BACKGROUND Epiduroscopic laser neural decompression (ELND) has been performed as a treatment tool for chronic refractory low back pain and/or radicular pain. There are some studies about the usefulness of epiduroscopy for post lumbar surgery syndrome, however, few studies about the effectiveness of epiduroscopy for patients without back surgery. We compared the satisfaction of patients who unde...

background and importance: lumboperitoneal shunts are commonly used to treat several conditions, but their use can result in significant complications. we discuss a complication of these shunts that has not been reported in the literature to date. case presentation: an obese, 41-year-old woman admitted to rasool akram hospital complaining of a severe headache and blurred vision. the physical ex...

Lumbar degenerative disease is the major cause of low back pain. Currently, surgical treatment remains the standard care for lumbar degenerative disease. This study aimed to evaluate the efficacy and complications of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for the treatment of single-segment lumbar degenerative disease. A total of 75 patients with single-segment lum...

BACKGROUND Speculated causes of post lumbar surgery syndrome include epidural fibrosis, acquired stenosis, and facet joint pain among other causes. Even though fluoroscopically directed caudal epidural injections and facet joint interventions are effective in some patients, others continue to suffer with chronic persistent pain. Percutaneous adhesiolysis with target delivery of medications has ...

Acute cauda equina syndrome is known as a symptom of lumbar disc herniation, but to date, there have been no reports of cases caused by lumbar vertebral ligament ossification. We encountered a 61-year-old female patient with acute cauda equina syndrome associated with lumbar vertebral OPLL and OLF. The symptoms were improved by emergency laminectomy. One year after the surgery, the disturbances...

BACKGROUND: Chronic spinal pain is the most prevalent chronic disease with employment of multiple modes interventional techniques including epidural interventions. Multiple randomized controlled trials (RCTs), observational studies, systematic reviews, and guidelines have been published. The recent review utilization patterns expenditures show that there has a decline in injections decrease inf...

Background &Aim: The endoscopic endonasal transsphenoidal approach has been widely employed as a treatment for pituitary adenomas and other parasellar tumors. However, the major concerns related to endoscopic endonasal transsphenoidal surgery include the risks of CSF leak post-operatively leading to morbidity and at times mortality due to severe meningitis. Several studies in the past have foun...

BACKGROUND Piriformis syndrome (PS), a rare cause of sciatica, is usually diagnosed only after excluding all other possibilities. But this principle is being challenged because of the number of patients with PS who have had ineffective lumbar decompressive surgery after positive findings on image study. METHODS From 2001 to 2004, twelve patients with piriformis syndrome diagnosed by physical ...