John M Gachiani

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OBJECT The aim of this study was to describe the presentation of patients harboring soft tissue sarcomas involving the nerves, most of which were malignant peripheral nerve sheath tumors (MPNSTs), and provide an algorithm for their treatment. METHODS The authors retrospectively analyzed data on 43 surgically treated soft tissue sarcomas involving the(More)
OBJECT The authors present the results of a retrospective review of 37 surgically treated metastases to nerve (malignant peripheral non-neural sheath nerve tumors). Tumor frequencies, presentations, management, and prognosis are discussed. METHODS Thirty-seven patients who were treated for metastases to nerve between 1969 and 2006 at the Louisiana State(More)
Posterior cranial vault distraction is recognized as a viable initial approach to patients with syndromic craniosynostosis. It offers advantages to initial anterior vault surgery and to traditional 1-stage advancements. Reports of posterior vault distraction have thus far focused on the use of standard titanium distractors. We present a case of posterior(More)
INTRODUCTION   Intrathecal (IT) medication delivery is a commonly used technique for the treatment of chronic intractable pain. Cerebrospinal fluid (CSF) loculation at the catheter tip has been described as a cause of progressive loss of drug effect that can often be difficult to diagnose. METHODS   The clinical course of a 56-year-old woman was reviewed,(More)
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