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[PMID]:28326321
[Au] Autor:Wan Q; Yang H; Li X; Lin C; Ke S; Wu S; Ma C
[Ad] Endereço:Pain Treatment Centre of Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong Province, China.
[Ti] Título:Ultrasound-Guided versus Fluoroscopy-Guided Deep Cervical Plexus Block for the Treatment of Cervicogenic Headache.
[So] Source:Biomed Res Int;2017:4654803, 2017.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:. The aim of this study was to compare the efficacy of ultrasound-guided deep cervical plexus block with fluoroscopy-guided deep cervical plexus block for patients with cervicogenic headache (CeH). . A total of 56 patients with CeH were recruited and randomly assigned to either the ultrasound-guided (US) or the fluoroscopy-guided (FL) injection group. A mixture of 2-4 mL 1% lidocaine and 7 mg betamethasone was injected along C and/or C transverse process. The measurement of pain was evaluated by patients' ratings of a 10-point numerical pain scale (NPS) before and 2 wks, 12 wks, and 24 wks after treatments. . The blocking procedures were well tolerated. The pain intensity, as measured by NPS, significantly decreased at 2 wks after injection treatment in both US and FL groups, respectively, compared with that of baseline ( < 0.05). The blocking procedures had continued, and comparable pain relieving effects appeared at 12 wks and 24 wks after treatment in both US and FL groups. There were no significant differences observed in the NPS before and 2 wks, 12 wks, and 24 wks after treatment between US and FL groups. . The US-guided approach showed similar satisfactory effect as the FL-guided block. Ultrasonography can be an alternative method for its convenience and efficacy in deep cervical plexus block for CeH patients without radiation exposure.
[Mh] Termos MeSH primário: Bloqueio do Plexo Cervical/métodos
Fluoroscopia/métodos
Manejo da Dor/métodos
Cefaleia Pós-Traumática/tratamento farmacológico
[Mh] Termos MeSH secundário: Adulto
Idoso
Betametasona/administração & dosagem
Plexo Cervical/efeitos dos fármacos
Plexo Cervical/fisiopatologia
Vértebras Cervicais/efeitos dos fármacos
Vértebras Cervicais/fisiopatologia
Feminino
Seres Humanos
Lidocaína/administração & dosagem
Masculino
Meia-Idade
Medição da Dor
Cefaleia Pós-Traumática/fisiopatologia
Ultrassonografia de Intervenção/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
9842X06Q6M (Betamethasone); 98PI200987 (Lidocaine)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170418
[Lr] Data última revisão:
170418
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE
[do] DOI:10.1155/2017/4654803


  2 / 902 MEDLINE  
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[PMID]:28096728
[Au] Autor:Lee JH; Cheng KL; Choi YJ; Baek JH
[Ad] Endereço:Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 05505, Korea.
[Ti] Título:High-resolution Imaging of Neural Anatomy and Pathology of the Neck.
[So] Source:Korean J Radiol;18(1):180-193, 2017 Jan-Feb.
[Is] ISSN:2005-8330
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:The neck has intricately connected neural structures, including cervical and brachial plexi, the sympathetic system, lower cranial nerves, and their branches. Except for brachial plexus, there has been little research regarding the normal imaging appearance or corresponding pathologies of neural structures in the neck. The development in imaging techniques with better spatial resolution and signal-to-noise ratio has made it possible to see many tiny nerves to predict complications related to image-guided procedures and to better assess treatment response, especially in the management of oncology patients. The purposes of this review is to present imaging-based anatomy of major nerves in the neck and explain their relevant clinical significance according to representative pathologies of regarded nerves in the neck.
[Mh] Termos MeSH primário: Pescoço/anatomia & histologia
[Mh] Termos MeSH secundário: Plexo Braquial/anatomia & histologia
Plexo Braquial/diagnóstico por imagem
Plexo Braquial/patologia
Plexo Cervical/anatomia & histologia
Plexo Cervical/diagnóstico por imagem
Plexo Cervical/patologia
Seres Humanos
Imagem por Ressonância Magnética
Pescoço/diagnóstico por imagem
Pescoço/patologia
Razão Sinal-Ruído
Nervo Vago/anatomia & histologia
Nervo Vago/diagnóstico por imagem
Nervo Vago/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170119
[St] Status:MEDLINE
[do] DOI:10.3348/kjr.2017.18.1.180


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[PMID]:27435704
[Au] Autor:Brennan PA; Alam P; Ammar M; Tsiroyannis C; Zagkou E; Standring S
[Ad] Endereço:Maxillofacial Unit, Queen Alexandra Hospital, Portsmouth, PO6 3LY, UK. Peter.brennan@porthosp.nhs.uk.
[Ti] Título:Sternocleidomastoid innervation from an aberrant nerve arising from the hypoglossal nerve: a prospective study of 160 neck dissections.
[So] Source:Surg Radiol Anat;39(2):205-209, 2017 Feb.
[Is] ISSN:1279-8517
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Anatomical variants of the spinal root of the accessory nerve and cervical plexus are well known but other variants are exceptionally rare. METHODS: A prospective study of 160 selective neck dissections was undertaken following an index case, where a presumed C1 nerve (travelling with the hypoglossal nerve) was found to innervate sternocleidomastoid (SCM). A search was subsequently made for this variant while not compromising the neck dissection surgery itself. Eight cases could not be included due to metastatic disease precluding safe dissection in this area. A nerve stimulator was used to confirm the motor supply to SCM. RESULTS: This nerve variant was found in 4/160 necks (2.5 %). In all cases, it originated directly from the hypoglossal nerve and stimulation resulted in isolated SCM contraction. No accessory nerve anomalies were found. CONCLUSION: This finding adds to the knowledge of variants in this area. Meticulous dissection and preservation of all nerves, where possible, is important for optimising functional outcomes following surgery.
[Mh] Termos MeSH primário: Nervo Acessório/anatomia & histologia
Variação Anatômica
Plexo Cervical/anatomia & histologia
Nervo Hipoglosso/anormalidades
Músculos do Pescoço/inervação
[Mh] Termos MeSH secundário: Carcinoma de Células Escamosas/cirurgia
Neoplasias de Cabeça e Pescoço/cirurgia
Seres Humanos
Esvaziamento Cervical
Estudos Prospectivos
Extremidade Superior
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160721
[St] Status:MEDLINE
[do] DOI:10.1007/s00276-016-1723-9


  4 / 902 MEDLINE  
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[PMID]:27289229
[Au] Autor:Zhang XY; Ma TT; Liu L; Yin NB; Zhao ZM
[Ad] Endereço:Department of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
[Ti] Título:Anatomic study of the musculus longus capitis flap.
[So] Source:Surg Radiol Anat;39(3):271-279, 2017 Mar.
[Is] ISSN:1279-8517
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To clearly delineate the anatomy of the musculus longus capitis, determine its clinical applications for reconstruction surgery, and provide a safer surgical method of developing the longus capitis muscle flap. METHODS: Anatomical investigations were performed in seven adult cadavers (five cadavers for gross anatomy and two for transparent specimen preparation) with respect to the location, morphology, arterial supply, and innervation of the musculus longus capitis, as well as its spatial relationship with the cervical sympathetic trunk, superior cervical ganglion, carotid sheath, and other surrounding structures. RESULTS: The musculus longus capitis is located anterior to the C1-6 vertebrae, segmentally supplied by branches of the ascending cervical artery, innervated by the C1-5 nerve, and spatially close to the cervical sympathetic trunk, superior cervical ganglion, and carotid sheath. These anatomic findings indicate that the development of a cranial or caudal pedicled longus capitis muscle flap is feasible. CONCLUSION: The musculus longus capitis can be developed into a cranial or caudal pedicled flap for repair of head and neck defects with negligible morbidity of the donor site.
[Mh] Termos MeSH primário: Plexo Cervical/anatomia & histologia
Músculos do Pescoço/anatomia & histologia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Gânglio Cervical Superior/anatomia & histologia
Retalhos Cirúrgicos/cirurgia
[Mh] Termos MeSH secundário: Cadáver
Estudos de Viabilidade
Feminino
Cabeça/cirurgia
Seres Humanos
Masculino
Meia-Idade
Pescoço/cirurgia
Músculos do Pescoço/irrigação sanguínea
Músculos do Pescoço/inervação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160613
[St] Status:MEDLINE
[do] DOI:10.1007/s00276-016-1708-8


  5 / 902 MEDLINE  
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[PMID]:27797095
[Au] Autor:Madro P; Dabrowska A; Jarecki J; Garba P
[Ad] Endereço:Department of Anaesthesiology and Intensive Therapy, 4th Military Teaching Hospital with Outpatient Clinic in Wroclaw, Poland. pmadro@op.pl.
[Ti] Título:Anaesthesia for carotid endarterectomy. Ultrasound-guided superficial/intermediate cervical plexus block combined with carotid sheath infiltration.
[So] Source:Anaesthesiol Intensive Ther;48(4):234-238, 2016.
[Is] ISSN:1731-2515
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Carotid endarterectomy carries a significant risk of intraoperative brain ischaemia. Various methods for intraoperative cerebral function monitoring can be utilized, but the assessment of the patient's consciousness remains the easiest and most available method, requiring that the patient remain awake and under local/regional anaesthesia. The aim of this study was to compare infiltration anaesthesia with an ultrasound-guided superficial/combined cervical plexus block for patient safety and comfort. METHODS: Ninety-eight patients scheduled for carotid endarterectomy were randomly assigned to receive either infiltration anaesthesia performed by the surgeon or an US-guided superficial/combined cervical plexus block. The pain intensity using the numerical rating scale (NRS), the volume of local anaesthetic used and the anaesthesia-related complications were recorded. The data were analysed using selected statistical tools. RESULTS: In the US-guided group, a significantly lower volume of local anaesthetic was used (25 mL vs. 30 mL), and lower mean (1 vs. 3) and maximal (2 vs. 6) NRS scores were observed. However, hoarseness, cough and difficulty swallowing were significantly more frequent among those patients (90% vs. 27%, 30% vs. 12%, and 36% vs. 6%, respectively). CONCLUSIONS: Compared with infiltration anaesthesia, an US-guided superficial/combined cervical plexus block is an effective method for improving the comfort of the patient and the surgeon. The technique is safe, relatively simple and easy to master and requires little time to perform.
[Mh] Termos MeSH primário: Anestesia Local/métodos
Bloqueio do Plexo Cervical/métodos
Plexo Cervical/diagnóstico por imagem
Endarterectomia das Carótidas/métodos
[Mh] Termos MeSH secundário: Idoso
Anestesia Local/efeitos adversos
Anestésicos Locais/administração & dosagem
Bloqueio do Plexo Cervical/efeitos adversos
Tosse/epidemiologia
Tosse/etiologia
Transtornos de Deglutição/epidemiologia
Transtornos de Deglutição/etiologia
Feminino
Rouquidão/epidemiologia
Rouquidão/etiologia
Seres Humanos
Masculino
Meia-Idade
Medição da Dor
Conforto do Paciente
Segurança do Paciente
Complicações Pós-Operatórias/epidemiologia
Ultrassonografia de Intervenção
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anesthetics, Local)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161101
[St] Status:MEDLINE
[do] DOI:10.5603/AIT.2016.0043


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[PMID]:27742968
[Au] Autor:Seidel R; Zukowski K; Wree A; Schulze M
[Ad] Endereço:Department of Anesthesiology and Intensive Care Medicine, HELIOS Medical Center Schwerin, Wismarsche Straße 393-7, 19049, Schwerin, Germany. ronald.seidel@helios-kliniken.de.
[Ti] Título:Ultrasound-guided intermediate cervical plexus block and perivascular local anesthetic infiltration for carotid endarterectomy : A randomized controlled trial.
[Ti] Título:Ultraschallgesteuerte intermediäre Blockade des Plexus cervicalis und perivaskuläre lokale Infiltrationsanästhesie vor Karotisendarteriektomie : Eine randomisierte, kontrollierte Studie..
[So] Source:Anaesthesist;65(12):917-924, 2016 Dec.
[Is] ISSN:1432-055X
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVE: Ultrasound-guided blocks of the cervical plexus are established anesthetic procedures for carotid endarterectomy. This randomized, double-blind, placebo-controlled study tested the hypothesis that an additional ultrasound-guided periarterial injection of local anesthetic leads to a lower frequency of periarterial supplementation by the surgeon. METHODS: A total of 40 patients were randomly assigned to 1 of 2 groups. In both groups an ultrasound-guided intermediate cervical plexus block (20 ml of 0.75 % ropivacaine) at the level of the fourth cervical vertebra was performed. In a second step, the needle was inserted from posterolateral to anteromedial (in-plane technique) relative to the internal carotid artery and then, depending on the randomized group assignment, 5 ml of 0.75 % ropivacaine (group 2) or 5 ml of 0.9 % saline (group 1) was injected. The parameters investigated included the need for supplementation, patient comfort, the incidence of side effects and circulatory changes. RESULTS: The two groups did not significantly differ (p = 0.459) in terms of the need for intraoperative supplementation with 1 % prilocaine with a mean (range) in group 2 of 4.9 ml (0-20 ml), in group 1 of 3.7 ml (0-16 ml) and patient comfort (p = 0.144). In addition, a trend towards a higher complication rate was observed in group 2. CONCLUSION: For ultrasound-guided intermediate blocks of the cervical plexus, an additional periarterial infiltration showed no advantage. Abandoning this technique leads to a relevant simplification of the blocking technique and tends to reduce block-related side effects.
[Mh] Termos MeSH primário: Raquianestesia/métodos
Anestésicos Locais/administração & dosagem
Plexo Cervical/diagnóstico por imagem
Endarterectomia das Carótidas/métodos
Bloqueio Nervoso/métodos
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Amidas
Raquianestesia/efeitos adversos
Estenose das Carótidas/cirurgia
Método Duplo-Cego
Feminino
Seres Humanos
Masculino
Meia-Idade
Conforto do Paciente
Complicações Pós-Operatórias/epidemiologia
Prilocaína
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Amides); 0 (Anesthetics, Local); 046O35D44R (Prilocaine); 7IO5LYA57N (ropivacaine)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170916
[Lr] Data última revisão:
170916
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161016
[St] Status:MEDLINE


  7 / 902 MEDLINE  
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[PMID]:27668589
[Au] Autor:Lim JH; Olby NJ
[Ti] Título:Generation of pure cultures of autologous Schwann cells by use of biopsy specimens of the dorsal cutaneous branches of the cervical nerves of young adult dogs.
[So] Source:Am J Vet Res;77(10):1166-74, 2016 Oct.
[Is] ISSN:1943-5681
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE To identify an optimal technique for isolation, purification, and amplification of Schwann cells (SCs) from biopsy specimens of the dorsal cutaneous branches of the cervical nerves of dogs. SAMPLE Biopsy specimens of dorsal cervical cutaneous nerves from the cadavers of three 1- to 2-year-old dogs. PROCEDURES Nerve specimens were dissected, predegenerated, and dissociated to isolate single cells. After culture to enhance SC growth, cells were immunopurified by use of magnetic beads. Cell purity was evaluated by assessing expression of cell surface antigens p75 (to detect SCs) and CD90 (to detect fibroblasts). Effects of various concentrations of recombinant human glial growth factor 2 (rhGGF2) on SC proliferation were tested. Cell doubling time was assessed in SC cultures with selected concentrations of rhGGF2. RESULTS Mean ± SD wet weight of nerve fascicles obtained from the biopsy specimens was 16.8 ± 2.8 mg. A mean predegeneration period of 8.6 days yielded approximately 6,000 cells/mg of nerve tissue, and primary culture yielded 43,000 cells/mg of nerve tissue in a mean of 11 days, of which 39.9 ± 9.1% expressed p75. Immunopurification with magnetic beads yielded a mean of 85.4 ± 1.9% p75-positive cells. Two passages of subculture with 10µM cytosine arabinoside further enhanced SC purity to a mean of 97.8 ± 1.2% p75-positive cells. Finally, rhGGF2 supplementation at a range of 40 to 100 ng/mL increased the SC proliferation rate up to 3-fold. CONCLUSIONS AND CLINICAL RELEVANCE SCs could be cultured from biopsy specimens of dorsal cervical cutaneous nerves and purified and expanded to generate adequate numbers for autologous transplants to treat dogs with spinal cord and peripheral nerve injuries.
[Mh] Termos MeSH primário: Plexo Cervical/citologia
Células de Schwann/citologia
[Mh] Termos MeSH secundário: Animais
Biópsia/veterinária
Cadáver
Técnicas de Cultura de Células/veterinária
Células Cultivadas/citologia
Cães
Feminino
Masculino
Regeneração Nervosa
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170118
[Lr] Data última revisão:
170118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160927
[St] Status:MEDLINE
[do] DOI:10.2460/ajvr.77.10.1166


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[PMID]:27609442
[Au] Autor:Maki S; Koda M; Saito J; Takahashi S; Inada T; Kamiya K; Ota M; Iijima Y; Masuda Y; Matsumoto K; Kojima M; Takahashi K; Obata T; Yamazaki M; Furuya T
[Ad] Endereço:Department of Orthopaedic Surgery, Chiba University Graduate School of Medicine, Chiba City, Chiba, Japan. Electronic address: makisatoshi@hotmail.com.
[Ti] Título:Tract-Specific Diffusion Tensor Imaging Reveals Laterality of Neurological Symptoms in Patients with Cervical Compression Myelopathy.
[So] Source:World Neurosurg;96:184-190, 2016 Dec.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Patients with cervical compression myelopathy (CCM) generally present bilateral neurological symptoms in their extremities. However, a substantial portion of patients with CCM exhibit laterality of neurological symptoms. The aim of this study was to assess the correlation between intrinsic structural damage and laterality of symptoms using spinal cord diffusion tensor imaging (DTI) of the corticospinal tract. METHODS: We enrolled 10 healthy volunteers and 40 patients with CCM in this study. We evaluated motor function using the American Spinal Injury Association (ASIA) motor score for left and right extremities. For DTI acquisitions, a 3.0-T magnetic resonance imaging system with diffusion-weighted spin-echo sequence was used. Regions-of-interest in the lateral column tracts were determined. We determined the correlations between fractional anisotropy (FA) and ASIA motor scores. An FA asymmetry index was calculated using left and right regions-of-interest. RESULTS: Four patients exhibited laterality of symptoms in their extremities, for which left and right ASIA scores correlated moderately with FA in the left and right lateral columns, respectively (left: ρ = 0.64, P < 0.001; right: ρ = 0.67, P < 0.001). The area under the receiver-operator characteristic curve showed that the FA asymmetry index indicated laterality of symptoms. CONCLUSIONS: Using tract-specific DTI, we demonstrated that microstructural damages in the left and right corticospinal tracts correlated with corresponding neurological symptoms in the ipsilateral side and the FA asymmetry index could indicate laterality in neurological symptoms of patients with CCM.
[Mh] Termos MeSH primário: Artrogripose/diagnóstico por imagem
Artrogripose/fisiopatologia
Imagem de Tensor de Difusão
Extremidades/fisiopatologia
Lateralidade Funcional/fisiologia
Neuropatia Hereditária Motora e Sensorial/diagnóstico por imagem
Neuropatia Hereditária Motora e Sensorial/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Anisotropia
Plexo Cervical
Tomada de Decisões Assistida por Computador
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Exame Neurológico
Medula Espinal/diagnóstico por imagem
Estatísticas não Paramétricas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160910
[St] Status:MEDLINE


  9 / 902 MEDLINE  
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[PMID]:27607166
[Au] Autor:Niu N; Cao X; Cui R
[Ad] Endereço:From the *Departments of Nuclear Medicine, and †Hematology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
[Ti] Título:A Unique Case of Erdheim-Chester Disease With Cervical and Lumbosacral Nerve Involvement: FDG PET/CT Finding.
[So] Source:Clin Nucl Med;41(11):881-883, 2016 Nov.
[Is] ISSN:1536-0229
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cervical and lumbosacral nerve roots and plexus involvement in Erdheim-Chester disease (ECD) is rare. A 50-year-old man with progressive edema in bilateral lower extremities, numbness, weakness, and muscle atrophy of upper limb for 2 years had been misdiagnosed of neuritis or cervical spondylosis until he presented bone pain. In addition to bilateral symmetric involvement in long bones, bilateral hypermetabolism in cervical and lumbosacral nerve roots was found by FDG PET/CT scan. ECD was diagnosed by bone biopsy. This case reported the rare peripheral neural involvement and highlighted the advantage of FDG PET/CT scan in evaluating the multisystem involvement of ECD.
[Mh] Termos MeSH primário: Plexo Cervical/diagnóstico por imagem
Doença de Erdheim-Chester/diagnóstico por imagem
Plexo Lombossacral/diagnóstico por imagem
Tomografia Computadorizada com Tomografia por Emissão de Pósitrons
[Mh] Termos MeSH secundário: Doença de Erdheim-Chester/patologia
Fluordesoxiglucose F18
Seres Humanos
Masculino
Meia-Idade
Compostos Radiofarmacêuticos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Radiopharmaceuticals); 0Z5B2CJX4D (Fluorodeoxyglucose F18)
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161231
[Lr] Data última revisão:
161231
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160909
[St] Status:MEDLINE


  10 / 902 MEDLINE  
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[PMID]:27431320
[Au] Autor:Yoshioka K; Miyauchi A; Fukushima M; Kobayashi K; Kihara M; Miya A
[Ad] Endereço:Department of Head and Neck Surgery, Center for Excellence in Thyroid Care, Kuma Hospital, 8-2-35 Shimoyamate-dori, Chuo-ku, Kobe, 650-0011, Japan.
[Ti] Título:Surgical Methods and Experiences of Surgeons did not Significantly Affect the Recovery in Phonation Following Reconstruction of the Recurrent Laryngeal Nerve.
[So] Source:World J Surg;40(12):2948-2955, 2016 Dec.
[Is] ISSN:1432-2323
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: We reported phonatory recovery in the majority of 88 patients after recurrent laryngeal nerve (RLN) reconstruction. Here we analyzed factors that might influence the recovery, in a larger patient series. METHODS: At Kuma Hospital, 449 patients (354 females and 95 males) underwent RLN reconstruction with direct anastomosis, ansa cervicalis-to-RLN anastomosis, free nerve grafting, or vagus-to-RLN anastomosis; 47.4 % had vocal cord paralysis (VCP) preoperatively. Maximum phonation time (MPT) and mean airflow rate during phonation (MFR) were measured 1 year post surgery. Forty patients whose unilateral RLNs were resected and not reconstructed and 1257 normal subjects served as controls. RESULTS: Compared to the VCP patients, the RLN reconstruction patients had significantly longer MPTs 1 year after surgery, nearing the normal values. The MFR results were similar but less clear. Detailed analyses of 228 female patients with reconstruction for whom data were available revealed that none of the following factors significantly affected phonatory recovery: age, preoperative VCP, method of reconstruction, site of distal anastomosis, use of magnifier, thickness of suture thread, and experience of surgeon. Of these 228 patients, 24 (10.5 %) had MPTs <9 s 1 year after surgery, indicating insufficient recovery in phonation. This insufficiency was also not associated with the factors mentioned above. CONCLUSIONS: Approximately 90 % of patients who needed resection of the RLN achieved phonatory recovery following RLN reconstruction. The recovery was not associated with gender, age, preoperative VCP, surgical method of reconstruction, or experience of the surgeon. Performing reconstruction during thyroid surgery is essential whenever the RLN is resected.
[Mh] Termos MeSH primário: Competência Clínica
Procedimentos Neurocirúrgicos/métodos
Fonação
Traumatismos do Nervo Laríngeo Recorrente/cirurgia
Nervo Laríngeo Recorrente/cirurgia
Paralisia das Pregas Vocais/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Anastomose Cirúrgica
Plexo Cervical/cirurgia
Feminino
Seres Humanos
Masculino
Meia-Idade
Recuperação de Função Fisiológica
Traumatismos do Nervo Laríngeo Recorrente/etiologia
Traumatismos do Nervo Laríngeo Recorrente/fisiopatologia
Tireoidectomia/efeitos adversos
Nervo Vago/cirurgia
Paralisia das Pregas Vocais/etiologia
Paralisia das Pregas Vocais/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160720
[St] Status:MEDLINE



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