keyword
https://read.qxmd.com/read/38410320/perioperative-management-conundrum-for-a-case-with-multiple-commonly-used-drug-hypersensitivity
#21
Vikash Bansal, Habib Md R Karim, Abhishek K Rai, Dipak Bhuyan, Sanjay Kumar
Perioperative hypersensitivity reactions vary from mild to potentially fatal anaphylaxis, resulting in significant morbidity and mortality. Most of the perioperative hypersensitivity and allergic reactions are attributed to antibiotics, antiseptic solutions, latex, and opioids. In the current thrust for opioid-free anesthesia, owing to its multiple advantages, paracetamol and nonsteroidal antiinflammatory agents play a significant role in multi-modal pain and inflammatory response management. Nearly nine out of ten individuals experience postoperative pain, one-third experience postoperative nausea and vomiting, and one-fourth experience fever, irrespective of surgery and type of anesthesia, often as an inflammatory response...
January 2024: Curēus
https://read.qxmd.com/read/38394292/asymmetric-changes-in-foot-anthropometry-with-pregnancy-may-be-related-to-onset-of-lower-limb-and-low-back-pain
#22
JOURNAL ARTICLE
Erica M Casto, Corrie Mancinelli, Petronela Meszaros, Jean L McCrory
INTRODUCTION: Fifty percent of pregnant females experience pain with 20% reporting long-term pain post-partum. Pregnant females undergo changes in foot anthropometry, lower extremity alignment, and joint laxity. It is unknown if asymmetric alterations may be related to development of pain. The purpose of this study was twofold: 1) to compare asymmetric alignment in pregnant females with and without pain during pregnancy and in nulliparous controls and 2) to assess the relationship between asymmetric alignment and pain severity in all participants...
2024: PloS One
https://read.qxmd.com/read/38391312/primary-neurolymphomatosis-presenting-as-foot-drop-a-rare-case-report
#23
JOURNAL ARTICLE
Neha Bakshi, Vineeta Chand, Rajiv Anand, Rajan Duggal
Neurolymphomatosis (NL) is the direct infiltration of the peripheral nervous system (PNS) by lymphoma cells and represents the least common form of PNS involvement by lymphoma. Clinical presentation is varied, and early diagnosis remains challenging. Nerve biopsy remains the diagnostic gold standard, use of magnetic resonance imaging (MRI) and fluorodeoxyglucose-positron emission tomography (FDG-PET) may help in diagnosis and selecting targets for biopsy. We report an account of an older male patient who presented with subacute onset multifocal neuropathy involving bilateral lower limbs and left foot drop...
July 19, 2023: Indian Journal of Pathology & Microbiology
https://read.qxmd.com/read/38388992/-drop-foot-gait
#24
JOURNAL ARTICLE
Alexander Schuh, Markus-Johannes Rueth, Philipp Koehl, Achim Benditz
No abstract text is available yet for this article.
February 2024: MMW Fortschritte der Medizin
https://read.qxmd.com/read/38383974/understanding-pathophysiology-of-gne-myopathy-and-current-progress-towards-drug-development
#25
JOURNAL ARTICLE
Fluencephila Mashangva, Shagun Singh, Jyoti Oswalia, Ranjana Arya
GNE myopathy is a rare genetic neuromuscular disease that is caused due to mutations in the GNE gene responsible for sialic acid biosynthesis. Foot drop is the most common initial symptom observed in GNE myopathy patients. There is slow progressive muscle weakness in the lower and upper extremities while the quadriceps muscles are usually spared. The exact pathophysiology of the disease is unknown. Besides sialic acid biosynthesis, recent studies suggest either direct or indirect involvement of GNE in other cellular functions such as protein aggregation, apoptosis, ER stress, cell migration, HSP70 chaperone activity, autophagy, muscle atrophy, and myogenesis...
2024: Journal of Biosciences
https://read.qxmd.com/read/38379488/common-peroneal-nerve-injury-caused-by-a-wild-boar-attack
#26
JOURNAL ARTICLE
Muhammed Köroğlu, Hüseyin Utku Özdeş, Ömer Acet, Tahsin Sarıbas, Emre Ergen, Mustafa Karakaplan, Okan Aslantürk
Wild boar-inflicted nerve injuries have been very rarely reported in the literature. A 62-year-old man was attacked by a wild boar in eastern Turkey and brought to the emergency department. He had 5 lacerations on the lower extremities and 2 on the posterior thoracic region. In addition to soft tissue lacerations, he sustained a complete laceration of the left common peroneal nerve with a foot drop. The common peroneal nerve was repaired primarily the day after the attack. The patient was discharged after a short hospital stay without any immediate complications; however, at the 10-mo follow-up, he still had a left foot drop...
January 31, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38371057/slimmer-s-palsy-following-weight-loss-associated-with-metastatic-breast-cancer-a-case-report
#27
Reid W Collis, Alaric J Gee, Patrick Dillon, Michael Warwick
Common peroneal neuropathy (CPN), also known as Slimmer's Palsy, is an isolated peripheral neuropathy typically associated with rapid weight loss resulting in loss of adipose tissue and subsequent nerve compression at the fibular head and is up to three times more common in individuals with malignancy. In this case report, we describe the diagnosis of CPN in a 54-year-old female with a 2.5-month history of atraumatic left foot drop and left ankle paresthesias, preceded by a 35-40 pound weight loss over the prior 3...
January 2024: Curēus
https://read.qxmd.com/read/38357075/comprehensive-rehabilitation-of-a-patient-with-foot-drop-secondary-to-lumbar-canal-stenosis-a-case-report
#28
Mahek R Mohani, Neha Arya, Grisha Ratnani, Pallavi Harjpal, Pratik Phansopkar
One of the most prevalent degenerative musculoskeletal conditions is lumbar spinal canal stenosis (LSS), which is characterized by narrowing of the lumbar spinal canal that pressures the nerve roots and cauda equine. LSS, when treated surgically, usually presents with foot drop as its major complication. Foot drop is a common presentation of several clinical diseases, traditionally characterized as severe weakening of ankle and toe dorsiflexion. Foot drop has a great impact on patients' lives, lowering their quality of life and affecting their activities of daily living...
January 2024: Curēus
https://read.qxmd.com/read/38344091/exploration-of-the-right-peroneal-nerve-after-a-gunshot-wound
#29
Joseph Yunga Tigre, Mia Begera, Emily L Errante, S Shelby Burks
BACKGROUND: Gunshot wounds (GSWs) often result in neuropraxia or a mixed injury pattern rather than direct nerve transection. There is still debate between early and delayed intervention for the optimal treatment of intact nerves following GSWs. Early intervention may prevent the formation of dense scar tissue, and delayed intervention allows for the zone of injury to be fully demarcated for optimal treatment planning. Here, we present the case of a 29-year-old male who underwent exploration of the right common peroneal nerve after a GSW...
2024: Surgical Neurology International
https://read.qxmd.com/read/38339459/imu-based-fitness-activity-recognition-using-cnns-for-time-series-classification
#30
JOURNAL ARTICLE
Philipp Niklas Müller, Alexander Josef Müller, Philipp Achenbach, Stefan Göbel
Mobile fitness applications provide the opportunity to show users real-time feedback on their current fitness activity. For such applications, it is essential to accurately track the user's current fitness activity using available mobile sensors, such as inertial measurement units (IMUs). Convolutional neural networks (CNNs) have been shown to produce strong results in different time series classification tasks, including the recognition of daily living activities. However, fitness activities can present unique challenges to the human activity recognition task (HAR), including greater similarity between individual activities and fewer available data for model training...
January 23, 2024: Sensors
https://read.qxmd.com/read/38330734/medially-wedged-foot-orthoses-generate-greater-biomechanical-effects-than-thin-flexible-foot-orthoses-during-a-unilateral-drop-jump-task-on-level-and-inclined-surfaces
#31
JOURNAL ARTICLE
Ahmed Dami, Eléna Payen, Nader Farahpour, Kelly Robb, Pier-Luc Isabelle, Gabriel Moisan
BACKGROUND: Foot orthoses are therapeutic insoles designed to induce various effects on lower limb biomechanics. However, conflicting findings in previous research, highlight the need to better understand how foot orthoses with different features affect lower limb biomechanics during challenging tasks, particularly during unilateral drop jump landings. METHODS: Seventeen participants with flat feet were recruited to participate in this cross-sectional descriptive study that examined the effects of thin-flexible foot orthoses and medially wedged foot orthoses on lower limb biomechanics during unilateral drop jump landings on level and valgus inclined surfaces...
February 2024: Clinical Biomechanics
https://read.qxmd.com/read/38327404/feasibility-of-a-promising-pulsed-electrostimulator-for-rapid-motor-recovery-of-foot-drop
#32
Yu-Cheng Chang, Yuan-Ping Chao, Shin-Tsu Chang
PURPOSE: Foot drop still occurs in clinical practice, including in our case. Treatments for foot drop vary based on its etiology and severity of symptoms. Hence, in intractable foot drop cases, an invasive surgical intervention is needed. Here, we introduce a special noninvasive technique to treat our patient's foot drop. In this approach, we applied STIMPOD NMS460 neuromuscular stimulator device (STIMPOD NMS460), which is a low-frequency (10 Hz or less) transcutaneous electrical nerve stimulation (TENS) device with a pulsed radiofrequency (PRF) component...
February 15, 2024: Heliyon
https://read.qxmd.com/read/38322068/physiotherapy-rehabilitation-towards-foot-drop-in-a-paediatric-case-of-iatrogenic-sciatic-nerve-palsy-a-case-report
#33
Akshaya Saklecha, Pallavi Harjpal, Ragini Dadgal
In this report, we are presenting a case of injection nerve palsy in a three-year-old child whose parents visited with the complaint of weakness of the left lower limb, inability to walk, and difficulty in performing lower limb movements after taking diphtheria-tetanus-pertussis (DPT) vaccination in the gluteal region by intramuscular route. The child exhibited a foot drop on his left leg and a high step gait when examined. Nerve conduction velocity was performed, which revealed pure motor axonal mononeuropathy involving the left sciatic nerve...
January 2024: Curēus
https://read.qxmd.com/read/38313983/rehabilitation-of-a-patient-with-d12-wedge-compression-fracture-and-bilateral-foot-drop-with-spinal-fusion-and-posterior-decompression-a-case-report
#34
Shruti S Bhoge, Vrushali Athawale, Tejaswini Fating
Vertebral fracture (VF) is one of the most common injuries seen in individuals with osteoporosis, especially in post-menopausal females. There is an increase in bone resorption rate, leading to the destruction of the microarchitecture of bone. A 67-year-old female patient diagnosed with wedge compression fracture of the D12 vertebra, mild compression of the spinal cord, and bilateral foot drop came to a tertiary care hospital, where she underwent spinal fusion at the D11-L1 level and posterior decompression, after which she was referred to physiotherapy, where a patient-tailored treatment protocol was made and implemented over three weeks...
January 2024: Curēus
https://read.qxmd.com/read/38298963/our-surgical-results-in-popliteal-and-infrapopliteal-artery-injuries-21-cases-without-amputation
#35
JOURNAL ARTICLE
Burak Tamteki N, Güler Gülsen Ersoy
OBJECTIVES: Popliteal and infrapopliteal artery injuries have significant morbidity and mortality rates, especially in terms of amputation. In our study, we aimed to evaluate patients who operated due to popliteal and infrapopliteal vascular injuries in our clinic. Patients and Methods . Between 2016 and 2023; 21 patients who were operated in our clinic due to popliteal and infrapopliteal artery injuries were retrospectively evaluated. RESULTS: 2 of the patients were female (9...
2024: Emergency Medicine International
https://read.qxmd.com/read/38267007/differential-diagnosis-of-foot-drop-implications-for-peripheral-nerve-surgery
#36
JOURNAL ARTICLE
Mitchel Seruya
At least 128,000 patients in the United States each year suffer from foot drop. This is a debilitating condition, marked by the inability to dorsiflex and/or evert the affected ankle. Such patients are rendered to a lifetime of relying on an ankle-foot orthosis (AFO) for walking and nighttime to prevent an equinovarus contracture. Contrary to popular belief, foot drop can be caused by more than just insult to the common peroneal nerve at the fibular head (fibular tunnel). It is a common endpoint for a diverse spectrum of nerve injuries, which may explain its relatively high prevalence...
January 24, 2024: Journal of Reconstructive Microsurgery
https://read.qxmd.com/read/38266422/functional-evaluation-of-a-novel-fibreglass-reinforced-polyamide-custom-dynamic-afo-for-foot-drop-patients-a-pilot-study
#37
JOURNAL ARTICLE
P Caravaggi, G Rogati, L Zamagni, L Boriani, A Arceri, M Ortolani, G Lullini, L Berti, A Leardini
BACKGROUND: Ankle-foot orthoses (AFOs) are orthopaedic devices often prescribed to treat foot drop. For patients who are not satisfied with off-the-shelf solutions, custom AFOs personalized to the patient's lower limb anatomy are required. Dynamic AFOs provide stability while allowing for physiological ankle mobility in the stance phase of walking. RESEARCH QUESTION: Can a morphology-based dynamic custom AFO made of fiberglass-reinforced polyamide restore a quasi-normal gait pattern and improve comfort in patients with foot drop? METHODS: In this pilot study, the legs and feet of ten foot drop patients (age=64...
January 20, 2024: Gait & Posture
https://read.qxmd.com/read/38255343/novel-modular-walking-orthosis-mowa-for-powerful-correction-of-gait-deviations-in-subjects-with-a-neurological-disease
#38
JOURNAL ARTICLE
Jan-Hagen Schröder, Gion A Barandun, Pascal Leimer, Rafael Morand, Beat Göpfert, Erich Rutz
This article introduces a novel concept where advanced technologies have been leveraged to produce a modular walking orthosis (MOWA) within a completely digital process chain. All processes of this new supply chain are described step-by-step. The prescription and treatment of lower leg orthoses for individuals with paralysis or muscle weakness, particularly cerebral palsy (CP), are complex. A single case study indicates successful treatment with this new orthosis (MOWA). From the authors' perspective, this innovative fitting concept is promising and will contribute to creating more efficient care within a multidisciplinary team...
December 26, 2023: Children
https://read.qxmd.com/read/38249241/preoperative-femoral-nerve-block-and-postoperative-sciatic-nerve-block-at-the-subgluteal-space-after-total-knee-arthroplasty-a-retrospective-cohort-study
#39
JOURNAL ARTICLE
Yuki Okutomi, Yasutaka Konishi, Akihito Kakinuma, Shigehito Sawamura
Background A preoperative sciatic nerve block (SNB) before total knee arthroplasty (TKA) frequently causes postoperative drop foot; however, this can also occur as an unintended result of surgical invasion. This study assessed the benefits of a postoperative SNB at the subgluteal space for patients who underwent TKA. Methodology This was a single-center, retrospective cohort study. Patients who underwent TKA under general anesthesia between May 2018 and June 2019 at the Teikyo University School of Medicine were screened for inclusion...
December 2023: Curēus
https://read.qxmd.com/read/38239537/cocaine-induced-kidney-liver-lung-and-muscle-injury-c-klm-presenting-with-foot-drop-a-case-report
#40
Ifeoma Kwentoh, Sandhya Daniel, Eric S Atiku
Cocaine-associated organ injury is a well-known phenomenon that may lead to multi-organ failure. Cocaine-induced kidney, liver, lung, and muscle (C-KLM) involvement is an entity with alarmingly high creatinine phosphokinase (CPK) levels exceeding 100,000 U/L. This may have fatal outcomes. Rhabdomyolysis is one of the many mechanisms of kidney injury induced by cocaine intoxication. Sympathomimetic effects of cocaine contribute to muscle Injury in addition to vasoconstriction resulting in muscle ischemia, as well as liver ischemia (shock liver)...
December 2023: Curēus
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