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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

230
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
230
Flail Chest-I01:24

Flail Chest-I

242
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
242
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

13
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

37
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
37
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

30
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
30
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

39
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Related Experiment Video

Updated: Aug 4, 2025

Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy
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Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy

Published on: January 26, 2024

888

A challenging recurrent thoracic disc herniation.

Mara Capece1, Giuseppe Corazzelli2, Valentina Pizzuti3

  • 1Department of Neurosurgery, Università Politecnica delle Marche, Ancona, Italy.

Surgical Neurology International
|April 7, 2023
PubMed
Summary

Recurrent thoracic disc herniation is rare. This case details a patient with a calcified disc herniation that recurred eight years later, successfully treated with a posterolateral transfacet approach and CT guidance.

Keywords:
Residual thoracic herniaThoracic disc herniationThoracic herniation recurrenceThoracic myelopathy

Related Experiment Videos

Last Updated: Aug 4, 2025

Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy
03:24

Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy

Published on: January 26, 2024

888

Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Radiology

Background:

  • Thoracic disc herniations are uncommon, affecting approximately 1 in 1,000,000 individuals annually.
  • Surgical strategies for thoracic disc herniations require customization based on disc characteristics and location.
  • Recurrence of thoracic disc herniations is exceptionally rare.

Observation:

  • A 53-year-old female presented with thoracic back pain and paraparesis due to a T8-T9 calcified disc herniation.
  • Initial surgical management involved a left hemilaminectomy/costotrasversectomy, with residual disc noted postoperatively.
  • Eight years later, the patient experienced dyspnea, with CT revealing a recurrent calcified disc fragment.

Findings:

  • The recurrent disc herniation was successfully resected using a posterolateral transfacet approach.
  • Intraoperative CT confirmed complete removal of the recurrent calcified disc fragment.
  • The patient experienced full recovery and remained asymptomatic after the second surgery.

Implications:

  • This case highlights the possibility of recurrent thoracic disc herniations, even after initial resection.
  • Advanced imaging and tailored surgical techniques, such as CT guidance and neuronavigation, are crucial for managing complex cases.
  • Successful surgical outcomes are achievable for recurrent thoracic disc herniations with appropriate management.