Just wondering if anyone else has any experience with using the trans-thyroid gland route for lower cervical spine biopsies.
It seems to be an extremely safe route and avoid vessels, nerves, etc easily.
There are two cases I did in the last 3 months, both infectious disciitis. The first was Streptococcus and the second was E.coli.
I have found 4 references, the first from 1987. I suspect that the route is used often but has not been formally written up.
Any thoughts? Comments?
References
1. First reported case (s) were in 1987 by Dr. Susan Kattapuram and Dan Rosenthal – though it is not clear from the paper on 7 patients how many were trans-thyroid (AJR 1987;149:539)
2. One trans-thyroid RFA in 2007 by Sean Sutphen and James Murakami (Ped Radiol 2007;37:83)
3. Wiesner and colleagues mention that it is sometimes difficult to avoid the thyroid…thus assuming that this is not a good route, but no numbers of how many were trans-thyroid in their 73 patients (AJNR 2018;39:981)
4. A recent paper in the AJR from the same hospital as Dr. Rosenthal’s shows one case (Figure 4) (Husseini JS, AJR 2020 Dec 18 – online first)
Hello,
I used this approach several times for cervical discographies.
Obviously, the needle is very thin for that particular method, a 24 G, but it always worked perfectly, without any adverse event.
Regards
Marian Simko, MD (Mike)
Fribourg
Switzerland
De : ocad-msk@googlegroups.com <ocad-msk@googlegroups.com> De la part de Bhavin Jankharia
Envoyé : samedi, 24 avril 2021 07:22
À : ocad-msk@googlegroups.com
Objet : Trans-thyroid gland biopsy for lower cervical lesions
Hi
Just wondering if anyone else has any experience with using the trans-thyroid gland route for lower cervical spine biopsies.
It seems to be an extremely safe route and avoid vessels, nerves, etc easily.
There are two cases I did in the last 3 months, both infectious disciitis. The first was Streptococcus and the second was E.coli.
I have found 4 references, the first from 1987. I suspect that the route is used often but has not been formally written up.
Any thoughts? Comments?
References
1. First reported case (s) were in 1987 by Dr. Susan Kattapuram and Dan Rosenthal – though it is not clear from the paper on 7 patients how many were trans-thyroid (AJR 1987;149:539)
2. One trans-thyroid RFA in 2007 by Sean Sutphen and James Murakami (Ped Radiol 2007;37:83)
3. Wiesner and colleagues mention that it is sometimes difficult to avoid the thyroid…thus assuming that this is not a good route, but no numbers of how many were trans-thyroid in their 73 patients (AJNR 2018;39:981)
4. A recent paper in the AJR from the same hospital as Dr. Rosenthal’s shows one case (Figure 4) (Husseini JS, AJR 2020 Dec 18 – online first)
Bhavin
Dr. Bhavin Jankharia
http://www.picture-this.in <http://www.picture-this.in>
http://www.refindia.net <http://www.refindia.net>
Mumbai, India
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