Database : MEDLINE
Search on : Hemiplegia [Words]
References found : 11672 [refine]
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[PMID]: 25045643
[Au] Autor:Park SY; Suh DW; Park CM; Oh MS; Lee DK
[Ad] Address:Department of Oral and Maxillofacial Surgery, Sun Dental Hospital, Daejeon, Korea....
[Ti] Title:Brain abscess due to odontogenic infection: a case report.
[So] Source:J Korean Assoc Oral Maxillofac Surg;40(3):147-51, 2014 Jun.
[Is] ISSN:2234-7550
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:In this report, we describe a case of brain abscess due to odontogenic infection. A 53-year-old female who had been suffering from headache and trismus for two weeks visited the Department of Oral and Maxillofacial Surgery at the Sun Dental Hospital (Daejeon, Korea). Even after several routine tests, we still could not make a diagnosis. However, after the combined multidisciplinary efforts of oral surgeons and neurosurgeons, the patient was treated for odontogenic infection and made an uneventful recovery. Therefore, patients with infections in the head and neck region showing symptoms such as headache, changes in mental state, nausea, vomiting, seizures, hemiplegia, speech disturbance, and visual disturbance, a brain abscess should be included in the list of differential diagnoses.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1407
[Da] Date of entry for processing:140721
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.5125/jkaoms.2014.40.3.147

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[PMID]: 25045649
[Au] Autor:Jouibari MF; Zadeh MZ; Khadivi M; Khoshnevisan A; Moazzeni K; Abdollahzade S
[Ad] Address:Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran....
[Ti] Title:Pial arteriovenous fistula with giant varices: report of two cases with good surgical outcome.
[So] Source:J Cerebrovasc Endovasc Neurosurg;16(2):98-103, 2014 Jun.
[Is] ISSN:2234-8565
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:Pial arteriovenous fistulas (pAVF) are rare vascular lesions consisting of one or more arterial connections to a single venous channel without any intervening nidus of vessels or capillaries. Case 1: A 65-year-old woman with a complaint of headache and left hand paresthesia was referred to us. Magnetic resonance imaging showed a large saccular lesion with signal void in the posterior part of the right sylvian fissure and catheter angiography showed a giant venous aneurysm fed by one branch of the middle cerebral artery (MCA) and draining into the vein of Trolard. Case 2: A 12-year-old boy was transferred to our hospital with a history of sudden loss of consciousness and hemiplegia. Brain computed tomography revealed a massive hemorrhagic mass in the right hemisphere and cerebral angiography showed a pAVF with a large aneurysmal varix, which was fed by multiple branches of the right MCA and draining into the superior sagittal sinus. Both patients underwent craniotomy and after ligation of vascular connections, aneurysmal varices were removed completely. Surgical resection can be a safe method for treatment of pAVFs, particularly in those with large varices.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1407
[Da] Date of entry for processing:140721
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.7461/jcen.2014.16.2.98

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[PMID]: 24821639
[Au] Autor:Gergont A; Kacinski M
[Ad] Address:Department of Neurology of Children and Youth, Jagiellonian University, Collegium Medicum, Krakow, Poland. Electronic address: agergon@cm-uj.krakow.pl.
[Ti] Title:Alternating hemiplegia of childhood: New diagnostic options.
[So] Source:Neurol Neurochir Pol;48(2):130-5, 2014.
[Is] ISSN:0028-3843
[Cp] Country of publication:Poland
[La] Language:eng
[Ab] Abstract:A syndrome of alternating hemiplegia of childhood (AHC) is a rare disorder first presented in 1971. AHC is characterized by transient episodes of hemiplegia affecting either one or both sides of the body. Age of onset is before 18 months and the common earliest manifestations are dystonic or tonic attacks and nystagmus. Hemiplegic episodes last minutes to days and the frequency and duration tend to decrease with time. Motor and intellectual development is affected, deficits may also develop later. Epileptic seizures occur in some patients. Neuroimaging of the brain usually reveals no abnormalities. The variability of individual clinical presentations and evolution of symptoms have made diagnosis difficult. Therefore the problems of misdiagnosis could account for the low prevalence of this syndrome. This paper hopes to present actual data on AHC, especially of the results of genetic research and new diagnostic tools.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1405
[Js] Journal subset:IM
[St] Status:In-Data-Review

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[PMID]: 25024953
[Au] Autor:Lee YH; Yong SY; Kim SH; Kim JH; Shinn JM; Kim Y; Kim S; Hwang S
[Ad] Address:Department of Rehabilitation Medicine, Wonju Severance Christian Hospital, Yonsei University College of Medicine, Wonju, Korea....
[Ti] Title:Functional electrical stimulation to ankle dorsiflexor and plantarflexor using single foot switch in patients with hemiplegia from hemorrhagic stroke.
[So] Source:Ann Rehabil Med;38(3):310-6, 2014 Jun.
[Is] ISSN:2234-0645
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To evaluate the effects of functional electrical stimulation (FES) to ankle dorsiflexor (DF) and ankle plantarflexor (PF) on kinematic and kinetic parameters of hemiplegic gait. METHODS: Fourteen post-stroke hemiplegic patients were considered in this study. Electrical stimulation was delivered to ankle DF during the swing phase and ankle PF during the stance phase via single foot switch. Kinematic and kinetic data were collected using a computerized motion analysis system with force plate. Data of no stimulation (NS), DF stimulation only (DS), DF and PF stimulation (DPS) group were compared among each other. RESULTS: Peak ankle dorsiflexion angle during swing phase is significantly greater in DS group (-1.55°±9.10°) and DPS group (-2.23°±9.64°), compared with NS group (-6.71°±11.73°) (p<0.05), although there was no statistically significant difference between DS and DPS groups. Ankle plantarflexion angle at toe-off did not show significant differences among NS, DS, and DPS groups. Peak knee flexion in DPS group (34.12°±13.77°) during swing phase was significantly greater than that of NS group (30.78°±13.64°), or DS group (32.83°±13.07°) (p<0.05). CONCLUSION: In addition to the usual FES application stimulating ankle DF during the swing phase, stimulation of ankle PF during stance phase can help to increase peak knee flexion during the swing phase. This study shows the advantages of stimulating the ankle DF and PF using single foot switch for post-stroke gait.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1407
[Cu] Class update date: 140717
[Lr] Last revision date:140717
[Da] Date of entry for processing:140715
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.5535/arm.2014.38.3.310

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[PMID]: 24981060
[Au] Autor:Meadmore KL; Exell TA; Hallewell E; Hughes AM; Freeman CT; Kutlu M; Benson V; Rogers E; Burridge JH
[Ad] Address:Faculty of Physical Sciences and Engineering, University of Southampton, Southampton, UK. klm@ecs.soton.ac.uk.
[Ti] Title:The application of precisely controlled functional electrical stimulation to the shoulder, elbow and wrist for upper limb stroke rehabilitation: a feasibility study.
[So] Source:J Neuroeng Rehabil;11:105, 2014.
[Is] ISSN:1743-0003
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Functional electrical stimulation (FES) during repetitive practice of everyday tasks can facilitate recovery of upper limb function following stroke. Reduction in impairment is strongly associated with how closely FES assists performance, with advanced iterative learning control (ILC) technology providing precise upper-limb assistance. The aim of this study is to investigate the feasibility of extending ILC technology to control FES of three muscle groups in the upper limb to facilitate functional motor recovery post-stroke. METHODS: Five stroke participants with established hemiplegia undertook eighteen intervention sessions, each of one hour duration. During each session FES was applied to the anterior deltoid, triceps, and wrist/finger extensors to assist performance of functional tasks with real-objects, including closing a drawer and pressing a light switch. Advanced model-based ILC controllers used kinematic data from previous attempts at each task to update the FES applied to each muscle on the subsequent trial. This produced stimulation profiles that facilitated accurate completion of each task while encouraging voluntary effort by the participant. Kinematic data were collected using a Microsoft Kinect, and mechanical arm support was provided by a SaeboMAS. Participants completed Fugl-Meyer and Action Research Arm Test clinical assessments pre- and post-intervention, as well as FES-unassisted tasks during each intervention session. RESULTS: Fugl-Meyer and Action Research Arm Test scores both significantly improved from pre- to post-intervention by 4.4 points. Improvements were also found in FES-unassisted performance, and the amount of arm support required to successfully perform the tasks was reduced. CONCLUSIONS: This feasibility study indicates that technology comprising low-cost hardware fused with advanced FES controllers accurately assists upper limb movement and may reduce upper limb impairments following stroke.
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1407
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.1186/1743-0003-11-105

  6 / 11672 MEDLINE  
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[PMID]: 23659199
[Au] Autor:Inoue T; Tamura A; Tsutsumi K; Saito I; Saito N
[Ad] Address:Department of Neurosurgery, Fuji Brain Institute and Hospital , Shizuoka , Japan.
[Ti] Title:Surgical embolectomy for large vessel occlusion of anterior circulation.
[So] Source:Br J Neurosurg;27(6):783-90, 2013 Dec.
[Is] ISSN:1360-046X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:OBJECT: The aim of this study was to assess the technical details and the efficacy and safety of surgical embolectomy for occlusion of large vessels in the anterior circulation. METHODS: Twenty-three consecutive patients with acute ischemic stroke attributed to embolic occlusion of large arteries of the anterior circulation who underwent treatment with surgical embolectomy were retrospectively reviewed. Twenty patients were treated based on data from magnetic resonance angiography (MRA)-diffusion weighted imaging (DWI) mismatch, while three other patients had contraindications to magnetic resonance imaging (MRI) and were treated based on computed tomography (CT) and digital subtraction angiography (DSA) findings. Clinical outcomes, including recanalization rate, recanalization time, complications, modified Rankin Scale (mRS) at 3 months, and National Institute of Health Stroke Scale (NIHSS) score improvement at 1 month, were evaluated. RESULTS: Among the 23 patients (median age, 80 years; median presenting NIHSS score, 21 points), the occlusion site was the internal carotid artery (ICA) terminus in six patients, the M1 segment of the middle cerebral artery (MCA) in 10 patients, and the M2 division of the MCA in seven patients. Final recanalization status was thrombolysis in myocardial infarction (TIMI) 3 in 21 patients (91%). Median recanalization time from symptom onset and from start of surgery was 282 min and 70 min, respectively. One patient (4.3%) had symptomatic haemorrhage. Three patients (13%) had brain oedema due to massive infarction of affected vessel area; two of these patients had undergone embolectomy based on CT findings and had successful recanalization, while one patient underwent embolectomy based on MRI findings and did not have successful recanalization. All 18 patients who underwent embolectomy based on MRA-DWI mismatch and had successful recanalization did not develop additional confluent ischaemic lesion on postoperative DWI. At 3 months, seven patients (30%) had a mRS score of 0-2, eight patients (35%) had a mRS score of 3, and none of the patients had died. Sixteen patients (70%) demonstrated NIHSS score improvement of more than eight points at 1 month. CONCLUSION: Surgical embolectomy for occlusion of large vessels in the anterior circulation resulted in a high complete recanalization rate with an acceptable safety profile. Use of MRA-DWI mismatch as an indication for surgical embolectomy was associated with a reduced complication rate.
[Mh] MeSH terms primary: Arterial Occlusive Diseases/surgery
Cerebrovascular Circulation/physiology
Embolectomy/methods
Intracranial Embolism/surgery
[Mh] MeSH terms secundary: Adult
Aged
Aged, 80 and over
Brain Ischemia/etiology
Brain Ischemia/surgery
Carotid Artery Thrombosis/complications
Carotid Artery Thrombosis/surgery
Diffusion Magnetic Resonance Imaging
Endovascular Procedures/methods
Female
Follow-Up Studies
Hemiplegia/etiology
Humans
Intracranial Embolism/complications
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Male
Middle Aged
Postoperative Complications/prevention & control
Stroke/etiology
Stroke/surgery
Tomography, X-Ray Computed
Treatment Outcome
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1407
[Js] Journal subset:IM
[Da] Date of entry for processing:131129
[St] Status:MEDLINE
[do] DOI:10.3109/02688697.2013.793286

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[PMID]: 25025319
[Au] Autor:Morgan P
[Ti] Title:The relationship between sitting balance and mobility outcome in stroke.
[So] Source:Aust J Physiother;40(2):91-6, 1994.
[Is] ISSN:0004-9514
[Cp] Country of publication:Australia
[La] Language:eng
[Ab] Abstract:The purpose of this study was to identify the relationship between static sitting balance in the acute post stroke patient and gait outcome; and to determine the relationship between initial and six-week post stroke mobility. Fifty-two patients with cerebral infarcts had sitting balance and gait assessed on hospital admission. Gait was reassessed six weeks later using the Functional Independence Measure-Locomotion (FIM Locomotion) score. Sitting balance was positively correlated with gait outcome. In particular, lack of static sitting balance initially is correlated with dependent gait at six weeks post stroke. Consideration of infarct location and side of hemiplegia may further enhance the strength of the correlation. The FIM Locomotion was a useful assessment tool with strong correlation between initial and final FIM Locomotion scores.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1407
[Da] Date of entry for processing:140716
[St] Status:PubMed-not-MEDLINE

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[PMID]: 25026421
[Au] Autor:Moseley A; Wales A; Herbert R; Schurr K; Moore S
[Ti] Title:Observation and analysis of hemiplegic gait: stance phase.
[So] Source:Aust J Physiother;39(4):259-67, 1993.
[Is] ISSN:0004-9514
[Cp] Country of publication:Australia
[La] Language:eng
[Ab] Abstract:People with hemiplegia resulting from cerebrovascular accident commonly demonstrate one or more deviations from the kinematics of normal gait. This paper presents a list of common kinematic deviations for which physiotherapists might look when making clinical observations of hemiplegic gait. A number of likely causes of those kinematic deviations are described, based on a review of the literature, biomechanical considerations and clinical observations. Particularly common and significant stance phase deviations are a decreased peak hip extension in late stance, increased or decreased peak lateral pelvic displacement, increased or decreased knee extension in early or mid stance and decreased plantarflexion at toe-off. The causes of these kinematic deviations lie in the inability to appropriately activate muscles and in the adaptive muscle shortening which commonly occurs following stroke.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1407
[Da] Date of entry for processing:140716
[St] Status:PubMed-not-MEDLINE

  9 / 11672 MEDLINE  
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[PMID]: 25025645
[Au] Autor:Ada L; Westwood P
[Ti] Title:A kinematic analysis of recovery of the ability to stand up following stroke.
[So] Source:Aust J Physiother;38(2):135-42, 1992.
[Is] ISSN:0004-9514
[Cp] Country of publication:Australia
[La] Language:eng
[Ab] Abstract:The purpose of this study was to determine the change in some kinematic characteristics of standing up as patients recovered following stroke. Patients who have had a stroke resulting in a diagnosis of hemiplegia, but with no other involvement, were videotaped on two occasions; when they could first stand up independently and again when they could stand up and sit down three times in 10 seconds with no observable asymmetry. A kinematic analysis yielded angular displacement and velocity data from the affected hip and knee joints. The results indicate that the kinematic characteristics that changed significantly as the subjects improved their ability to stand up are related more to velocity than to angular displacement. Movement time decreased, peak angular velocities increased and the velocity profiles shifted towards normal. This implies that in the clinic, once a patient can stand up independently, improvement on this task will be promoted if motor training includes strategies that affect these temporal characteristics.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1407
[Da] Date of entry for processing:140716
[St] Status:PubMed-not-MEDLINE

  10 / 11672 MEDLINE  
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[PMID]: 25025153
[Au] Autor:Shah SK
[Ad] Address:University of Queensland.
[Ti] Title:Disturbances of muscle tone in the paralysed upper extremity following hemiplegia.
[So] Source:Aust J Physiother;25(6):243-9, 1979 Dec.
[Is] ISSN:0004-9514
[Cp] Country of publication:Australia
[La] Language:eng
[Ab] Abstract:After a minimum period of eleven weeks post cerebrovascular accident and resulting hemiplegia, one hundred adult patients were assessed for sensory-motor deficits affecting the function of the paralysed upper extremity. This paper presents only the assessment of muscle tone, the disturbances of tone and its inter-relationship with other clinical manifestations. Kendall rank order correlations were computed for this purpose. A highly significant relationship (P < .001) was observed between selective spasticity of proximal joints and distal joints and between wrist and finger clonus with selective spasticity of wrist, finger and shoulder muscles. The spasticity in wrist flexors related highly with the inability to perform functional tasks. Inability to perform muscle function was also related to limitation of joint motion.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1407
[Da] Date of entry for processing:140716
[St] Status:PubMed-not-MEDLINE


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