Craniopharyngioma in a young woman with symptoms presenting as mechanical neck pain associated with cervicogenic headache: a case report

Mourad, Firas; Cataldi, Fabio; Patuzzo, Alberto; Tunnera, Sara; Dunning, James; Fernández‐de‐las‐Peñas, César; Maselli, Filippo

doi:10.1080/09593985.2019.1636433

Cited by 7 publications

(8 citation statements)

References 51 publications

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“…For this reason, it is essential for healthcare professionals to be aware of the clinical meaning of particular and atypical clinical manifestations [54][55][56][57][58], and to understand in detail the seizure episodes and their presentation pattern, as in our case report. Furthermore, early detection and proper management of seizures can reduce complications and costs caused by unnecessary treatment [42].…”

Section: Discussionmentioning

confidence: 99%

A Thoracic Outlet Syndrome That Concealed a Glioblastoma. Findings from a Case Report

Storari¹,

Signorini

Barbari³

et al. 2021

Medicina

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Background: Glioblastoma is the most frequent and aggressive malignant brain tumor among adults. Unfortunately, its symptoms can vary considerably depending on the size, location and the anatomic structures of the involved brain. Case report: A 58-year-old male amateur cyclist who suffered from sharp arm pain was examined for a thoracic outlet syndrome due to a previous clavicle fracture. Because of ambiguous results of the neck and nerve plexus imaging, he was referred to a neurosurgeon who properly suspected a brain tumor. The neuroimaging of the brain shown a 3 cm disploriferative mass with a blood enhancement within the left parietal lobe. The mass was urgently removed, and its histologic analysis stated a grade 4 glioblastoma. Conclusion: This case report highlights the differential diagnosis process and the teamwork approach needed to diagnose a rare presentation of a brain glioblastoma, which started its symptoms mimicking a thoracic outlet syndrome caused by a previous bone fracture.

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Section: Discussionmentioning

confidence: 99%

A Thoracic Outlet Syndrome That Concealed a Glioblastoma. Findings from a Case Report

Storari¹,

Signorini

Barbari³

et al. 2021

Medicina

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“…Furthermore, commonly treated musculoskeletal presentations such as neck pain, could potentially hide more serious pathologies related to the cardiovascular system [51][52][53]. That is, HBP and elevated HR are relevant in the pathogenesis of either an aneurysm or a vascular stenosis that underlie a spontaneous cervical artery dissection in older adults, and are important predictors to inform for any acute damage/trauma of cervical arteries in younger population [54,55].…”

Section: Key Findingsmentioning

confidence: 99%

Assessing cardiovascular parameters and risk factors in physical therapy practice: findings from a cross-sectional national survey and implication for clinical practice

Faletra

Bellin

Dunning

et al. 2022

BMC Musculoskelet Disord

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Background Cardiovascular diseases are the leading cause of death and comorbidity worldwide. High blood pressure and resting heart rate are risk factors (or vital signs) critical to cardiovascular health, patient safety, and medical management. Physiotherapists play a fundamental role in risk factor identification, early diagnosis, and subsequent management of cardiovascular disease. To date there is limited research in Europe investigating the level of knowledge and skills possessed by physiotherapists regarding cardiovascular disease screening. Three studies previously observed inadequate vital signs screening behaviors of physiotherapists practicing in the United States and Saudi Arabia. The primary aim of this study was to investigate cardiovascular knowledge and screening practices among Italian physiotherapists, according to the current practice recommendations. Methods A Cross-Sectional Survey was developed adapting two previous surveys. The survey was administered to members of the Italian Physiotherapy Association. Chi squared test, Mann-Whitney test or Kruskal-Wallis test were used to study differences among subgroups and question responses. Results The required sample size was met with total of 387 Italian physiotherapists completing the survey. 80% consider relevant cardiovascular assessment. However, 72.2% were not familiar to guidelines recommendations and only 50% screen vital signs routinely. Their knowledge of normative blood pressure (high-normal, 16%; hypertension, 12%) and heart rate values (bradycardia, 24%; tachycardia, 26%) were low. Although participants reported being skilled for blood pressure measurement (quite sure, 52%; sure, 27%), their adherence to guidelines is low (baseline measurement on both arm, 25%; 3 repeated measures, 46%). Only 27.8% reported to measure exercise related BP and 21.3% of them understood the concept of exaggerated BP. No significant differences between subgroups were found. Conclusions Our study revealed that a concerning proportion of Italian physiotherapists are not versed in fundamentals of properly performing cardiovascular screenings. This lack of knowledge is present across the profession and may impact on appropriate triage and management. The poorly executed screening has the potential to negatively impact the patient and the practitioner. Given the absence of Italian guidelines, we produced and implemented three infographics for public use, which have the dual objective of raising awareness about this subject and providing practical resources for everyday practice.

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“…With the attempt to identify those patients at increased risk of having an SAE following SM, and according to researchers and academics that still recommend its use, [20] a significant proportion of our survey participants agreed with using pre-manipulative testing for the upper cervical spine. However, the validity of pre-manipulative testing for screening purposes has been questioned due to the low sensitivity and low specificity of the test procedures themselves [90][91][92][93]. Thus, because of a lack of construct validity, questionable safety, and an inability to predict SAEs, IFOMPT and many researchers have recommended pre-manipulative testing be abandoned [25,40,50,68,94,95].…”

Section: Clinical Prediction Rules and Additional Screening Prior To Smmentioning

confidence: 99%

Knowledge, beliefs, and attitudes of spinal manipulation: a cross-sectional survey of Italian physiotherapists

et al. 2022

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Background and Objective High-velocity low-amplitude thrust spinal manipulation (SM) is a recommended and commonly used manual therapy intervention in physiotherapy. Beliefs surrounding the safety and effectiveness of SM have challenged its use, and even advocated for its abandonment. Our study aimed to investigate the knowledge and beliefs surrounding SM by Italian physiotherapists compared with similar practitioners in other countries. Methods An online survey with 41 questions was adapted from previous surveys and was distributed via a mailing list of the Italian Physiotherapists Association (March 22–26, 2020). The questionnaire was divided into 4 sections to capture information on participant demographics, utilization, potential barriers, and knowledge about SM. Questions were differentiated between spinal regions. Attitudes towards different spinal regions, attributes associated with beliefs, and the influence of previous educational background were each evaluated. Results Of the 7398 registered physiotherapists, 575 (7.8%) completed the survey and were included for analysis. The majority of respondents perceived SM as safe and effective when applied to the thoracic (74.1%) and lumbar (72.2%) spines; whereas, a smaller proportion viewed SM to the upper cervical spine (56.8%) as safe and effective. Respondents reported they were less likely to provide and feel comfortable with upper cervical SM (respectively, 27.5% and 48.5%) compared to the thoracic (respectively, 52.2% and 74.8%) and lumbar spines (respectively, 46.3% and 74.3%). Most physiotherapists (70.4%) agreed they would perform additional screening prior to upper cervical SM compared to other spinal regions. Respondents who were aware of clinical prediction rules were more likely to report being comfortable with SM (OR 2.38–3.69) and to perceive it as safe (OR 1.75–3.12). Finally, physiotherapists without musculoskeletal specialization, especially those with a traditional manual therapy background, were more likely to perform additional screening prior to SM, use SM less frequently, report being less comfortable performing SM, and report upper cervical SM as less safe (p < 0.001). Discussion The beliefs and attitudes of physiotherapists surrounding the use of SM are significantly different when comparing the upper cervical spine to other spinal regions. An educational background in traditional manual therapy significantly influences beliefs and attitudes. We propose an updated framework on evidence-based SM.

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Craniopharyngioma in a young woman with symptoms presenting as mechanical neck pain associated with cervicogenic headache: a case report

Cited by 7 publications

References 51 publications

A Thoracic Outlet Syndrome That Concealed a Glioblastoma. Findings from a Case Report

A Thoracic Outlet Syndrome That Concealed a Glioblastoma. Findings from a Case Report

Assessing cardiovascular parameters and risk factors in physical therapy practice: findings from a cross-sectional national survey and implication for clinical practice

Knowledge, beliefs, and attitudes of spinal manipulation: a cross-sectional survey of Italian physiotherapists

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