BACKGROUND Intraneural parathyroid adenomas are rare, with only 9 cases of intravagal adenomas reported. All but one of the reported cases was found after multiple neck explorations. To the best of our knowledge, we report the first case of nonsupernumerary ectopic intravagal parathyroid identified at primary exploration. METHODS AND RESULTS A 17-year-old girl with primary hyperparathyroidism...

OBJECTIVE To report our experience with endopelvic causes for sacral radiculopathies and sciatica. DESIGN Prospective cohort study. SETTING Tertiary referral advanced laparoscopic gynecology and neuropelveologic unit. PATIENT(S) Two hundred thirteen women who underwent laparoscopic management of sacral radiculopathy (sciatica, pudendal, gluteal pain) of unknown genesis in the period betwe...

HYPOTHESIS Preoperative and intraoperative localizing techniques are more cost-effective than a nondirected bilateral neck exploration in the initial treatment of primary hyperparathyroidism (HPT). DESIGN A clinical outcome model was developed to simulate the surgical management of primary HPT. Clinical scenarios modeled included a nondirected bilateral neck exploration and surgery using the ...

BACKGROUND Sciatica is typically a clear-cut symptom complex commonly related to an impingement at the spinal nerve level. Etiologies of sciatic neuropathy outside the neural foramina are uncommon. OBJECTIVE To describe 4 patients presenting with radiating leg pain due to sciatic nerve involvement, all with a vascular etiology. METHODS Four patients presenting with neuropathic pain were ret...

Patients with complex regional pain syndrome (CRPS) often complain of abnormal sensations beyond the affected body part, but causes of this spread of musculoskeletal manifestations into contiguous areas remain unclear. In addition, immobilization can predispose to the development of CRPS. We examined functional, biochemical, and histological alterations in affected parts, including contiguous z...

Figure 1. During the exploration, large neuromas were identified to the ulnar, median, and superficial radial nerves. DESCRIPTION A 54-year-old man with through-wrist amputation of his right-dominant hand presented with chronic stump pain that was resistant to conservative treatment. Clinical examination was compatible with the presence of neuroma. Surgical exploration revealed neuromas of the ...

BACKGROUND Post-operative sensory disturbances following anterior cruciate ligament (ACL) reconstruction using the quadruple hamstring tendon is a prevalent complication. This study evaluates the impact of exploration and salvage of superficial branches of the saphenous nerve on the incidence of post-operative sensory loss. METHODS In a prospective descriptive study, 98 out of 120 patients wi...

An 8-year-old girl presented with progressive painless right peroneal and tibial nerve palsy. A 20-year-old woman had insidious weakness of the left wrist and fingers extension. Both underwent neurophysiology (tables e-1 through e-4 on the Neurology® Web site at Neurology.org) and nerve ultrasound that showed enlargement of sciatic (figure, A) and radial nerve (figure, D–E). A 3D–magnetic reson...