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Surgery for movement disorders

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https://www.readbyqxmd.com/read/29909184/rates-causes-risk-factors-and-outcomes-of-readmission-following-deep-brain-stimulation-for-movement-disorders-analysis-of-the-u-s-nationwide-readmissions-database
#1
Kavelin Rumalla, Kyle A Smith, Kenneth A Follett, Jules M Nazzaro, Paul M Arnold
OBJECTIVE: Deep brain stimulation (DBS) surgery has proven benefit for several movement disorders and medically-refractory psychiatric conditions and is considered a fairly safe procedure. We sought to determine the national rates, causes, predictors, and outcomes associated with 30-day and 90-day readmission. PATIENTS AND METHODS: The Nationwide Readmissions Database was queried (January-September 2013) using ICD-9-CM codes, identifying patients who underwent DBS for movement disorder (Parkinson's disease [PD], essential tremor [ET], or dystonia)...
June 10, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29891062/essential-tremor-and-the-cerebellum
#2
Elan D Louis
Essential tremor (ET) is a progressive and highly prevalent neurologic disease. Along with the tremors, mild to moderate gait ataxia and other signs of cerebellar dysfunction may occur (i.e., subtle saccadic eye movement abnormalities and abnormalities of motor timing) as well as cognitive features, some of which may be due to cerebellar dysfunction. Numerous neuroimaging studies indicate the presence of functional, metabolic, and structural abnormalities in the cerebellum of a patient with ET. In tandem with these clinical and imaging studies, which were gathering increasing support for the notion that the cerebellum and/or cerebellar systems seemed to be at the root of ET, a growing postmortem literature is for the first time beginning to identify microscopic abnormalities in the ET brain, most of which are centered on the Purkinje cells and connected neuronal populations, and are likely to be degenerative...
2018: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/29890276/both-dbs-and-thalamotomy-in-a-13-year-old-patient-with-primary-dystonia-a-case-report
#3
Hai Lin, Xiao-Dong Cai, Dou-Dou Zhang, Jia-Li Liu, Wei-Ping Li
BACKGROUND: Primary dystonia is a neurological disease with the characteristics of abnormal, involuntary twisting and turning movements, which greatly affects life quality of patients. Treatments for dystonia consist of oral medications, botulinum neurotoxin injections, physical therapy and surgeries. For medication-refractory dystonia, surgeries, especially deep brain stimulation (DBS), are the optimal option. CASE DESCRIPTION: the patient was a 13-year-old boy suffering from extremely severe primary dystonia, with a BFMDRS-M score of 118 and a TWSTRS-S score of 29...
June 8, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29876328/evaluating-the-effect-of-endoscopic-sinus-surgery-on-laryngeal-mucosa-stroboscopic-features
#4
Ebrahim Karimi, Akbar Bayat, Mohammad Reza Ghahari, Sara Rahavi-Ezabadi, Mehrdad Jafari
Introduction: The major presenting symptom of nasal polyps is nasal obstruction. The role of nasal obstruction in the genesis of laryngeal disorders is still unknown. Materials and Methods: The aim of this study was to evaluate laryngeal videostroboscopic changes after functional endoscopic sinus surgery (FESS) in patients with nasal polyposis. A longitudinal study was carried out from March 2012 to June 2013. Thirty patients with bilateral nasal polyposis who did not respond to maximum medical treatment and were candidates for FESS were recruited...
May 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29807200/the-impact-of-deep-brain-stimulation-on-health-related-quality-of-life-and-disease-specific-disability-in-meige-syndrome-ms
#5
REVIEW
Ana Aires, Tiago Gomes, Paulo Linhares, Filipe Cunha, Maria José Rosas, Rui Vaz
Meige Syndrome (MS) is a disabling movement disorder which impairs daily routines such as eating and speaking and, when not responsive to best medical treatment, deep brain stimulation (DBS) of the globus pallidus interna (GPi) has been considered. Previous evidence has shown a significant improvement in motor dysfunction with DBS, however its benefit on disease-specific disability and quality of life has not been thoroughly studied. We describe two patients with severe MS submitted to GPi-DBS. Patient improvement was assessed preoperatively and 24 months after the surgery by applying the movement subscore of the Burke-Fahn-Marsden Dystonia Rating Scale (BFMRS) and Jankovic Rating Scale (JRS) for motor function and the BFMRS disability subscore and Blepharospasm Disability Scale (BDS) for disability...
May 25, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29805943/endoscopic-versus-open-bursectomy-for-prepatellar-and-olecranon-bursitis
#6
Gokhan Meric, Serdar Sargin, Aziz Atik, Aydin Budeyri, Ali Engin Ulusal
Objectives Bursitis of the olecranon and the patella are not rare disorders, and conservative management is successful in most cases. However, when patients do not respond to conservative treatment, open excisional surgery or, recently, endoscopic bursectomy, can be used. The aim of this study was to evaluate the results of open and endoscopic treatments of olecranon and prepatellar bursitis. Patients and methods Forty-nine patients (37 male and 12 female), who were treated with endoscopic bursectomy (25 patients) or open bursectomy (24 patients) were included in this study...
March 27, 2018: Curēus
https://www.readbyqxmd.com/read/29797848/prosthetic-rehabilitation-with-implant-supported-mandibular-overdenture-after-partial-glossectomy-and-radiation-therapy-a-case-report
#7
E Rissa, T Kurki, J Laine, T Närhi
Implant-supported overdenture is a well-established treatment option for many patients who have functional problems with conventional dentures. It may be primary choice for patients with altered jaw anatomy, neuromuscular disorders, pronounced gag reflex, severe residual ridge resorption and oral tissue defects. In this article we describe a case report, where tongue cancer patients occlusion was rehabilitated with an implantretained overdenture. In 2001 patient was operated for squamous cell carcinoma on the left side of the tongue...
May 24, 2018: European Journal of Prosthodontics and Restorative Dentistry
https://www.readbyqxmd.com/read/29794543/refractory-constipation-what-is-the-clinician-to-do
#8
Kyle Staller
Most clinicians will agree that chronic constipation is characterized by abnormal bowel movement consistency and/or frequency plus or minus evacuation symptoms, but patient perception of constipation varies widely and includes symptoms that may or may not meet official defining criteria. Although intermittent constipation is extremely common, only a small minority of patients seek care for their symptoms. Among these patients, dissatisfaction with the currently available laxative options is not uncommon, and many patients will require specialized care for severe or refractory symptoms-especially those with abdominal pain, irritable bowel syndrome overlap, bloating or distention, and psychological comorbidities...
July 2018: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/29794310/superior-outcomes-following-cervical-fusion-vs-multimodal-rehabilitation-in-a-subgroup-of-randomized-whiplash-associated-disorders-wad-patients-indicating-somatic-pain-origin-comparison-of-outcome-assessments-made-by-four-examiners-from-different-disciplines
#9
Elisabeth Svensson, Bo Nyström, Ian Goldie, Nils Inge Landrø, Åke Sidén, Peer Staff, Birgitta Schillberg, Adam Taube
BACKGROUND AND AIMS: Whiplash-Associated Disorders (WAD) are characterized by great variability in long-term symptoms. Patients with central neck and movement-induced stabbing pain participated in a randomized study comparing cervical fusion and multimodal rehabilitation. As reported in our previous paper, more patients treated by cervical fusion than by rehabilitation experienced pain relief. Although patient reported outcome measures are a core component of outcome evaluation, independent examiner has been recommended...
April 25, 2018: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29787868/individualized-tractography-based-parcellation-of-the-globus-pallidus-pars-interna-using-7t-mri-in-movement-disorder-patients-prior-to-dbs-surgery
#10
Rémi Patriat, Scott E Cooper, Yuval Duchin, Jacob Niederer, Christophe Lenglet, Joshua Aman, Michael C Park, Jerrold L Vitek, Noam Harel
The success of deep brain stimulation (DBS) surgeries for the treatment of movement disorders relies on the accurate placement of an electrode within the motor portion of subcortical brain targets. However, the high number of electrodes requiring relocation indicates that today's methods do not ensure sufficient accuracy for all patients. Here, with the goal of aiding DBS targeting, we use 7 Tesla (T) MRI data to identify the functional territories and parcellate the globus pallidus pars interna (GPi) into motor, associative and limbic regions in individual subjects...
May 19, 2018: NeuroImage
https://www.readbyqxmd.com/read/29777883/atypical-presentation-of-giant-aneurysm-in-a-pediatric-patient-with-duane-syndrome
#11
Chao-Hung Kuo, Lynn B McGrath, Joseph A Carnevale, Neena I Marupudi, Jeffery G Ojemann, Richard G Ellenbogen, Anthony C Wang
BACKGROUND: Duane syndrome is a congenital eye movement disorder characterized by congenital malformation of the abducens nucleus. Thrombogenic conditions during development may lead to vascular anomalies in Duane syndrome, however, the presence of a giant aneurysm in this patient population is a rarely documented phenomenon. CASE DESCRIPTION: We reported a case of a large cerebral aneurysm in a pediatric patient with Duane syndrome, and performed a review of the literatures to identify other potential cases and associations...
May 16, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29766338/an-unusual-surgical-indication-for-cerebral-tuberculosis-status-dystonicus-case-report
#12
Andrea Franzini, Angelo Franzini, Vincenzo Levi, Roberto Cordella, Giuseppe Messina
Actual indications for surgery in tuberculosis are limited to obtaining a diagnosis, acquiring tissue for culture studies, treating hydrocephalus, aspiring a brain abscess, and reducing intracranial pressure in patients with multiple tuberculomas. Tuberculosis-related movement disorders are usually treated pharmacologically. We report on a child affected by post-tubercular generalized dystonia, who progressed to status dystonicus (SD) and underwent stereotactic bilateral pallidotomy. After surgery, SD resolved, and drugs were rapidly tapered...
May 15, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29750100/orofacial-clinical-features-in-arnold-chiari-type-i-malformation-a-case-series
#13
José-Alcides de Arruda, Eugênia Figueiredo, João-Luiz Monteiro, Livia-Mirelle Barbosa, Cleomar Rodrigues, Belmiro Vasconcelos
Background: Arnold Chiari malformation (ACM) is characterized by an anatomical defect at the base of the skull where the cerebellum and the spinal cord herniate through the foramen magnum into the cervical spinal canal. Among the subtypes of the condition, ACM type I (ACM-I) is particularly outstanding because of the severity of symptoms. This study aimed to analyze the orofacial clinical manifestations of patients with ACM-I, and discuss their demographic distribution and clinical features in light of the literature...
April 2018: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29746373/incidence-of-akathisia-after-postoperative-nausea-and-vomiting-prophylaxis-with-droperidol-and-ondansetron-in-outpatient-surgery-a-multicentre-controlled-randomised-trial
#14
Antoine Charton, Nicolas Greib, Aude Ruimy, Valentina Faitot, Yves Noudem, Girish P Joshi, Nicolas Meyer, Pierre Diemunsch
BACKGROUND: Akathisia, a distressing movement disorder induced by butyrophenones, has been described with low doses of droperidol used for postoperative nausea and vomiting (PONV) prophylaxis, but the incidence remains unclear. OBJECTIVES: To determine the incidence of akathisia after PONV prophylaxis with two doses of droperidol in comparison with ondansetron, in patients undergoing ambulatory surgery. We hypothesised that the incidence of akathisia is higher with droperidol than that with ondansetron...
May 8, 2018: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/29737732/-clinical-analysis-of-arytenoid-cartilage-reposition-with-snake-mouth-forceps-for-the-arytenoid-cartilage-dislocation
#15
Qing Xiang Zhang, Shuang Ba He, Zi Gang Che, Hui Ying Hu, Ya Qun Liu, Yuan Yuan Lu, Zhen Kun Yu
OBJECTIVES: To investigate the clinical effect of the arytenoid cartilage reposition using snake mouth reduction forceps under general anesthesia. METHODS: Data of twenty-six cases accepted arytenoid cartilage reposition under intravenous general anesthesia were analyzed, nineteen cases accepted laryngeal CT scan and cricoarytenoid joint reconstruction, all patients underwent endolaryngeal muscle electromyography examination. According to the position of cartilage dislocation prompted by laryngoscope and CT, the arytenoid cartilage was repositoned under the visual laryngoscope using special snake mouth reduction forceps...
March 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29717414/primary-central-sleep-apnea-and-anesthesia-a-retrospective-case-series
#16
Alexandru Alexa, Meghna P Mansukhani, Bhargavi Gali, Atousa Deljou, Juraj Sprung, Toby N Weingarten
PURPOSE: Primary (idiopathic) central sleep apnea (PCSA) is a rare central sleep-related breathing disorder characterized by increased chemoreceptor sensitivity to partial pressure of carbon dioxide, which manifests as hyperventilation followed by apnea during non-rapid eye movement sleep. The purpose of this retrospective study was to describe the postoperative course of patients who had PCSA and underwent procedures requiring anesthetic management. METHODS: Patients who received a diagnosis of PCSA at our institution and required procedural anesthesia between 1 January 2010 and 1 June 2016 underwent a comprehensive review of their health records with a focus on identifying respiratory complications...
May 1, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29709756/deep-brain-stimulation-for-parkinson-s-disease-in-the-philippines-outcomes-of-the-philippine-movement-disorder-surgery-center
#17
Jose Danilo B Diestro, Theodor S Vesagas, Rosalia A Teleg, Jose A Aguilar, Joseph P Anlacan, Roland Dominic G Jamora
OBJECTIVE: Deep brain stimulation (DBS) is an established treatment modality for Parkinson's Disease (PD). The first DBS for PD in the Philippines was done at the Philippine Movement Disorder Surgery Center (PhilMove) in 2006. There is no Philippine data on DBS for PD. We aim to determine the motor improvement and reduction in medication dosage of all PD patients who underwent DBS at PhilMove. METHODS: This is a retrospective study of all PD patients (n=17) who underwent DBS from 2006-2016...
April 27, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29701886/dbs-electrodes-with-single-disconnected-contacts-long-term-observation-and-implications-for-the-management
#18
Niels Allert, Egle Jusciute, Regina Quindt, Alexandra Lindlau, Brit Meike Nolden, Mohammadreza Daryaeitabar, Hans Karbe
OBJECTIVES: To evaluate the long-term course of quadripolar DBS electrodes with disconnected single contacts that cannot be used for DBS. MATERIALS AND METHODS: Quadripolar electrodes with open circuits of single contacts or monopolar impedances >6500 Ω were identified from a cohort of 2082 electrodes from 1044 patients with variable movement disorders. The long-term course was analyzed from follow-up data. RESULTS: Disconnected contacts were found in 58 electrodes (2...
April 27, 2018: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29701263/neurological-adverse-event-profile-of-magnetic-resonance-imaging-guided-focused-ultrasound-thalamotomy-for-essential-tremor
#19
Paul S Fishman, W Jeffrey Elias, Pejman Ghanouni, Ryder Gwinn, Nir Lipsman, Michael Schwartz, Jin W Chang, Takaomi Taira, Vibhor Krishna, Ali Rezai, Kazumichi Yamada, Keiji Igase, Rees Cosgrove, Haruhiko Kashima, Michael G Kaplitt, Travis S Tierney, Howard M Eisenberg
BACKGROUND: Magnetic resonance imaging-guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential tremor. Although this incisionless technology creates an ablative lesion, it potentially avoids serious complications of open stereotactic surgery. OBJECTIVE: To determine the safety profile of magnetic resonance imaging-guided focused ultrasound unilateral thalamotomy for essential tremor, including frequency, and severity of adverse events, including serious adverse events...
April 27, 2018: Movement Disorders: Official Journal of the Movement Disorder Society
https://www.readbyqxmd.com/read/29697171/cost-minimization-analysis-of-deep-brain-stimulation-using-national-database-of-japanese-health-insurance-claims
#20
Manabu Akazawa, Keiko Konomura, Takeru Shiroiwa
OBJECTIVES: A new rechargeable dual-channel deep brain stimulation (DBS) system has been introduced for the treatment of Parkinson's disease and other movement disorders. However, the clinical value of the device, which has a high cost, remains unclear. MATERIALS AND METHODS: We conducted a cost-minimization analysis using a national database of health insurance claims in Japan. DBS-related costs were compared between rechargeable and non-rechargeable devices and estimated across a 20-year period...
April 26, 2018: Neuromodulation: Journal of the International Neuromodulation Society
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