10,271 results match your criteria palsy underwent

[Clinical outcomes of vocal fold immobility after tracheal intubation].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Sep;53(2):337-340

Department of Anesthesiology, First Hospital, Peking University, Beijing 100034, China.

Objective: To assess the incidence of postoperative vocal cord immobility in patients following endotracheal intubation underwent general anesthesia.

Methods: We retrospectively enrolled patients who underwent surgical procedures with endotracheal intubation under general anesthesia from January 2014 to December 2018 in Peking University First Hospital. Demographic and treatment data were obtained for patients with hoarseness and vocal cord fixation. Read More

View Article and Full-Text PDF
September 2020

Alpha-synuclein seeds in olfactory mucosa and cerebrospinal fluid of patients with dementia with Lewy bodies.

Brain Commun 2021 22;3(2):fcab045. Epub 2021 Mar 22.

Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona, Policlinico G. B. Rossi, 37134 Verona, Italy.

In patients with suspected dementia with Lewy bodies, the detection of the disease-associated α-synuclein in easily accessible tissues amenable to be collected using minimally invasive procedures remains a major diagnostic challenge. This approach has the potential to take advantage of modern molecular assays for the diagnosis of α-synucleinopathy and, in turn, to optimize the recruitment and selection of patients in clinical trials, using drugs directed at counteracting α-synuclein aggregation. In this study, we explored the diagnostic accuracy of α-synuclein real-time quaking-induced conversion assay by testing olfactory mucosa and CSF in patients with a clinical diagnosis of probable ( = 32) or prodromal ( = 5) dementia with Lewy bodies or mixed degenerative dementia (dementia with Lewy bodies/Alzheimer's disease) ( = 6). Read More

View Article and Full-Text PDF

Experience with the use of intraoperative continuous nerve monitoring in video-assisted neck surgery and external cervical incisions.

Laryngoscope Investig Otolaryngol 2021 Apr 26;6(2):346-353. Epub 2021 Feb 26.

Department of Head and Neck Surgery Kanazawa Medical University Kahoku Ishikawa Japan.

Objectives: Recurrent laryngeal nerve (RLN) injury is one of the severe complications in thyroid surgery. Therefore, intraoperative nerve monitoring (IONM) has been widely used to identify the RLN and confirm its integrity. Recently, the usefulness of continuous IONM (CIONM) with automatic, periodic stimulation to the vagus nerve during thyroid surgery was reported. Read More

View Article and Full-Text PDF

Conjoint muscle transfer and subscapularis slide in brachial plexus birth palsy: Clinical outcomes in shoulder functions.

Med J Armed Forces India 2021 Apr 5;77(2):181-186. Epub 2020 Aug 5.

Resident, Department of Surgery, Armed Forces Medical College, Pune, India.

Background: Shoulder deformity and inadequate shoulder function in brachial plexus birth palsy (BPBP) occur due to imbalance between the shoulder abductors, external rotators, adductors and internal rotators. This is due to cross innervation of the regenerating axons and subsequent target muscle innervation. These lead to internal rotation deformity along with glenohumeral dysplasia. Read More

View Article and Full-Text PDF

Surgical outcomes of minimally invasive cerclage clamping technique using a pointed reduction clamp for reduction of nonisthmal femoral shaft fractures.

Injury 2021 Apr 7. Epub 2021 Apr 7.

Department of Orthopedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul 08308, Republic of Korea. Electronic address:

Background: We modified the general application method of the pointed reduction clamp, focusing on the function of encompassing the fracture site, and applied it to femoral shaft fractures. The purpose of the present study is to describe the minimally invasive cerclage clamping technique (MICC) and compare radiological and clinical results of MICC with that of percutaneous cerclage wiring (PCW).

Materials And Methods: A retrospective comparative study was performed in two institutions from 2010 to 2019. Read More

View Article and Full-Text PDF

Neonates with Right Aortic Arch Requiring Arch Reconstruction: A Single-Institution Experience.

Ann Thorac Surg 2021 Apr 14. Epub 2021 Apr 14.

Boston Children's Hospital, Harvard Medical School, Department of Cardiac Surgery, Boston, MA. Electronic address:

Background: Reconstruction of a right aortic arch (RAA) is rarely required in the newborn period and has rarely been reported.

Methods: All patients who underwent a RAA repair in the neonatal period from a single institution were retrospectively reviewed. The primary outcome measures included survival, complications, and reintervention. Read More

View Article and Full-Text PDF

Awake CT-guided percutaneous stylomastoid foramen puncture and radiofrequency ablation of facial nerve for treatment of hemifacial spasm.

J Neurosurg 2021 Apr 16:1-7. Epub 2021 Apr 16.

2Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California.

Objective: Hemifacial spasm (HFS) is a debilitating neuromuscular disorder with limited treatment options. The current study describes a novel minimally invasive procedure that provided effective and sustained relief for patients with HFS. The authors provide a detailed description of the awake CT-guided percutaneous radiofrequency ablation (RFA) of the facial nerve for treatment of HFS, and they examine its clinical efficacy. Read More

View Article and Full-Text PDF

[Effect of modified lateral mass screws implantation strategy on axial symptoms in cervical expansive open-door laminoplasty].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Apr;35(4):445-452

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To investigate the effect of modified lateral mass screws implantation strategy on axial symptoms in cervical expansive open-door laminoplasty.

Methods: A clinical data of 166 patients, who underwent cervical expansive open-door laminoplasty between August 2011 and July 2016 and met the selection criteria, was retrospective analyzed. Among them, 81 patients were admitted before August 2014 using the traditional mini-plate placement and lateral mass screws implantation strategy (control group), and 85 patients were admitted after August 2014 using modified lateral mass screws implantation strategy (modified group). Read More

View Article and Full-Text PDF

Integrated F-T807 Tau PET, Structural MRI, and Plasma Tau in Tauopathy Neurodegenerative Disorders.

Front Aging Neurosci 2021 29;13:646440. Epub 2021 Mar 29.

Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.

Tau-specific positron emission topography (PET) imaging enables assessment of Alzheimer's disease (AD). We aimed to investigate its performance in combination with plasma tau levels in patients with non-AD tauopathy. A total of 47 participants were enrolled, including 10 healthy controls, 16 with tauopathy parkinsonism syndromes (9 with corticobasal syndrome [CBS], 7 with progressive supranuclear palsy [PSP]), 9 with frontotemporal dementia (FTD), 4 with AD, and 8 with Parkinson's disease (PD). Read More

View Article and Full-Text PDF

Long-term outcomes of dual innervation in functional muscle transfers for facial palsy.

J Plast Reconstr Aesthet Surg 2021 Mar 22. Epub 2021 Mar 22.

 St Andrews' Centre of Plastic and Reconstructive Surgery, Broomfield Hospital, Chelmsford, CM1 7ET, United Kingdom.

Background: This study describes a different approach with a 2-stage facial reanimation in patients with long-standing unilateral facial paralysis using free gracilis muscle transfer, innervated by both cross-facial nerve graft and masseteric nerve. The authors present their rationale, surgical technique, and long-term outcomes.

Methods: Between August 2012 and March 2016, 11 patients (6 female and 5 male patients) underwent a 2-staged dually innervated gracilis muscle transfer. Read More

View Article and Full-Text PDF

Blink reflex monitoring in microvascular decompression for trigeminal neuralgia.

Neurol Res 2021 Apr 15:1-4. Epub 2021 Apr 15.

Department of Neurological Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

: To determine the value of the blink reflex in evaluating trigeminal sensory function during microvascular decompression for trigeminal neuralgia.: The blink reflex (BR) in 103 patients with primary typical trigeminal neuralgia treated by microvascular decompression (MVD) was tested pre- and intraoperatively. The changes in BR were recorded. Read More

View Article and Full-Text PDF

Chimeric Latissimus Dorsi Flap in One-Stage Reconstruction of Depressor Muscle Dysfunction and Depression Deformity in the Perimandibular Area.

J Craniofac Surg 2021 Mar 25. Epub 2021 Mar 25.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo Department of Plastic and Reconstructive Surgery, Graduate School of Science, Tokyo Medical and Dental University, Tokyo, Japan.

Background: Depression deformity and paralysis of depressor muscles (DMs) may occur following tumor resection in the perimandibular region. Obtaining satisfactory results is challenging. The authors report 3 cases of 1-stage reconstruction by transferring neurovascular chimeric latissimus dorsi (LD) musculo-adipose flaps, with satisfactory results. Read More

View Article and Full-Text PDF

C5 Palsy after Cervical Laminectomy: Natural History in a 10 year Series.

Spine J 2021 Apr 10. Epub 2021 Apr 10.

Department of Neurosurgery, Loyola University Medical Center, 2160 S 1(st) Ave Maywood, IL, USA. Electronic address:

Background Context: C5 palsy is a well-known complication following cervical laminectomy, however the cause of this complication remains elusive, with many studies providing conflicting reports on prognosis and the impact of specific risk factors.

Purpose: To describe the natural history of and risk factors for C5 palsy after first time cervical laminectomy involving C4 and/or C5, in a large series with a high rate of postoperative palsy.

Study Design/setting: This is a retrospective case series. Read More

View Article and Full-Text PDF

Combined contralateral C7 to C7 and L5 to S1 cross nerve transfer for treating limb hemiplegia after stroke.

Br J Neurosurg 2021 Apr 10:1-4. Epub 2021 Apr 10.

Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.

Background: Contralateral C7 to C7 cross nerve transfer has been proved to be safe and effective for patients with spastic arm paralysis due to stroke and traumatic brain injury. For the lower limb, contralateral L5 to S1 cross nerve transfer serves as a novel surgical approach. In many cases, patients with hemiplegia have both upper and lower limb dysfunction and hope to restore all limb functions within one operation. Read More

View Article and Full-Text PDF

Patient Self-Assessment and Acoustic Voice Analysis in Screening of Postoperative Vocal Fold Paresis and Paralysis.

Scand J Surg 2021 Apr 12:14574969211007036. Epub 2021 Apr 12.

Heart Center, Kuopio University Hospital, Kuopio, Finland.

Background And Aims: The aim of this study was to evaluate the utility of two items in vocal fold paresis and paralysis screening after thyroid and parathyroid surgery: patient self-assessment of voice using the Voice Handicap Index and computer-based acoustic voice analysis using the Multi-Dimensional Voice Program.

Materials And Methods: This was a prospective study of 181 patients who underwent thyroid or parathyroid surgery over a 1-year study period (2017). Preoperatively, all patients underwent laryngoscopic vocal fold inspection and acoustic voice analysis, and they completed the Voice Handicap Index questionnaire. Read More

View Article and Full-Text PDF

Prolonged balloon occlusion of the lower abdominal aorta during pelvic or sacral tumor resection.

Ann Transl Med 2021 Mar;9(5):416

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, China.

Background: To explore the efficacy of lower abdominal aorta balloon occlusion technology in pelvis and sacral tumor surgery and to assess the safety of prolonged balloon occlusion.

Methods: From January 2008 to January 2017, 81 patients were diagnosed with sacrum or pelvic tumor and underwent surgery in our institution. Balloon catheters were placed through the femoral artery to occlude the abdominal aorta of the pelvic tumor and sacrum region undergoing tumor resection. Read More

View Article and Full-Text PDF

Impact of tranexamic acid on blood loss and transfusion rate in children with cerebral palsy undergoing hip reconstruction with two or more osteotomies.

Eur J Orthop Surg Traumatol 2021 Apr 11. Epub 2021 Apr 11.

Division of Pediatric Orthopedics, Department of Orthopedic Surgery, Hassenfeld Children's Hospital at NYU Langone, NYU Langone Health, 301 E 17 Street, New York, NY, 1003, USA.

Purpose: Tranexamic acid (TXA), a synthetic lysine analogue, has been used in orthopedic procedures to limit blood loss and prevent allogeneic blood transfusions. However, data are scarce on its use in hip reconstruction of patients with cerebral palsy (CP). This study examines the effect of TXA on patients with CP undergoing hip reconstruction with at least two osteotomies. Read More

View Article and Full-Text PDF

Neuropathological correlation supports automated image-based differential diagnosis in parkinsonism.

Eur J Nucl Med Mol Imaging 2021 Apr 10. Epub 2021 Apr 10.

Center for Neurosciences, The Feinstein Institutes for Medical Research, 350 Community Drive, Manhasset, NY, 11030, USA.

Purpose: Up to 25% of patients diagnosed as idiopathic Parkinson's disease (IPD) have an atypical parkinsonian syndrome (APS). We had previously validated an automated image-based algorithm to discriminate between IPD, multiple system atrophy (MSA), and progressive supranuclear palsy (PSP). While the algorithm was accurate with respect to the final clinical diagnosis after long-term expert follow-up, its relationship to the initial referral diagnosis and to the neuropathological gold standard is not known. Read More

View Article and Full-Text PDF

A Standardized Order-Set Improves Variability in Opioid Discharge Prescribing Patterns After Surgical Fixation of Pediatric Supracondylar Humerus Fractures.

J Surg Educ 2021 Apr 7. Epub 2021 Apr 7.

Medical University of South Carolina Department of Orthopaedics and Physical Medicine, Charleston, South Carolina. Electronic address:

Objective: To evaluate institutional opioid prescribing patterns following percutaneous fixation of pediatric supracondylar humerus fractures before and after implementation of a standardized discharge order set.

Design: A retrospective review of patients who underwent closed reduction and percutaneous skeletal fixation of a Type II or III supracondylar humerus fracture in 2017 (prior to pain protocol implementation) and again in 2019 (after pain protocol implementation) SETTING: Single Tertiary Care Children's Hospital PARTICIPANTS: In total, 106 patients met inclusion criteria between years 2017 (n = 49) and 2019 (n = 57). Exclusion criteria included miscoded patients, open fractures, patients who presented with vascular injury or nerve palsy, polytrauma patients with multiple fractures in the same upper extremity, and supracondylar humerus fractures that underwent an open procedure. Read More

View Article and Full-Text PDF

Management of facial nerve schwannoma: when is the timing for surgery.

Eur Arch Otorhinolaryngol 2021 Apr 8. Epub 2021 Apr 8.

Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.

Purpose: Although the estimated prevalence is extremely low, facial nerve schwannoma (FNS) is the most common primary tumor of the facial nerve (FN). In the present study, the outcome of surgical management in 18 patients with FNS was analyzed and an appropriate time for surgery was proposed.

Materials And Methods: A total of 18 patients with FNS who underwent surgical management by a single surgeon from 1999 to 2018 were retrospectively analyzed. Read More

View Article and Full-Text PDF

A New Neurorehabilitative Postsurgery Intervention for Facial Palsy Based on Smile Observation and Hand-Mouth Motor Synergies.

Neural Plast 2021 24;2021:8890541. Epub 2021 Mar 24.

Unit of Neuroscience, Department of Medicine and Surgery, University of Parma, Italy.

Objective: To perform a preliminary test of a new rehabilitation treatment (FIT-SAT), based on mirror mechanisms, for gracile muscles after smile surgery.

Method: A pre- and postsurgery longitudinal design was adopted to study the efficacy of FIT-SAT. Four patients with bilateral facial nerve paralysis (Moebius syndrome) were included. Read More

View Article and Full-Text PDF

Intrapartum opioid analgesia and childhood neurodevelopmental outcomes among infants born preterm.

Am J Obstet Gynecol MFM 2021 Apr 5:100372. Epub 2021 Apr 5.

Center for Women's Reproductive Health, University of Alabama at Birmingham; Department of Obstetrics and Gynecology, University of Alabama at Birmingham.

Background: There are concerns regarding neurobehavioral changes in infants exposed to parenteral opioids during labor, yet long-term neurodevelopment remains unstudied.

Objective: We aimed to examine the association between parenteral opioids for labor analgesia and perinatal outcomes and childhood neurodevelopment until two years of age among infants born preterm. We hypothesized that intrapartum exposure to parenteral opioids is associated with impaired neurodevelopment and adverse perinatal outcomes. Read More

View Article and Full-Text PDF

Management of Multiple Head and Neck Paragangliomas With Assistance of a 3-D Model.

Ear Nose Throat J 2021 Apr 8:1455613211009441. Epub 2021 Apr 8.

Department of Otolaryngology-Head and Neck Surgery, 1500Johns Hopkins School of Medicine, Baltimore, MD, USA.

Introduction: Extirpation of multiple head and neck paragangliomas carries challenge due to close anatomic relationships with critical neurovascular bundles.

Objectives: This study aims to assess whether the application of 3-D models can assist with surgical planning and treatment of these paragangliomas, decrease surgically related morbidity and mortality.

Methods: Fourteen patients undergoing surgical resection of multiple head and neck paragangliomas were enrolled in this study. Read More

View Article and Full-Text PDF

The Use of Halo Gravity Traction in Severe, Stiff Scoliosis.

J Pediatr Orthop 2021 Apr 8. Epub 2021 Apr 8.

Department of Orthopaedic Surgery, Hospital for Sick Children, Toronto, ON, Canada Department of Trauma and Orthopaedic Surgery, Mater Misericordiae University Hospital and Children's University Hospital, Rotunda, Dublin, Ireland.

Purpose: The correction of severe, stiff scoliosis in children is challenging. One method used to reduce the risk is preoperative halo gravity traction (HGT). In this study, the authors sought to define the efficiency and safety of HGT and characterize the chronology of the correction seen. Read More

View Article and Full-Text PDF

Auricular reconstruction using Medpor combined with different hearing rehabilitation approaches for microtia.

Acta Otolaryngol 2021 Apr 6:1-7. Epub 2021 Apr 6.

Department of Otolaryngology-Head and Neck Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; Institute of Otology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: Congenital microtia-atresia affects patients in two specific ways: severe conductive hearing loss and difficulty in integrating into social environments due to auricle malformation.

Aims/objectives: To investigate the safety and efficacy of single-stage auricular reconstruction and hearing rehabilitation in children with microtia and external auditory canal atresia.

Material And Methods: From January 2016 to December 2019, we included 32 patients with microtia and external canal atresia who received auricle reconstruction with high-density polyethylene (Medpor) framework and three different hearing rehabilitation approaches at the Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine. Read More

View Article and Full-Text PDF

Recurrence of knee flexion contracture after surgical correction in children with cerebral palsy.

Int Orthop 2021 Apr 6. Epub 2021 Apr 6.

Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.

Purpose: Knee flexion contracture (FC) and crouch gait are challenging to treat in children with cerebral palsy (CCP), and recurrent knee FC after surgery is a severe complication. The aim was to identify factors associated with recurrent knee FC after surgery.

Methods: The records of 62 CCP (age 10. Read More

View Article and Full-Text PDF

Challenging Microvascular Decompression Surgery for Hemifacial Spasm.

World Neurosurg 2021 Apr 2. Epub 2021 Apr 2.

Department of Neurosurgery, Konkuk University Medical Center, Seoul, Korea. Electronic address:

Objective: Microvascular decompression (MVD) is the most effective treatment for hemifacial spasm (HFS). However, surgical difficulties due to complex anatomy or revision surgery can endanger the functional integrity of the brainstem. We describe surgically challenging cases and provide operative guidance that may be helpful for neurosurgeons who perform MVDs. Read More

View Article and Full-Text PDF

Right-sided Zenker's diverticulum resected using intraoperative neuromonitoring.

Clin J Gastroenterol 2021 Apr 4. Epub 2021 Apr 4.

Department of Surgical Oncology, Gifu University School of Medicine, 1-1 Yanagido, Gifu, 501-1194, Japan.

Right-sided Zenker's diverticulum is a rare pharyngoesophageal diverticulum. The risk of intraoperative injury of the recurrent laryngeal nerve is high during transcervical diverticulectomy because this nerve presents many variations of extralaryngeal bifurcation before entry into the larynx. We present a case of right-sided Zenker's diverticulum that was safely resected with the use of intraoperative neuromonitoring to prevent right recurrent laryngeal nerve injury. Read More

View Article and Full-Text PDF

Effects of peripheral nerve stimulation on paralysed upper limb functional recovery in chronic stroke patients undergoing low-frequency repetitive transcranial magnetic stimulation and occupational therapy: A pilot study.

Hong Kong J Occup Ther 2020 Jun 7;33(1):3-11. Epub 2020 Apr 7.

Kakeyu Hospital, Japan.

Objective: Upper limb paralysis, which is a sequela of stroke, limits patients' activities of daily living and lowers quality of life. The objective of this study was to examine the effects of peripheral nerve stimulation on hemiparetic upper limb functional recovery in chronic stroke patients undergoing low-frequency repetitive transcranial magnetic stimulation and occupational therapy.

Methods: The subjects were chronic stroke patients who participated in a two-week inpatient programme including repetitive transcranial magnetic stimulation and occupational therapy. Read More

View Article and Full-Text PDF

Body Composition and Metabolic Assessment After Motor Complete Spinal Cord Injury: Development of a Clinically Relevant Equation to Estimate Body Fat.

Top Spinal Cord Inj Rehabil 2021 ;27(1):11-22

Spinal Cord Injury and Disorders Center, Hunter Holmes McGuire VA Medical Center, Richmond, Virginia.

Obesity is at epidemic proportions in the population with spinal cord injury (SCI), and adipose tissue (AT) is the mediator of the metabolic syndrome. Obesity, however, has been poorly appreciated in SCI because of the lack of sensitivity that body mass index (BMI) conveys for obesity risk in SCI without measuring AT. The specific objectives were to compare measures of body composition assessment for body fat with the criterion standard 4-compartment (4C) model in persons with SCI, to develop a regression equation that can be utilized in the clinical setting to estimate fat mass (FM), and to determine cardiometabolic risk using surrogates of obesity in a current model of metabolic syndrome. Read More

View Article and Full-Text PDF