The Experts below are selected from a list of 51 Experts worldwide ranked by ideXlab platform
Sung Jun Lee - One of the best experts on this subject based on the ideXlab platform.
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Abdominal pain due to the spinothalamic tract injury in patients with mild traumatic brain injury: a case report.
BMC neurology, 2020Co-Authors: Sung Ho Jang, Young Hyeon Kwon, Sung Jun LeeAbstract:We report on a patient with a mild traumatic brain injury (TBI) who developed abdominal pain due to spinothalamic tract (STT) injuries revealed by diffusion tensor tractography (DTT). A 53-year-old female patient suffered head trauma resulting from a backward fall. While bathing at a public bathhouse, she fell backward and struck the occipital area of her head against the floor. After the head trauma, she experienced pain in the abdomen and in both hands and feet. She underwent evaluations including conventional brain MRI, abdominal and pelvic ultrasonography, and stomach and Intestine Endoscopy. No abnormality was observed in her brain or abdomen. In addition, her abdominal pain had not been relieved by medical management. When she came to our hospital 4 years after the head trauma, her pain characteristics and severity were as follows: intermittent pain without allodynia or hyperalgesia; squeezing and warm creeping-like pain in the abdomen (visual analog scale score: 7); tingling pain in both hands and feet (visual analog scale score: 7). She was prescribed pregabalin and gabapentin, and her abdominal and limb pain was well-controlled at a tolerable level. On DTT 4 years after head trauma, the upper portion of the spinothalamic tracts (STTs) in both hemispheres showed partial tearing. Injury of the STT was demonstrated by using DTT in a patient who showed abdominal pain that was refractory to medical management following mild TBI. Our results suggest that central pain due to STT injury might be suspected in patients with abdominal pain that is refractory to medical management following TBI.
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Abdominal pain due to the spinothalamic tract injury in patients with mild traumatic brain injury: a case report
BMC Neurology, 2020Co-Authors: Sung Ho Jang, Young Hyeon Kwon, Sung Jun LeeAbstract:Background We report on a patient with a mild traumatic brain injury (TBI) who developed abdominal pain due to spinothalamic tract (STT) injuries revealed by diffusion tensor tractography (DTT). Case presentation A 53-year-old female patient suffered head trauma resulting from a backward fall. While bathing at a public bathhouse, she fell backward and struck the occipital area of her head against the floor. After the head trauma, she experienced pain in the abdomen and in both hands and feet. She underwent evaluations including conventional brain MRI, abdominal and pelvic ultrasonography, and stomach and Intestine Endoscopy. No abnormality was observed in her brain or abdomen. In addition, her abdominal pain had not been relieved by medical management. When she came to our hospital 4 years after the head trauma, her pain characteristics and severity were as follows: intermittent pain without allodynia or hyperalgesia; squeezing and warm creeping-like pain in the abdomen (visual analog scale score: 7); tingling pain in both hands and feet (visual analog scale score: 7). She was prescribed pregabalin and gabapentin, and her abdominal and limb pain was well-controlled at a tolerable level. On DTT 4 years after head trauma, the upper portion of the spinothalamic tracts (STTs) in both hemispheres showed partial tearing. Discussion and conclusions Injury of the STT was demonstrated by using DTT in a patient who showed abdominal pain that was refractory to medical management following mild TBI. Our results suggest that central pain due to STT injury might be suspected in patients with abdominal pain that is refractory to medical management following TBI.
Sung Ho Jang - One of the best experts on this subject based on the ideXlab platform.
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Abdominal pain due to the spinothalamic tract injury in patients with mild traumatic brain injury: a case report.
BMC neurology, 2020Co-Authors: Sung Ho Jang, Young Hyeon Kwon, Sung Jun LeeAbstract:We report on a patient with a mild traumatic brain injury (TBI) who developed abdominal pain due to spinothalamic tract (STT) injuries revealed by diffusion tensor tractography (DTT). A 53-year-old female patient suffered head trauma resulting from a backward fall. While bathing at a public bathhouse, she fell backward and struck the occipital area of her head against the floor. After the head trauma, she experienced pain in the abdomen and in both hands and feet. She underwent evaluations including conventional brain MRI, abdominal and pelvic ultrasonography, and stomach and Intestine Endoscopy. No abnormality was observed in her brain or abdomen. In addition, her abdominal pain had not been relieved by medical management. When she came to our hospital 4 years after the head trauma, her pain characteristics and severity were as follows: intermittent pain without allodynia or hyperalgesia; squeezing and warm creeping-like pain in the abdomen (visual analog scale score: 7); tingling pain in both hands and feet (visual analog scale score: 7). She was prescribed pregabalin and gabapentin, and her abdominal and limb pain was well-controlled at a tolerable level. On DTT 4 years after head trauma, the upper portion of the spinothalamic tracts (STTs) in both hemispheres showed partial tearing. Injury of the STT was demonstrated by using DTT in a patient who showed abdominal pain that was refractory to medical management following mild TBI. Our results suggest that central pain due to STT injury might be suspected in patients with abdominal pain that is refractory to medical management following TBI.
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Abdominal pain due to the spinothalamic tract injury in patients with mild traumatic brain injury: a case report
BMC Neurology, 2020Co-Authors: Sung Ho Jang, Young Hyeon Kwon, Sung Jun LeeAbstract:Background We report on a patient with a mild traumatic brain injury (TBI) who developed abdominal pain due to spinothalamic tract (STT) injuries revealed by diffusion tensor tractography (DTT). Case presentation A 53-year-old female patient suffered head trauma resulting from a backward fall. While bathing at a public bathhouse, she fell backward and struck the occipital area of her head against the floor. After the head trauma, she experienced pain in the abdomen and in both hands and feet. She underwent evaluations including conventional brain MRI, abdominal and pelvic ultrasonography, and stomach and Intestine Endoscopy. No abnormality was observed in her brain or abdomen. In addition, her abdominal pain had not been relieved by medical management. When she came to our hospital 4 years after the head trauma, her pain characteristics and severity were as follows: intermittent pain without allodynia or hyperalgesia; squeezing and warm creeping-like pain in the abdomen (visual analog scale score: 7); tingling pain in both hands and feet (visual analog scale score: 7). She was prescribed pregabalin and gabapentin, and her abdominal and limb pain was well-controlled at a tolerable level. On DTT 4 years after head trauma, the upper portion of the spinothalamic tracts (STTs) in both hemispheres showed partial tearing. Discussion and conclusions Injury of the STT was demonstrated by using DTT in a patient who showed abdominal pain that was refractory to medical management following mild TBI. Our results suggest that central pain due to STT injury might be suspected in patients with abdominal pain that is refractory to medical management following TBI.
Young Hyeon Kwon - One of the best experts on this subject based on the ideXlab platform.
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Abdominal pain due to the spinothalamic tract injury in patients with mild traumatic brain injury: a case report.
BMC neurology, 2020Co-Authors: Sung Ho Jang, Young Hyeon Kwon, Sung Jun LeeAbstract:We report on a patient with a mild traumatic brain injury (TBI) who developed abdominal pain due to spinothalamic tract (STT) injuries revealed by diffusion tensor tractography (DTT). A 53-year-old female patient suffered head trauma resulting from a backward fall. While bathing at a public bathhouse, she fell backward and struck the occipital area of her head against the floor. After the head trauma, she experienced pain in the abdomen and in both hands and feet. She underwent evaluations including conventional brain MRI, abdominal and pelvic ultrasonography, and stomach and Intestine Endoscopy. No abnormality was observed in her brain or abdomen. In addition, her abdominal pain had not been relieved by medical management. When she came to our hospital 4 years after the head trauma, her pain characteristics and severity were as follows: intermittent pain without allodynia or hyperalgesia; squeezing and warm creeping-like pain in the abdomen (visual analog scale score: 7); tingling pain in both hands and feet (visual analog scale score: 7). She was prescribed pregabalin and gabapentin, and her abdominal and limb pain was well-controlled at a tolerable level. On DTT 4 years after head trauma, the upper portion of the spinothalamic tracts (STTs) in both hemispheres showed partial tearing. Injury of the STT was demonstrated by using DTT in a patient who showed abdominal pain that was refractory to medical management following mild TBI. Our results suggest that central pain due to STT injury might be suspected in patients with abdominal pain that is refractory to medical management following TBI.
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Abdominal pain due to the spinothalamic tract injury in patients with mild traumatic brain injury: a case report
BMC Neurology, 2020Co-Authors: Sung Ho Jang, Young Hyeon Kwon, Sung Jun LeeAbstract:Background We report on a patient with a mild traumatic brain injury (TBI) who developed abdominal pain due to spinothalamic tract (STT) injuries revealed by diffusion tensor tractography (DTT). Case presentation A 53-year-old female patient suffered head trauma resulting from a backward fall. While bathing at a public bathhouse, she fell backward and struck the occipital area of her head against the floor. After the head trauma, she experienced pain in the abdomen and in both hands and feet. She underwent evaluations including conventional brain MRI, abdominal and pelvic ultrasonography, and stomach and Intestine Endoscopy. No abnormality was observed in her brain or abdomen. In addition, her abdominal pain had not been relieved by medical management. When she came to our hospital 4 years after the head trauma, her pain characteristics and severity were as follows: intermittent pain without allodynia or hyperalgesia; squeezing and warm creeping-like pain in the abdomen (visual analog scale score: 7); tingling pain in both hands and feet (visual analog scale score: 7). She was prescribed pregabalin and gabapentin, and her abdominal and limb pain was well-controlled at a tolerable level. On DTT 4 years after head trauma, the upper portion of the spinothalamic tracts (STTs) in both hemispheres showed partial tearing. Discussion and conclusions Injury of the STT was demonstrated by using DTT in a patient who showed abdominal pain that was refractory to medical management following mild TBI. Our results suggest that central pain due to STT injury might be suspected in patients with abdominal pain that is refractory to medical management following TBI.
Y. C. Metzger - One of the best experts on this subject based on the ideXlab platform.
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New balloon-guided technique for deep small-Intestine Endoscopy using standard endoscopes.
Endoscopy, 2008Co-Authors: Samuel N. Adler, Ingvar Bjarnason, Y. C. MetzgerAbstract:Background and study aims The advent of capsule Endoscopy has opened the entire small bowel to direct inspection. The identification of pathology often requires diagnostic and therapeutic interventions. The available means today are push enteroscopy (limited to the proximal small bowel), intraoperative enteroscopy (invasive) and push-pull double-balloon enteroscopy (very effective but requires an expensive dedicated system). The aim of this study was to test the safety and efficacy of a novel push-pull technique, balloon-guided Endoscopy (BGE), which can be used with standard endoscopic equipment. Patients and methods Twenty patients with various disorders of the small Intestine were examined by BGE. Various endoscopes were used and insertion depth was measured as is customary in double-balloon enteroscopy, by adding together the length of all the insertions of the endoscope performed during the push-pull steps. Results In 17 peroral intubations of the small bowel the average insertion depth beyond the ligament of Treitz was 1.45 m; insertion depth ranged from 0.80 m to 2.65 m. BGE advancement was deeper than in published results for push enteroscopy, though not equaling those for double-balloon enteroscopy. In the three transanal procedures the ileocecal valve was traversed and the terminal ileum intubated. No severe adverse events occurred. Conclusions BGE is safe. BGE enables deep intubation of the small bowel beyond the ligament of Treitz utilizing standard endoscopes. Insertion depth with this technique is beyond that achieved by push enteroscopy. Further studies are needed, and technical improvements will lead to deeper insertion.
Samuel N. Adler - One of the best experts on this subject based on the ideXlab platform.
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New balloon-guided technique for deep small-Intestine Endoscopy using standard endoscopes.
Endoscopy, 2008Co-Authors: Samuel N. Adler, Ingvar Bjarnason, Y. C. MetzgerAbstract:Background and study aims The advent of capsule Endoscopy has opened the entire small bowel to direct inspection. The identification of pathology often requires diagnostic and therapeutic interventions. The available means today are push enteroscopy (limited to the proximal small bowel), intraoperative enteroscopy (invasive) and push-pull double-balloon enteroscopy (very effective but requires an expensive dedicated system). The aim of this study was to test the safety and efficacy of a novel push-pull technique, balloon-guided Endoscopy (BGE), which can be used with standard endoscopic equipment. Patients and methods Twenty patients with various disorders of the small Intestine were examined by BGE. Various endoscopes were used and insertion depth was measured as is customary in double-balloon enteroscopy, by adding together the length of all the insertions of the endoscope performed during the push-pull steps. Results In 17 peroral intubations of the small bowel the average insertion depth beyond the ligament of Treitz was 1.45 m; insertion depth ranged from 0.80 m to 2.65 m. BGE advancement was deeper than in published results for push enteroscopy, though not equaling those for double-balloon enteroscopy. In the three transanal procedures the ileocecal valve was traversed and the terminal ileum intubated. No severe adverse events occurred. Conclusions BGE is safe. BGE enables deep intubation of the small bowel beyond the ligament of Treitz utilizing standard endoscopes. Insertion depth with this technique is beyond that achieved by push enteroscopy. Further studies are needed, and technical improvements will lead to deeper insertion.
