Headache Caused By an Intracranial Aneurysm in a 32-Year-Old Woman

Larkin-Thier, Susan M.; Livdans-Forret, Anna B.; Harvey, Phyllis

doi:10.1016/j.jmpt.2006.12.010

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…Case management CRs in the fourth-fastest growing category, Diseases of the circulatory system (I00-I99), began with the first publication in 1986 [ 68 ], with the yearly volume peaking in 2014. Examples include CRs in which chiropractors suspected and referred patients with vertebral artery dissection [ 69 – 71 ], ischemic stroke [ 72 ], hemorrhagic stroke [ 73 ], upper [ 74 , 75 ] and lower [ 76 , 77 ] extremity deep vein thrombosis, abdominal aortic aneurysm [ 68 , 78 – 81 ], intracranial aneurysm [ 82 ], popliteal aneurysm [ 83 ], myocardial infarction [ 84 ] and subdural hematoma [ 85 ].…”

Section: Resultsmentioning

confidence: 99%

Chiropractic case reports: a review and bibliometric analysis

Trager

Dusek

2021

Chiropr Man Therap

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Objective To determine publication trends, gaps, and predictors of citation of chiropractic case reports (CRs). Methods A bibliometric review was conducted by searching PubMed, Index to Chiropractic Literature (ICL), and Google Scholar to identify PubMed-indexed CRs, which were screened according to selection criteria. Case reports were categorized by International Classification of Disease (ICD-10) code, patient age, topic describing case management or adverse effects of care, focus being spinal or non-spinal, journal type, integrative authorship, title metrics, and citation metrics. Binary logistic regression was used to identify independent predictors of citations per year and total citations greater than the median values. Results The search identified 1176 chiropractic CRs meeting selection criteria. There was an increasing trend of CRs having a case management topic, non-spinal focus, non-chiropractic journal, neuromusculoskeletal-focus, diagnosis of vascular pathology, and a decreasing trend of adverse effect vascular pathology CRs. Independent predictors of greater total citations (or citation rate) included ICD-10 categories of perinatal conditions, infections, “case” in title, case management topic, and physical therapy, integrative, and dental journal type. Predictors of fewer citations included diseases of the blood, neoplasms, other findings not elsewhere classified, a title > 11 words, and multidisciplinary authorship. ICD-10 categories describing non-musculoskeletal diseases and special populations such as pediatrics, pregnancy, and perinatal conditions had few CRs. Conclusion Chiropractic CRs are diversifying from spine-related topics. Chiropractors are encouraged to publish objective, structured CRs within defined research gaps. Published CRs can inform the design of future research studies with a higher level of clinical relevance and evidence.

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Section: Resultsmentioning

confidence: 99%

Chiropractic case reports: a review and bibliometric analysis

Trager

Dusek

2021

Chiropr Man Therap

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“…Physical therapists are capable of screening patients in need of medical referral for further examination or investigation of conditions. [33][34][35][36][37][38][39][40][41][42][43][44][45][46]47…”

Section: Discussionmentioning

confidence: 99%

Osteochondritis Dissecans of the Radial Head in a Young Athlete: A Case Report

Mourad

Maselli

Patuzzo

et al. 2018

Intl J Sports Phys Ther

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Background and purpose: Elbow pain is common in young gymnasts and is frequently encountered by physical therapists working in direct access outpatient clinics. Most elbow pain is benign; however, non-specific symptoms can mask serious medical pathologies, as is the case with osteochondritis dissecans (OCD). OCD is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Risk factor analysis, palpable joint tenderness and swelling, joint locking, and a history of high intensity repetitive activities may inform the clinical reasoning; however, the diagnosis of OCD is best made using magnetic resonance imaging (MRI). The purpose of this case report is to describe the main components of the history and physical examination that led to OCD differential diagnosis. Case description: A 12-year-old female gymnast presented to an outpatient physical therapy clinic with right elbow pain following a compressive trauma. The decision was made to refer the patient for diagnostic imaging evaluation due to localized joint swelling and point tenderness over the radial head, elbow pain with compressive loading, the presence of demographic risk factors, and a recent worsening in her symptoms after a second trauma. MRI subsequently revealed OCD associated with external humeral condyle bone marrow edema. The patient underwent surgical repair. Outcomes: The follow-up MRI at five months post-surgically reported a "excellent graft integration". A post-operative progressive load management program was initiated, with full return to sport achieved at 10 months after surgery. Discussion: This case report highlights the central role of primary care clinicians, such as physical therapists, in identifying patients with suspected pathologic conditions that may need referral for imaging, medical assessment, or surgical intervention. Physical therapists working in direct access environments should be aware of subtle signs/ symptoms and specific risk factors that may be indicative of serious pathologies.

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“…Symptoms occasionally improve after treatment of the aneurysm. [9][10][11][12][13][14][15] In prior reports, aneurysm treatment was followed by improvement in severity or frequency of headache in 59%-92% of patients, regardless of the type of treatment (endovascular or surgical). [16][17][18][19] However, these studies included patients in which the aneurism had been diagnosed in the workup of various conditions other than headache.…”

Section: Introductionmentioning

confidence: 99%