Betsy D Hughes

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STUDY DESIGN Retrospective review of prospective collected data on 22 patients. OBJECTIVE To describe our initial clinical experience and outcomes with the extreme lateral interbody fusion (XLIF) approach for spinal diseases requiring access to the thoracic cavity. SUMMARY OF BACKGROUND DATA Minimally invasive anterior approaches to the thoracic spine(More)
BACKGROUND The number of spine operations performed in the elderly population is rising. OBJECTIVE To identify and describe perioperative and postoperative complications in patients 70 years and older who have undergone minimally invasive lumbar interbody spine fusion. METHODS A retrospective analysis was performed on 66 consecutive patients aged 70(More)
BACKGROUND AND IMPORTANCE Paragangliomas are rare tumors of neuroendocrine origin that arise from paraganglionic tissue of the extrachromaffin cell system. These lesions may be seen at various sites along the neuraxis. Primary thoracic paragangliomas have rarely been reported in the literature, with secretory thoracic lesions being exceedingly rare as only(More)
BACKGROUND Surgical outcomes for intramedullary spinal cord tumors are affected by many variables including tumor histology and preoperative neurological function. OBJECTIVE To analyze the impact of tumor histology on neurological outcome in primary intramedullary spinal cord tumors. METHODS A retrospective review of 102 consecutive patients with(More)
Bullet fragment emboli are uncommon, and there have been only a few reports of intracranial-to-extracranial migration of these fragments. The authors present the case of an 11-year-old girl who was struck in the suboccipital region with a "soft nose" bullet fired at close range. Several months later, the patient was found to have asymptomatic pulmonary(More)
STUDY DESIGN Retrospective cohort study and technical report. OBJECTIVE To demonstrate, through our institutional series of intramedullary spinal tumor resection, the potential avoidance of dorsal column dysfunction after using dorsal column mapping. SUMMARY OF BACKGROUND DATA Surgical resection of intramedullary spinal cord tumors carries significant(More)
BACKGROUND AND IMPORTANCE his is the first case report of clipping a cerebral aneurysm in a patient with Loeys-Dietz syndrome (LDS). LDS is a newly described autosomal dominant connective tissue disease with systemic vascular involvement. Unique to this syndrome is the development of aneurysms at a young age with the propensity of dissection or rupture at a(More)
Gorham's disease is a rare disorder in which massive osteolysis occurs within bone, and therefore earns its historical name: disappearing bone disease. We describe a case of Chiari I malformation in a patient with this rare disorder, with treatment consisting of a suboccipital craniectomy, C1 laminectomy, and duraplasty for Chiari decompression.
OBJECT In this study the authors provide an assessment of intrathecal baclofen (ITB) therapy and evaluate patient outcomes and satisfaction. METHODS Records for patients with multiple sclerosis who were selected as candidates for ITB therapy were reviewed for their response to test dose, surgical technique, surgery- and pump-related complications, and(More)
OBJECTIVE We describe the case of a temporomandibular joint cyst eroding into the middle fossa, initially causing compression of the trigeminal nerve and trigeminal neuropathy, and ultimately causing destruction of the second division of the nerve with facial numbness. CLINICAL PRESENTATION A 50-year-old woman with rheumatoid arthritis on prednisone(More)