Search results for "Paralysi"

Posterior cordotomy in bilateral vocal cord paralysis using monopolar microelectrodes and radiofrequency in 18 patient

2017

Baclofenintoxikation bei chronischer Hämodialyse und Nierentransplantation

2008

Fourteen days after renal transplantation, at first gave with good transplant function, a 36-year-old woman developed neurogenic dysfunction of bladder emptying. This was treated with baclofen, 5 mg three times daily by mouth. Between the 7th and 10th treatment day she progressively developed an organic psychotic syndrome and increasing respiratory paralysis after the onset of renal failure, associated with rejection of the transplanted kidney which required dialysis. Plasma concentration of baclofen was 565 ng/ml (therapeutic range 80-400 ng/ml). After discontinuing the drug and renewed haemodialysis the baclofen level rapidly fell and the symptoms receded. In a second case, a 57-year-old …

Localization of emotional and volitional facial paresis.

1992

Emotional facial paresis is characterized by impaired activation of face muscles with emotion but normal voluntary activation. We report seven patients with this sign. Their lesions involved the frontal lobe white matter, the striatocapsular territory, the anterolateral thalamus and insula, the posterior thalamus and operculum, and the mesial temporal lobe and insula each in one patient, and the posterior thalamus in two patients. Volitional facial paresis affects facial movements with voluntary effort, sparing activation on emotion. We report four such patients, with lesions involving the motor cortex in one and the pyramidal tract in the cerebral hemisphere in three.

Treatment of chronic mandibular dislocations by eminectomy: follow-up of 10 cases and literature review.

2008

Introduction: Temporomandibular joint (TMJ) dislocation is defined as an excessive forward movement of the condyle beyond the articular eminence, with complete separation of the articular surfaces and fixation in that position. Objectives: To report ten cases treated by eminectomy for chronic mandibular dislocations, to evaluate the results of these surgeries and make a critical review of the literature. Methods: The sample was obtained from the records of the Department of Oral and Maxillofacial Surgery, University of Pernambuco and comprises cases submitted to chronic mandibular dislocation treatment by eminectomy between 2002 and 2007. Pre- and postoperative assessment included a thoroug…

Le corps vécu et l’expérience du handicap

2008

RésuméCet article fait état d’un dialogue avec M. Marcel Nuss, atteint depuis l’enfance d’une grave amyotrophie spinale, à propos de l’expérience du corps vécu. Il s’agit d’abord de décrire la manière dont une personne ordinaire ressent son corps, notamment par l’intermédiaire de la phénoménologie de Maurice Merleau-Ponty, puis de confronter certaines hypothèses à l’expérience d’une personne en situation de handicap. Le corps vécu ou corps propre désigne ici une expérience consciente du corps comme puissance d’action au sens de Merleau-Ponty, comme enveloppe corporelle au sens de D. Anzieu, enfin comme unité proprioceptive. Nous nous demanderons dans quelle mesure nous pouvons approcher l’e…

Uvular paralysis after dental anesthesia

2002

Cranial nerve motor effects resulting from intraoral anesthesia are infrequent but well documented. Facial nerve involvement caused by diffusion of the anesthetic solution towards the parotid can give rise to a transient facial motor defect that tends to disappear as the anesthetic effect wears off.1,2 Facial paralysis lasting for several days has also been related to intraoral anesthesia, possibly due to reflex spasm and ischemic neuritis.1,3 One report described a patient with isolated involvement of the chorda tympani nerve following inferior alveolar injection, associated with dysgeusia.4 Ophthalmologic complications secondary to intraoral anesthesia include transient blindness resultin…

Ultrasonography for the diagnosis of Lyme disease in cases of acute facial paralysis.

1992

Ultrasonography of the parotid gland was introduced in 1989 as part of the diagnostic protocol of every patient treated in our clinics with acute facial paralysis. Ten of 50 patients so tested were found to have unilateral nonpalpable enlarged lymph nodes in the caudal portion of the parotid gland around the stylomastoid foramen. All 10 patients were eventually diagnosed as having Lyme disease. It is suggested that in patients with acute facial paralysis, ultrasonography is an inexpensive tool to improve diagnosis of Lyme disease and may have a more useful purpose in monitoring therapy.

Effect of Electrical Stimulation on Denervated Muscle

1986

The possibilities of noninvasive treatment in peripheral nerve injuries are limited. Although it is well known that the severance of a nerve results in paralysis of the dependent tissue, the methods of treating a denervated muscle are still controversial. The most obvious result of denervation is muscle atrophy and paralysis. In 1841 Reid forced the denervated muscle to contract by electrical stimulation to replace the loss of activity and observed that this treatment retarded atrophy. Since then, there has been continuing interest in preventing muscle atrophy with electrotherapy. Peripheral nerve injuries in the two world wars were, for instance, extensively treated with electrical stimula…

Effect of unilateral diaphragmatic paralysis on postpneumonectomy lung growth.

2013

Respiratory muscle-associated stretch has been implicated in normal lung development (fetal breathing movements) and postpneumonectomy lung growth. To test the hypothesis that mechanical stretch from diaphragmatic contraction contributes to lung growth, we performed left phrenic nerve transections (PNT) in mice with and without ipsilateral pneumonectomy. PNT was demonstrated by asymmetric costal margin excursion and confirmed at autopsy. In mice with two lungs, PNT was associated with a decrease in ipsilateral lung volume ( P < 0.05) and lung weight ( P < 0.05). After pneumonectomy, PNT was not associated with a change in activity level, measureable hypoxemia, or altered minute venti…

Successful application of preimplantation genetic diagnosis for hypokalaemic periodic paralysis.

2009

Hypokalaemic periodic paralysis is a rare dominant inherited disease where a person suffers sudden falls of circulating potassium concentrations, producing muscle weakness and sometimes severe paralysis. Attacks can occur as frequently as several times a day or once in a year. The age of onset is usually adolescence but symptoms can appear as early as 10 years of age. Muscle weakness can compromise vital functions such as breathing or swallowing and heart arrhythmias are also frequent during attacks. Preimplantation genetic diagnosis, an early form of prenatal diagnosis for couples at risk of transmitting inherited diseases, was used to prevent the transmission of this disease. Six polymorp…