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[PMID]:27779561
[Au] Autor:Hirai C; Yamamoto Y; Takeda T; Tasaki A; Inaba Y; Kiyokawa Y; Suzuki Y; Tsutsumi T
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
[Ti] Título:Nystagmus at the Onset of Vertiginous Attack in Ménière's Disease.
[So] Source:Otol Neurotol;38(1):110-113, 2017 01.
[Is] ISSN:1537-4505
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To clarify the direction and characteristics of nystagmus at the onset of a vertiginous attack in Ménière's disease. PATIENTS: Two patients with Ménière's disease, whose nystagmus at the onset of a vertiginous attack was recorded using electronystagmography. INTERVENTIONS: Diagnostic. MAIN OUTCOME MEASURES: Electronystagmographic recordings of nystagmus. RESULTS: In both patients, nystagmus was directed toward the affected side over the entire course of the vertiginous attack. One patient experienced a severe sensation of vertigo and exhibited strong nystagmus from the onset of the attack. The other patient reported a mild sensation of vertigo, which was accompanied by intermittent nystagmus. CONCLUSIONS: Vertiginous attacks in Ménière's disease are accompanied by irritative nystagmus. The intensity and characteristics (e.g., continuous or intermittent expression) of the nystagmus may be associated with pathophysiological severity.
[Mh] Termos MeSH primário: Doença de Meniere/complicações
Nistagmo Patológico/fisiopatologia
Vertigem/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Eletronistagmografia
Feminino
Seres Humanos
Masculino
Meia-Idade
Nistagmo Patológico/etiologia
Vertigem/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:29381990
[Au] Autor:Zheng RW; Liu D; Eric TE; Ning YZ; Chen LL; Hu H; Ren Y
[Ad] Endereço:Department of Acupuncture and Moxibustion, Dongfang Hospital, The Second Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
[Ti] Título:A case study of Ramsay Hunt Syndrome in conjunction with cranial polyneuritis.
[So] Source:Medicine (Baltimore);96(47):e8833, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Ramsay Hunt syndrome in conjunction with cranial polyneuritis is not extensively documented, and is very easily misdiagnosed. PATIENT CONCERNS: A case of a 53-year-old male with Ramsay Hunt syndrome in conjunction with cranial polyneuritis is presented with early symptoms of vertigo, cephalalgia, and facial palsy, followed by zoster oticus 10 days later. DIAGNOSES: Diagnosis was challenging as this condition presents with multiple neuropathies, and attempting to diagnose based on clinical symptoms was often misleading. Polymerase chain reaction can be used to test for presence of the virus in the cerebrospinal fluid, followed by targeted drug therapy. INTERVENTIONS: Acupuncture, in conjunction with fire cupping, bloodletting around the afflicted region on the face, as well as oral consumption of herbal medicine and vitamins for nerve nourishment was given to treat this disease. OUTCOMES: Due to misdiagnosis resulting in delayed treatment, peripheral facial paralysis was left as the main sequelae, while other symptoms responded quickly to treatment. After a 6-month follow-up, facial palsy was still present. LESSONS: Considering that targeted antiviral therapy can be used to increase the effectiveness of treatment, early diagnosis, and timely use of medication is critical.
[Mh] Termos MeSH primário: Doenças dos Nervos Cranianos/diagnóstico
Erros de Diagnóstico/efeitos adversos
Herpes Zoster da Orelha Externa/diagnóstico
Neurite (Inflamação)/diagnóstico
[Mh] Termos MeSH secundário: Antivirais/uso terapêutico
Doenças dos Nervos Cranianos/virologia
Paralisia Facial/diagnóstico
Paralisia Facial/virologia
Cefaleia/diagnóstico
Cefaleia/virologia
Herpes Zoster da Orelha Externa/virologia
Seres Humanos
Masculino
Meia-Idade
Neurite (Inflamação)/virologia
Vertigem/diagnóstico
Vertigem/virologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antiviral Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008833


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[PMID]:28745678
[Au] Autor:Diukova GM; Zamergrad MV; Golubev VL; Adilova SM; Makarov SA
[Ad] Endereço:Sechenov First Moscow State Medical University, Moscow, Russia.
[Ti] Título:[Functional (psychogenic) vertigo].
[Ti] Título:Funktsional'noe (psikhogennoe) golovokruzhenie..
[So] Source:Zh Nevrol Psikhiatr Im S S Korsakova;117(6):91-98, 2017.
[Is] ISSN:1997-7298
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:Psychogenic (functional) vertigo is in second place by frequency after benign positional paroxysmal vertigo. It is often difficult to make the diagnosis, diagnostic program is expensive and traditional treatment often is not effective. This literature review covers current concepts on the terminology, clinical signs, pathogenesis and treatment approaches with regard to functional vertigo. Special attention is given to cerebral mechanisms of the pathogenesis including cognitive aspects.
[Mh] Termos MeSH primário: Vertigem
[Mh] Termos MeSH secundário: Seres Humanos
Vertigem/classificação
Vertigem/diagnóstico
Vertigem/tratamento farmacológico
Vertigem/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.17116/jnevro20171176191-98


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[PMID]:28910373
[Au] Autor:Lorbeer R; Hetterich H; Strobl R; Schafnitzel A; Patscheider H; Schindler A; Müller-Peltzer K; Sommer W; Peters A; Meisinger C; Heier M; Rathmann W; Bamberg F; Grill E
[Ad] Endereço:Department of Radiology, University Hospital, LMU Munich, Munich, Germany.
[Ti] Título:Lack of association of MRI determined subclinical cardiovascular disease with dizziness and vertigo in a cross-sectional population-based study.
[So] Source:PLoS One;12(9):e0184858, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: We investigated the association between subclinical cardiovascular diseases assessed by MRI examination and symptoms of dizziness and vertigo in participants of a population-based sample. METHODS: Data from 400 participants (169 women) aged from 39 to 73 of a cross-sectional MRI sub-study of the "Kooperative Gesundheitsforschung in der Region Augsburg" (KORA) FF4 study from the south of Germany was used. MRI determined subclinical cardiovascular diseases include left and right ventricular structure and function as well as the presence of carotid plaque and carotid wall thickness. Cerebrum diseases include white matter lesions (WML) and cerebral microbleeds (CMB). The main outcomes of dizziness and vertigo were assessed by standardized interview. Logistic regression models were applied and adjusted odds ratios (OR) with 95% confidence intervals (CI) were provided. RESULTS: Lifetime and 12-month prevalence of dizziness and vertigo were 30% (95%CI 26% to 35%) and 21% (95%CI 17% to 26%) respectively in this sample. On multivariable analysis, cardiac and carotid measurements were not associated with dizziness and vertigo excluding orthostatic vertigo (20%, 95CI 16% to 24%). Only in male participants, there was a significant association between WML and the presence of dizziness and vertigo (OR = 2.95, 95%CI 1.08 to 8.07). There was no significant association of CMB with dizziness and vertigo. However, CMB and WML were tending to associate with a higher risk of dizziness and vertigo in the whole sample (CMB: OR = 1.48, 95%CI 0.70; 3.15; WML: OR = 1.71, 95%CI 0.80 to 3.67;), in persons with prediabetes and diabetes (WML: OR = 2.71, 95%CI 0.89 to 8.23) and in men with normal glucose metabolism (CMB: OR = 2.60, 95%CI 0.56 to 12.0; WML: OR = 3.08, 95%CI 0.58 to 16.5). CONCLUSIONS: In this sample of participants without manifest cardiovascular diseases, subclinical left and right ventricular function and carotid structure were consistently not associated with dizziness and vertigo. Subclinical cerebrum measurements, however, tend to increase the risk for dizziness and vertigo, especially in men and in persons with prediabetes or diabetes.
[Mh] Termos MeSH primário: Encefalopatias/diagnóstico por imagem
Doenças Cardiovasculares/diagnóstico por imagem
Tontura/epidemiologia
Imagem por Ressonância Magnética/métodos
Vertigem/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos Transversais
Feminino
Alemanha/epidemiologia
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Prevalência
Fatores de Risco
Função Ventricular
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184858


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[PMID]:28857179
[Au] Autor:Androsova G; Krause R; Borghei M; Wassenaar M; Auce P; Avbersek A; Becker F; Berghuis B; Campbell E; Coppola A; Francis B; Wolking S; Cavalleri GL; Craig J; Delanty N; Koeleman BPC; Kunz WS; Lerche H; Marson AG; Sander JW; Sills GJ; Striano P; Zara F; Sisodiya SM; Depondt C; EpiPGX Consortium
[Ad] Endereço:Luxembourg Center for Systems Biomedicine, University of Luxembourg, Esch-sur-Alzette, Luxembourg.
[Ti] Título:Comparative effectiveness of antiepileptic drugs in patients with mesial temporal lobe epilepsy with hippocampal sclerosis.
[So] Source:Epilepsia;58(10):1734-1741, 2017 Oct.
[Is] ISSN:1528-1167
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS) is a common epilepsy syndrome that is often poorly controlled by antiepileptic drug (AED) treatment. Comparative AED effectiveness studies in this condition are lacking. We report retention, efficacy, and tolerability in a cohort of patients with MTLE-HS. METHODS: Clinical data were collected from a European database of patients with epilepsy. We estimated retention, 12-month seizure freedom, and adverse drug reaction (ADR) rates for the 10 most commonly used AEDs in patients with MTLE-HS. RESULTS: Seven hundred sixty-seven patients with a total of 3,249 AED trials were included. The highest 12-month retention rates were observed with carbamazepine (85.9%), valproate (85%), and clobazam (79%). Twelve-month seizure freedom rates varied from 1.2% for gabapentin and vigabatrin to 11% for carbamazepine. Response rates were highest for AEDs that were prescribed as initial treatment and lowest for AEDs that were used in a third or higher instance. ADRs were reported in 47.6% of patients, with the highest rates observed with oxcarbazepine (35.7%), topiramate (30.9%), and pregabalin (27.4%), and the lowest rates with clobazam (6.5%), gabapentin (8.9%), and lamotrigine (16.6%). The most commonly reported ADRs were lethargy and drowsiness, dizziness, vertigo and ataxia, and blurred vision and diplopia. SIGNIFICANCE: Our results did not demonstrate any clear advantage of newer versus older AEDs. Our results provide useful insights into AED retention, efficacy, and ADR rates in patients with MTLE-HS.
[Mh] Termos MeSH primário: Anticonvulsivantes/uso terapêutico
Epilepsia do Lobo Temporal/tratamento farmacológico
Hipocampo/patologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Aminas/uso terapêutico
Ataxia/induzido quimicamente
Benzodiazepinas/uso terapêutico
Carbamazepina/análogos & derivados
Carbamazepina/uso terapêutico
Ácidos Cicloexanocarboxílicos/uso terapêutico
Bases de Dados Factuais
Diplopia/induzido quimicamente
Tontura/induzido quimicamente
Epilepsia do Lobo Temporal/patologia
Epilepsia do Lobo Temporal/fisiopatologia
Feminino
Frutose/análogos & derivados
Frutose/uso terapêutico
Seres Humanos
Letargia/induzido quimicamente
Masculino
Meia-Idade
Pregabalina/uso terapêutico
Estudos Retrospectivos
Esclerose
Resultado do Tratamento
Triazinas/uso terapêutico
Ácido Valproico/uso terapêutico
Vertigem/induzido quimicamente
Vigabatrina/uso terapêutico
Transtornos da Visão/induzido quimicamente
Adulto Jovem
Ácido gama-Aminobutírico/uso terapêutico
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Amines); 0 (Anticonvulsants); 0 (Cyclohexanecarboxylic Acids); 0 (Triazines); 0H73WJJ391 (topiramate); 12794-10-4 (Benzodiazepines); 2MRO291B4U (clobazam); 30237-26-4 (Fructose); 33CM23913M (Carbamazepine); 55JG375S6M (Pregabalin); 56-12-2 (gamma-Aminobutyric Acid); 614OI1Z5WI (Valproic Acid); 6CW7F3G59X (gabapentin); GR120KRT6K (Vigabatrin); U3H27498KS (lamotrigine); VZI5B1W380 (oxcarbazepine)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1111/epi.13871


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[PMID]:28723788
[Au] Autor:Wang MY; Liu YS; Li K; Liu YJ; Wang F
[Ad] Endereço:Department of Intervention Therapy, First Affiliated Hospital of Dalian Medical University, Dalian, China.
[Ti] Título:Protective effect of the microcatheter placed at the normal vertebral artery in intracranial stent-assisted angioplasty for vertebral artery stenosis: A case report.
[So] Source:Medicine (Baltimore);96(29):e7569, 2017 Jul.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: A carefully designed intracranial stent-assisted angioplasty (SAA) is presented here that may prevent subsequent branch artery occlusion. PATIENT CONCERNS: A 72-year-old man with a 3-month history of progressive and intermittent vertigo without any obvious trigger, accompanied by nausea. DIAGNOSES: Intracranial atherosclerotic disease. INTERVENTIONS: the patient underwent intracranial SAA in accordance with the procedure described here. OUTCOMES: The patient's paroxysmal vertigo completely subsided, with no complications during the short-term follow-up. LESSONS: This novel intracranial SAA procedure is safe and may reduce the risk of subsequent artery occlusion.
[Mh] Termos MeSH primário: Angioplastia com Balão
Arteriosclerose Intracraniana/cirurgia
Stents
Artéria Vertebral/cirurgia
Insuficiência Vertebrobasilar/cirurgia
[Mh] Termos MeSH secundário: Idoso
Cateteres de Demora
Seres Humanos
Arteriosclerose Intracraniana/complicações
Arteriosclerose Intracraniana/diagnóstico
Arteriosclerose Intracraniana/tratamento farmacológico
Masculino
Artéria Vertebral/diagnóstico por imagem
Insuficiência Vertebrobasilar/complicações
Insuficiência Vertebrobasilar/diagnóstico
Insuficiência Vertebrobasilar/tratamento farmacológico
Vertigem/diagnóstico
Vertigem/tratamento farmacológico
Vertigem/etiologia
Vertigem/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007569


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[PMID]:28718302
[Au] Autor:Oron Y; Shemesh S; Shushan S; Cinamon U; Goldfarb A; Dabby R; Ovnat Tamir S
[Ad] Endereço:1 Department of Otolaryngology-Head, Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Sackler Faculty of Medicine, Israel.
[Ti] Título:Cardiovascular Risk Factors Among Patients With Vestibular Neuritis.
[So] Source:Ann Otol Rhinol Laryngol;126(8):597-601, 2017 Aug.
[Is] ISSN:1943-572X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate the correlation between cardiovascular risk factors (CVRFs) and vestibular neuritis (VN) in hospitalized adult patients. METHODS: A cross-sectional retrospective study was conducted in a tertiary hospital setting. The medical records of patients (aged over 18 years old) who were hospitalized between the years 2005 and 2014 with the diagnosis of VN were retrieved. Inclusion criteria were: (1) acute vertigo lasting for at least 24 hours, (2) absence of auditory complaints, (3) horizontal unidirectional nystagmus present during physical examination, and (4) absence of neurological symptoms or signs. The ratio of CVRFs among VN patients was compared to the ratio of those among the general Israeli population. RESULTS: A significantly higher prevalence of CVRFs was found among VN hospitalized patients in comparison to the general population ( P < .05). Furthermore, a significant correlation ( P < .001) was found between the patients' age and the number of CVRFs (r = .387). A positive correlation (r = .643) was found between the number of CVRFs and VN in each age group ( P = .119). CONCLUSION: There may be a possible interrelation between CVRFs and VN. This correlation can be caused by occlusion of small blood vessels leading to labyrinthine ischemia and apparition of symptoms of VN.
[Mh] Termos MeSH primário: Diabetes Mellitus/epidemiologia
Hiperlipidemias/epidemiologia
Hipertensão/epidemiologia
Obesidade/epidemiologia
Estilo de Vida Sedentário
Fumar/epidemiologia
Neuronite Vestibular/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Doenças Cardiovasculares/epidemiologia
Doença das Coronárias/genética
Estudos Transversais
Feminino
Hospitalização
Seres Humanos
Masculino
Anamnese
Meia-Idade
Nistagmo Patológico/epidemiologia
Nistagmo Patológico/etiologia
Estudos Retrospectivos
Fatores de Risco
Fatores Sexuais
Centros de Atenção Terciária
Vertigem/epidemiologia
Vertigem/etiologia
Neuronite Vestibular/complicações
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE
[do] DOI:10.1177/0003489417718846


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[PMID]:28687453
[Au] Autor:Perloff MD; Patel NS; Kase CS; Oza AU; Voetsch B; Romero JR
[Ad] Endereço:Department of Neurology, Boston University School of Medicine, Boston University Medical Center, 72 E. Concord St, C3, Boston, MA 02118, United States. Electronic address: michael.perloff@bmc.org.
[Ti] Título:Cerebellar stroke presenting with isolated dizziness: Brain MRI in 136 patients.
[So] Source:Am J Emerg Med;35(11):1724-1729, 2017 Nov.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate occurrence of cerebellar stroke in Emergency Department (ED) presentations of isolated dizziness (dizziness with a normal exam and negative neurological review of systems). METHODS: A 5-year retrospective study of ED patients presenting with a chief complaint of "dizziness or vertigo", without other symptoms or signs in narrative history or on exam to suggest a central nervous system lesion, and work-up included a brain MRI within 48h. Patients with symptoms commonly peripheral in etiology (nystagmus, tinnitus, gait instability, etc.) were included in the study. Patient demographics, stroke risk factors, and gait assessments were recorded. RESULTS: One hundred and thirty-six patients, who had a brain MRI for isolated dizziness, were included. There was a low correlation of gait assessment between ED physician and Neurologist (49 patients, Spearman's correlation r =0.17). Based on MRI DWI sequence, 3.7% (5/136 patients) had acute cerebellar strokes, limited to or including, the medial posterior inferior cerebellar artery vascular territory. In the 5 cerebellar stroke patients, mean age, body mass index (BMI), hemoglobin A1c, gender distribution, and prevalence of hypertension were similar to the non-cerebellar stroke patient group. Mean LDL/HDL ratio was 3.63±0.80 and smoking prevalence was 80% in the cerebellar stroke group compared to 2.43±0.79 and 22% (respectively, p values<0.01) in the non-cerebellar stroke group. CONCLUSIONS: Though there was preselection bias for stroke risk factors, our study suggests an important proportion of cerebellar stroke among ED patients with isolated dizziness, considering how common this complaint is.
[Mh] Termos MeSH primário: Cerebelo/irrigação sanguínea
Tontura/etiologia
Acidente Vascular Cerebral/complicações
Vertigem/etiologia
[Mh] Termos MeSH secundário: Adulto
Distribuição por Idade
Idoso
Índice de Massa Corporal
Imagem de Difusão por Ressonância Magnética
Serviço Hospitalar de Emergência
Feminino
Transtornos Neurológicos da Marcha/etiologia
Hemoglobina A Glicada/metabolismo
Seres Humanos
Hipertensão/epidemiologia
Lipoproteínas HDL/sangue
Lipoproteínas LDL/sangue
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Nistagmo Patológico/etiologia
Estudos Retrospectivos
Fatores de Risco
Distribuição por Sexo
Fumar/epidemiologia
Acidente Vascular Cerebral/diagnóstico por imagem
Acidente Vascular Cerebral/epidemiologia
Zumbido/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Glycated Hemoglobin A); 0 (Lipoproteins, HDL); 0 (Lipoproteins, LDL); 0 (hemoglobin A1c protein, human)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170709
[St] Status:MEDLINE


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[PMID]:28641322
[Au] Autor:Livingstone DM; Smith KA; Lange B
[Ad] Endereço:Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of Calgary, 7th floor, 4448 Front Street SE, Calgary, Alberta, Canada, T3M 1M4, dmliving@ucalgary.ca.
[Ti] Título:Scuba diving and otology: a systematic review with recommendations on diagnosis, treatment and post-operative care.
[So] Source:Diving Hyperb Med;47(2):97-109, 2017 Jun.
[Is] ISSN:1833-3516
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Scuba diving is a popular recreational and professional activity with inherent risks. Complications related to barotrauma and decompression illness can pose significant morbidity to a diver's hearing and balance systems. The majority of dive-related injuries affect the head and neck, particularly the outer, middle and inner ear. Given the high incidence of otologic complications from diving, an evidence-based approach to the diagnosis and treatment of otic pathology is a necessity. We performed a systematic and comprehensive literature review including the pathophysiology, diagnosis, and treatment of otologic pathology related to diving. This included inner, middle, and outer ear anatomic subsites, as well as facial nerve complications, mal de debarquement syndrome, sea sickness and fitness to dive recommendations following otologic surgery. Sixty-two papers on diving and otologic pathology were included in the final analysis. We created a set of succinct evidence-based recommendations on each topic that should inform clinical decisions by otolaryngologists, dive medicine specialists and primary care providers when faced with diving-related patient pathology.
[Mh] Termos MeSH primário: Barotrauma
Fenômenos Biofísicos
Doença da Descompressão
Mergulho/lesões
Otopatias
[Mh] Termos MeSH secundário: Barotrauma/diagnóstico
Barotrauma/etiologia
Barotrauma/terapia
Doença da Descompressão/diagnóstico
Doença da Descompressão/etiologia
Doença da Descompressão/terapia
Mergulho/efeitos adversos
Otopatias/diagnóstico
Otopatias/etiologia
Otopatias/terapia
Orelha Interna
Orelha Média
Exostose/diagnóstico
Exostose/terapia
Seres Humanos
Otite Externa/etiologia
Otite Externa/terapia
Equilíbrio Postural
Transtornos das Sensações/etiologia
Transtornos das Sensações/terapia
Vertigem/etiologia
Vertigem/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE


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[PMID]:28594693
[Au] Autor:Pullen RL
[Ad] Endereço:Richard L. Pullen, Jr., is a professor of nursing at Texas Tech University Health Sciences Center School of Nursing in Lubbock, Tex.
[Ti] Título:Navigating the challenges of Meniere disease.
[So] Source:Nursing;47(7):38-45, 2017 07.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Doença de Meniere/enfermagem
[Mh] Termos MeSH secundário: Gentamicinas/administração & dosagem
Seres Humanos
Injeção Intratimpânica
Masculino
Doença de Meniere/complicações
Doença de Meniere/fisiopatologia
Meia-Idade
Avaliação em Enfermagem
Diagnóstico de Enfermagem
Educação de Pacientes como Assunto
Vertigem/tratamento farmacológico
Vertigem/etiologia
Vertigem/enfermagem
Vertigem/psicologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Gentamicins)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000520504.06428.ce



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