1,218,849 results match your criteria neurologic deficits

Diffuse Idiopathic Skeletal Hyperostosis of the Spine: Pathophysiology, Diagnosis, and Management.

J Am Acad Orthop Surg 2021 Sep 22. Epub 2021 Sep 22.

From the Department of Orthopaedic Surgery, University of California Davis School of Medicine, Sacramento, CA.

Diffuse idiopathic skeletal hyperostosis (DISH) is an ankylosing condition affecting up to 32.5% of the general cohort. Although often asymptomatic, affected individuals may present with back pain, stiffness, dysphagia, functional decline, and neurologic deficits. Read More

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September 2021

Delayed postoperative cervical spinal cord ischemic lesion after a thoracolumbar fusion for syndromic scoliosis: a case report and systematic review of the literature.

Childs Nerv Syst 2021 Sep 24. Epub 2021 Sep 24.

Spine Surgery Unit III-Scoliosis, IRCCS Orthopedic Institute Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy.

Introduction: We report a case and a literature review of delayed postoperative cervical spinal cord injury after thoraco-lumbar spine surgery.

Case Report: A 13-year-old Prader-Willi Syndrome female was treated by a T3-L5 posterior spine fusion for progressive scoliosis. Intraoperative neuromonitoring and immediate postoperative neurological examination were normal. Read More

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September 2021

Immunopathogenesis and proposed clinical score for identifying Kelch-like protein-11 encephalitis.

Brain Commun 2021 26;3(3):fcab185. Epub 2021 Aug 26.

French Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, Hôpital Neurologique, 69677 Bron, France.

In this study, we report the clinical features of Kelch-like protein 11 antibody-associated paraneoplastic neurological syndrome, design and validate a clinical score to facilitate the identification of patients that should be tested for Kelch-like protein 11 antibodies, and examine in detail the nature of the immune response in both the brain and the tumour samples for a better characterization of the immunopathogenesis of this condition. The presence of Kelch-like protein 11 antibodies was retrospectively assessed in patients referred to the French Reference Center for paraneoplastic neurological syndrome and autoimmune encephalitis with (i) antibody-negative paraneoplastic neurological syndrome [limbic encephalitis ( = 105), cerebellar degeneration ( = 33)] and (ii) antibody-positive paraneoplastic neurological syndrome [Ma2-Ab encephalitis ( = 34), antibodies targeting N-methyl-D-aspartate receptor encephalitis with teratoma ( = 49)]. Additionally, since 1 January 2020, patients were prospectively screened for Kelch-like protein 11 antibodies as new usual clinical practice. Read More

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Treatment Challenges in Acute Minor Ischemic Stroke.

Front Neurol 2021 7;12:723637. Epub 2021 Sep 7.

Department of Neuroimaging and Neurointervention, Stanford Health Care, Stanford, CA, United States.

Patients with acute ischemic stroke may present with minor neurologic deficits. Acute treatment decisions depend on the disability imposed by the symptoms along with radiographic features. The presence of disabling neurologic deficits warrants intravenous thrombolysis, but the indications for endovascular therapy are less defined. Read More

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September 2021

Transient ipsilateral mydriasis following carotid artery stenting.

Br J Neurosurg 2021 Sep 23:1-4. Epub 2021 Sep 23.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.

Background And Importance: One of the most feared and devastating complications of carotid revascularization procedures is hyperperfusion hemorrhage. The acute onset of an ipsilateral mydriatic pupil following carotid endarterectomy (CEA) or carotid artery stenting (CAS) should prompt immediate neurosurgical evaluation to rule out hyperperfusion injury.

Clinical Presentation: We describe a case of benign, transient ipsilateral mydriasis following CAS. Read More

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September 2021

[Validation of the Russian version of the Fugl-Meyer Assessment of Physical Performance for assessment of patients with post-stroke paresis].

Zh Nevrol Psikhiatr Im S S Korsakova 2021 ;121(8. Vyp. 2):86-90

Research Center of Neurology, Moscow, Russia.

Objective: To perform linguistic and cultural adaptation of the Fugl-Meyer Assessment of Physical Performance.

Materials And Methods: The study for assessment of psychometric properties included 53 post-stroke patients with neurological deficit presented by hemiparesis of different severity. The patients were assessed twice: at admission and after 14 days of treatment and rehabilitation procedures. Read More

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September 2021

[Motor rehabilitation of patients in the acute period of stroke using virtual reality technology].

Zh Nevrol Psikhiatr Im S S Korsakova 2021 ;121(8. Vyp. 2):71-75

Samara State Medical University, Samara, Russia.

Objective: To study an effect of adjuvant rehabilitation using implicit virtual reality on the dynamics of the motor function of the lower extremities in patients in the acute period of ischemic stroke.

Materials And Methods: The study was carried out to assess the effectiveness and safety of rehabilitation using virtual reality in 60 patients with lower central paresis in the acute period of ischemic stroke, lasting from 3 to 5 days. Patients of the study group additionally received rehabilitation using the hardware-software complex ReviVR, which allows to stimulate the patient's plantar surface by means of pneumo cuffs synchronously with the step of his animated body. Read More

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September 2021

[Risk factors for post stroke epilepsy].

Zh Nevrol Psikhiatr Im S S Korsakova 2021 ;121(8. Vyp. 2):35-40

Karaganda Medical University, Karaganda, Kazakhstan.

Stroke is the leading cause of death and disability in the world. The prevalence of post-stroke epilepsy increases with the increase in the number of stroke cases. Epilepsy may develop in 10% of post-stroke cases and first-diagnosed seizures may develop in 55%. Read More

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September 2021

[Spine surgery in elderly: place and indication].

Jean-Paul Steib

Rev Prat 2021 May;71(5):530-534

Service de chirurgie du rachis, hôpital de Hautepierre 2 - Hôpitaux universitaires de Strasbourg, Strasbourg, France.

"Spine surgery in elderly: place and indication. The ageing affects every component of spine resulting in pain, balance disorders and loss of independence with acceleration of the general aging process. Surgery is possible facing to mechanical problems. Read More

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[Physiological aging spine].

Rev Prat 2021 May;71(5):497-508

Service de Neurochirurgie A, hôpital Pellegrin Tripode, CHU de Bordeaux, Bordeaux, France.

Physiological aging spine. The process of physiological aging or senescence of the spine begins in the first decade of life and then accelerates from the third. It is essentially fundamentally linked to a phenomenon of entropy that inexorably alters the machinery of all the cells of the body, to which are added random pathologies. Read More

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Increased Medial Displacement of the Humeral Shaft of at Least 40% Correlates With an Increased Incidence of Nerve Injury in Proximal Humerus Fractures.

Iowa Orthop J 2021 ;41(1):163-166

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Background: Peripheral nerve and infraclavicular brachial plexus injury following proximal humerus fractures are commonplace, but diagnosing a concomitant nerve injury in the acute setting is challenging. Fracture displacement has been identified as a qualitative risk factor for nerve injury, and additional attention should be paid to the neurologic exams of patients with proximal humerus fractures with significant medial shaft displacement. However, a quantitative relationship between the risk of nerve injury and medialization of the humeral shaft has not been shown, and additional risk factors for this complication have not been assessed. Read More

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January 2021

Intraoperative Spinal Cord Monitoring Does Not Decrease New Postoperative Neurological Deficits in Patients With Cervical Radiculopathy or Spondylotic Myelopathy Undergoing One or Two Level Anterior Cervical Discectomy And Fusion.

Iowa Orthop J 2021 ;41(1):95-102

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.

Background: Intraoperative neurological monitoring (IONM) is commonly used in spine surgery. However, the utility of IONM in anterior cervical decompression and fusion (ACDF) remains a topic of debate. The purpose of the study was to investigate the utility and cost of IONM (both Somatosensory evoked potentials (SSEPs) and Motor Evoked Potentials (Tc-MEPs)) in reducing postoperative neurological deficits in myelopathic and non-myelopathic patients undergoing ACDF. Read More

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January 2021

Treatment of a Gastrointestinal Sarcoidosis Flare: A Multidisciplinary Approach for a Multisystem Disease.

Am J Case Rep 2021 Sep 23;22:e932494. Epub 2021 Sep 23.

Section of Gastroenterology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.

BACKGROUND Sarcoidosis is a multisystem granulomatous disease with predominant pulmonary involvement and rare gastrointestinal (GI) involvement. The stomach is the most common site when there is GI involvement. Symptomatic gastric sarcoidosis with biopsy-proven disease has rarely been reported and much of the knowledge is from case reports involving white patients. Read More

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September 2021

Mandibular osteoma as a cause of ankylosis and progressive trismus.

BMJ Case Rep 2021 Sep 22;14(9). Epub 2021 Sep 22.

Cirurgia, Universitat de Valencia Facultat de Medicina i Odontologia, Valencia, Spain

Osteomas are benign tumours of bone tissue restricted to the craniofacial skeleton. The aim of this article is to present and discuss the demographic and clinical aspects and the management of craniomaxillofacial osteomas. When the patient was submitted from primary care to our hospital, he was 68 years old, and he had ankylosis of the temporomandibular joint for the previos 4 years. Read More

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September 2021

Spontaneous bladder rupture secondary to posterior urethral valves in a boy with Down syndrome.

BMJ Case Rep 2021 Sep 22;14(9). Epub 2021 Sep 22.

Department of Nephro-Urology, Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.

We describe a case of a 3-year-old boy with Down syndrome who developed a bladder rupture as a consequence of an undiagnosed posterior urethral valve (PUV). He had a history of urinary tract infections and constipation and was acutely admitted in poor condition and underwent laparotomy that revealed peritoneal sepsis secondary to bladder perforation. Bladder was drained using a suprapubic catheter and the condition of the boy gradually improved. Read More

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September 2021

Effectiveness of a Healthy Lifestyle Program (HeLP) for low back pain: statistical analysis plan for a randomised controlled trial.

Trials 2021 Sep 22;22(1):648. Epub 2021 Sep 22.

School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.

Background: This paper describes the statistical analysis plan for a randomised controlled trial of a Healthy Lifestyle Program (HeLP) for low back pain targeting multiple health risks and behaviours, weight, physical activity, diet and smoking, to improve disability. We describe the methods for the main analyses and economic analysis of the trial.

Methods And Design: The trial is a two-arm pragmatic randomised controlled trial comparing the effect of the HeLP intervention to usual care on low back pain disability at 26 weeks. Read More

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September 2021

Periphery kinetic perimetry: clinically feasible to complement central static perimetry.

BMC Ophthalmol 2021 Sep 23;21(1):343. Epub 2021 Sep 23.

Department of Ophthalmology, Chengdu First People's Hospital, Chengdu, Sichuan, China.

Background: Existing evidence suggests that visual field defect in eyes with glaucoma significantly varies between individuals. The following study compared the central visual field defects with the peripheral visual field defects in patients with suspect glaucoma and primary open-angle glaucoma (POAG) and investigated whether using the central visual field test alone could result in loss of clinically valuable information.

Methods: In this prospective observational study, 167 eyes from 89 patients with suspect glaucoma or POAG were first examined with static automated perimetry (SAP), followed by a peripheral visual field test on Octopus 900 perimeter (Haag-Streit, Koeniz, Switzerland). Read More

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September 2021

[Analysis of differences in clinical and biochemical characteristics and treatment effects in patients with different genotypes of Prader-Willi syndrome].

Zhonghua Yi Xue Za Zhi 2021 Sep;101(35):2760-2765

Department of Endocrinology, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Peking Union Medical College, NHC Key laboratory of Endocrinology, Beijing 100005, China.

To analyze the differences in clinical and biochemical characteristics and treatment effects in patients with different genotypes of Prader-Willi syndrome (PWS). A total of 35 patients with PWS, 20 males and 15 females aged from 0.8 to 10. Read More

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September 2021

[Assessing occipital nerve stimulation efficacy for chronic refractory headaches].

Rev Med Suisse 2021 Sep;17(751):1624-1626

Unité de neurologie, Département des neurosciences cliniques, CHUV, 1011 Lausanne.

We prospectively followed a cohort of 26 subjects for an average period of 41 months who benefited from occipital nerve stimulation (ONS) in the context of chronic refractory headaches. In 17 patients treated, the frequency of headache decreased, and quality of life scores improved significantly. Among these patients, the "very good" response rate was 34 %. Read More

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September 2021

[Complex situations in adults with severe intellectual disabilities - A new support model].

Rev Med Suisse 2021 Sep;17(751):1611-1613

Service des troubles du spectre de l'autisme et apparentés (STSA), Département de psychiatrie, CHUV, 1011 Lausanne.

Challenging behaviors constitute a real pitfall in supporting people with severe intellectual disabilities. Undermining patients and host institutions as well as psychiatric services, these crisis situations are usually underpinned by many factors including somatic, psychiatric, educational and environmental factors. New models, including the one developed by our team in Lausanne, offer a more specific approach for these complex cases, involving individualized, collaborative and multidisciplinary care to resolve the crisis but also for the overall improvement of the person's life course. Read More

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September 2021

A unique case of Miller Fisher-Guillain-Barré overlap syndrome in a liver transplant recipient.

J Neurovirol 2021 Sep 22. Epub 2021 Sep 22.

Department of Infectious Diseases and Global Public Health, University of California San Diego, La Jolla, San Diego, CA, USA.

Guillain-Barré syndrome (GBS) is an ascending demyelinating polyneuropathy often associated with recent infection. Miller Fisher syndrome represents a variant with predominant facial and cranial nerve involvement, although Miller Fisher and Guillain-Barré overlap syndromes can occur. Guillain-Barré spectrum syndromes have been thought to be rare among solid organ transplant recipients. Read More

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September 2021

Reliability of pressure pain threshold on myofascial trigger points in the trapezius muscle of women with chronic neck pain.

Rev Assoc Med Bras (1992) 2021 Jun;67(5):708-712

Universidade de São Paulo, Ribeirão Preto Medical School, Department of Health Science - Ribeirão Preto (SP), Brazil.

Objective: The aim of this study was to evaluate the intra- and inter-rater reliability of pressure pain threshold measurement on myofascial trigger points in the trapezius muscle in women with chronic neck pain.

Methods: This reliability study involved 30 volunteers with neck pain for more than 90 days. The assessment procedures were performed by blinded researchers. Read More

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Heart rate variability and heart rate turbulence in patients with vasovagal syncope.

Kardiologiia 2021 Aug 31;61(8):54-59. Epub 2021 Aug 31.

Başkent University Faculty of Medicine, Department of Cardiology, Ankara, Turkey.

Aim    The autonomic nervous system plays an important role in the pathogenesis of vasovagal syncope, but studies on the effect of basal autonomic tone have found confusing results. The aim of this study was to investigate the effect of basal autonomic functions, as assessed by heart rate variability (HRV) and heart rate turbulence (HRT), in patients with vasovagal syncope.Material and methods    Patients who underwent head-up tilt test (HUTT) due to unexplained syncope and who had a 24 hr Holter ECG recording in the same period were retrospectively analyzed. Read More

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Psychosis associated with suspected SARS-CoV-2 encephalitis with response to steroids: a case report.

Infect Dis (Lond) 2021 Sep 22:1-5. Epub 2021 Sep 22.

Faculty of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia.

Introduction: The SARS-Cov-2 infection has multiple neurologic manifestations including encephalitis in multiple cases reported, however the psychosis as principal manifestation of this condition is infrequently.

Case Report: We report the case of a 48-year-old woman with a confirmed diagnosis of SARS-CoV-2 who developed paranoid and self-referential ideas with behavioural alteration and multiple findings on mental examination. Encephalitis associated with Covid-19 was suspected due to the neurological clinical presentation (persistent despite resolve hypoxaemia and systemic symptoms) and brain magnetic resonance image (MRI) that showed asymmetric hippocampal hyperintensities, although cerebrospinal fluid and electroencephalogram (EEG) were normal. Read More

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September 2021

[Effects of Inhaling Essential Oil on Headache-Related Quality of Life Among Nurses Working in Emergency and Critical Care Units].

Hu Li Za Zhi 2021 Oct;68(5):51-64

PhD, RN, Associate Professor, College of Medicine, School of Nursing, National Taiwan University, and Adjunct Supervisor, Department of Nursing, National Taiwan University Hospital, Taiwan, ROC.

Background: Headache attacks are prevalent symptoms in emergency and critical care nurses. Prior evidence supports the analgesic effects of essential oils on headache symptoms. However, few empirical studies have examined how essential oil may further improve the relief of related symptoms. Read More

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October 2021

Pain Relief in Short-Lasting Unilateral Neuralgiform Headache with Conjunctival inJection and Tearing Syndrome with Intravenous Ketamine: A Case Report.

Acta Neurol Taiwan 2021 Mar;30(1):35-38

Division of Dental Anesthesiology, Department of Control of Physical Function, Kyushu Dental University, Kitakyushu, Fukuoka, Japan.

Purpose: Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) is a rare form of primary headache, classified as trigeminal autonomic cephalalgia. Since the underlying mechanism of the pathogenesis has not yet been determined, a standardized therapeutic strategy for SUNCT is unavailable. We present a case of SUNCT syndrome with successful pain relief by intravenous administration of ketamine, an N-methyl-D-aspartate receptor (NMDAR) antagonist. Read More

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Human Herpes Virus 6 Encephalitis Presenting as Fatal Refractory Status Epilepticus: a Case Report and Systematic Review.

Acta Neurol Taiwan 2021 Mar;30(1):21-26

Department of 1Institute for Neurosciences, St. Luke's Medical Center, Quezon City and Global City, Philippines.

Purpose: Encephalitis secondary to human herpesvirus 6 (HHV-6) infection is frequently encountered in immunocompromised patients; in contrast, HHV-6 encephalitis in immunocompetent patients is rare. There are only 3 reports of status epilepticus due to HHV-6 encephalitis in immunocompetent adults. In the present study, a case of refractory status epilepticus secondary to HHV-6 encephalitis was reported in an immunocompetent female. Read More

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The Clinical Features and Therapeutic Outcomes of Young Adults with Cryptococcal Meningitis.

Acta Neurol Taiwan 2021 Mar;30(1):11-20

Department of Neurology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Objective: No previous study has reported on the clinical characteristics of cryptococcal meningitis (CM) focusing solely on young adults.

Patients And Methods: Ninety-nine adult patients with CM (64 men and 35 women) were enrolled, of whom 26 were classified into the young adult group (≤ 40 years) and 73 into the non-young adult group (> 40 years). The modified Rankin scale (mRS) was used to evaluate the outcomes of the survivors at the time of discharge and at 1 year of follow-up. Read More

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Determinants for Control of Status Epilepticus in Patients with Anti-N-Methyl-D-Aspartate Receptor Encephalitis.

Acta Neurol Taiwan 2021 Mar;30(1):1-10

Stroke Center and Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.

Background: Treatment guideline for status epilepticus (SE) specifically in patients with anti-N-methyl- D-aspartate receptor (anti-NMDAR) encephalitis is insufficient. This study aimed to clarify the determinants for the control of SE in adult patients with anti-NMDAR encephalitis.

Methods: Medical records of all patients with anti-NMDAR encephalitis hospitalized between Jan. Read More

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Micronutrient characteristic in recurrent seizure in medicinecontrolled epileptic children with normal nutritional status.

Acta Neurol Taiwan 2021 Jun;30(2):54-62

Departement of Child Health Faculty of Medicine, Universitas Airlangga,Indonesia.

Background: Recurrent seizure in epileptic children is correlated with future motoric disorders, behavior problems, and intellectual disabilities. Various factors are thought to modulate the risk of recurrent seizure, including micronutrient status such as calcium, 25-dehydroxycholecalciferol (25-(OH)D), and serum iron presented as hemoglobin level.

Aim: To analyze correlation between micronutrient characteristics of epileptic children and recurrence of seizure. Read More

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