DOCSLIB.ORG

Understanding Icd-10-Cm and Icd-10-Pcs 3Rd Edition Download Free

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text

Load more

UNDERSTANDING ICD-10-CM AND ICD-10-PCS 3RD EDITION DOWNLOAD FREE Mary Jo Bowie | 9781305446410 | | | | | International Classification of Diseases, (ICD-10-CM/PCS) Transition - Background Palmer B. Manual placenta removal. A: Understanding ICD-10-CM and ICD-10-PCS 3rd edition International Classification of Diseases ICD is a common framework and language to report, compile, use and compare health information. Psychoanalysis Adlerian therapy Analytical therapy Mentalization-based treatment Transference focused psychotherapy. Hysteroscopy Vacuum aspiration. Every code begins with an alpha character, which is indicative of the chapter to which the code is classified. Search Compliance Understanding BC, resilience standards and how to comply Follow these nine steps to first identify relevant business continuity and resilience standards and, second, launch a successful While many coders use ICD lookup software to help them, referring to an ICD code book is invaluable to build an understanding of the classification system. Pregnancy test Leopold's maneuvers Prenatal testing. Endoscopy : Colonoscopy Anoscopy Capsule endoscopy Enteroscopy Proctoscopy Sigmoidoscopy Abdominal ultrasonography Defecography Double-contrast barium enema Endoanal ultrasound Enteroclysis Lower gastrointestinal series Small-bowel follow-through Transrectal ultrasonography Virtual colonoscopy. Psychosurgery Lobotomy Bilateral cingulotomy Multiple subpial transection Hemispherectomy Corpus callosotomy Anterior temporal lobectomy. While codes in sections are structured similarly to the Medical and Surgical section, there are a few exceptions. Send Feedback Do you have Understanding ICD-10-CM and ICD-10-PCS 3rd edition on the new website? Help Learn to edit Community portal Recent changes Upload file. D Radiation oncology. Stem cell transplantation Hematopoietic stem cell transplantation. The primary distinctions are:. Palmer Joseph C. Acute stroke Pregnancy. Sub-lists of related or more- detailed terms with their corresponding codes appear beneath many of the main terms. If you start your planning process now, issues can be identified and resolved early on, making the conversion less stressful and more successful. Understanding ICD-10-CM and ICD-10-PCS 3rd edition examples of root operations are bypass, drainage, and reattachment. What is ICD? But whether you use software or a book, coding a medical record correctly requires ICD training to follow the rules governing correct ICD code assignments and to apply conventions like not elsewhere classifiable NEC and not otherwise specified NOSExcludes1 and Excludes2, and what is meant by code also. Cancel Continue. Fecal fat test Fecal pH test Stool guaiac test. The ICD list of codes is organized to lead you to the most specific diagnosis code selection. Tests and procedures involving the male reproductive system. Since the scenario documents removing the entire gallbladder, refer to main Understanding ICD-10-CM and ICD-10-PCS 3rd edition, resection for cutting out all Understanding ICD-10-CM and ICD-10-PCS 3rd edition a body part. Your ICD code bookhowever, will merely provide instructions to add the 7 th character, such as: One of the following 7 th characters is to be assigned to codes in subcategory E Some noteworthy benefits include: Easier comparison of mortality and morbidity data Currently, the U. Particle therapy fast neutron neutron-capture proton. Information, education and advance planning are critical to success. Optical tomography Optical coherence tomography Confocal microscopy Endomicroscopy Orthogonal polarization spectral imaging. Code with Confidence Welcome to our new site! Determine whether to opt for cloud native Deployment Manager or third-party Terraform for infrastructure as code on Google Cloud. Click here. Why are we changing from ICD-9? Radiographic testing. G10 Huntington's disease K Psychodynamic Psychoanalysis Adlerian therapy Analytical therapy Mentalization-based treatment Transference focused psychotherapy. Welcome to our new site! The letters O and I are excluded to avoid confusion with the numbers 0 and 1. Learn 5 Microsoft Intune security features for mobile admins Intune admins must be familiar with all the most essential security features that the platform offers. Foreskin restoration Frenuloplasty of prepuce of penis Penile plethysmography Postage stamp test. The crucial first three digits of a code are stored in the ICD manual for reference. Further, most developed countries have already made the transition to ICD code sets, so the U. Articular cartilage repair Microfracture surgery Knee cartilage replacement therapy Autologous chondrocyte implantation. ICD-10 Procedure Coding System Frey's procedure Pancreas transplantation Pancreatectomy Pancreaticoduodenectomy Puestow procedure. EE07 Disorders of thyroid gland EE13 Diabetes mellitus EE16 Other disorders of glucose regulation and pancreatic internal secretion EE35 Disorders of other endocrine glands E36 Intraoperative complications of endocrine system EE46 Malnutrition EE64 Other nutritional deficiencies EE68 Overweight, obesity and other hyperalimentation EE88 Metabolic disorders E89 Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified Each block contains one or more categories, many of which are divided into subcategories in the ICD Tabular List. Character 2: Body System The 2 nd character defines the body system — the general physiological system or anatomical region involved. The primary distinctions are:. Submit a Question Submit a question for our staff to review. Hidden categories: Articles with short description Short Understanding ICD-10-CM and ICD- 10-PCS 3rd edition is different from Wikidata. Your password has been sent to:. Guidance on usage will follow. Psychodynamic Psychoanalysis Adlerian therapy Analytical therapy Mentalization-based treatment Transference focused psychotherapy. ICDCM codes will be able to provide more specific and in-depth information about the patient's condition. Procedures relating to the haematopoetic and lymphatic systems. The exams are updated every January for the new code sets. Palmer B. In just 4 months, you can be equipped to enter the healthcare marketplace as a professional medical coder. Submit a Question Check Status. Understanding ICD-10-CM and ICD-10-PCS 3rd edition Punctoplasty. Looking for Exhibiting Opportunities or Group Discounts? Should I buy this year or next year's Course TextBook? Login Username Password. What's this? For instance, you should not code N04 for a patient diagnosed with nephrotic syndrome with minor glomerular abnormality. While many coders use ICD lookup software to help them, referring to Understanding ICD-10-CM and ICD-10-PCS 3rd edition ICD code book is invaluable to build an understanding of the classification system. Gynecological surgery. Inthe first edition was adopted, known as the International Cause of Death. Tonsillectomy Adenoidectomy. Introduction to Pharmacology, 12th Edition Yes, same book as Vascular surgery. Blood gas test. Orchiectomy Castration Orchiopexy. What is Versionand how is it related to ICD? The letters O and I are excluded to avoid confusion with the numbers 0 and 1. What are the different applications available for mapping ICD codes? CCPA compliance still unclear long past deadline Despite the July 1 CCPA compliance deadline having long past, many executives are still unclear how the law applies to their When the U. Despite the July 1 CCPA compliance deadline having long past, many executives are still unclear how the law applies to their Dell's cloud focus culminates in launch of Project Apex, which allows data centers to flexibly consume IT and storage History Sports chiropractic Veterinary chiropractic Controversy and criticism. Dell cloud shoots high with Project Apex initiative Dell's cloud focus culminates in launch of Project Apex, which allows data centers to flexibly consume IT and storage Tests and procedures involving the female reproductive system. The first digit indicates the section of medical practice surgery, Understanding ICD-10-CM and ICD-10-PCS 3rd edition, measuring and monitoring, etc. The Tabular List is organized into 21 chapters according to body system or condition, with diagnosis codes listed alphanumerically in each chapter. Submit a question for free to our staff for review. Qualifier choices vary depending on the previous values selected. For more information see the CMS website on Version You can locate these with the first three code values provided in the Index. Anal sphincterotomy Anorectal Understanding ICD-10-CM and ICD-10-PCS 3rd edition Lateral internal sphincterotomy Rubber band ligation Transanal hemorrhoidal dearterialization. A: In the United States, ICD is modified to report disease morbidity, as well as, mortality data and inpatient procedures. Femoral head ostectomy Astragalectomy Distraction osteogenesis Ilizarov apparatus Phemister graft. Understanding ICD-10-CM and ICD-10-PCS Update: A Worktext The root operation Tables consist of four columns and a varying number of rows. Your ICD code bookhowever, will merely provide instructions to add the 7 th character, such as:. Averill; Robert L. The exams are updated every January for the new code sets. Procedures involving bones and joints. Also, the ICD transition presents a good opportunity for people Understanding ICD-10-CM and ICD-10-PCS 3rd edition for a career change or advancement by obtaining ICD training and coding certification. Submit a Question Submit a question for our staff
Recommended publications
  • Study Guide Medical Terminology by Thea Liza Batan About the Author

    Study Guide Medical Terminology by Thea Liza Batan About the Author

    Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails ­proficiency­in­communicating­with­healthcare­professionals­such­as­physicians,­nurses,­ or dentists.
  • The Proceedings of the World Neurosurgery Webinar Conference 2020

    The Proceedings of the World Neurosurgery Webinar Conference 2020

    The Proceedings of the World Neurosurgery Webinar Conference 2020 Editor G Narenthiran FRCS(SN) Neurosurgery Research Listserv The Proceedings of the World Neurosurgery Webinar Conference Abstract 1 [Poster] Xanthogranuloma in the suprasellar region: a case report Mechergui H, Kermani N, Jemel N, Slimen A, Abdelrahmen K, Kallel J Neurosurgical department, National Institute of Neurology of Tunis Contact: [email protected]; Tunisia Conict of interests: none Objective: Xanthogranuloma, also known as cholesterol granuloma, is extremely rare. It represents approximately 1.9% of tumours in the sellar and parasellar region with 83 cases recognised in the literature. The preoperative diagnosis is dicult due to the lack of clinical and radiological specicities. Through this work, we report the third case of xanthogranuloma in the sellar region described in Tunisia. The Proceedings of the World Neurosurgery Webinar Conference Page 1 The Proceedings of the World Neurosurgery Webinar Conference Method: We report the case of 29-year-old girl who was followed up since 2012 for delayed puberty. The patient presented with a 1-year history of decreased visual acuity on the right side. On ophthalmological examination her visual acuity was rated 1/10 with right optic atrophy. Biochemical studies revealed ante-pituitary insuciency. The MRI demonstrated a sellar and suprasellar lesion with solid and cystic components associated with calcication evoking in the rst instance a craniopharyngioma. She underwent a total resection of the tumour by a pterional approach. Result: The anatomopathological examination concluded the lesion to be an intrasellar Xanthogranuloma. Conclusion: Sellar xanthogranuloma is a rare entity that is dicult to diagnose preoperatively due to its similarities with other cystic lesions of the sellar region, especially craniopharyngioma.
  • Spontaneous CSF Leaks Low CSF Volume Syndromes

    Spontaneous CSF Leaks Low CSF Volume Syndromes

    Spontaneous CSF Leaks Low CSF Volume Syndromes Bahram Mokri, MD KEYWORDS Spontaneous CSF leak Spontaneous intracranial hypotension (SIH) CSF hypovolemia Orthostatic headaches Diffuse patchy meningeal enhancement Acquired Chiari malformation Epidural blood patch Radioisotope cisternography KEY POINTS Spontaneous intracranial hypotension nearly always results from spontaneous cerebro- spinal fluid (CSF) leaks, typically at the spine level and only rarely from the skull base. The triad of orthostatic headaches, diffuse patchy meningeal enhancement, and low CSF pressure, although a diagnostic hallmark, may or may not be encountered because the variability in clinical presentations, imaging observations, and CSF findings is indeed substantial. The core pathogenetic factor is a decreased volume of CSF rather than its pressure. The anatomy of the leak may be complex. A preexisting dural weakness, usually in connection with an abnormality of the connective tissue matrix sometimes along with triv- ial traumas, may play an etiologic role. Slow-flow and fast-flow CSF leaks each present challenges on locating the actual site of the leak. Epidural blood patch (EBP) has emerged as the treatment of choice when conservative measures have failed. However, expect considerable variability in response to this treat- ment, and recall that the efficacy of EBP in spontaneous CSF leaks is substantially less than its efficacy in postlumbar puncture leaks. Surgery may be helpful in well-selected cases, when less invasive measures have failed and when the site of the leak has been definitely identified. INTRODUCTION About 2 decades ago, the first report on pachymeningeal gadolinium enhancement in spontaneous intracranial hypotension (SIH) appeared in the literature.1 This relatively short interval has witnessed enormous progress while a much larger number of pa- tients are now identified and a far broader clinical spectrum is recognized.2 Funding Source: None.
  • Meningeal Sarcoidosis, Pseudo-Meningioma, and J Neurol Neurosurg Psychiatry: First Published As 10.1136/Jnnp.55.4.300 on 1 April 1992

    Meningeal Sarcoidosis, Pseudo-Meningioma, and J Neurol Neurosurg Psychiatry: First Published As 10.1136/Jnnp.55.4.300 on 1 April 1992

    30030ournal ofNeurology, Neurosurgery, and Psychiatry 1992;55:300-303 Meningeal sarcoidosis, pseudo-meningioma, and J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.55.4.300 on 1 April 1992. Downloaded from pachymeningitis of the convexity D Ranoux, B Devaux, C Lamy, J Y Mear, F X Roux, J L Mas Abstract lb) and was enhanced on TI-weighted gado- Two cases of meningeal sarcoidosis with linium MRI (fig 1c). Carotid angiography unusual and misleading presentations are showed a slight stenosis of the C5 segment of reported. In the first case, CT scan, the left internal carotid artery. Selective left angiographic, and MRI findings were external carotid angiography showed a vas- indistinguishable from those ofmeningio- cular lesion lateral to the carotid siphon, ma. CSF pleiocytosis may help in diag- supplied by the middle meningeal artery (fig nosing sarcoid pseudo-meningioma. The id). Cerebrospinal fluid was normal except for second patient had transient focal deficits elevated proteins (0-85 g/l). A diagnosis of and pachymeningitis ofthe convexity. The meningioma was made, and the patient was transient deficits were probably of epi- treated with carbamazepine. leptic origin based on their response to She was readmitted 16 months later because antiepileptic treatment. The diagnosis of of worsening headaches and diplopia. Exam- neurosarcoidosis was made only after ination showed trigeminal hypesthesia, ptosis meningeal biopsy, despite thorough and paresis ofthe medial rectus on the left. CT investigations. scans and MRI showed an increase in the size of the lesion. A craniotomy revealed a firm, whitish tissue which was adherent to the dura, Neurological symptoms, including cranial extended to the cavernous sinus, and reached neuropathies, aseptic meningitis, hydrocepha- the sphenoid wing.
  • Cerebrospinal Fluid Dissemination and Neoplastic Meningitis in Primary Brain Tumors Sajeel Chowdhary, MD, Sherri Damlo, and Marc C

    Cerebrospinal Fluid Dissemination and Neoplastic Meningitis in Primary Brain Tumors Sajeel Chowdhary, MD, Sherri Damlo, and Marc C

    Special Report Cerebrospinal Fluid Dissemination and Neoplastic Meningitis in Primary Brain Tumors Sajeel Chowdhary, MD, Sherri Damlo, and Marc C. Chamberlain, MD Background: Neoplastic meningitis, also known as leptomeningeal disease, affects the entire neuraxis. The clinical manifestations of the disease may affect the cranial nerves, cerebral hemispheres, or the spine. Because of the extent of disease involvement, treatment options and disease staging should involve all compartments of the cerebrospinal fluid (CSF) and subarachnoid space. Few studies of patients with primary brain tumors have specifically addressed treatment for the secondary complication of neoplastic meningitis. Therapy for neoplastic meningitis is palliative in nature and, rarely, may have a curative intent. Methods: A review of the medical literature pertinent to neoplastic meningitis in primary brain tumors was performed. The complication of neoplastic meningitis is described in detail for the various types of primary brain tumors. Results: Treatment of neoplastic meningitis is complicated because determining who should receive ag- gressive, central nervous system (CNS)–directed therapy is difficult. In general, the therapeutic response of neoplastic meningitis is a function of CSF cytology and, secondarily, of the clinical improvement in neuro- logical manifestations related to the disease. CSF cytology may manifest a rostrocaudal disassociation; thus, consecutive, negative findings require that both lumbar and ventricular cytological testing are performed to confirm the complete response. Based on data from several prospective, randomized trials extrapolated to primary brain tumors, the median rate of survival for neoplastic meningitis is several months. Oftentimes, therapy directed at palliation may improve quality of life by protecting patients from experiencing continued neurological deterioration.
  • Laboratory Guide 2021 Valid from 1St January 2021 Cover: Daniel Odukoya, BMS, Laboratory Supervisor Within Molecular Pathology Handling PCR Samples

    Laboratory Guide 2021 Valid from 1St January 2021 Cover: Daniel Odukoya, BMS, Laboratory Supervisor Within Molecular Pathology Handling PCR Samples

    Laboratory Guide 2021 Valid from 1st January 2021 Cover: Daniel Odukoya, BMS, Laboratory Supervisor within Molecular Pathology handling PCR samples. TAP4557/22-11-20/V3 Laboratory Guide 2021 Valid from 1st January 2021 TDL Customer Charter We are committed to being the most helpful pathology service in the UK. Our goal is always to provide a high level of service to our customers, who request pathology services, for their patients. This is a philosophy shared by all Sonic Healthcare Pathology practices. We are medically led, and patients are our first concern. We always try to look to improve our operational expertise, and we strive to provide professional leadership within our specialities. We promise to provide easy access to our pathology services • We will always provide a friendly, helpful service. • Our automated laboratory departments operate 24 hours a day, 7 days a week, and we aim to achieve, or improve, our published turnaround times. • Our medical consultants and laboratory teams are available to provide additional clarification, advice or information for tests or results. We promise to help you • We invest in technical and operational excellence, with an extensive test repertoire, to ensure access to a leading-edge laboratory service. • We return results using the reporting method choice, in an as organised and safe way as possible. We promise to support the communities we work in • We do our utmost to provide a service, even during extreme external disruptions beyond our control. • We are committed to our staff’s continued professional development. • We have an organised programme to provide young people with work experience.
  • I. Nervous System Vasculitis 1 Chapter 1 the Clinical Approach to Patients with Vasculitis 3 David S

    I. Nervous System Vasculitis 1 Chapter 1 the Clinical Approach to Patients with Vasculitis 3 David S

    Complimentary Contributor Copy Complimentary Contributor Copy PUBLIC HEALTH IN THE 21ST CENTURY THE VASCULITIDES VOLUME 2 NERVOUS SYSTEM VASCULITIS AND TREATMENT (SECOND EDITION) No part of this digital document may be reproduced, stored in a retrieval system or transmitted in any form or by any means. The publisher has taken reasonable care in the preparation of this digital document, but makes no expressed or implied warranty of any kind and assumes no responsibility for any errors or omissions. No liability is assumed for incidental or consequential damages in connection with or arising out of information contained herein. This digital document is sold with the clear understanding that the publisher is not engaged in rendering legal, medical or any other professional services. Complimentary Contributor Copy PUBLIC HEALTH IN THE 21ST CENTURY Additional books and e-books in this series can be found on Nova’s website under the Series tab. Complimentary Contributor Copy PUBLIC HEALTH IN THE 21ST CENTURY THE VASCULITIDES VOLUME 2 NERVOUS SYSTEM VASCULITIS AND TREATMENT (SECOND EDITION) DAVID S. YOUNGER, MD, MPH, MS EDITOR Complimentary Contributor Copy Copyright © 2019 by Nova Science Publishers, Inc. All rights reserved. No part of this book may be reproduced, stored in a retrieval system or transmitted in any form or by any means: electronic, electrostatic, magnetic, tape, mechanical photocopying, recording or otherwise without the written permission of the Publisher. We have partnered with Copyright Clearance Center to make it easy for you to obtain permissions to reuse content from this publication. Simply navigate to this publication’s page on Nova’s website and locate the “Get Permission” button below the title description.
  • New Techniques for Brain Disorders Marc Lévêque

    New Techniques for Brain Disorders Marc Lévêque

    Marc Lévêque Psychosurgery New Techniques for Brain Disorders Preface by Bart Nuttin Afterword by Marwan Hariz 123 Psychosurgery Marc Lévêque Psychosurgery New Techniques for Brain Disorders Preface by Bart Nuttin Afterword by Marwan Hariz 123 Marc Lévêque Service de Neurochirurgie Hôpital de la Pitié-Salpêtrière Paris France ISBN 978-3-319-01143-1 ISBN 978-3-319-01144-8 (eBook) DOI 10.1007/978-3-319-01144-8 Springer Cham Heidelberg New York Dordrecht London Library of Congress Control Number: 2013946891 Illustration: Charlotte Porcheron ([email protected]) Translation: Noam Cochin Translation from the French language edition ‘Psychochirurgie’ de Marc Lévêque, Ó Springer-Verlag France, Paris, 2013; ISBN: 978-2-8178-0453-8 Ó Springer International Publishing Switzerland 2014 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center.
  • Bilateral Stereotactic Anterior Cingulotomy Is Effective in The

    Bilateral Stereotactic Anterior Cingulotomy Is Effective in The

    Case Report Bilateral Stereotactic Anterior Cingulotomy is Effective in the Treatment of Drug-Resistant Psychosis and Impulse Control Disorders Caused by Traumatic Brain Injury: A Case Report Chottiwat Tansirisithikul MD*, Bunpot Sitthinamsuwan MD, MSc*, Umpaikanit Samanwongthai MD**, Sarutabhandu Chakrabhandu Na Ayutaya MD***, Sarun Nunta-aree MD, PhD* * Division of Neurosurgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand ** Srithanya Psychiatric Hospital, Department of Mental Health, Ministry of Public Health, Nonthaburi, Thailand *** Sakaeo Rajanagarindra Psychiatic Hospital, Department of Mental Health, Ministry of Public Health, Sakaeo, Thailand Background: Psychotic disorders due to traumatic brain injury (PDDTBI) represent severe form of neuropsychiatric problems that can occur after traumatic brain injury (TBI). Some patients develop treatment-refractory psychiatric symptoms. Psychosurgery is a viable option with good efficacy in such debilitating cases. Objective: To report efficacy of anterior cingulotomy for suppressing intractable psychotic and impulsive symptoms caused by TBI. Case Report: The authors report a case of 37-year-old male with a history of TBI which required craniectomy with hematoma evacuation and subsequent cranioplasty. He developed severe paranoid delusion with auditory hallucination, anxiety and impulsivity. The patient was admitted to the psychiatric hospital for recurrent, severe, treatment-refractory psychotic symptoms and impulsivity. Despite multiple drug regimens, his psychiatric symptoms did not improve. He underwent psychosurgery using bilateral anterior cingulotomy. Results: His symptoms were significantly improved after the surgery. His delusion, hallucination and impulsivity disappeared and his mood became stable. He could resume daily activity. There was no recurrent symptom at 2 years postoperatively. Conclusion: Anterior cingulotomy is an effective treatment option for refractory PDDTBI, especially if the psychotic manifestation coincides with affective symptoms.
  • Oral Presentations 2014 AANS Annual Scientific Meeting San Francisco, California • April 5–9, 2014 (DOI: 10.3171/2015.6.JNS.Aans2014abstracts)

    Oral Presentations 2014 AANS Annual Scientific Meeting San Francisco, California • April 5–9, 2014 (DOI: 10.3171/2015.6.JNS.Aans2014abstracts)

    Oral Presentations 2014 AANS Annual Scientific Meeting San Francisco, California • April 5–9, 2014 (DOI: 10.3171/2015.6.JNS.AANS2014abstracts) 601 Prospective, Multicenter Assessment of Acute Neurologic Best International Abstract Award Complications following Complex Adult Spinal Deformity Surgery: The Scoli‑RISK‑1 Study 600 5‑Aminolevulinic acid fluorescence exceeds Gd‑DTPA enhanced intraoperative MRI in tumor detection at the border of glioblastoma multiforme: A prospective study based on a Michael G. Fehlings, MD, PhD, FAANS, FRCS (Toronto, histopathological assessment. Canada); Lawrence Lenke, MD (St Louis, MO); Christopher Shaffrey, MD (Charlottesville, VA); Kenneth Cheung, MD Jan Coburger, M.D.; Jens Engelke, MD; Angelika Scheuerle, (Hong Kong, China); Leah Carreon, MD (Louisville, KY); MD; Dietmar Thal, MD, PhD; Michal Hlavac, MD (Günzburg, Mark Dekutoski, MD (Rochester, MN); Frank Schwab, MD; Germany); Thomas Kretschmer, MD, PhD (Oldenburg, Germany); Oheneba Boachie‑Ajei, MD (New York, NY); Khaled Kebaish, Christian Wirtz, MD, PhD; Ralph König, MD, PhD (Günzburg, MD (Baltimore, MD); Christopher Ames, MD (San Francisco, Germany) CA); Yong Qiu, MD (Nanjing, China); Yukihiro Matsuyama, MD (Hamamatsu, Japan); Benny Dahl, MD (Copenhagen, Denmark); Introduction: Glioblastoma multiforme(GBM) shows an Hossein Mehdian, MD (Nottingham, United Kingdom); Ferran invasive growth pattern extending into neural tissue beyond Pellisé‑Urquiza, MD (Barcelona, Spain); Stephen Lewis, MD margins of contrast enhancement in MRI. Aim of the present study (Toronto, Canada); Sigurd Berven, MD (San Francisco, CA) is to evaluate whether 5 aminolevulinic‑acid fluorescence(5‑ALA) provides an additional benefit to detect invasive tumor compared Introduction: The neurologic complication rate following to intraoperative MRI(iMRI). complex adult spinal deformity surgery (ASD) has not been Methods: We prospectively enrolled 34 patients harboring a ascertained in any prospective, multicenter, observational study.
  • 2011 Abstracts 06�28�11 Sm

    2011 Abstracts 062811 Sm

    MID-AMERICA ORTHOPAEDIC ASSOCIATION 29 th Annual Meeting April 6-10, 2011 Hilton Tucson El Conquistador Resort Tucson, AZ NOTE: Disclosure information is listed at the end of this document. MAOA FIRST PLENARY SESSION April 7, 2011 1. Peripheral Nerve Blocks and Incidence of Postoperative Neurogenic Complaints and Pain Scores *Randy R. Clark, M.D. Iowa City, IA John P. Albright, M.D. Iowa City, IA Richard C. Johnston, M.D. Iowa City, IA Peripheral nerve blocks (PNBs) are a common adjuvant for anesthesia. In our experience PNBs cause a significant incidence of severe pain and neurologic complaints. We instituted a previously validated questionnaire completed by patients at their first postoperative visit. We asked patients to indicate if they received a PNB and to rate their pain on a standardized pain scale at several points in the postoperative period. Patients indicated if they experienced severe pain, had to return to the ER, and if they experienced lasting neurologic complaints. Comparative data was collected on patients who received a PNB and those who did not receive a PNB (control). 307 patients completed the survey, 244 patients with PNBs and 63 control patients. There was a 39.8% incidence of neurologic complaints in patients who received PNBs as compared to 9.5% incidence in patients who did not receive a PNB, P < 0.001. There was 27.9% (PNB) versus 14.3% (control) incidence of severe pain, P 0.027. Twenty-four patients that received PNBs versus five control patients visited the ER, P 0.65. Patients who received PNBs had significantly better pain control immediately after surgery (P 0.02) and trended towards improved pain control the same night (P 0.055), but there was no difference in pain control the morning after surgery, 24 hours after surgery, and at the one week postoperative period (P 0.99, 0.19, and 0.88).
  • Advances in Bone Graft Substitutes in Spinal Fusion

    Advances in Bone Graft Substitutes in Spinal Fusion

    17 Advances in Bone Graft Substitutes in Spinal Fusion Michael N. Tzermiadianos, Alexander G. Hadjipavlou, and John N. Gaitanis University of Kriti Medical School Iraklio Kriti, Greece Bone grafting is essential for reconstruction of spinal defects and a prerequisite to obtaining solid arthrodesis imperative to spinal stability after reconstructive surgery [1]. Spinal fusion is commonly achieved by the adjunctive use of interbody or onlay cortical bone grafts (autograft or allograft). Success depends on factors such as the patient’s age, sufficiency of local blood supply, degrees of postoperative movement, and, importantly, the physical and biological charac- teristics of the graft matrix. Early attempts at bone grafting date back more than 500 years to the Arab, indigenous Peruvian, and Aztec cultures. In modern times, the first documented case of autogenous bone grafting was reported by Merem in 1810, and the first successful allografting case has been attributed to Macewn in 1881 [2]. Our present knowledge and scientific base for understanding the biology, banking, and widespread clinical applications of bone grafting is largely due to the work of Albee [3], Barth [4], Lexter [5], Phemister [6], and Seen [7] during the late nineteenth and early twentieth centu- ries. These substantive scientific contributions have made bone grafting techniques common and relatively effective clinical procedures. There are three biological processes that impact the success or failure of bone graft: osteogenesis, osteoconduction, and osteoinduction [8]. Osteogenesis refers to the process whereby bone forms directly from living cells, such as the stem cells within autogenous bone. Osteoconduction describes the process in which bone grows into and along the surface of a biocompatible structure when placed in direct apposition to host bone through the process of intramembranous bone formation.