that most often occur in childhood. Several minimally invasive decompression methods have been proposed; however, performing a surgical procedure through the thinned overlying cortex raises the risk of pathological fracture and neurovascular damage, especially in lesions located in the bone diaphysis. We describe a new technique that circumv...

C holesterol granuloma (CG) of the petrous apex (PA) may be asymptomatic or enlarge to cause symptoms from compression of neural and vascular structures within the temporal bone. Surgical decompression may then be indicated. We present a case of PA-CG where the feasibility of decompression with a minimally invasive permeatal infracochlear approach was first assessed through 3dimensional imaging...

AIMS This study was conducted to evaluate pudendal entrapment as an etiology of chronic pain, a diagnostic protocol for pudendal entrapment, and clinical response to surgical decompression. METHODS A case series of 58 consecutive patients with a diagnosis of pudendal entrapment, based on clinical factors, neurophysiologic studies, and response to pudendal nerve infiltrations, is described. Al...