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    Article

    Middle cluneal nerve entrapment sites in the surgical field

    Middle cluneal nerve (MCN) entrapment around the sacroiliac joint elicits low back pain (LBP). For surgical decompression to be successful, the course of the MCN must be known. We retrospectively studied the M...

    Taisuke Yoshinaga, Kyongsong Kim, Takato Tajiri, Fumiaki Fujihara in Acta Neurochirurgica (2024)

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    Article

    Identification and decompression of superior cluneal nerve implicated in low back pain

    Low back pain (LBP) can be attributable to entrapment of the superior cluneal nerve (SCN) around the iliac crest. Surgical decompression is a useful treatment; however, finding all entrapped SCNs involved in p...

    Kenta Koketsu, Kyongsong Kim, Toyohiko Isu, Rinko Kokubo in Acta Neurochirurgica (2024)

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    Article

    A clinicopathological study of low back pain due to middle cluneal nerve entrapment: case series

    The middle cluneal nerve (MCN) is a pure sensory nerve around the middle buttock. Its entrapment between the iliac crest and the long posterior sacroiliac ligament elicits low back pain (LBP) that can be treat...

    Kyongsong Kim, Jun Shimizu, Toyohiko Isu, Daijiro Morimoto in European Spine Journal (2024)

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    Article

    Long-term outcome after surgery for middle cluneal nerve entrapment neuropathy

    Entrapment of the middle cluneal nerve (MCN-E) can elicit low back pain (LBP). Patients whose LBP responds only transiently to the analgesic effects of MCN blockage may be candidates for surgery. This study ad...

    Takato Tajiri, Kyongsong Kim, Toyohiko Isu, Takao Kitamura in Acta Neurochirurgica (2023)

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    Article

    Patient satisfaction with cluneal nerve entrapment surgery

    Low back pain (LBP) from superior or middle cluneal nerve entrapment has been addressed surgically. We recorded patient satisfaction with this treatment.

    Kyongsong Kim, Rinko Kokubo, Toyohiko Isu, Daijiro Morimoto in Acta Neurochirurgica (2022)

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    Article

    High-frequency thermal coagulation to treat middle cluneal nerve entrapment neuropathy

    Middle cluneal nerve entrapment (MCN-E) around the sacroiliac joint can elicit low back pain (LBP). Pain control can be obtained with anesthetic nerve blocks; however, when their effectiveness is transient, su...

    Fumiaki Fujihara, Kyongsong Kim, Rinko Kokubo, Toyohiko Isu in Acta Neurochirurgica (2021)

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    Article

    Clinical features of middle cluneal nerve entrapment neuropathy

    Entrapment of the middle cluneal nerve (MCN), a peripheral nerve in the buttock, can elicit low back pain (LBP). We examined the epidemiology, clinical course, and treatment of MCN entrapment (MCN-EN).

    Fumiaki Fujihara, Toyohiko Isu, Kyongsong Kim, Kimiya Sakamoto in Acta Neurochirurgica (2021)

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    Chapter

    Editor’s Short Essay 4; Older Neurosurgeons, Be Ambitious!

    In his famous speech, Dr. William Smith Clark, the first vice-principal of Sapporo Agricultural College, a part of Hokkaido University, shouted: “Boys, be ambitious!”.

    Toyohiko Isu in Entrapment Neuropathy of the Lumbar Spine and Lower Limbs (2021)

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    Chapter

    Editor’s Short Essay 1; Meeting Dr. Mitsuo Tsuru

    In 1973, together with Dr. Hiroyasu Kamiyama, now Director of the Teishinkai Brain Disorder Laboratory, Dr. Mikio Nomura, now Advisor at the Department of Neurosurgery, Ebetsu Hospital, Dr. Takashi Kishihara, ...

    Toyohiko Isu in Entrapment Neuropathy of the Lumbar Spine and Lower Limbs (2021)

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    Chapter

    Editor’s Short Essay 3; Meeting Mr. Masami Sato, Acupuncturist

    Mr. Masami Sato opened the Shirakaba acupuncture clinic in Sapporo in 1995. He is an accredited acupuncturist and also has a Ph.D. I first met him 20 years ago at a workshop organized by the Department of Neur...

    Toyohiko Isu in Entrapment Neuropathy of the Lumbar Spine and Lower Limbs (2021)

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    Chapter

    Editor’s Short Essay 5; Aiming at Medical Care That Cures Patients Using the Physician’s Hands

    Have you ever fallen asleep being relieved of stomach ache or fever pain by the warmth your mother’s hand on your belly or forehead? The act of putting a hand on the sufferer’s body is the origin of healing an...

    Toyohiko Isu in Entrapment Neuropathy of the Lumbar Spine and Lower Limbs (2021)

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    Chapter

    Editor’s Short Essay 2; Meeting Dr. Yoshinobu Iwasaki

    On March 23, 2017, in a phone call from the neurosurgery office of Hokkaido University, I was informed that Dr. Iwasaki had passed away. He was two levels above me at Hokkaido University. Dr. Iwasaki was highl...

    Toyohiko Isu in Entrapment Neuropathy of the Lumbar Spine and Lower Limbs (2021)

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    Chapter

    Overview

    Paralumbar spine disease and lower limb entrapment neuropathy are not often diagnosed and treated, although their incidence may be very high when patients with mild symptoms are included.

    Toyohiko Isu in Entrapment Neuropathy of the Lumbar Spine and Lower Limbs (2021)

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    Chapter

    Incidence of Paralumbar Spine Disease

    Paralumbar spine disease is a cause of low back pain (LBP); however, its epidemiology is unknown. Herein, we investigated the incidence of paralumbar spine disease among 367 patients with LBP in the Neurosurgi...

    Fumiaki Fujihara, Kyongsong Kim in Entrapment Neuropathy of the Lumbar Spine … (2021)

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    Article

    Quality of life effects of pain from para-lumbar- and lower extremity entrapment syndrome and carpal tunnel syndrome and comparison of the effectiveness of surgery

    We compared the preoperative quality of life (QOL) of patients with carpal tunnel syndrome, lower extremity-, and para-lumbar entrapment syndrome, and the effect of surgery on their QOL.

    Rinko Kokubo, Kyongsong Kim, Toyohiko Isu, Daijiro Morimoto in Acta Neurochirurgica (2020)

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    Article

    Gluteus medius muscle decompression for buttock pain: a case-series analysis

    The causes of low back and buttock pain are variable. Elsewhere, we presented a surgical technical note addressing the gluteus medius muscle (GMeM) pain that elicited buttock pain treatable by surgical decompr...

    Kyongsong Kim, Toyohiko Isu, Juntaro Matsumoto, Koichi Miki in Acta Neurochirurgica (2019)

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    Article

    Middle cluneal nerve entrapment mimics sacroiliac joint pain

    Sacroiliac joint (SIJ)-related pain is associated with low back- and buttock pain and the SIJ score is diagnostically useful because it helps to differentiate between SIJ-related pain and pain due to other fac...

    Juntaro Matsumoto, Toyohiko Isu, Kyongsong Kim, Koichi Miki in Acta Neurochirurgica (2019)

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    Article

    Low back pain due to middle cluneal nerve entrapment neuropathy

    The etiology of low back pain (LBP) is complicated and the diagnosis can be difficult. Superior cluneal nerve entrapment neuropathy (SCN-EN) is a known cause of LBP, although the middle cluneal nerve (MCN) can...

    Kyongsong Kim, Toyohiko Isu, Juntaro Matsumoto in European Spine Journal (2018)

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    Article

    Dynamic factors involved in common peroneal nerve entrapment neuropathy

    Common peroneal nerve (CPN) entrapment neuropathy (CPNEN) is the most common peripheral neuropathy of the lower extremities. The pathological mechanisms underlying CPNEN remain unclear. We sought to identify d...

    Takao Kitamura, Kyongsong Kim, Daijiro Morimoto, Rinko Kokubo in Acta Neurochirurgica (2017)

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    Article

    Surgical treatment for posttraumatic hemorrhage inside a filum terminale myxopapillary ependymoma: a case report and literature review

    Symptoms of cauda equina syndrome due to ependymoma in the conus medullaris or filum terminale develop slowly. However, hemorrhagic change inside spinal tumors can induce acute neurologic decline. Here, we rep...

    Daijiro Morimoto, Toyohiko Isu, Kyongsong Kim, Masanori Isobe in European Spine Journal (2016)

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