She reports the symptoms are worse with prolonged walking and improved with sitting.
He feels his pain is substantially worse than it was one year ago.
What is the most appropriate management at this time?
Conclusion as it might appear: If you enjoyed this case you may also enjoy: Left-sided tinnitus.
A 70-year-old woman is seen back in follow-up in your clinic with persistent shooting pains down the back of her legs, which have been increasing over the last nine months.
His preoperative and postoperative radiographs are shown in Figure A and B respectively.
His past medical history is significant for osteoarthritis, hypertension, and smoking 1.5 packs per day for greater than 35 years.
Which variable in this patient’s history has been reported to be associated with lower functional outcomes after this surgery?
A 57-year-old woman with a past medical history of diabetes mellitus and arrythmias, requiring prior insertion of a pacemaker, presents with severe bilateral leg pain for 12 months.
Clinical considerations as you might report them: T12-L1: There is no focal disc herniation or spinal canal stenosis. L5-S1: Shallow concentric disc displacement without spinal canal stenosis. Present is left paraspinal muscle edema, and enhancement along the surgical tract at the level of L3-L4 left laminotomy site.
Visualized soft tissues of the abdomen and pelvis are grossly unremarkable. Tinnitus and left facial droop and hearing loss (oh my) What should you do with this tricky skull base case?