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261. Compressive radial neuropathy by a synovial cyst during pregnancy: A clinical case report. Full Text available with Trip Pro

Compressive radial neuropathy by a synovial cyst during pregnancy: A clinical case report. Compressive radial neuropathy by a synovial cyst in the radial tunnel during pregnancy is a rare occurrence. The management of radial nerve compression caused by a synovial cyst in a pregnant patient is a surgical dilemma owing to the fetal and maternal risks of treatment.A 37-year-old pregnant woman presented with progressive forearm pain at the gestational age of 12 weeks. A cyst was identified via (...) musculoskeletal ultrasound and magnetic resonance imaging examinations in the radiocapitellar joint causing radial compressive neuropathy.After regional nerve block and surgical removal of the cyst, the patient's forearm pain was alleviated without neurological deficits.symptoms from nerve compression were improved after surgical treatment LESSONS:: This report illustrates the case of a pregnant woman presenting a compressive neuropathy by an enlarged cyst possibly due to the unbalance of growth factors

2018 Medicine

262. Radiculoplasty with reconstruction using 3D-printed artificial dura mater for the treatment of symptomatic sacral canal cysts: Two case reports. Full Text available with Trip Pro

Radiculoplasty with reconstruction using 3D-printed artificial dura mater for the treatment of symptomatic sacral canal cysts: Two case reports. Currently, interventional injection of albumin glue and nerve sleeve plasty by cyst excision is the main treatment for sacral cysts. However, albumin glue can only be used in patients with partial cystic neck stenosis, and surgical treatment may result in postoperative complications such as numbness and cyst recurrence. Here, a modified radiculoplasty (...) is presented, in which the lamina is restored with the nerve root wrapped with 3-dimensional (3D)-printed artificial dura mater.The first patient, a 28-year-old man, had been complaining of aggravated perineal pain for 8 months a visual analog scale (VAS) score of 7. Sacrococcygeal magnetic resonance imaging (MRI) revealed multiple sacral canal cysts. The second case, a 48-year-old woman, has been complaining of lumbosacral and left leg pain for 1 month (VAS score of 7). Physical examination showed

2018 Medicine

263. Vallecular cyst in the pediatric population: Evaluation and management. (Abstract)

Vallecular cyst in the pediatric population: Evaluation and management. To review the presentation of pediatric vallecular cysts and outline an approach for evaluation and management.Medical records of patients diagnosed with vallecular cyst between 2005 and 2017 were reviewed. Data on demographics, clinical characteristics, diagnostic methods, surgical procedures, and outcomes were collected and analyzed. A comprehensive literature search for pediatric cases of vallecular cyst was conducted (...) for comparative analysis.Twenty patients underwent surgery for congenital vallecular cysts during the study period. Age at diagnosis ranged from birth to 8 years (median age = 1.1 years). The most common preoperative symptom was inspiratory stridor (45%) followed by feeding difficulties (40%). Eight patients (40%) initially presented with laryngomalacia and 7 (35%) with feeding difficulties. Imaging was obtained in 16 patients and consisted of plain films, ultrasound, computed tomography (CT), or magnetic

2018 International Journal of Pediatric Otorhinolaryngology

264. Sublingual cysts of different entities in an infant - A case report and literature review. (Abstract)

Sublingual cysts of different entities in an infant - A case report and literature review. Congenital cysts and fistulas of the neck are common in children, often located in the head and neck area. Belonging to the group of tumor-like conditions, dermoid and epidermoid cysts are dysontogenetic lesions with seldom multiple co-occurrences in infants.We report on a nine-month-old female with a persisting congenital fistula of the tongue. The patient was admitted with acute poor feeding (...) and hypersalivation, which started within the last 24 h. Magnetic resonance imaging detected a fistula of the tongue connected to sublingual cystic lesions. Intraoral surgical removal of three cystic lesions and the fistula was performed under general anesthesia. Histopathological analysis confirmed the coexistence of an epidermoid cyst and two dermoid cysts.Sudden feeding difficulties in combination with dysphagia and tongue displacement in pediatric patients pose an emergency situation that requires prompt

2018 International Journal of Pediatric Otorhinolaryngology

265. HIF-1α promotes cyst progression in a mouse model of autosomal dominant polycystic kidney disease. (Abstract)

HIF-1α promotes cyst progression in a mouse model of autosomal dominant polycystic kidney disease. Autosomal dominant polycystic kidney disease (ADPKD) is mainly caused by mutations of the PKD1 gene and characterized by growth of bilateral renal cysts. Cyst growth is accompanied by regional hypoxia and induction of hypoxia-inducible factor (HIF)-1α in cyst-lining epithelial cells. To determine the relevance of HIF-1α for cyst growth in vivo we used an inducible kidney epithelium-specific (...) knockout mouse to delete Pkd1 at postnatal day 20 or 35 to induce polycystic kidney disease of different severity and analyzed the effects of Hif-1α co-deletion and HIF-1α stabilization using a prolyl-hydroxylase inhibitor. HIF-1α expression was enhanced in kidneys with progressive cyst growth induced by early Pkd1 deletion, but unchanged in the milder phenotype induced by later Pkd1 deletion. Hif-1α co-deletion significantly attenuated cyst growth in the severe, but not in the mild, phenotype

2018 Kidney International

266. Long-term investigation of decompression as a definitive treatment for mandibular cysts associated with impacted third molars. (Abstract)

Long-term investigation of decompression as a definitive treatment for mandibular cysts associated with impacted third molars. Clinicians sometimes use decompression for secondary, low-risk cyst enucleation. The authors explored whether the decompression of dentigerous cysts associated with third molars is a reliable, long-term, definitive treatment option.The authors monitored 25 mandibular cysts associated with impacted third molars in adults after surgical decompression without (...) the extraction of the related tooth for a mean (standard deviation) time of 37 (15) months (range, 12-71 months). The authors carefully evaluated the postoperative clinical situation and the extent of radiographic shrinkage.A minimal epithelial slit remained patent in all patients. All lacked clinical problems, had no need for further intervention, and exhibited persistent impaction of the teeth. The cyst reduction rate calculated on panoramic radiographs ranged from 63.4% to 98.8% (mean [standard deviation

2018 Journal of the American Dental Association

267. Management of epidermal cysts arising from scar tissues: A retrospective clinical study. Full Text available with Trip Pro

Management of epidermal cysts arising from scar tissues: A retrospective clinical study. Few reports have described epidermal cysts (ECs) arising from scar tissues, and the standard course of treatment has not been established. We aimed to report the findings of a Korean patient series with ECs arising from scar tissues, to describe patient management in the context of previous publications, and to present a simple algorithm for managing ECs arising from scar tissues.We managed 6 patients

2018 Medicine

268. Mcp1 Promotes Macrophage-Dependent Cyst Expansion in Autosomal Dominant Polycystic Kidney Disease. Full Text available with Trip Pro

Mcp1 Promotes Macrophage-Dependent Cyst Expansion in Autosomal Dominant Polycystic Kidney Disease. In patients with autosomal dominant polycystic kidney disease (ADPKD), most of whom have a mutation in PKD1 or PKD2, abnormally large numbers of macrophages accumulate around kidney cysts and promote their growth. Research by us and others has suggested that monocyte chemoattractant protein-1 (Mcp1) may be a signal for macrophage-mediated cyst growth.To define the role of Mcp1 and macrophages (...) in promoting cyst growth, we used mice with inducible knockout of Pkd1 alone (single knockout) or knockout of both Pkd1 and Mcp1 (double knockout) in the murine renal tubule. Levels of Mcp1 RNA expression were measured in single-knockout mice and controls.In single-knockout mice, upregulation of Mcp1 precedes macrophage infiltration. Macrophages accumulating around nascent cysts (0-2 weeks after induction) are initially proinflammatory and induce tubular cell injury with morphologic flattening, oxidative

2018 Journal of the American Society of Nephrology

269. 3-dimensional Versus 2-dimensional Laparoscopy of Ovarian Cyst

3-dimensional Versus 2-dimensional Laparoscopy of Ovarian Cyst 3-dimensional Versus 2-dimensional Laparoscopy of Ovarian Cyst - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. 3-dimensional Versus 2 (...) -dimensional Laparoscopy of Ovarian Cyst (LOOC) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03453333 Recruitment Status : Completed First Posted : March 5, 2018 Last Update Posted : March 14, 2019 Sponsor: Kangbuk Samsung Hospital Information provided by (Responsible Party): Taejong Song, Kangbuk

2018 Clinical Trials

270. The Results of Multiple Aspirations and Injections of Unicameral Bone Cyst by Methyl Prednisolone Acetate

The Results of Multiple Aspirations and Injections of Unicameral Bone Cyst by Methyl Prednisolone Acetate The Results of Multiple Aspirations and Injections of Unicameral Bone Cyst by Methyl Prednisolone Acetate - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. The Results of Multiple Aspirations and Injections of Unicameral Bone Cyst by Methyl Prednisolone Acetate The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03724630

2018 Clinical Trials

271. Percutaneous albumin/doxycycline injection versus open surgery for aneurysmal bone cysts in the mobile spine. (Abstract)

Percutaneous albumin/doxycycline injection versus open surgery for aneurysmal bone cysts in the mobile spine. This study aimed to validate the safety and effectiveness of percutaneous doxycycline/albumin injection for spinal aneurysmal bone cysts (ABCs) as an alternative to open surgery.From January 2000 to December 2016, 25 patients who had no/minor neurological deficits (modified Frankel scale D or E) and acceptable local stability (spinal instability neoplastic score < 12) were included

2018 European Spine Journal

272. Histologic Analysis of Endoscopic Ultrasound-guided Through the Needle Microforceps Biopsies Accurately Identifies Mucinous Pancreas Cysts. (Abstract)

Histologic Analysis of Endoscopic Ultrasound-guided Through the Needle Microforceps Biopsies Accurately Identifies Mucinous Pancreas Cysts. It is a challenge to accurately assess pancreatic cystic lesions (PCLs) and determine their risk. We compared the yield of tissue acquired with endoscopic ultrasound (EUS)-guided microforceps (through the needle tissue biopsy [TTNB]) with that of samples collected by EUS-guided fine-needle-aspiration (EUS-FNA), and the accuracy of analyses of each sample (...) type in the diagnosis of mucinous PCLs.We performed a prospective open-label study of 114 consecutive adults (56.1% women; mean age, 64.2 y) undergoing EUS-FNA evaluation of PCLs (mean size, 35 mm) at 7 centers, from June 20, 2016, through August 31, 2018. Samples were collected from each cyst by FNA and microforceps; samples collected by FNA were analyzed by cytology and samples collected by TTNB were analyzed by histology. Acquisition yield was defined as the percentage of specimens collected

2018 Clinical Gastroenterology and Hepatology

273. Bosniak category III renal cysts caused by crizotinib in an anaplastic lymphoma kinase gene-rearranged non-small cell lung cancer patient. (Abstract)

Bosniak category III renal cysts caused by crizotinib in an anaplastic lymphoma kinase gene-rearranged non-small cell lung cancer patient. Bosniak category III renal cystic masses are often treated with surgical resection because of high risk of malignancy. Crizotinib is an anaplastic lymphoma kinase (ALK) inhibitor used to treat ALK gene-rearranged non-small cell lung cancer and reported to be associated with complex renal cyst formation. We herein report a case of Bosniak category III renal (...) cysts occurred in a crizotinib-treated ALK gene-rearranged non-small cell lung cancer patients. The cysts regressed spontaneously after cessation of crizotinib and we could thus avoid unnecessary surgical resection.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Urology

274. A rapidly progressive foot drop caused by the posttraumatic Intraneural ganglion cyst of the deep peroneal nerve. Full Text available with Trip Pro

A rapidly progressive foot drop caused by the posttraumatic Intraneural ganglion cyst of the deep peroneal nerve. Intraneural ganglion cysts usually arise from the articular branch of the nerve. The relationship between intraneural ganglion cysts and trauma is not clear.We report a case of a 62-year-old female with a rapidly progressive foot drop caused by a posttraumatic intraneural ganglion cyst of the deep peroneal nerve. We excised the ganglion cyst and performed nerve decompression. After (...) the surgery, the patient had a functional recovery.The concurrence of an intraneural ganglion cyst and trauma may increase damage to the nerve, although it is difficult to diagnosis before an operation. Early diagnosis and early proactive interventions would likely be associated with a good outcome.

2018 BMC Musculoskeletal Disorders

275. Management of lumbar radiculopathy due to disc herniation with interlaminar epidural steroid injection in the presence of multilevel Tarlov cysts in the neural foramina: A case report. Full Text available with Trip Pro

Management of lumbar radiculopathy due to disc herniation with interlaminar epidural steroid injection in the presence of multilevel Tarlov cysts in the neural foramina: A case report. Perineural cysts, commonly referred to as Tarlov cysts, are cerebrospinal fluid-filled dilations between the perineurium and endoneurium typically arising at the junction of posterior and dorsal root ganglia in the neural foramina. This anatomical location is in close proximity to usual needle trajectory during (...) performing transforaminal epidural injection, and therefore presents a potential risk of dural puncture and associated complications.Severe lower extremity pain interfering with activities of daily living.Lumbar radiculopathy secondary to left-sided L4-5 disc herniation in the presence of multilevel Tarlov cysts in the neural foramina.Posterior interlaminar epidural steroid injection technique was preferred, as opposed to transforaminal approach, to avoid potential risk of dural puncture and associated

2018 Medicine

276. Treatment of a symptomatic cervical perineural cyst with ultrasound-guided cervical selective nerve root block: A case report. Full Text available with Trip Pro

Treatment of a symptomatic cervical perineural cyst with ultrasound-guided cervical selective nerve root block: A case report. Symptomatic cervical perineural cysts are extremely rare, and they cause radicular pain by compressing the cervical nerve root. Several methods have been applied to manage the radicular pain induced by cervical perineural cysts, including medication, percutaneous procedures, and surgery. However, these methods are associated with various outcomes and complications (...) . The percutaneous procedure is simple and easy to perform, but if the perineural cyst wall is punctured, it can lead to secondary complications, which include aseptic meningitis and intracranial hypotension.A 51-year-old woman presented with a dull pain in the left shoulder and a tingling sensation in the left dorsal arm, hand, and middle finger.The patient was diagnosed with left C7 radicular pain caused by a perineural cyst.The left C7 radicular pain did not respond to treatment with medication. Therefore

2018 Medicine

277. Aneurysmal bone cyst of the clavicle: a series of 13 cases. (Abstract)

Aneurysmal bone cyst of the clavicle: a series of 13 cases. Aneurysmal bone cyst (ABC) is a benign but locally aggressive bone tumor occurring most commonly in the first 2 decades of life. The clavicle is a rare location for tumors, and ABCs of the clavicle have been sparsely described in the literature. We present the largest known series of ABCs of the clavicle to describe this rare condition.Patients were identified retrospectively from an orthopedic oncology database to obtain demographic

2018 Journal of Shoulder and Elbow Surgery

278. Orbital dermoid cyst presenting as chronic osteomyelitis. (Abstract)

Orbital dermoid cyst presenting as chronic osteomyelitis. A dermoid cyst is a choristoma that arises from the displacement of ectoderm to a subcutaneous location along embryonic closure lines. Rarely dermoids have a deep intraorbital component that is connected to a superficial component through a defect in bone, also known as dumbbell dermoid. We report the case of a young boy who was misdiagnosed having chronic osteomyelitis of the zygoma, based on the clinical and radiological features (...) . On surgical exploration he was found to have a dumbbell-shaped dermoid with a bony defect. Histopathological features were consistent with a diagnosis of dermoid cyst with chronic inflammation.Copyright © 2018 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.

2018 JAAPOS - Journal of the American Association for Pediatric Ophthalmology and Strabismus

279. Proper bile duct flow, rather than radical excision, is the most critical factor determining treatment outcomes of bile duct cysts. Full Text available with Trip Pro

Proper bile duct flow, rather than radical excision, is the most critical factor determining treatment outcomes of bile duct cysts. The purpose of this study was to compare the impact of the extent of excision and the patent bile duct flow on treatment outcomes of bile duct cysts (BDCs).We retrospectively analyzed the records of 382 patients who received surgery for BDCs from January 2005 to December 2014.For Type Ia cysts, proper bile flow was associated with good long-term treatment outcomes (...) with a greater level of significance (p < 0.001) than complete excision (p = 0.012). For Type IVa cysts, proper bile flow, but not complete excision, was associated with good long-term outcomes (p < 0.00001). In addition, 96.3% (104/108) of Type IVa patients with proper bile flow had no late complications and good biliary function, while no patient without patent bile flow had a good clinical outcome. For Type Ic cysts, 92 patients who received partial excisions had good outcomes when proper bile flow

2018 BMC Gastroenterology

280. A unique finding of cavum velum interpositum colloid-like cyst and literature review of a commonplace lesion in an uncommon place Full Text available with Trip Pro

A unique finding of cavum velum interpositum colloid-like cyst and literature review of a commonplace lesion in an uncommon place Colloid cysts typically reside within the area of the anterior third ventricle, in the proximity of the foramen of Monro. Although they are considered to commonly localize in various parts of the cerebrum, they are exceedingly rare outside the ventricular system and rarely occur within the velum interpositum. We have reported here a rare case of a velum interpositum (...) colloid-like cyst in a 23-year-old man, who presented to our clinic with temporary binocular strabismus, which he had been experiencing for the previous year. In addition, we have briefly reviewed evidence regarding the generation, anatomy, and pathogenesis of colloid cysts, as well as the management options for such rare cases. The present report is only the third to describe a colloid-like cyst located within the velum interpositum, providing additional data that may aid in elucidating

2018 International journal of general medicine

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