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https://www.readbyqxmd.com/read/27790497/an-unusual-presentation-of-scrub-typhus
#1
Giridhar Reddy Banda, Srikrishna Raghavendra Boddu, Priyanka Ballal, Jayaprakash Belle
Presentation of scrub typhus associated with brachial neuritis is extremely rare with only a few cases reported so far. Here, we report a case of a 45-year-old female who presented with fever and right shoulder pain. Laboratory parameters showed leucocytosis with ELISA and PCR for scrub typhus positive. Electromyography (EMG) and Nerve Conduction Velocity (NCV) study was suggestive of brachial neuritis. She was given doxycycline therapy for 10 days following which her shoulder pain resolved.
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27693929/diagnostic-values-of-proset-magnetic-resonance-coronal-source-imaging-for-detecting-symptomatic-lesion-in-multiple-lumbar-foraminal-stenosis
#2
So Hee Park, Ikchan Jeon, Sang Woo Kim
OBJECTIVE: The aim of this study is to evaluate the values of ProSet magnetic resonance coronal source imaging (ProSet MR imaging) as a diagnostic tool for detecting symptomatic lesion in patients with multiple lumbar foraminal stenosis. PATIENTS AND METHODS: From January 2011 to June 2015, 46 patients with unilateral and single-level radiculopathy developed from foraminal stenosis were enrolled in the study. These diagnoses were confirmed with transforaminal selective nerve root block (SNRB) and electrophysiological testing, including electromyography and nerve conduction velocity (EMG/NCV) tests...
November 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27386647/-effect-of-tanshinone-iia-in-preventing-and-treating-oxaliplatin-induced-peripheral-neuropathy
#3
RANDOMIZED CONTROLLED TRIAL
Kai Xu, Wei-ting Cheng, Zuo-wei Hu, Wang Shan
OBJECTIVE: To observe preventive and therapeutic effects of Tanshinone IIA (T II A) on oxaliplatin induced peripheral neuropathy (OlPN) and to explore its effects on the expression of calcitonin gene related peptide (CGRP) and never growth factor (NGF). METHODS: Totally 36 phase II - III patients with malignant tumor of digestive tract undergoing chemotherapy program with oxaliplatin, were equally assigned to the T II A group (using THA at 80 mg/day 1 day before oxaliplatin chemotherapy for 3 successive days) and the control group (using chemotherapy program with oxaliplatin alone) by segmented randomization...
May 2016: Chinese Journal of Integrated Traditional and Western Medicine
https://www.readbyqxmd.com/read/27316242/motor-neuropathy-contributes-to-crouching-in-patients-with-dravet-syndrome
#4
Cyril Gitiaux, Nicole Chemaly, Susana Quijano-Roy, Christine Barnerias, Isabelle Desguerre, Marie Hully, Catherine Chiron, Olivier Dulac, Rima Nabbout
OBJECTIVE: Since SCN1A is expressed in the motor neuron initial segment, we explored whether motor neuron dysfunction could contribute to gait disturbance and orthopedic misalignment in patients with Dravet syndrome due to SCN1A mutations. METHODS: We assessed 12 consecutive patients who presented to our institution between January and March 2013. All of them were older than 2 years and were positive for the SCN1A mutation. We performed nerve conduction velocity studies and needle EMG recordings...
July 19, 2016: Neurology
https://www.readbyqxmd.com/read/27209097/electrodiagnostic-studies-in-presumptive-primary-hypothyroidism-and-polyneuropathy-in-dogs-with-reevaluation-during-hormone-replacement-therapy
#5
Elżbieta Gabriela Giza, Marta Płonek, Józef Marian Nicpoń, Marcin Adam Wrzosek
BACKGROUND: Peripheral neuropathy is the most common neurological manifestation of canine hypothyroidism. Data concerning electrodiagnostic studies in hypothyroid associated polyneuropathy in dogs are very limited and usually lack a reevaluation after hormone replacement therapy. The objective of this study was to perform a detailed, retrospective analysis of electromyographic (EMG), motor nerve conduction velocity (MNCV), F-wave and brainstem auditory evoked response (BAER) findings in 24 dogs with presumptive primary hypothyroidism and polyneuropathy with a comparison of the results before and after initiation of levothyroxine treatment with the assessment of the clinical outcome...
2016: Acta Veterinaria Scandinavica
https://www.readbyqxmd.com/read/26934119/radiation-induced-brachial-plexopathy-in-patients-with-nasopharyngeal-carcinoma-a-retrospective-study
#6
Zhaoxi Cai, Yi Li, Zhen Hu, Ruying Fu, Xiaoming Rong, Rong Wu, Jinping Cheng, Xiaolong Huang, Jinjun Luo, Yamei Tang
Radiation-induced brachial plexopathy (RIBP) is one of the late complications in nasopharyngeal carcinoma (NPC) patients who received radiotherapy. We conducted a retrospective study to investigate its clinical characteristics and risk factors.Thirty-onepatients with RIBP after radiotherapy for NPC were enrolled. Clinical manifestations of RIBP, electrophysiologic data, magnetic resonance imaging (MRI), and the correlation between irradiation strategy and incidence of RIBP were evaluated. The mean latency at the onset of RIBP was 4...
April 5, 2016: Oncotarget
https://www.readbyqxmd.com/read/26684759/the-diagnostic-value-of-neuropathy-symptom-and-change-score-neuropathy-impairment-score-and-michigan-neuropathy-screening-instrument-for-diabetic-peripheral-neuropathy
#7
Qian Xiong, Bing Lu, Hongying Ye, Xia Wu, Tiansong Zhang, Yiming Li
AIMS: This study aims to evaluate the diagnostic capabilities of neuropathy symptom and change (NSC) score, neuropathy impairment score (NIS) and Michigan neuropathy screening instrument (MNSI) in diagnosing diabetic peripheral neuropathy (DPN). METHODS: A total of 131 patients with type II diabetes received NSC, NIS and MNSI scoring systems. Electromyography/nerve conduction velocity (EMG/NCV) test was taken as gold standard. Correlations between EMG/NCV test and the 3 scorings, and their sensitivity, specificity, positive and negative predictive values, accuracy and kappa (x03BA;) value were analyzed...
2015: European Neurology
https://www.readbyqxmd.com/read/26545312/a-rare-cause-of-ulnar-nerve-entrapment-at-the-elbow-area-illustrated-by-six-cases-the-anconeus-epitrochlearis-muscle
#8
J Fernandez, O Camuzard, M-O Gauci, M Winter
Ulnar nerve entrapment is the second most common compressive neuropathy after carpal tunnel syndrome. The accessory anconeus epitrochlearis muscle - present in 4% to 34% of the general population - is a known, but rare cause of ulnar nerve entrapment at the elbow. The aim of this article was to expand our knowledge about this condition based on six cases that we encountered at our hospital between 2011 and 2015. Every patient had a typical clinical presentation: hypoesthesia or sensory deficit in the fourth and fifth fingers; potential intrinsics atrophy of the fourth intermetacarpal space; loss of strength and difficulty with fifth finger abduction...
December 2015: Chirurgie de la Main
https://www.readbyqxmd.com/read/26509938/evaluation-of-pharyngeal-function-in-dogs-with-laryngeal-paralysis-before-and-after-unilateral-arytenoid-lateralization
#9
Natalia Andrade, Marc Kent, Elizabeth W Howerth, MaryAnn G Radlinsky
OBJECTIVE: To evaluate pharyngeal and laryngeal function using esophagography, topical pharyngeal/laryngeal sensitivity testing, and electromyography (EMG) in normal and dogs with idiopathic laryngeal paralysis (ILP) before and after unilateral arytenoid lateralization. STUDY: Prospective controlled cohort study. ANIMALS: Dogs with laryngeal paralysis (ILP; n = 8) and age/breed-matched (AB, n = 8) and young breed-matched dogs (B, n = 8) were recruited...
November 2015: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/26309529/electrophysiological-and-histopathological-effects-of-mesenchymal-stem-cells-in-treatment-of-experimental-rat-model-of-sciatic-nerve-injury
#10
Ercan Yarar, Enis Kuruoglu, Ersoy Kocabıcak, Adnan Altun, Eyup Genc, Hamit Ozyurek, Mehmet Kefeli, Abdullah Hilmi Marangoz, Keramettin Aydın, Cengiz Cokluk
AIM: The aim of this study was to evaluate electrophysiological and histopathological effects of mesenchymal stem cells in treatment of sciatic nerve injury. MATERIAL AND METHODS: Thirty-two female Spraque-Dawley rat were used in this study. Eight rats were used as a reference group in electrophysiological analysis for evaluation of non-injured nerve recordings (Control Group). Twenty-four rats were used for experimental evaluation. Twelve rats were anastomosed without treatment with mesenchymal stem cells (Sham Group) and twelve other rats were anastomosed and treated with mesenchymal stem cells (Stem Cell Group)...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/26290858/laser-therapy-after-repair-of-the-distal-half-of-the-median-nerve-a-comparative-study
#11
Kamal Seyed Forootan, Siamak Farokh Forghani, Seyed Pezhman Madani, Hamid Karimi Estahbanati, Nazilla Sadat Seyed Forootan
BACKGROUND: Nerve injuries resulting from major or minor trauma often cause some disabilities for patients. Neurotmesis, characterized by complete anatomical rupture of the nerve, is the most severe form of the injury which will not recover without reconstructive surgery and nowadays such neural damages are improved by microsurgical procedures. Some studies have used low power laser for nerve cell growth in order to improve the rehabilitation results of peripheral nerves. Low power laser can complement the reformation of postsurgical nerve injuries...
May 2015: Trauma Monthly
https://www.readbyqxmd.com/read/26231964/diagnosis-and-treatment-of-work-related-proximal-median-and-radial-nerve-entrapment
#12
REVIEW
Gregory T Carter, Michael D Weiss
Proximal median (PMNE) and radial (RNE) nerve entrapment syndromes are uncommon. This article provides an evidenced-based treatment guideline for PMNE and RNE based on the available literature. Arriving at an accurate diagnosis must involve an electrodiagnostic (EDx) workup. EDx, including nerve conduction velocity studies and needle electromyography, should corroborate the clinical diagnosis and must be done before consideration of any surgical treatment. Conservative care includes rest, modified activities, splinting at wrist and elbow, physical therapy, antiinflammatory drug therapy, and corticosteroid injections...
August 2015: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/26166084/insights-into-microcirculation-underlying-critical-limb-ischemia-by-single-photon-emission-computed-tomography
#13
Jung-Tung Liu, Cheng-Siu Chang, Chen-Hsing Su, Cho-Shun Li
Perfusion difference is used as a parameter to evaluate microcirculation. This study aims to differentiate lower-limb perfusion insufficiency from neuropathy to prevent possible occurrence of failed back surgery syndrome (FBSS).Patients were retrospectively gathered from 134 FBSS cases diagnosed in the past 7 years. Up to 82 cases that were excluded from neuralgia by radiologic imaging, electrodiagnostic electromyography, and nerve conduction velocity were enrolled in this study. Perfusion difference was evaluated by single-photon emission computed tomography, and pain intensities were recorded via visual analog scale (VAS) score...
July 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26111514/long-term-outcome-of-accessory-nerve-to-suprascapular-nerve-transfer-in-obstetric-brachial-plexus-lesion-functional-morphological-and-electrophysiological-results
#14
Matthias Gmeiner, Raffi Topakian, Manuel Göschl, Sarah Wurm, Anita Holzinger, Willem J R van Ouwerkerk, Kurt Holl
PURPOSE: An accessory to suprascapular nerve (XIN-SSN) transfer is considered in patients with obstetric brachial plexus lesion who fail to recover active shoulder external rotation. The aim of this study was to evaluate the quality of extraplexal suprascapular nerve neurotization and to perform a detailed analysis of the infraspinatus muscle (IM) and shoulder external rotation. METHODS: A XIN-SSN transfer was performed in 14 patients between 2000 and 2007. Patients had been operated at the age of 3...
September 2015: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26036118/partnerships-aligning-your-department-with-administration-for-smooth-sailing
#15
REVIEW
Richard Foy
Healthy partnerships with hospital administration are essential for any neurodiagnostics program to experience growth and development. The differing backgrounds of business-oriented administrators and clinically oriented technologists can result in challenges with various departmental initiatives and lead to ineffective outcomes when seeking to balance high-quality, patient-oriented care with efficient and profitable operations. Over the course of a two-year period, The University of Texas Medical Branch at Galveston (UTMB Health) implemented several changes that have led to better patient care outcomes...
March 2015: Neurodiagnostic Journal
https://www.readbyqxmd.com/read/26027337/-ischemic-resistance-of-motor-axons-in-children-with-viral-meningitis-and-guillain-barr%C3%A3-syndrome
#16
A V Klimkin, V B Voitenkov, N V Skripchenko
The effect of temporal local ischemia at the forearm on ulnar motor nerve conduction velocity in the control (n = 26 children), group of patients with acute period viral meningitis (VM) (n = 16 children), 14 days after the clinical manifestation of VM (n = 11 children) and children with Guillain-Barre syndrome (GBS) in catamnesis (n = 11 children) was evaluated. Less pronounced reactivity of neural conduction on ischemia for 10 minutes (by 50%, p < 0.00001), was seen in children with GBS in catamnesis, comparing to the controls...
March 2015: Fiziologiia Cheloveka
https://www.readbyqxmd.com/read/26000928/nerve-defect-repair-by-differentiated-adipose-derived-stem-cells-and-chondroitinase-abc-treated-acellular-nerves
#17
Liangfu Jiang, Yan Zheng, Ou Chen, Tinggang Chu, Jian Ding, Qing Yu
OBJECTIVE: To evaluate the effects of differentiated adipose-derived stem cells (dADSC) and chondroitinase ABC (ChABC)-treated acellular nerves (ACN) in building artificial nerves and repairing nerve defects. METHODS: ADSC were isolated from the adipose tissue of Wistar rats, induced to differentiate into Schwann-like cells, and implanted into ChABC-treated ACN to repair a 15-mm sciatic nerve defect in Sprague Dawley (SD) rats (the experimental group, group D). The control groups were an autologous nerve transplantation group (group E); ACN (group A), ChABC-treated ACN graft group (group B), and dADSC + ACN (group C)...
May 22, 2015: International Journal of Neuroscience
https://www.readbyqxmd.com/read/25992766/ultrasound-in-dual-nerve-impairment-after-proximal-radial-nerve-lesion
#18
Alexandra B Lämmer, Stefan Schwab, Axel Schramm
INTRODUCTION: Sonography in classical nerve entrapment syndromes is an established and validated method. In contrast, few publications highlight lesions of the radial nerve, particularly of the posterior interosseus nerve (PIN). METHOD: Five patients with a radial nerve lesion were investigated by electromyography, nerve conduction velocity and ultrasound. Further normative values of 26 healthy subjects were evaluated. RESULTS: Four patients presented a clinical and electrophysiological proximal axonal radial nerve lesion and one patient showed a typical posterior interosseous nerve syndrome (PINS)...
2015: PloS One
https://www.readbyqxmd.com/read/25985984/alexander-disease-in-a-dog-case-presentation-of-electrodiagnostic-magnetic-resonance-imaging-and-histopathologic-findings-with-review-of-literature
#19
REVIEW
Marcin Wrzosek, Elżbieta Giza, Marta Płonek, Przemysław Podgórski, Marc Vandevelde
BACKGROUND: Alexander disease is a rare neurodegenerative disorder that has not often been described in dogs. None of the existing descriptions include electrodiagnostic or magnetic resonance imaging workup. This is the first presentation of the results of an electrodiagnostic evaluation including electromyography, motor nerve conduction velocity, F-wave, the brainstem auditory evoked response and magnetic resonance imaging of a dog with Alexander disease. CASE PRESENTATION: A six month old male entire Bernese mountain dog was presented with central nervous system symptoms of generalized tremor, general stiffness, decreased proprioceptive positioning, a reduced menace response, decreased physiological nystagmus, myotonic spasms and increased spinal reflexes which progressed to lateral recumbency...
2015: BMC Veterinary Research
https://www.readbyqxmd.com/read/25948107/skeletal-and-cardiac-muscle-involvement-in-children-with-glycogen-storage-disease-type-iii
#20
Engy A Mogahed, Marian Y Girgis, Rodina Sobhy, Hala Elhabashy, Osama M Abdelaziz, Hanaa El-Karaksy
UNLABELLED: Glycogen storage disease type III (GSD III) may present with hepatic disease or may involve both skeletal and cardiac muscles as well. To assess the prevalence of neuromuscular and cardiac involvement in a group of children with GSD III, 28 children with GSD III, diagnosed by enzymatic assay, were enrolled in the study after an informed consent was obtained from their parents/guardians and after the study protocol was approved by our institutional ethical committee. Their mean age was 6...
November 2015: European Journal of Pediatrics
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