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Evaluation of peri-operative antibiotic prophylaxis in patients undergoing total joint hip or knee arthroplasty
Heidi Klotz, Lauren Kassab, Muddasser Saiyed-Javed, Sandra Hartnagle, and Sapna Shah
Publication Date: 12-6-2023
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Responsive Neurostimulation (RNS) of the Centromedian Nucleus (CMN) of the Thalamus for the Treatment of Drug Resistant Idiopathic Generalized Epilepsy (IGE)
Angelique Manasseh, Hannah Guider, Brooklynn Bondy, Sanjay Patra, David Burdette, Ayman Haykal, Nour Baki, Ashleigh Terrell, Michael Staudt, Christopher Parres, and Andrew Zillgitt
Publication Date: 5-4-2023
Idiopathic generalized epilepsy (IGE) accounts for nearly 1/3 of all epilepsies1
▪ Approximately 20-30% of people with IGE are refractory to adequate anti-seizure medication trials1
▪ RNS implantation is a unique closed-loop neuromodulation therapy, and case reports as well as case series have demonstrated improved seizure control in patients with drug resistant IGE1
▪ More recently, targeting the centromedian nucleus of the thalamus with RNS has been explored as a potential surgical treatment option for patients with drug resistant IGE
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Applications of Minirail External Fixator in Arthrodesis Foot Surgery for the High-Risk Patient Population A Case Series
Reema Naman and Randy Semma
Publication Date: 5-4-2023
Since the inception of external fixation, there have been many modifications to the utilization of the devices, including the size. The minirail external fixator has evolved since the usage for bracymetatarsia into more complex devices. In the podiatric patient population, there are many comorbidities encountered such as diabetes, idiopathic neuropathy, and smoking. In the diabetic neuropathic population the purpose of use of the minirail external fixator was to provide additional stability as a mini-superconstruct as per Sammarco principles. An additional benefit of the fixator is the option of removing the pins if there are any signs of infection. The purpose of this case series is to exhibit the benefit and myriad of uses of the minirail external fixator in high-risk patient population.
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A Rare Case of Autoimmune Glial Fibrillary Acidic Protein Astrocytopathy
Jonathan Doty and Jonathan Fellows
Publication Date: 5-2022
• Autoimmune glial fibrillary acidic protein (GFAP) astrocytopathy is a rare autoimmune inflammatory disorder typically manifesting as a meningoencephalomyelitis first identified in 20161 . • Awareness of the clinical manifestations and hallmark radiographic findings is important for appropriate diagnostic testing and treatment.
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Inflammatory Myopathy and Myasthenia Gravis Overlap Syndrome
Brandon Vieder, Nick Olen, William Boudouris, and Robert Pierce
Publication Date: 5-2022
• We present the case of a rare, complex process of overlap between Myasthenia Gravis and Inflammatory Myositis. • Less than 50 cases have been reported, and do not respond as readily to typical treatments
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Isolated Bilateral Cerebellar Restriction Diffusion: An Atypical Presentation of Wernicke’s Encephalopathy
Diana Zaituna and Angelique Manasseh
Publication Date: 5-2022
• Wernicke encephalopathy is a neurologic complication of thiamine (vitamin B1) deficiency • Familiarity with clinical presentation and MRI findings are important for rapid diagnosis • Treatment is with emergent thiamine supplementation to prevent morbidity (i.e. Korsakoff syndrome) and mortality1 • We present a case of Wernicke’s encephalopathy with the rare MRI brain finding of isolated cerebellar diffusion restriction, which has only been seen in one other case report, per our extensive literature review
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