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https://www.readbyqxmd.com/read/29330070/neutropenia-as-a-complication-of-tumefactive-demyelinating-disease-a-case-report
#1
Kali Webb, Marisa Osorio
Tumefactive demyelination is an aggressive, localized, generally solitary area of demyelination that often mimics a neoplasm. We present a case of a 13-year-old female who presented with sudden onset, progressive hemiplegia and hemianopsia. Brain magnetic resonance imaging showed tumefactive demyelination with partial rim of enhancement. During inpatient rehabilitation, she developed myalgias, rash, abdominal and mouth pain with evidence for severe neutropenia. The neutropenia was determined to be a secondary complication of the tumefactive disease process...
January 9, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29329286/is-the-proportional-recovery-rule-applicable-to-the-lower-limb-after-a-first-ever-ischemic-stroke
#2
Janne M Veerbeek, Caroline Winters, Erwin E H van Wegen, Gert Kwakkel
OBJECTIVE: To investigate (a) the applicability of the proportional recovery rule of spontaneous neurobiological recovery to motor function of the paretic lower extremity (LE); and (b) the presence of fitters and non-fitters of this prognostic rule poststroke. When present, the clinical threshold for fitting nor non-fitting would be determined, as well as within-subject generalizability to the paretic upper extremity (UE). METHODS: Prospective cohort study in which the Fugl-Meyer Assessment (FMA)-LE and FMA-UE were measured <72 hours and 6 months poststroke...
2018: PloS One
https://www.readbyqxmd.com/read/29325954/anterior-skull-base-tumor-resection-by-transciliary-supraorbital-keyhole-craniotomy-a-single-institutional-experience
#3
Ya-Jui Lin, Ko-Ting Chen, Cheng-Chi Lee, Cheng-Hong Toh, Tai-Wei Erich Wu, Yin-Cheng Huang, Peng-Wei Hsu, Yu-Jen Lu, Chi-Cheng Chuang, Pin-Yuan Chen, Kuo-Chen Wei
BACKGROUND: The prognosis and recurrence rate following resection of an anterior skull base lesion via transciliary supraorbital keyhole craniotomy depends on residual tumor volume. The extent to which pathology and size of tumor influence the resection rate using this approach is unknown. METHODS: Sixty-two patients underwent a total of 64 operations using the supraorbital keyhole approach in this retrospective study. Meningioma was the most common tumor, followed by pituitary adenoma and craniopharyngioma...
January 8, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29305691/the-capos-mutation-in-atp1a3-alters-na-k-atpase-function-and-results-in-auditory-neuropathy-which-has-implications-for-management
#4
Lisbeth Tranebjærg, Nicola Strenzke, Sture Lindholm, Nanna D Rendtorff, Hanne Poulsen, Himanshu Khandelia, Wojciech Kopec, Troels J Brünnich Lyngbye, Christian Hamel, Cecile Delettre, Beatrice Bocquet, Michael Bille, Hanne H Owen, Toke Bek, Hanne Jensen, Karen Østergaard, Claes Möller, Linda Luxon, Lucinda Carr, Louise Wilson, Kaukab Rajput, Tony Sirimanna, Katherine Harrop-Griffiths, Shamima Rahman, Barbara Vona, Julia Doll, Thomas Haaf, Oliver Bartsch, Hendrik Rosewich, Tobias Moser, Maria Bitner-Glindzicz
Cerebellar ataxia, areflexia, pes cavus, optic atrophy and sensorineural hearing impairment (CAPOS) is a rare clinically distinct syndrome caused by a single dominant missense mutation, c.2452G>A, p.Glu818Lys, in ATP1A3, encoding the neuron-specific alpha subunit of the Na+/K+-ATPase α3. Allelic mutations cause the neurological diseases rapid dystonia Parkinsonism and alternating hemiplegia of childhood, disorders which do not encompass hearing or visual impairment. We present detailed clinical phenotypic information in 18 genetically confirmed patients from 11 families (10 previously unreported) from Denmark, Sweden, UK and Germany indicating a specific type of hearing impairment-auditory neuropathy (AN)...
January 5, 2018: Human Genetics
https://www.readbyqxmd.com/read/29304114/comparison-of-calf-muscle-architecture-between-asian-children-with-spastic-cerebral-palsy-and-typically-developing-peers
#5
Ying Chen, Lu He, Kaishou Xu, Jinling Li, Buyun Guan, Hongmei Tang
OBJECTIVE: To compare the muscle thickness, fascicle length, and pennation angle of the gastrocnemius, soleus, and tibialis anterior between Asian children with spastic cerebral palsy (CP) and typically developing (TD) peers. METHODS: This cross-sectional study involved a total of 72 children with hemiplegic CP (n = 24), and diplegic CP (n = 24) and their TD peers (n = 24). Muscle architecture was measured at rest using ultrasound. Clinical measures included gross motor function and a modified Ashworth scale...
2018: PloS One
https://www.readbyqxmd.com/read/29302563/hemiplegia-as-a-presentation-of-hiv-infection-in-children-a-report-of-3-cases
#6
Ira Shah, Sneha Nandy, Renu Kumari
Strokes are a rare neurological manifestation of HIV infection in children with multifactorial etiologies. We present three HIV-infected children who presented to us with stroke out of which two had cerebral infarcts and who responded to antiretroviral therapy (ART). Third patient had tuberculous meningitis who was lost to follow-up before ART could be initiated.
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29285704/direct-perfusion-of-the-carotid-artery-in-patients-with-brain-malperfusion-secondary-to-acute-aortic-dissection
#7
Yutaka Okita, Yuki Ikeno, Koki Yokawa, Yojiro Koda, Soichiro Henmi, Yasuko Gotake, Hidekazu Nakai, Takashi Matsueda, Takeshi Inoue, Hiroshi Tanaka
OBJECTIVE: Presenting our experience of direct perfusion of the carotid artery in patients with brain malperfusion secondary to acute aortic dissection. PATIENTS: Among 381 patients who underwent aortic repair for acute type A aortic dissection from October 1999 to August 2017, brain malperfusion was recognized in 50 patients. Nine patients had direct perfusion of the right carotid artery in patients with brain malperfusion secondary to acute aortic dissection. Age at surgery was 65...
December 28, 2017: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29282739/clinical-acceptability-of-the-sense_assess%C3%A2-kids-children-and-youth-perspectives
#8
Susan Taylor, Belinda McLean, Eve Blair, Leeanne Mary Carey, Jane Valentine, Sonya Girdler, Catherine Elliott
BACKGROUND: The sense_assess© kids is a standardised, norm-referenced assessment designed to measure the functional somatosensation capacity of the upper limb of children with cerebral palsy. The objective of the current study was to determine if the sense_assess© kids was clinically acceptable to children and youth. METHODS: A questionnaire was completed by participants following administration of the sense_assess© kids by a trained occupational therapist. Twenty-six children with spastic hemiplegic cerebral palsy (aged 6-15 years six months; mean 10 years eight months; 16 boys) were recruited...
December 28, 2017: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/29280208/medial-gastrocnemius-muscle-stiffness-cannot-explain-the-increased-ankle-joint-range-of-motion-following-passive-stretching-in-children-with-cerebral-palsy
#9
Barbara M Kalkman, Lynn Bar-On, Francesco Cenni, Constantinos N Maganaris, Alfie Bass, Gill Holmes, Kaat Desloovere, Gabor J Barton, Thomas D O'Brien
Stretching is often used to increase/maintain joint range of motion (ROM) in children with cerebral palsy (CP) but the effectiveness of these interventions is limited. Therefore, this study aimed to determine the acute changes in muscle-tendon lengthening properties that contribute to increased ROM after a bout of stretching in children with CP. Eleven children with spastic CP (age:12.1(3)y, 5/6 hemiplegia/diplegia, 7/4 GMFCS level I/II) participated in this study. Each child received 3 sets of 5 × 20 s passive, manual static dorsiflexion stretches separated by 30 s rest, and 60 s rest between sets...
December 26, 2017: Experimental Physiology
https://www.readbyqxmd.com/read/29279712/case-report-migrainous-infarct-without-aura
#10
Kamesh Gupta, Anurag Rohatgi, Shivani Handa
Background: Stroke in a migraine with aura has been documented in several cases, even deserving the merit of a classification as complicated migraine. Herein, we present a rare case of migrainous infarct without aura. The diagnosis was challenging due to lack of risk factors. The patient was unique in not having any other comorbidities. Case Presentation: The case is of a 21-year-old female presenting with right-sided hemiplegia and facial drooping. She had had an index presentation of throbbing headaches for the past 2 years, typical of a migraine but not preceded by any aura symptoms...
September 2017: Case Reports in Neurology
https://www.readbyqxmd.com/read/29278268/educational-outcomes-for-children-with-cerebral-palsy-a-linked-data-cohort-study
#11
Malcolm B Gillies, Jennifer R Bowen, Jillian A Patterson, Christine L Roberts, Siranda Torvaldsen
AIM: To identify a cohort of children with cerebral palsy (CP) from hospital data; determine the proportion that participated in standardized educational testing and attained a score within the normal range; and describe the relationship between test results and motor symptoms. METHOD: This population-based retrospective cohort study used data from New South Wales, Australia. We linked hospital data for children younger than 16 years of age admitted between 1st July 2000 and 31st March 2014 to education data from 2009 to 2014...
December 26, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29261362/rewiring-to-regain-function-in-patients-with-spastic-hemiplegia
#12
Robert J Spinner, Alexander Y Shin, Allen T Bishop
New England Journal of Medicine, Volume 378, Issue 1, Page 83-84, January 2018.
December 20, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29246671/histology-of-thrombectomy-specimen-reveals-cardiac-tumor-embolus-in-cryptogenic-young-stroke
#13
Kizhakkaniyakath Abdu Salam, Mohammed Rafeeque, Hisham Hashim, Neena Mampilly, Mohan Leslie Noone
A 25-year-old woman presented with acute onset of right hemiplegia and global aphasia with National Institutes of Health Stroke Scale score of 19. Computed tomography angiography demonstrated occlusion of the left proximal middle cerebral artery. She was thrombolysed with intravenous recombinant tissue plasminogen activator (0.6 mg/kg) within 3 hours of onset of symptoms and was taken up for mechanical thrombectomy. The retrieved specimen appeared pale white and soft; histopathologic examination revealed a papillary neoplasm composed of papillae with hyalinized cores lined by endothelium, consistent with papillary fibroelastoma of cardiac origin...
December 12, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29245288/elevated-serum-lipoprotein-a-as-a-risk-factor-for-combined-intracranial-and-extracranial-artery-stenosis-in-a-child-with-arterial-ischemic-stroke-a-case-report
#14
Ji Yoon Han, Hyun Jeong Kim, Soyoung Shin, Joonhong Park, In Goo Lee
RATIONALE: Stroke is an uncommon disease in childhood with an estimated incidence of 1 to 6 per 100,000 and stenoocclusive arteriopathy is the main risk factor of recurrent pediatric arterial ischemic stroke (AIS). Dyslipidemia may influence strongly before puberty and in late adolescence when plasma levels are naturally highest. PATIENT CONCERNS: An 11-year-old male presented with acute onset seizure, a drowsy mentality, and right hemiplegia. DIAGNOSES: Magnetic resonance (MR) angiogram demonstrated occlusion of distal basilar artery and left vertebral arteries...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29243508/the-effectiveness-of-hydrokinesiotherapy-on-postural-balance-of-hemiplegic-patients-after-stroke-a-systematic-review-and-meta-analysis
#15
Georgia Iatridou, Henrietta-Syngliti Pelidou, Dimitrios Varvarousis, Alexandra Stergiou, Alexander Beris, Panagiotis Givissis, Avraam Ploumis
OBJECTIVE: To summarize evidence on the effects of hydrokinesiotherapy (HT) on postural balance in hemiplegic patients after stroke and compare them with conventional land therapy. DATA SOURCES: A literature search until October 2017 was conducted on CINAHL, PubMed, Cochrane EBM Reviews, Cochrane Clinical Trials, DARE, MEDLINE, Physiotherapy Evidence Database (PEDro), PsycInfo and Rehabilitation and Sports Medicine Source. REVIEW METHODS: Only randomized controlled trials with pre-intervention and post-intervention assessment on postural control have been included...
December 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29238181/the-link-between-weight-shift-asymmetry-and-gait-disturbances-in-chronic-hemiparetic-stroke-patients
#16
Andrzej Szopa, Małgorzata Domagalska-Szopa, Anetta Lasek-Bal, Amadeusz Żak
Introduction: While the asymmetry of body posture and the asymmetrical nature of hemiparetic gait in poststroke (PS) patients are well documented, the role of weight shift asymmetry in gait disorders after stroke remains unclear. Objective: We examined the association of weight-bearing asymmetry (WBA) between paretic and nonparetic lower limbs during quiet standing with the degree of deviation of hemiplegic gait from normal gait evaluated by the Gillette Gait Index (GGI) incorporating 16 distinct clinically important kinematic and temporal parameters in chronic PS patients...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29236896/sulcal-hyperintensity-mimicking-subarachnoid-hemorrhage-in-the-context-of-hemiplegic-migraine
#17
Elton Francisco Pavan Batista, Marcos Rosa, Marcelo Ramos Muniz
No abstract text is available yet for this article.
December 2017: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/29231587/-clinical-study-of-post-stroke-upper-limb-spasmodic-hemiplegia-treated-with-jingou-diaoyu-needling-technique-and-bobath-therapy
#18
Runjie Sun, Liang Tian, Xiaoli Fang, Xiaozheng Du, Bowen Zhu, Zhongyang Song, Xuan Xu, Xiaoguang Qin
OBJECTIVE: To compare the difference in the clinical efficacy on post-stroke upper limb spasmodic hemiplegia between the combined therapy of jingou diaoyu needling technique and Bobath technology and simple Bobath technology. METHODS: Sixty patients were randomized into an observation group and a control group, 30 cases in each one. The usual medication of neurological internal medicine was used in the two groups. In the control group, Bobath facilitation technology was applied to the rehabilitation training...
April 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29230191/the-reticulospinal-pathway-does-not-increase-its-contribution-to-the-strength-of-contralesional-muscles-in-stroke-survivors-as-compared-to-ipsilesional-side-or-healthy-controls
#19
Sheng Li, Minal Bhadane, Fan Gao, Ping Zhou
Objective: Startling acoustic stimulation (SAS), via activation of reticulospinal (RS) pathways, has shown to increase muscle strength in healthy subjects. We hypothesized that, given RS hyperexcitability in stroke survivors, SAS could increase muscle strength in stroke survivors. The objective was to quantify the effect of SAS on maximal and sub-maximal voluntary elbow flexion on the contralesional (impaired) side in stroke survivors as compared to ipsilesional (non-impaired) side and healthy controls...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/29217360/sonographic-findings-of-painful-hemiplegic-shoulder-after-stroke
#20
Pei-Hsin Lin
BACKGROUND: Hemiplegic shoulder pain is common in stroke patients and can influence rehabilitation outcome. The underlying pathology can be various: in addition to impaired motor control and altered peripheral and central nervous activity, soft tissue lesions may also play an important role. It remains unclear how these pathologies may interact or correlate with each other. METHODS: This retrospective study collected data from 26 stroke patients who received sonography examination due to shoulder pain...
December 4, 2017: Journal of the Chinese Medical Association: JCMA
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