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BACKGROUND
Medical studies have shown some potential for infiltrations of liposomal bupivacaine (Exparel; Pacira Pharmaceuticals, San Diego, CA), a slow-release bupivacaine solution, to extend postoperative benefits of numbness/pain relief for up to several days. Because the Food and Drug
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A 57-year-old man with premature coronary artery disease presented to the emergency department with left facial pain, numbness, and tongue swelling. The patient was found to have significant tongue necrosis, and subsequent arteriography demonstrated carotid bifurcation stenosis with embolization to
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We report a case of skin necrosis as a result of the use of a negative pressure device for erectile dysfunction. To our knowledge this is the first report of such a complication. The patient was paraplegic with hypesthesia and analgesia of the genital area.
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A 63-year-old male presented with painful erythema and bullae on his left knee. When working on his boat he suddenly felt a burning sensation followed by numbness of the area. The sensation wore off, but was followed by painful erythema and necrosis. A biopsy showed necrosis with sparse inflammatory
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Churg-Strauss syndrome (CSS) is a granulomatous necrotizing vasculitis of unknown etiology associated with bronchial asthma. Despite affecting small to medium-sized vessels, necrosis of the digits due to vasculitis is extremely rare. We report a case of CSS with necrosis of the toe tips. A
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A 34-year-old diabetic patient underwent a renal transplant which was complicated by right side lower extremity paresis and numbness with gluteal necrosis. The main reason was ligation of internal iliac artery of the same side as a result of extensive microvascular obstruction due to severe
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An aged case of peripheral arterial obstructive disease with progressive limb necrosis is reported. A 70-year old man was admitted to our hospital with the complaint of numbness and rest pain on left lower limb. Thereafter, necrosis of the digital region of the upper limbs and the toe region of the
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OBJECTIVE
To explore the effectiveness of pedicled iliac bone graft transposition for treatment of avascular necrosis of femoral head (ANFH) after femoral neck fracture.
METHODS
Between June 2002 and December 2006, 22 cases (22 hips, 16 left hips and 6 right hips) of ANFH after femoral neck fracture
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OBJECTIVE
To assess the effectiveness of pedicled iliac periosteal flap graft for treatment of avascular necrosis of the femoral head (ANFH) after femoral neck fracture in adolescents.
METHODS
Between December 2006 and August 2011, 9 patients (9 hips) with ANFH after femoral neck fracture were
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A 31-year-old immunocompetent woman presented with a large sacral mass on the left side, concerning for a neoplastic process. A biopsy specimen demonstrated fungal osteomyelitis. Intraoperatively, the left S1 sacral nerve root was found to be necrotic, consistent with the symptoms of numbness and
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BACKGROUND
To date, there is a lack of consensus concerning the application of local anaesthetics with epinephrine in fingers, due to the alleged risk of ischaemic complications.
METHODS
We present the case of a 70-year old woman, with a medical history of diabetes mellitus and an ischemic cerebral
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The case described is thought to be the first report of ulnar neuropathy caused by a cystic myxomatous degeneration of fat necrosis. The 12-day preoperative duration of symptoms is also the shortest reported for nontraumatic ulnar neuropathy; the average period between onset of symptoms and
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OBJECTIVE
To describe an unrecognized clinical entity, nasal alar necrosis, and propose recommendations regarding the diagnosis, pathophysiology, and management of these cases.
METHODS
Retrospective review of four patients with this condition.
METHODS
Histories, treatments, and outcomes were
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BACKGROUND
Inflammatory demyelinating disease of the central nervous system may be linked to anti-tumor necrosis factor alpha therapy.
METHODS
A 19-year-old female with Crohn's ileocolitis developed right arm and leg numbness and right hand weakness 4 weeks after the initiation of infliximab.
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METHODS
Prospective randomized trial.
OBJECTIVE
To examine the effect of the tumor necrosis factor alpha (TNF-α) inhibitor, etanercept, on radicular pain by its epidural administration onto spinal nerves in patients with lumbar spinal stenosis.
BACKGROUND
TNF-α is thought to play a crucial role in
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