Database : MEDLINE
Search on : Hemiplegia [Words]
References found : 11842 [refine]
Displaying: 1 .. 10   in format [Detailed]

page 1 of 1185 go to page                         

  1 / 11842 MEDLINE  
              next record last record
select
to print
Photocopy
Full text

[PMID]: 25549193
[Au] Autor:Hua XY; Qiu YQ; Li T; Zheng MX; Shen YD; Jiang S; Xu JG; Gu YD; Xu WD
[Ad] Address:‡Department of Hand Surgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China; ¶Department of Hand and Upper Extremity Surgery, Jing'an District Central Hospital, Shanghai, China; §State Key Laboratory of Medical Neurobiology, Fudan University, Shanghai, China.
[Ti] Title:Contralateral peripheral neurotization for hemiplegic upper extremity after central neurologic injury.
[So] Source:Neurosurgery;76(2):187-95, 2015 Feb.
[Is] ISSN:1524-4040
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Central neurological injury (CNI) is a major contributor to physical disability that affects both adults and children all over the world. The main sequelae of chronic stage CNI are spasticity, paresis of specific muscles, and poor selective motor control. Here, we apply the concept of contralateral peripheral neurotization in spasticity releasing and motor function restoration of the affected upper extremity. OBJECTIVE: A clinical investigation was performed to verify the clinical efficacy of contralateral C7 neurotization for rescuing the affected upper extremity after CNI. METHODS: In the present study, 6 adult hemiplegia patients received the nerve transfer surgery of contralateral C7 to C7 of the affected side. Another 6 patients with matched pathological and demographic status were assigned to the control group that received rehabilitation only. During the 2-year follow-up, muscle strength of bilateral upper extremities was assessed. The Modified Ashworth Scale and Fugl-Meyer Assessment Scale were used for evaluating spasticity and functional use of the affected upper extremity, respectively. RESULTS: Both flexor spasticity release and motor functional improvements were observed in the affected upper extremity in all 6 patients who had surgery. The muscle strength of the extensor muscles and the motor control of the affected upper extremity improved significantly. There was no permanent loss of sensorimotor function of the unaffected upper extremity. CONCLUSION: This contralateral C7 neurotization approach may open a door to promote functional recovery of upper extremity paralysis after CNI. ABBREVIATIONS: CNI, central neurological injury.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1501
[Js] Journal subset:IM
[St] Status:In-Data-Review
[do] DOI:10.1227/NEU.0000000000000590

  2 / 11842 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
PubMed Central Full text
Full text

[PMID]: 25587466
[Au] Autor:Devue K; Van Ingelgem A; De Keukeleire K; De Leeuw M
[Ad] Address:Department of Emergency Medicine, ASZ Aalst, 9300 Aalst, Belgium....
[Ti] Title:A vertebral artery dissection with basilar artery occlusion in a child.
[So] Source:Case Rep Emerg Med;2014:706147, 2014.
[Is] ISSN:2090-648X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:This paper presents the case report of an 11-year-old boy with an acute dissection with thrombosis of the left vertebral artery and thrombosis of the basilar artery. The patient was treated with acute systemic thrombolysis, followed by intra-arterial thrombolysis, without any clinical improvement, showing left hemiplegia, bilateral clonus, hyperreflexia, and impaired consciousness. MRI indicated persistent thrombosis of the arteria basilaris with edema and ischemia of the right brainstem. Heparinization for 72 hours, followed by a two-week LMWH treatment and subsequent oral warfarin therapy, resulted in a lasting improvement of the symptoms. Vertebral artery dissection after minor trauma is rare in children. While acute basilar artery occlusion as a complication is even more infrequent, it is potentially fatal, which means that prompt diagnosis and treatment are imperative. The lack of class I recommendation guidelines for children regarding treatment of vertebral artery dissection and basilar artery occlusion means that initial and follow-up management both require a multidisciplinary approach to coordinate emergency, critical care, interventional radiology, and child neurology services.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1501
[Cu] Class update date: 150116
[Lr] Last revision date:150116
[Da] Date of entry for processing:150114
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1155/2014/706147

  3 / 11842 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
PubMed Central Full text
Full text

[PMID]: 24886278
[Au] Autor:Jang SH; Yeo SS
[Ti] Title:Recovery of an injured corticoreticular pathway via transcallosal fibers in a patient with intracerebral hemorrhage.
[So] Source:BMC Neurol;14:108, 2014.
[Is] ISSN:1471-2377
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Several studies have reported on injury of the corticoreticular pathway (CRP), however, little is known about the mechanism for recovery of an injured CRP. We report on a patient with intracerebral hemorrhage (ICH) who showed recovery of an injured CRP via transcallosal fibers, which was demonstrated by diffusion tensor tractography (DTT). CASE PRESENTATION: A 67-year-old man presented with complete paralysis (Medical Research Council: 0/5) of the left extremities at the onset of a right putaminal hemorrhage. At six weeks after onset, he presented with more severe weakness of proximal joint muscles than distal joint muscles (right shoulder abductor; 2-, finger extensor; 3+, hip flexor; 2+, ankle dorsiflexor; 3). Although his right hemiplegia had recovered well, he consistently showed more severe proximal weakness (right shoulder abductor; 3, finger extensor; 4, hip flexor; 3+, ankle dorsiflexor; 4) until 16 weeks after onset. On both six- and 16-week DTTs, in the left (affected) hemisphere, the CRP showed severe narrowing with discontinuation of the anterior fibers at the corona radiata on six-week DTT, however, the discontinued anterior fibers of the CRP were connected to the right cerebral cortex via transcallosal fibers on 16-week DTT. CONCLUSION: We demonstrated recovery of an injured CRP via transcallosal fibers in a patient with ICH. We believe that this might be a mechanism for recovery of an injured CRP.
[Mh] MeSH terms primary: Cerebral Cortex/injuries
Cerebral Hemorrhage/pathology
Corpus Callosum/injuries
Neural Pathways/injuries
Reticular Formation/injuries
[Mh] MeSH terms secundary: Aged
Cerebral Cortex/pathology
Cerebral Hemorrhage/therapy
Corpus Callosum/pathology
Diffusion Tensor Imaging
Humans
Male
Nerve Fibers/pathology
Neural Pathways/pathology
Recovery of Function
Reticular Formation/pathology
Transcranial Magnetic Stimulation
Treatment Outcome
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1501
[Js] Journal subset:IM
[Da] Date of entry for processing:140604
[St] Status:MEDLINE
[do] DOI:10.1186/1471-2377-14-108

  4 / 11842 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 25448211
[Au] Autor:Feng L; Chen J; Lv CF; Liu J
[Ad] Address:Jining First People's Hospital, Department of Neurosurgery, Jining, Shandong, China.
[Ti] Title:Intra-arterial infusion of tirofiban and urokinase for thromboembolic complications during coil embolization of ruptured intracranial aneurysms.
[So] Source:Turk Neurosurg;24(6):929-36, 2014.
[Is] ISSN:1019-5149
[Cp] Country of publication:Turkey
[La] Language:eng
[Ab] Abstract:AIM: To investigate the effectiveness and safety of intra-arterial tirofiban and urokinase for thromboembolic complications during detachable coil treatment of ruptured intracranial aneurysms. MATERIAL AND METHODS: Fourteen patients who had a thromboembolic complication during detachable coil treatment of ruptured cerebral aneurysms from May 2011 to October 2013 were enrolled in this study. Within one hour of thrombus formation, patients underwent intra-arterial infusion of tirofiban plus urokinase with digital subtraction angiography monitoring. Blood flow was checked every 5 min with angiography until complete or partial recanalization of the occluded artery occurred. RESULTS: Of the 14 patients, 10 exhibited complete recanalization immediately after the thrombolytic treatment, and had no neurological dysfunction except one patient with mild hemiplegia. Two patients with partial recanalization exhibited mild neurological dysfunction and one died of cardiac infarction during the recovery period. Two patients had intracranial hemorrhage. In one of these, this was caused by rupture of the aneurysm and the patient died during the thrombolytic treatment. In the remaining patient, intracranial hemorrhage was caused by a puncture of the left posterior internal frontal artery caused by mechanical thrombolysis. CONCLUSION: Intra-arterial administration of tirofiban plus urokinase is an effective and safe treatment for thromboembolism during detachable coil treatment of ruptured intracranial aneurysms.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1412
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.5137/1019-5149.JTN.12006-14.1

  5 / 11842 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 25282541
[Au] Autor:Goliszek S; Wisniewska M; Kurnicka K; Lichodziejewska B; Ciurzynski M; Kostrubiec M; Golebiowski M; Babiuch M; Paczynska M; Koc M; Palczewski P; Wyzgal A; Pruszczyk P
[Ad] Address:Dept. of Internal Medicine and Cardiology, Medical University of Warsaw, Poland....
[Ti] Title:Patent foramen ovale increases the risk of acute ischemic stroke in patients with acute pulmonary embolism leading to right ventricular dysfunction.
[So] Source:Thromb Res;134(5):1052-6, 2014 Nov.
[Is] ISSN:1879-2472
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Patent foramen ovale (PFO) is an established risk factor for ischemic stroke. Since acute right ventricular dysfunction (RVD) observed in patients with PE can lead to right-to-left inter-atrial shunt via PFO, we hypothesized that PFO is a risk factor for ischemic stroke in PE with significant right ventricular dysfunction. METHODS: 55 patients (31 F, 24M), median age 49 years (range 19-83 years) with confirmed PE underwent echocardiography for RVD and PFO assessment. High risk acute PE was diagnosed in 3 (5.5%) patients, while 16 (29%) hemodynamically stable with RVD patients formed a group with intermediate-risk PE. PFO was diagnosed in 19 patients (34.5%). Diffusion-weighted MRI of the brain for acute ischemic stroke (AIS) was performed in all patients 4.91 ± 4.1 days after admission. RESULTS: AIS was detected by MRI in 4 patients (7.3%). Only one stroke was clinically overt and resulted in hemiplegia. All 4 AIS occurred in the PFO positive group (4 of 19 patients), and none in subjects without PFO (21.0% vs 0%, p=0.02). Moreover, all AIS occurred in patients with RVD and PFO, and none in patients with PFO without RVD (50% vs 0%, p=0.038). CONCLUSION: Our data suggest that acute pulmonary embolism resulting in right ventricular dysfunction may lead to acute ischemic stroke in patients with patent foramen ovale. However, the clinical significance of such lesions remains to be determined.
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1412
[Js] Journal subset:IM
[St] Status:In-Process

  6 / 11842 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
PubMed Central Full text
Full text

[PMID]: 25566058
[Au] Autor:Pereira VC; de Freitas CC; Luvizutto GJ; Sobreira ML; Peixoto DE; Magalhães Ido N; Bazan R; Braga GP
[Ad] Address:Department of Neurology, University Estadual Paulista Júlio de Mesquita Filho, Botucatu, Brazil....
[Ti] Title:Stroke as the First Clinical Manifestation of Takayasu's Arteritis.
[So] Source:Case Rep Neurol;6(3):271-4, 2014 Sep.
[Is] ISSN:1662-680X
[Cp] Country of publication:Switzerland
[La] Language:eng
[Ab] Abstract:Takayasu's arteritis is a chronic inflammatory disease, and neurological symptoms occur in 50% of cases, most commonly including headache, dizziness, visual disturbances, convulsive crisis, transient ischemic attack, stroke and posterior reversible encephalopathy syndrome. The aim of this study was to report the case of a young Brazilian female with a focal neurological deficit. She presented with asymmetry of brachial and radial pulses, aphasia, dysarthria and right hemiplegia. Stroke was investigated extensively in this young patient. Only nonspecific inflammatory markers such as velocity of hemosedimentation and C-reactive protein were elevated. During hospitalization, clinical treatment was performed with pulse therapy showing improvement in neurological recuperation on subsequent days. In the chronic phase, the patient was submitted to medicated angioplasty of the brachiocephalic trunk with paclitaxel, with significant improvement of the stenosis. At the 6-month follow-up, the neurological exam presented mild dysarthria, faciobrachial predominant disproportionate hemiparesis, an NIHSS score of 4 and a modified Rankin Scale score of 3 (moderate incapacity). In conclusion, Takayasu's arteritis must be recognized as a potential cause of ischemic stroke in young females.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1501
[Cu] Class update date: 150113
[Lr] Last revision date:150113
[Da] Date of entry for processing:150108
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1159/000369783

  7 / 11842 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
PubMed Central Full text

[PMID]: 25561948
[Au] Autor:Malik P; Garg R; Gulia AK; Kario J
[Ad] Address:Department of Psychiatry, Pt.BDS University of Health Sciences, Rohtak, Haryana, India....
[Ti] Title:Dyke-Davidoff-Masson Syndrome- a rare cause of refractory epilepsy.
[So] Source:Iran J Psychiatry;9(1):42-4, 2014 Mar.
[Is] ISSN:1735-4587
[Cp] Country of publication:Iran
[La] Language:eng
[Ab] Abstract:Dyke-Davidoff-Masson Syndrome (DDMS) is a syndrome associated with refractory epilepsy. DDMS is a rare syndrome characterized by seizures, facial asymmetry, contralateral hemiplegia and mental retardation. The characteristic radiologic features are cerebral hemiatrophy with homolateral hypertrophy of the skull and sinuses. The case was an 18 years old female with seizures, hemiparesis of the right side and mental retardation who was diagnosed with DDMS based on computed tomography.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1501
[Cu] Class update date: 150113
[Lr] Last revision date:150113
[Da] Date of entry for processing:150106
[St] Status:PubMed-not-MEDLINE

  8 / 11842 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
PubMed Central Full text
Full text

[PMID]: 25558411
[Au] Autor:Jeon ES; Lee S; Cho HH; Cho YB
[Ad] Address:Department of Otolaryngology-Head & Neck Surgery, Chonnam National University Medical School, Gwangju, Korea....
[Ti] Title:A case of cochlear implantation targeting preserved cerebral cortex in severe traumatic brain injury.
[So] Source:Korean J Audiol;18(3):148-50, 2014 Dec.
[Is] ISSN:2092-9862
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:Temporal bone fracture and blunt head trauma was once considered as contraindication for the surgery. Increasing numbers of successful cochlear implantation are being reported. However, the outcome of cochlear implantation in severe damaged brain is unclear. A multichannel cochlear implant was successfully implanted in a 33-year-old man who had both sensorineural deafness, left hemiplegia due to bilateral transverse temporal bone fractures and severe right brain damage after a traffic accident.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1501
[Cu] Class update date: 150113
[Lr] Last revision date:150113
[Da] Date of entry for processing:150105
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.7874/kja.2014.18.3.148

  9 / 11842 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 25194854
[Au] Autor:Sugimoto H; Ito M; Hatano M; Yoshizaki T
[Ad] Address:Department of Otolaryngology-Head and Neck Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan....
[Ti] Title:Persistent stapedial artery with stapes ankylosis.
[So] Source:Auris Nasus Larynx;41(6):582-5, 2014 Dec.
[Is] ISSN:1879-1476
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:The persistent stapedial artery (PSA) is a very rare, congenital, vascular anomaly. It presents as a pulsatile middle ear mass and sometimes causes conductive hearing loss. The diagnosis of the presence of a PSA is always accidental, because it is so rare and difficult to predict. CT findings include the absence of the foramen spinosum and a soft-tissue prominence in the region of the tympanic segment of the facial nerve. The risks of surgery include facial palsy, hemiplegia caused by coagulation of the PSA, and bleeding due to injury of the carotid artery during surgery in cases of aberrant internal carotid. In this article we report a case of PSA with stapes ankylosis for which we performed malleus-stapedotomy using a Teflon wire piston. We did not coagulate the PSA. Nevertheless the PSA attached to the prosthesis, the patient presented significant improvement in hearing level and had no complaint of pulsating tinnitus. Thus, we have shown that attachment of the prosthesis to the PSA does not necessarily disturb improvement of hearing level after malleus-stapedotomy for otosclerosis with PSA. Based on our experience, many cases can be treated by stapedotomy using a prosthesis and without coagulating the PSA.
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1412
[Js] Journal subset:IM
[St] Status:In-Process

  10 / 11842 MEDLINE  
              first record previous record
select
to print
Photocopy

[PMID]: 25195266
[Au] Autor:Tang F; Han D; Qu S; Liang J; Liu B; Huang Y
[Ti] Title:[Diagnosis and management of jugulare glomus tumor and carotid body tumor].
[So] Source:Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;28(9):612-7, 2014 May.
[Is] ISSN:1001-1781
[Cp] Country of publication:China
[La] Language:chi
[Ab] Abstract:OBJECTIVE: To investigate diagnosis method and treatment experience of jugulare glomus tumor (JGT) and carotid body tumor (CBT). METHOD: Retrospective analysis. Clinical materials from 4 patients at one genealogy with JGT and CBT were collected. The clinical features, radiological characteristics, surgical methods and prognosis were assessed. The proband suffered from left JGT and left CBT, her younger sister had right CBT as well as her younger female cousin had bilateral CBT and right JGT, her older male cousin had bilateral CBT and left JGT. These JGT and CBT in four patients were resected under general anesthesia after preoperative ultrasound, CT or CT angiography (CTA), MRI, and digital subtraction angiography (DSA) examination as well as preoperative vascular embolization. RESULT: The surgery was uneventful in four cases, and there was no hemiplegia or deaths. All patients were followed up for 2 years to 29 months without recurrence. Six months after operation, the hoarseness also disappeared in the older male cousins but did not improve significantly in younger female cousin. The younger female cousin get right peripheral facial paralysis 1 year after surgery and her temporal bone CT indicated a right JGT. CONCLUSION: It is very important to assess JGT and CBT by Ultrasound, CT, CTA, MRI and DSA. Surgical resection is the first optional treatment for JGT and CBT. Blood loss can be reduced by preop erative vascular embolization. Serious complications could be avoid by operating under microscope, which can supply a clear surgical field and make the surgeon to protect the large blood vessels and nerve.
[Mh] MeSH terms primary: Carotid Body Tumor/diagnosis
Carotid Body Tumor/surgery
Glomus Jugulare Tumor/diagnosis
Glomus Jugulare Tumor/surgery
[Mh] MeSH terms secundary: Adult
Female
Follow-Up Studies
Humans
Male
Retrospective Studies
Treatment Outcome
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1501
[Js] Journal subset:IM
[Da] Date of entry for processing:140908
[St] Status:MEDLINE


page 1 of 1185 go to page                         
   


Refine the search
  Database : MEDLINE Advanced form   

    Search in field  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/PAHO/WHO - Latin American and Caribbean Center on Health Sciences Information