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ATYPICAL PRESENTATION OF A SEQUESTERED POSTEROLATERAL DISC FRAGMENT

Ajayi O, Shoakazemi A, Tubbs R, et al. (February 20, 2016) Atypical Presentation of a Sequestered Posterolateral Disc Fragment. Cureus 8(2): e502. doi:10.7759/cureus.502

Sequestered disc fragments typically occur ventrally but can also migrate dorsally or intradurally. At times, atypical disc herniations can be misinterpreted on imaging as other lesions, such as neoplasms, hematomas, or abscesses. We present an uncommon case of a patient presenting with cauda equina syndrome secondary to an enhancing sequestered disc fragment mimicking a tumor.  Read More >>

NECROTIZING FASCIITIS: A LIFE-THREATENING COMPLICATION OF INTRAOPERATIVE ELECTROMYOGRAPHY

Shoakazemi A, Moisi M, Tubbs R, et al. (January 25, 2016) Necrotizing Fasciitis: A Life-threatening Complication of Intraoperative Electromyography. Cureus 8(1): e468. doi:10.7759/cureus.468

Intraoperative neurophysiological monitoring is a commonly used practice during spine surgery. Complications of electromyography (EMG) needle electrode placement are very uncommon. We present a patient who was infected with necrotizing fasciitis in her left thigh due to an EMG needle electrode during a two-stage complex spine procedure. This case demonstrates that providers should continue to meticulously adhere to protocol when inserting and removing EMG needles, but also be cognizant during postoperative observation of the possibility of infection caused by EMG needles.  Read More >>

 

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