TY  - JOUR
AU  - Pavlićević, Goran
AU  - Lepić, Milan
AU  - Lepić, Toplica
AU  - Jaćimović, Nemanja
AU  - Radenović, Ksenija
AU  - Novaković, Nenad
AU  - Rasulić, Lukas
AU  - Mandić-Rajčević, Stefan
PY  - 2019
UR  - http://TechnoRep.tmf.bg.ac.rs/handle/123456789/5882
AB  - Background: A spontaneous cervical epidural hematoma (SCEH) is a rare occurrence, with < 500 cases reported to date. Clinically, it usually presents with quadriparesis, but in extremely rare cases it can present with hemiparesis or hemiplegia, and can easily be misdiagnosed as stroke. The cervical epidural hematoma by itself is an urgent condition that requires a quick and accurate diagnosis and a prompt surgical treatment. Case Report: We present a case where an SCEH mimicked the much more frequent condition of a stroke, and discuss the importance of diagnostics procedures that help differentiate SCEH from acute cerebral infarction. The patient's history of neck pain and spondylosis render this case more challenging. Why Should an Emergency Physician Be Aware of This?: Considering that the emergency tissue plasminogen activator treatment for acute cerebral infarction can worsen the state of an SCEH patient, or even lead to permanent damage or death, it is of great importance to rapidly and accurately differentiate these two conditions.
PB  - Elsevier USA
T2  - Journal of Emergency Medicine
T1  - A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case
EP  - 73
IS  - 1
SP  - 70
VL  - 57
DO  - 10.1016/j.jemermed.2019.03.035
ER  - 

@article{
author = "Pavlićević, Goran and Lepić, Milan and Lepić, Toplica and Jaćimović, Nemanja and Radenović, Ksenija and Novaković, Nenad and Rasulić, Lukas and Mandić-Rajčević, Stefan",
year = "2019",
abstract = "Background: A spontaneous cervical epidural hematoma (SCEH) is a rare occurrence, with < 500 cases reported to date. Clinically, it usually presents with quadriparesis, but in extremely rare cases it can present with hemiparesis or hemiplegia, and can easily be misdiagnosed as stroke. The cervical epidural hematoma by itself is an urgent condition that requires a quick and accurate diagnosis and a prompt surgical treatment. Case Report: We present a case where an SCEH mimicked the much more frequent condition of a stroke, and discuss the importance of diagnostics procedures that help differentiate SCEH from acute cerebral infarction. The patient's history of neck pain and spondylosis render this case more challenging. Why Should an Emergency Physician Be Aware of This?: Considering that the emergency tissue plasminogen activator treatment for acute cerebral infarction can worsen the state of an SCEH patient, or even lead to permanent damage or death, it is of great importance to rapidly and accurately differentiate these two conditions.",
publisher = "Elsevier USA",
journal = "Journal of Emergency Medicine",
title = "A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case",
pages = "73-70",
number = "1",
volume = "57",
doi = "10.1016/j.jemermed.2019.03.035"
}

Pavlićević, G., Lepić, M., Lepić, T., Jaćimović, N., Radenović, K., Novaković, N., Rasulić, L.,& Mandić-Rajčević, S.. (2019). A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case. in Journal of Emergency Medicine
Elsevier USA., 57(1), 70-73.
https://doi.org/10.1016/j.jemermed.2019.03.035

Pavlićević G, Lepić M, Lepić T, Jaćimović N, Radenović K, Novaković N, Rasulić L, Mandić-Rajčević S. A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case. in Journal of Emergency Medicine. 2019;57(1):70-73.
doi:10.1016/j.jemermed.2019.03.035 .

Pavlićević, Goran, Lepić, Milan, Lepić, Toplica, Jaćimović, Nemanja, Radenović, Ksenija, Novaković, Nenad, Rasulić, Lukas, Mandić-Rajčević, Stefan, "A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case" in Journal of Emergency Medicine, 57, no. 1 (2019):70-73,
https://doi.org/10.1016/j.jemermed.2019.03.035 . .

TY  - JOUR
AU  - Rasulić, Lukas
AU  - Savić, Andrija
AU  - Vitošević, Filip
AU  - Samardžić, Miroslav
AU  - Živković, Bojana
AU  - Mićović, Mirko
AU  - Baščarević, Vladimir
AU  - Puzović, Vladimir
AU  - Joksimović, Boban
AU  - Novaković, Nenad
AU  - Lepić, Milan
AU  - Mandić-Rajčević, Stefan
PY  - 2017
UR  - http://TechnoRep.tmf.bg.ac.rs/handle/123456789/5824
AB  - Background Iatrogenic nerve injuries are nerve injuries caused by medical interventions or inflicted accidentally by a treating physician. Methods We describe and analyze iatrogenic nerve injuries in a total of 122 consecutive patients who received surgical treatment at our Institution during a period of 10 years, from January 1, 2003, to December 31, 2013. The final outcome evaluation was performed 2 years after surgical treatment. Results The most common causes of iatrogenic nerve injuries among patients in the study were the operations of bone fractures (23.9%), lymph node biopsy (19.7%), and carpal tunnel release (18%). The most affected nerves were median nerve (21.3%), accessory nerve (18%), radial nerve (15.6%), and peroneal nerve (11.5%). In 74 (60.7%) patients, surgery was performed 6 months after the injury, and in 48 (39.3%) surgery was performed within 6 months after the injury. In 80 (65.6%) patients, we found lesion in discontinuity, and in 42 (34.4%) patients lesion in continuity. The distribution of surgical procedures performed was as follows: autotransplantation (51.6%), neurolysis (23.8%), nerve transfer (13.9%), direct suture (8.2%), and resection of neuroma (2.5%). In total, we achieved satisfactory recovery in 91 (74.6%), whereas the result was dissatisfactory in 31 (25.4%) patients. Conclusions Patients with iatrogenic nerve injuries should be examined as soon as possible by experts with experience in traumatic nerve injuries, so that the correct diagnosis can be reached and the appropriate therapy planned. The timing of reconstructive surgery and the technique used are the crucial factors for functional recovery.
PB  - Elsevier Inc.
T2  - World Neurosurgery
T1  - Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience
EP  - 851.e6
SP  - 841
VL  - 103
DO  - 10.1016/j.wneu.2017.04.099
ER  - 

@article{
author = "Rasulić, Lukas and Savić, Andrija and Vitošević, Filip and Samardžić, Miroslav and Živković, Bojana and Mićović, Mirko and Baščarević, Vladimir and Puzović, Vladimir and Joksimović, Boban and Novaković, Nenad and Lepić, Milan and Mandić-Rajčević, Stefan",
year = "2017",
abstract = "Background Iatrogenic nerve injuries are nerve injuries caused by medical interventions or inflicted accidentally by a treating physician. Methods We describe and analyze iatrogenic nerve injuries in a total of 122 consecutive patients who received surgical treatment at our Institution during a period of 10 years, from January 1, 2003, to December 31, 2013. The final outcome evaluation was performed 2 years after surgical treatment. Results The most common causes of iatrogenic nerve injuries among patients in the study were the operations of bone fractures (23.9%), lymph node biopsy (19.7%), and carpal tunnel release (18%). The most affected nerves were median nerve (21.3%), accessory nerve (18%), radial nerve (15.6%), and peroneal nerve (11.5%). In 74 (60.7%) patients, surgery was performed 6 months after the injury, and in 48 (39.3%) surgery was performed within 6 months after the injury. In 80 (65.6%) patients, we found lesion in discontinuity, and in 42 (34.4%) patients lesion in continuity. The distribution of surgical procedures performed was as follows: autotransplantation (51.6%), neurolysis (23.8%), nerve transfer (13.9%), direct suture (8.2%), and resection of neuroma (2.5%). In total, we achieved satisfactory recovery in 91 (74.6%), whereas the result was dissatisfactory in 31 (25.4%) patients. Conclusions Patients with iatrogenic nerve injuries should be examined as soon as possible by experts with experience in traumatic nerve injuries, so that the correct diagnosis can be reached and the appropriate therapy planned. The timing of reconstructive surgery and the technique used are the crucial factors for functional recovery.",
publisher = "Elsevier Inc.",
journal = "World Neurosurgery",
title = "Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience",
pages = "851.e6-841",
volume = "103",
doi = "10.1016/j.wneu.2017.04.099"
}

Rasulić, L., Savić, A., Vitošević, F., Samardžić, M., Živković, B., Mićović, M., Baščarević, V., Puzović, V., Joksimović, B., Novaković, N., Lepić, M.,& Mandić-Rajčević, S.. (2017). Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience. in World Neurosurgery
Elsevier Inc.., 103, 841-851.e6.
https://doi.org/10.1016/j.wneu.2017.04.099

Rasulić L, Savić A, Vitošević F, Samardžić M, Živković B, Mićović M, Baščarević V, Puzović V, Joksimović B, Novaković N, Lepić M, Mandić-Rajčević S. Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience. in World Neurosurgery. 2017;103:841-851.e6.
doi:10.1016/j.wneu.2017.04.099 .

Rasulić, Lukas, Savić, Andrija, Vitošević, Filip, Samardžić, Miroslav, Živković, Bojana, Mićović, Mirko, Baščarević, Vladimir, Puzović, Vladimir, Joksimović, Boban, Novaković, Nenad, Lepić, Milan, Mandić-Rajčević, Stefan, "Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience" in World Neurosurgery, 103 (2017):841-851.e6,
https://doi.org/10.1016/j.wneu.2017.04.099 . .