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Traumatic main bronchus rupture is a relatively rare injury in thoracic trauma, which is extremely critical, with a mortality rate as high as 70% - 80%. The complete rupture and displacement of the traumatic cervical trachea can lead to asphyxia, hypoxia, and cardiac arrest, even death of the patient in a short time. We performed emergency surgery with the support of extracorporeal membrane oxygenation for a case of traumatic cervical tracheal trunk complete rupture and displacement combined with cardiac arrest and achieved a successful rescue. We summarized our experience and found that timely surgical reconstruction of the airway is the key to increasing the traumatic main bronchus rupture survival of patients.
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http://dx.doi.org/10.1016/j.cjtee.2024.08.003 | DOI Listing |
Forensic Sci Int
August 2025
Department of Laboratory Medicine and Pathobiology, University of Toronto, Canada.
We report the forensic and clinicopathological spectrum of 14 postmortem cases involving the vertebral artery. In all cases, there was either pontocerebellar infarction (n = 8) or subarachnoid hemorrhage (n = 6). The underlying pathology of the vertebral artery was segmental mediolytic arteriopathy (n = 5), traumatic rupture of the arterial wall (n = 3), arterial dissection (n = 2), or atherosclerosis (n = 4).
View Article and Find Full Text PDFGeroscience
September 2025
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Degenerative cervical myelopathy (DCM) is a leading cause of non-traumatic spinal cord disorders in older adults. Gait instability and balance dysfunction are common in DCM, even in the absence of clinically evident lower limb weakness. We hypothesized that subclinical weakness, measured through maximal voluntary isometric contractions (MVICs) of the knee extensors and ankle plantar flexors, is associated with impaired gait and balance in individuals with DCM.
View Article and Find Full Text PDFJ Neurosurg Pediatr
September 2025
1Department of Neurosurgery, University of Utah, Salt Lake City.
Objective: The concept of spinal cord injury without radiographic abnormality (SCIWORA) was introduced in the 1980s. Unfortunately, the nomenclature creates confusion in the modern MRI-based era when applied to pediatric traumatic spinal injuries. The authors investigated the incidence and clinical characteristics of pediatric patients with true imaging-negative traumatic cervical spinal cord injuries (SCIs).
View Article and Find Full Text PDFJ Neurosurg Spine
September 2025
1Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Objective: The evidence on ankylosing spinal disorders (ASDs), including ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH), in the context of spinal fracture stems from studies with relatively small sample sizes. There are no studies addressing the patient-reported outcome measures (PROMs) and health-related quality of life (HRQOL) outcomes associated with spinal fracture in this population. The aim of this study was to investigate differences in complications, mortality, PROMs, and HRQOL in patients with and without ASD who had been treated for spinal fracture.
View Article and Find Full Text PDFCurr Opin Anaesthesiol
October 2025
Division Chief Pain Medicine, Department of Anesthesiology and Perioperative Medicine, University Hospitals Cleveland, Case Western Reserve University, Cleveland, Ohio, USA.
Purpose Of Review: The purpose of this review is to provide an update on the mechanisms of cervicogenic headache and the role of the C2 dorsal root ganglion (DRG) as a central hub for cervicogenic headache.
Recent Findings: The suboccipital muscles have been implicated in the pathogenesis of cervicogenic headaches due to their connections with the dura mater. The myodural bridge (MDB) connects the suboccipital musculature to the spinal dura mater as it passed through the posterior atlanto-occipital and the atlanto-axial interspaces.