Biomedical subjects
Publications and source records attributed to J B Sarno.
Sarcoma metastatic to cerebral parenchyma, although rare, occurs more frequently than generally recognized. With increased duration of survival due to multi-modal therapy, more CNS metastases are being found. A literature search occasioned by a patient with metastatic sarcoma has produced some interesting results.
Suprascapular nerve compression is a true peripheral entrapment neuropathy that can be cured by lysis of the suprascapular ligament and freeing the suprascapular nerve. It is a rare entity that must be considered in the differential diagnosis of radicular pain, as well as that of the shoulder. Four examples of suprascapular nerve neuropathy in three patients are described, including one case of bilateral entrapment; all were young females. One was diagnosed as systemic lupus erythematosus (case 3); it is now considered that a second patient (case 2) may have the same disorder. The clinical, anatomic, and surgical considerations of the suprascapular nerve are considered in this paper.
Four (3.4%) of 117 patients undergoing metrizamide myelography experienced transient expressive dysphasia 7-8 hr after myelography and lasting up to 36 hr. All four patients had lumbar myelograms obtained with 15 ml of 190 mg l/ml (2850 mg l). Metrizamide was injected via lumbar puncture with a 20 gauge spinal needle under fluoroscopic control. Neurologic complications after metrizamide have been reported, but so far have appeared to be transient. It is likely that the transient expressive dysphasia experienced by the four patients reported here was a neurotoxic reaction, rather than a seizure phenomenon.