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https://www.readbyqxmd.com/read/29245044/changes-in-lower-extremity-strength-may-be-related-to-the-walking-speed-improvements-in-children-with-cerebral-palsy-after-gait-training
#1
Rashelle M Hoffman, Bradley B Corr, Wayne A Stuberg, David J Arpin, Max J Kurz
BACKGROUND: Cerebral palsy (CP) has a high probability of resulting in lower extremity strength and walking deficits. Numerous studies have shown that gait training has the potential to improve the walking abilities of these children; however, the factors governing these improvements are unknown. AIMS: This study aimed to evaluate the relationship between change in lower extremity strength, walking speed and endurance of children with CP following gait training...
December 12, 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29244691/delayed-onset-sciatic-nerve-palsy-after-periacetabular-osteotomy-a-case-report
#2
Michael Leunig, Jonathan M Vigdorchik, Aidin Eslam Pour, Silvia Willi-Dähn, Reinhold Ganz
CASE: A large surgical correction was required for severe hip dysplasia, which was associated with a delayed-onset sciatic nerve injury in an adolescent patient. A cortical bone spur on the outside of the acetabular fragment produced an indirect injury that became symptomatic during mobilization of the patient. CONCLUSION: The risk of direct injury to the sciatic nerve during a periacetabular osteotomy is quite low when the osteotomy is executed in extension with abduction of the hip and flexion of the knee to reduce tension on the sciatic nerve...
January 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29244663/scapular-winging-caused-by-combined-palsy-of-the-spinal-accessory-nerve-and-the-long-thoracic-nerve-a-case-report
#3
Kentaro Ago, Noboru Matsumura, Takuji Iwamoto, Kazuki Sato, Masaya Nakamura, Morio Matsumoto
CASE: A 37-year-old man with scapular winging, caused by combined palsy of the spinal accessory nerve and the long thoracic nerve, was successfully treated with a pectoralis major transfer to substitute for the serratus anterior muscle, and with levator scapulae and rhomboid muscle transfers to substitute for the trapezius muscle. CONCLUSION: The serratus anterior paralysis was thought to have occurred secondary to traction of the long thoracic nerve by the unsupported scapula following the spinal accessory nerve palsy...
April 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29244098/clemastine-rescues-myelination-defects-and-promotes-functional-recovery-in-hypoxic-brain-injury
#4
Bruce A C Cree, Jianqin Niu, Kimberly K Hoi, Chao Zhao, Scott D Caganap, Roland G Henry, Dang Q Dao, Daniel R Zollinger, Feng Mei, Yun-An A Shen, Robin J M Franklin, Erik M Ullian, Lan Xiao, Jonah R Chan, Stephen P J Fancy
Hypoxia can injure brain white matter tracts, comprised of axons and myelinating oligodendrocytes, leading to cerebral palsy in neonates and delayed post-hypoxic leukoencephalopathy (DPHL) in adults. In these conditions, white matter injury can be followed by myelin regeneration, but myelination often fails and is a significant contributor to fixed demyelinated lesions, with ensuing permanent neurological injury. Non-myelinating oligodendrocyte precursor cells are often found in lesions in plentiful numbers, but fail to mature, suggesting oligodendrocyte precursor cell differentiation arrest as a critical contributor to failed myelination in hypoxia...
December 13, 2017: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/29243534/eight-and-a-half-syndrome-caused-by-a-pontine-hemorrhage-a-case-report-and-review-of-the-literature
#5
Nian-Ge Xia, Yan-Yan Chen, Jia Li, Xi Chen, Zu-Sen Ye, Si-Yan Chen, Zhen-Guo Zhu
BACKGROUND: Eight-and-a-half syndrome is caused by a lesion in the dorsal tegmentum of the caudal pons involving parapontine reticular formation (PPRF) and the median longitudinal fasciculus (MLF), as well as the nucleus and/or the fasciculus of the facial nerve. It is characterized by one-and-a-half syndrome and an ipsilateral cranial nerve VII palsy. There are also many variants of eight-and-a-half syndrome has been described, including nine syndrome, thirteen-and-a-half syndrome, and fifteen-and-a-half syndrome...
December 15, 2017: International Journal of Neuroscience
https://www.readbyqxmd.com/read/29243180/transoral-thyroidectomy-a-viable-surgical-option-with-unprecedented-complications-a-case-series
#6
S Bakkar, M Al Hyari, M Naghawi, C Corsini, P Miccoli
PURPOSE: To report the clinical implications of an initial experience with transoral endoscopic thyroidectomy vestibular approach (TOETVA). METHODS: From March to November 2017, five cases of TOETVA were performed. Data reported include patient demographics, indication for surgery, extent of surgery, operative time, the need to convert to cervicotomy, the length of hospital stay and post-operative pain and morbidity. Unconventional complications regarded as specific for TOETVA were reported...
December 14, 2017: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/29242785/compressive-femoral-neuropathy-associated-with-iliopsoas-hematoma-complicating-hip-hemiarthroplasty-a-case-report
#7
L Andreani, A M Nucci, M Giuntoli, M Lisanti
Introduction: Femoral nerve compression caused by iliopsoas hematoma is a rare complication after hip surgery. To the best of our knowledge, this is the first case after hemiarthroplasty. In this case, iliacus hematoma resulted from spontaneous bleeding favored by anticoagulant therapy. Case Report: A 78-year-old female developed left groin pain associated with typical symptoms of femoral nerve palsy about 2weeks after left hip hemiarthroplasty[1, 2, 3]. Computed tomography revealed the presence of a left iliopsoas hematoma that was surgically drained...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29240574/evaluation-of-retinal-changes-in-progressive-supranuclear-palsy-and-parkinson-disease
#8
Duygu Gulmez Sevim, Metin Unlu, Murat Gultekin, Cagatay Karaca, Meral Mirza, Galip Ertugrul Mirza
BACKGROUND: Differentiating Parkinson disease (PD) from progressive supranuclear palsy (PSP) can be challenging early in the clinical course. The aim of our study was to see if specific retinal changes could serve as a distinguishing feature. METHODS: We used spectral domain optical coherence tomography (SD-OCT) with automatic segmentation to measure peripapillary nerve fiber layer thickness and the thickness and volume of retinal layers at the macula. RESULTS: Thicknesses of superior peripapillary retinal nerve fiber layer (pRNFL), macular ganglion cell layer, inner plexiform layer, inner nuclear layer, and macular volume were more affected in PSP compared with PD (P < 0...
December 12, 2017: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
https://www.readbyqxmd.com/read/29240518/does-dosage-matter-a-pilot-study-of-hand-arm-bimanual-intensive-training-habit-dose-and-dosing-schedule-in-children-with-unilateral-cerebral-palsy
#9
Marina B Brandão, Marisa C Mancini, Claudio L Ferre, Priscilla R P Figueiredo, Rachel H S Oliveira, Shirley C Gonçalves, Miriam C S Dias, Andrew M Gordon
AIM: We compared the efficacy of hand-arm bimanual intensive training (HABIT) in two doses (90 vs. 45 hours) and two schedules of the same dose (90 vs. 2 × 45 hours) on hand and daily functioning. METHOD: Eighteen children with unilateral cerebral palsy were randomized to receive 6 hours of daily training over 3 weeks, totaling 90 hours (Group 90, n = 9) or receive 6 hours of daily training over 1.5 weeks, totaling 45 hours (Group 2 × 45, n = 9). After 6 months, Group 2 × 45 received an additional 45 hours...
December 14, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/29240513/examination-of-a-third-nerve-palsy
#10
Meera Radia, Matthew Stahl, Meena Arunakirinathan, Mustafa Kadhim
No abstract text is available yet for this article.
December 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29240281/comparative-analysis-of-2-robotic-thyroidectomy-procedures-transoral-versus-bilateral-axillo-breast-approach
#11
Young Jun Chai, Hoon Yub Kim, Hong Kyu Kim, Sang Ho Jun, Gianlorenzo Dionigi, Angkoon Anuwong, Jeremy D Richmon, Ralph P Tufano
BACKGROUND: The surgical outcomes of a single surgeon's initial cases of transoral robotic thyroidectomy (TORT) were compared with the surgeon's initial cases of a bilateral axillo-breast approach (BABA) robotic thyroidectomy. METHODS: The medical reports were retrospectively reviewed. The BABA robotic thyroidectomies were performed between 2008 and 2009, and TORTs were performed between 2012 and 2016. RESULTS: Each group comprised 50 patients...
December 14, 2017: Head & Neck
https://www.readbyqxmd.com/read/29240012/surgical-treatment-of-chronic-elbow-dislocation-allowing-early-range-of-motion-operative-technique-and-clinical-results
#12
Duane R Anderson, Justin M Haller, Lucas A Anderson, Samuel Hailu, Abebe Chala, Shawn W O'Driscoll
OBJECTIVES: Describe the surgical treatment and patient outcomes of chronic elbow dislocations. DESIGN: Retrospective review SETTING:: Two tertiary referral centers. PATIENTS/PARTICIPANTS: All patients with surgically treated chronic elbow dislocation with no associated articular fracture from January 2009 - January 2015. INTERVENTION: Review of patient demographics, injury chronicity, surgical technique, and patient outcomes...
December 6, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29239773/femoral-nerve-palsy-following-total-hip-arthroplasty-incidence-and-course-of-recovery
#13
Andrew N Fleischman, Richard H Rothman, Javad Parvizi
BACKGROUND: Femoral nerve palsy (FNP) is a relatively uncommon complication following total hip arthroplasty (THA). There is little recent literature regarding the incidence of FNP and the natural course of recovery. METHODS: Using our institutional database, we identified postoperative FNPs from 17,350 consecutive primary THAs performed from 2011 to 2016. Hip exposures were performed using a direct lateral (modified Hardinge), direct anterior (Smith-Peterson), anterolateral (Watson-Jones), or posterolateral (Southern or Moore) approach...
November 4, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29238959/cognition-in-childhood-dystonia-a-systematic-review
#14
REVIEW
Maraike A Coenen, Hendriekje Eggink, Marina A Tijssen, Jacoba M Spikman
AIM: Cognitive impairments have been established as part of the non-motor phenomenology of adult dystonia. In childhood dystonia, the extent of cognitive impairments is less clear. This systematic review aims to present an overview of the existing literature to elucidate the cognitive profile of primary and secondary childhood dystonia. METHOD: Studies focusing on cognition in childhood dystonia were searched in MEDLINE and PsychInfo up to October 2017. We included studies on idiopathic and genetic forms of dystonia as well as dystonia secondary to cerebral palsy and inborn errors of metabolism...
December 14, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29238849/video-assisted-thyroidectomy-for-papillary-thyroid-carcinoma-oncologic-outcome-in-patients-with-follow-up%C3%A2-%C3%A2-%C3%A2-10-years
#15
Rocco Bellantone, Marco Raffaelli, Carmela De Crea, Luca Sessa, Emanuela Traini, Pietro Princi, Celestino Pio Lombardi
BACKGROUND: Video-assisted thyroidectomy (VAT) arisen as a valid treatment for selected patients with papillary thyroid carcinoma (PTC), but no data concerning long-term oncologic outcome are available. The primary aim of the study was to evaluate the oncologic outcome of patients who underwent VAT for PTC with a follow-up ≥ 10 years. METHODS: The medical charts of all the patients who successfully underwent VAT for PTC were reviewed. The patients with a minimum follow-up period of 120-months were included...
December 13, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29238748/non-motor-symptoms-in-progressive-supranuclear-palsy-prevalence-and-severity
#16
Fabiana Giada Radicati, Pablo Martinez Martin, Chiara Fossati, Kallol Ray Chaudhuri, Margherita Torti, Carmen Rodriguez Blazquez, Laura Vacca, Fabrizio Stocchi
NMSs have been extensively studied in PD patients but not in other forms of parkinsonism such as Progressive Supranuclear Palsy (PSP). The primary objective of this study was to analyze the frequency, severity and the type of non-motor symptoms (NMS) in PSP patients using the non-motor symptoms scale (NMSS). The secondary objective was to differentiate NMS between PSP and Parkinson's disease (PD). We enrolled in this cross-sectional study 50 consecutive PSP and 100 matched Parkinson's disease (PD) patients, in the proportion PSP/PD = 1/2, matched in age, sex, and disease duration...
2017: NPJ Parkinson's Disease
https://www.readbyqxmd.com/read/29238686/mutilating-lesions-of-face
#17
Kavita Sachdeva, Aparaajita Upadhyay
The destructive lesions affect midline facial areas causing extensive destruction. These lesions are challenging till date due to peculiarity in presentation and non availability of any single objective test. An attempt has been done to evaluate these different clinical presentations of lesions presenting at a single centre and the challenges faced by us at a tertiary government setup. Prospective study done on 15 patients presenting in department during period of 2006-2016. After a detailed history, hematological and biochemical markers, ESR, radiographical tests, pus culture, C ANCA, CECT PNS and histopathogical evaluation were done...
December 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29238582/inferior-colliculus-syndrome-clinical-magnetic-resonance-microscopy-anatomic-analysis-on-a-7-t-system
#18
Ingrid L Kwee, Hitoshi Matsuzawa, Kazunori Nakada, Yukihiko Fujii, Tsutomu Nakada
We performed detailed structural analysis of a case of a unilateral lesion of the inferior colliculus using magnetic resonance microscopy on a 7 T system. A 36-year-old right-handed man had an intracerebral hemorrhage circumscribed to the right inferior colliculus. Following recovery from the acute phase, he had only residual left ear tinnitus and left trochlear palsy and no hearing loss. Microscopic imaging analysis on a 7 T magnetic resonance imaging system demonstrated a chronic lesion confined primarily to the right central nucleus of the inferior colliculus...
2017: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29238502/profile-of-facial-palsy-in-arar-northern-saudi-arabia
#19
Wasan Lafi Alanazi, Nagah Mohamed Abo El-Fetoh, Shahad Lafi Alanazi, Mohammed Abdullah Alkhidhr, Mohammed Abdullah Alanazi, Dounia Saleh Alonazi, Atheer Bader Alanzi, Reem Homoud Alshammari, Mashael Jaza Alshammari, Basmah Abdullah Alanazi, Samiyah Sarhan Alanazi
Background: The term facial palsy generally refers to weakness of the facial muscles, mainly resulting from temporary or permanent damage to the facial nerve. Common causes of facial paralysis include infection or inflammation of the facial nerve, head trauma, head or neck tumor, stroke. Objective: To outline the incidence of several etiologies and the profile of patients with peripheral facial paralysis attending the outpatient clinic of the neurology department in Hospitals of Arar City, Saudi Arabia...
October 2017: Electronic Physician
https://www.readbyqxmd.com/read/29237663/progressive-myoclonic-epilepsy-and-horizontal-gaze-palsy-a-rare-aetiology
#20
Rajveer Singh, Aditya Choudhary, Amith S Kumar, Manoj Kumar Goyal
Gaucher's disease is a rare autosomal recessive, potentially fatal disorder but most common type among lysosomal storage disorders. The disease's incidence is around 1/40 000 to 1/60 000 births in the general population. A 32-year-old man, born out of non-consanguineous union, presented with generalised tonic-clonic seizures and myoclonus since 17 years of age. Seizures were noted to be resistant to multiple epileptic drugs. He developed gait imbalance, intentional tremor and dysarthria. Detailed examination revealed hepatosplenomegaly, bilateral pancerebellar signs with normal power, reflexes and sensory system...
December 13, 2017: BMJ Case Reports
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