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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional July 23, 2008

We are pleased to announce that MM&M has selected spineuniverse.com, along with WebMD and HealthDay, as one of five finalists for "Best Healthcare Online Media Brand" for 2008! Read More

In this edition of spinemonitor, Richard G. Fessler, MD, PhD presents a compelling case of a patient whose severe gait and balance difficulties require him to rely on a wheelchair. Vincent Traynelis, MD discusses the case, including detection of an exceedingly rare metastatic meningioma.

Featured Case Study
Gait and Balance Difficulties in a 76-Year-old Male
Photo: Richard G. Fessler, MD, PhD Case Author:
Richard G. Fessler, MD, PhD
Professor of Neurological Surgery
Northwestern University
Chicago, IL

History
The patient is a 76-year-old male who uses a wheelchair due to difficulties with gait and balance...

Examination
The patient's gait is broad-based and unsteady; he cannot tandem walk. Muscle testing revealed 3/5 left and 0/5 right extensor hallucis longus and 0/5 right Achilles tendon. Knee reflexes at 3+, all others are zero. His Babinski response and Hoffman's sign were negative. He has a history of...

Images
MRI shows severe stenosis at C3-C4, C4-C5 and C5-C6 secondary to...

Diagnosis:
Find out here...Read Complete Case, Vote for Treatment, and View Outcome

Gait and Balance Difficulties in a 76-Year-old Male

Fig. 1 - Severe stenosis at C3-C4, C4-C5 and
C5-C6.
Click here for Larger Images

How Would You Treat this Patient?
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SpineUniverse invites you to submit your surgical or non-surgical cases for an upcoming issue!

Spine cases are an invaluable tool to enable specialists to learn from one another as they seek to provide improved patient care.  SpineUniverse makes case submission easy and our staff can help you get started.  To learn more, or to submit a case, please view our submission guidelines or contact Susan Spinasanta at sspinasanta@spineuniverse.com.

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Past Spine Cases:
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.
Lumbar Herniation with Radiculopathy
By Timothy R. Kuklo, MD, JD

Cervical Trauma in a Young Football Player
By Christopher I. Shaffrey, MD

Bilateral L2 Spondylolysis: Nonsurgical or Surgical Treatment?
By Michael P. Schaefer, MD

Cervical Degenerative Changes with Segmental Kyphosis
By Marc A. Weinstein, MD

High-speed Motor Vehicle Accident: 24 Year-old
By Alexander Vaccaro, MD, PhD and D. Greg Anderson, MD

View All Case Studies

Update your Practice
Upcoming CME Event - Don't Miss It
PAINWEEK - September 4-7, 2008
PAINWEEK CME EventPAINWeek is a convergence of multiple pain and primary care organizations presenting educational sessions at a single national conference. PAINWeek is primarily intended for physicians, nursing professionals, physician assistants, dentists, pharmacists, psychologists, and podiatrists.

A distinguished and varied faculty provides relevant education and clinical tools for frontline practitioners faced with making pain management decisions.

Learning Objectives Include:
  • Distinguish acute and chronic pain
  • Define the mechanisms of action of pain types
  • Determine effective treatment protocols among current and emerging therapies
  • Recognize cultural barriers
  • Assess the importance of functional capacity evaluations
  • Demonstrate clinical interviewing and physical exam competency
  • Interpret laboratory and imaging studies as they relate to pain diagnostics
  • Distinguish multiple pain syndromes

Keynote Speaker: Howard Heit, MD

Click below for a SPECIAL registration rate of $269.

View Event Details

PAINWEEK CME Event

PAINWeek 2008 - September 4-7, 2008 at the Red Rock Casino, Resort, and Spa in Las Vegas, Nevada. 75+ CE/CME hours provided.
Download a PDF of the Course Brochure
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