keyword
https://read.qxmd.com/read/38546544/true-incidence-of-marginal-mandibular-nerve-palsy-following-neonatal-mandibular-distraction-osteogenesis
#1
JOURNAL ARTICLE
Sarah Myers, Justin W Beiriger, Madeleine K Bruce, Sayna Matinrazm, Lucas Dvoracek, Anjali Raghuram, Zhazira Irgebay, Anne E Glenney, Joseph Mocharnuk, Nicolás M Kass, John Smetona, Joseph E Losee, Jesse A Goldstein
INTRODUCTION: In children with PRS, MDO is routinely performed to alleviate airway obstruction; however, it involves risk of injury to the MMN. We hypothesize that MMN palsy incidence following MDO, reported at 1-15%, is underestimated. This study investigates the true incidence of MMN palsy after MDO to better guide follow-up care and improve treatment of this complication. METHODS: A retrospective review of PRS patients who underwent MDO at a single, tertiary pediatric hospital between September 2007 and March 2021 was conducted...
March 25, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38546537/prevalence-of-concomitant-distal-suprascapular-nerve-injury-in-patients-with-root-level-brachial-plexus-palsy-a-clinical-anatomic-study-of-injury-pattern
#2
JOURNAL ARTICLE
Jayme A Bertelli, Leonardo D Lanzarin, Marcos F Ghizoni, Elspeth J R Hill
BACKGROUND: Root-level suprascapular nerve palsy is commonly reconstructed via spinal accessory nerve transfer in brachial plexus injury, yet some patients fail to recover. We hypothesize that this relates to concomitant undetected lesions distal to the nerve transfer coaptation. METHODS: 67 patients with plexus injury and C5/6 root involvement were included in this prospective study between March 2021 and October 2022. During spinal accessory to suprascapular nerve transfer the entire suprascapular nerve was explored, via cresenteric clavicular osteotomy, and anatomic variations and injury patterns categorized...
March 26, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38543506/pediatric-lyme-disease-in-northern-italy-an-18-year-single-center-case-series
#3
JOURNAL ARTICLE
Federica Forlanini, Raffaella Di Tonno, Roberta Caiazzo, Daniela David, Maria Sole Valentino, Sara Giordana Rimoldi, Gian Vincenzo Zuccotti, Giusto Trevisan, Francesca Wanda Basile, Vania Giacomet
Tracing the profile of pediatric Lyme borreliosis (LB) in Europe is difficult due to the interregional variation in its incidence and lack in notifications. Moreover, the identification of LB can be challenging. This study is an 18-year case series of 130 children and adolescents aged under 18 years referred to the Pediatric Infectious Diseases Unit at L. Sacco Hospital, Milan, with suspicion of LB, between January 2005 and July 2023. The routine serological workup consisted of a two-step process: an initial screening test followed by Western blot (WB)...
February 23, 2024: Microorganisms
https://read.qxmd.com/read/38540288/current-knowledge-on-the-use-of-neuromonitoring-in-thyroid-surgery
#4
REVIEW
Beata Wojtczak, Karolina Sutkowska-Stępień, Mateusz Głód, Krzysztof Kaliszewski, Krzysztof Sutkowski, Marcin Barczyński
Thyroid surgery rates have tripled over the past three decades, making it one of the most frequently performed procedures within general surgery. Thyroid surgery is associated with the possibility of serious postoperative complications which have a significant impact on the patient's quality of life. Recurrent laryngeal nerve (RLN) palsy and external branch of the superior laryngeal nerve (EBSLN) palsy are, next to hypoparathyroidism and postoperative bleeding, some of the most common complications. The introduction of neuromonitoring into thyroid surgery, which enabled both the confirmation of anatomical integrity and the assessment of laryngeal nerve function, was a milestone that began a new era in thyroid surgery...
March 18, 2024: Biomedicines
https://read.qxmd.com/read/38539040/hypoglossal-nerve-palsy-in-igg4-related-disease
#5
JOURNAL ARTICLE
Takeshi Kaneko, Yasutaka Okita, Yasuhiro Kato, Masashi Narazaki, Atsushi Kumanogo
No abstract text is available yet for this article.
March 27, 2024: QJM: Monthly Journal of the Association of Physicians
https://read.qxmd.com/read/38538849/torsion-and-clinical-features-in-patients-with-acquired-fourth-cranial-nerve-palsy
#6
JOURNAL ARTICLE
Heeyoung Choi, Sang Yoon Kim, Su-Jin Kim, Jaehwan Choi, Seungahn Yang, Kwang Eon Han, Ji-Eun Lee
This retrospective study aimed to compare objective/subjective torsion and other clinical characteristics of patients with acquired trochlear nerve palsy. This study included 82 consecutive patients who were diagnosed with acquired fourth cranial nerve palsy between 2014 and 2021 and who were followed up for ≥ 6 months. The etiologies, ocular deviation, objective and subjective torsions were reviewed. The etiologies were classified as ischemic, traumatic, brain lesion, idiopathic, or other...
March 27, 2024: Scientific Reports
https://read.qxmd.com/read/38537070/intraoperative-nerve-monitoring-reduces-recurrent-laryngeal-nerve-palsy-in-endoscopic-thyroid-surgery-a-trial-sequential-analysis
#7
JOURNAL ARTICLE
Kuo-Chuan Hung, Wei-Ting Wang, I-Wen Chen
No abstract text is available yet for this article.
April 3, 2024: International Journal of Surgery
https://read.qxmd.com/read/38537034/translation-and-measurement-properties-of-the-portuguese-brazil-version-of-the-hammersmith-infant-neurological-examination-hine-br
#8
JOURNAL ARTICLE
Michelle Alexandrina Dos Santos Furtado, Hércules Ribeiro Leite, Matheus Rocha Pereira Klettenberg, Victor Alves Rodrigues, Lisiane Seguti Ferreira, Melina Rodero Marques, Isadora de Oliveira Cavalcante, Tamires Saboia Santos, Tathiana Ghisi de Souza, Ayrles Silva Gonçalves Barbosa Mendonça, Ana Cristina Resende Camargos, Kênnea Martins Almeida Ayupe
OBJECTIVE: The current study aimed to translate the Hammersmith Infant Neurological Examination (HINE) into Brazilian Portuguese and analyze the reliability of the translated version for a population of Brazilian infants. METHODS: This was a methodological study, approved by the Ethics Committee, carried out between June 2020 and May 2021. HINE is a standardized clinical neurological examination used for the early detection of cerebral palsy. The quantitative section, "neurological examination", contains 26 items scored from 0 to 3 points, divided into five categories: cranial nerve function, posture, movements, muscle tone and reflexes, and reactions...
2024: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://read.qxmd.com/read/38536565/ai-assisted-automatic-mri-based-tongue-volume-evaluation-in-motor-neuron-disease-mnd
#9
JOURNAL ARTICLE
Ina Vernikouskaya, Hans-Peter Müller, Albert C Ludolph, Jan Kassubek, Volker Rasche
PURPOSE: Motor neuron disease (MND) causes damage to the upper and lower motor neurons including the motor cranial nerves, the latter resulting in bulbar involvement with atrophy of the tongue muscle. To measure tongue atrophy, an operator independent automatic segmentation of the tongue is crucial. The aim of this study was to apply convolutional neural network (CNN) to MRI data in order to determine the volume of the tongue. METHODS: A single triplanar CNN of U-Net architecture trained on axial, coronal, and sagittal planes was used for the segmentation of the tongue in MRI scans of the head...
March 27, 2024: International Journal of Computer Assisted Radiology and Surgery
https://read.qxmd.com/read/38532760/transient-recurrent-episodes-of-abducens-nerve-palsy-and-cheiro-oral-syndrome-in-a-sub-occlusive-carotid-bulb-atherosclerotic-stenosis
#10
Moussa Toudou-Daouda, Roger-Venant Yatwa-Zaniwe, Nana-Rahamatou Aminou-Tassiou, Nicolas Chausson, Didier Smadja
We report the case of a male in his 50s with a history of smoking admitted to our hospital for three transient recurrent episodes of less than 60 min of cheiro-oral paresthesias and binocular horizontal diplopia with convergent strabismus. On admission, his neurological examination was normal. Cerebral magnetic resonance imaging showed no cerebral lesion. Computed tomography angiography showed a sub-occlusive right carotid bulb atherosclerotic stenosis, the absence of abnormality of the subclavian arteries and the origin of the vertebral arteries, and no stenosis of the basilar artery or posterior cerebral arteries...
March 2024: Oxford Medical Case Reports
https://read.qxmd.com/read/38530382/-telemedicine-for-patients-with-facial-palsy-current-developments-and-options-in-otorhinolaryngologic-treatment
#11
REVIEW
Jonas Ballmaier, Sabrina Hölzer, Maren Geitner, Anna-Maria Kuttenreich, Christian Erfurth, Orlando Guntinas-Lichius, Gerd Fabian Volk
Digitalization is also becoming increasingly important in medicine. The COVID-19 pandemic has further accelerated this process and politicians are trying to create a framework for successful knowledge transfer and better digital medical care. This article describes the role of telemedicine in the treatment of patients suffering from facial nerve palsy. Facial nerve palsy has a wide range of effects, from limitations in facial mobility to psychological sequelae. While many of the acute, idiopathic facial nerve palsies improve after a few weeks, around a third of those affected develop synkinesis, involuntary movements that have lifelong functional and psychological consequences...
March 26, 2024: HNO
https://read.qxmd.com/read/38529753/management-of-a-case-of-bilateral-fourth-cranial-nerve-palsy
#12
JOURNAL ARTICLE
Alina V Dumitrescu, Irene H Ludwig, Daniel Weaver, Rudolph S Wagner
No abstract text is available yet for this article.
2024: Journal of Pediatric Ophthalmology and Strabismus
https://read.qxmd.com/read/38527088/non-operative-treatment-of-humeral-shaft-fractures-with-immediate-functional-bracing-versus-coaptation-splinting-and-delayed-functional-bracing-a-retrospective-study
#13
JOURNAL ARTICLE
Maaz Muhammad, Jeffrey A Foster, Jarod T Griffin, Daria L Kinchelow, Carlos R Sierra-Arce, Wyatt G S Southall, Ferras Albitar, Eric S Moghadamian, Raymond D Wright, Paul E Matuszewski, David A Zuelzer, Daniel D Primm, Gregory S Hawk, Arun Aneja
OBJECTIVES: To compare radiographic and clinical outcomes in non-operative management of humeral shaft fractures treated initially with coaptation splinting (CS) followed by delayed functional bracing (FB) versus treatment with immediate FB. METHODS: Design: Retrospective cohort study. SETTING: Academic Level 1 Trauma Center. PATIENT SELECTION CRITERIA: Patients with closed humeral shaft fractures managed non-operatively with initial CS followed by delayed FB or with immediate FB from 2016 to 2022...
March 25, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38525700/acute-anterior-choroidal-artery-territory-infarction-a-case-series-report
#14
Antonia Tsika, Polyxeni Stamati, Zisis Tsouris, Antonios Provatas, Alexandra Papa, Dimitrios Tsimoulis, Stylliani Ralli, Vasileios Siokas, Efthimios Dardiotis
Due to the occlusion of the anterior choroidal artery (AChA), ischemic strokes are described with the classic clinical triad, namely hemiplegia, hemianesthesia, and homonymous hemianopsia. The aim of this study is to document the characteristic clinical presentation and course of AChA infract cases. We describe five cases with acute infarction in the distribution of the AChA, admitted to the Neurological Department of the University General Hospital of Larissa. Results: All cases presented with hemiparesis and lower facial nerve palsy, while four of them had dysarthria, and two patients exhibited ataxia...
February 29, 2024: Neurology International
https://read.qxmd.com/read/38525525/meta-analysis-of-pulsed-field-ablation-versus-cryoablation-for-atrial-fibrillation
#15
JOURNAL ARTICLE
Hehua Zhang, Hua Zhang, Heng Lu, Yinjun Mao, Jianxing Chen
PURPOSE: The available data on the treatment strategy of pulsed field ablation (PFA) for patients with atrial fibrillation (AF) is limited. This study aims to provide a comparative analysis of the efficacy, safety, and procedural efficiency between PFA and cryoballoon ablation (CBA) for AF. METHODS: We conducted a comprehensive search of the EMBASE, PubMed, Cochrane Library, and ClinicalTrials.gov databases to identify trials comparing PFA with CBA for AF from their inception until December 2023...
March 25, 2024: Pacing and Clinical Electrophysiology: PACE
https://read.qxmd.com/read/38524360/comparative-analysis-of-surgical-outcomes-in-children-with-type-3-and-type-4-lateral-physeal-condylar-humerus-fractures-in-china-closed-reduction-percutaneous-pinning-crpp-vs-open-reduction-internal-fixation-orif
#16
JOURNAL ARTICLE
Md Fahim Muntasir Islam Sojib, Yan Song Wang
BACKGROUND: Lateral physeal condylar humerus fractures in pediatric patients aged 1-13 rank as the second most common elbow injury, occurring with a frequency ranging from 5% to 16.8%. There exists an ongoing debate regarding the surgical management of these fractures. This study aims to evaluate the efficacy of Open Reduction and Internal Fixation (ORIF) and Closed Reduction and Percutaneous Pinning (CRPP) as suitable surgical treatments for displaced unstable fractures of the lateral condyle physeal humerus in children...
August 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38524057/contrast-enhanced-mri-is-useful-for-prognostic-prediction-on-idiopathic-bilateral-simultaneous-facial-nerve-palsy-a-case-report-and-literature-review
#17
Takato Shiozaki, Fumie Kaneko, Daichi Murakami, Masamitsu Kono, Muneki Hotomi
Idiopathic bilateral facial nerve palsy is a rare condition and presents a diagnostic and prognostic challenge. Specifically, when bilateral nerves are damaged, it is difficult to predict the prognosis. We showcase the usefulness of contrast-enhanced magnetic resonance imaging (MRI) by providing information about localization and severity of degeneration of facial nerve. A 70-year-old Japanese man presented with bilateral simultaneous facial nerve palsy of House-Brackmann Grade VI on both sides. Contrast-enhanced MRI revealed bilateral intensity enhancement of intratemporal facial nerves...
February 2024: Curēus
https://read.qxmd.com/read/38523420/modified-extensor-indicis-proprius-opponensplasty
#18
JOURNAL ARTICLE
Nuttara Wiboonthanasarn, Kanon Limudomporn, Chairoj Uerpairojkit, Piyabuth Kittithamvongs, Sopinun Siripoonyothai, Navapong Anantavorasakul, Kanchai Malungpaishrope
Extensor indicis proprius (EIP) opponensplasty is one of the commonly used techniques to restore thumb abduction and opposition in patients with thenar muscle dysfunction from various causes of median nerve palsy. However, its subcutaneous route around the distal ulna may not represent a straight line of pull, and part of the extensor hood sometimes has to be harvested along with the EIP tendon to gain adequate length to reach the insertion. The purpose of the study is to present the alternative method of EIP opponensplasty and report the clinical outcomes...
March 27, 2024: Techniques in Hand & Upper Extremity Surgery
https://read.qxmd.com/read/38521223/posterior-cerebral-artery-to-superior-cerebellar-artery-side-to-side-bypass-via-extreme-lateral-supracerebellar-infratentorial-approach-elscit-technical-note
#19
JOURNAL ARTICLE
Barbara Verbraeken, Rabih Aboukais, Maurits Voormolen, Thijs Van der Zijden, Hieronymus D Boogaarts, Maarten Vanloon, Tomas Menovsky
BACKGROUND AND OBJECTIVE: Difficult-to-treat aneurysms of the distal posterior cerebral artery (PCA) can often be treated by parent artery occlusion. A cerebrovascular bypass can complement PCA occlusion to curb the risk of ischemic complications. An in-situ bypass may be considered when the occipital artery or superficial temporal artery cannot serve as a bypass donor. This paper describes the use of a side-to-side bypass of superior cerebellar artery (SCA) as a donor to the posterior cerebral artery (PCA) via an extreme lateral supracerebellar infratentorial (ELSCIT) approach...
March 21, 2024: World Neurosurgery
https://read.qxmd.com/read/38520978/novel-evaluation-method-for-facial-nerve-palsy-using-3d-facial-recognition-system-in-iphone
#20
JOURNAL ARTICLE
Koki Hasebe, Tsuyoshi Kojima, Yusuke Okanoue, Ryohei Yuki, Hirotaka Yamamoto, Shuya Otsuki, Shintaro Fujimura, Ryusuke Hori
OBJECTIVE: While subjective methods like the Yanagihara system and the House-Brackmann system are standard in evaluating facial paralysis, they are limited by intra- and inter-observer variability. Meanwhile, quantitative objective methods such as electroneurography and electromyography are time-consuming. Our aim was to introduce a swift, objective, and quantitative method for evaluating facial movements. METHODS: We developed an application software (app) that utilizes the facial recognition functionality of the iPhone (Apple Inc...
March 22, 2024: Auris, Nasus, Larynx
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