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[PMID]:28724831
[Au] Autor:Murthy SR
[Ad] Endereço:Sankara Eye Hospital, Varthur Main Road, Kundlahalli Gate, Bengaluru, Karnataka, India.
[Ti] Título:No split, no tenotomy transposition procedure for complete abducens palsy.
[So] Source:Indian J Ophthalmol;65(7):636-638, 2017 Jul.
[Is] ISSN:1998-3689
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Abducens palsy is one of the commonly encountered cranial nerve palsies in strabismus clinic. For large-angle esotropia, due to complete abducens palsies, various vertical recti transposition (VRT) procedures have been described. Hummelsheim and Jensen's procedure are especially popular among them. Risk of anterior segment ischemia and induced vertical deviation postVRT prompt to search for better procedures to correct the esotropia and also improve the abduction. Modified Nishida's procedure (no split, no tenotomy transposition) is one of the newly described procedure in this direction. We describe three cases of complete abducens nerve palsy treated by this procedure.
[Mh] Termos MeSH primário: Doenças do Nervo Abducente/complicações
Esotropia/cirurgia
Movimentos Oculares
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/métodos
Visão Binocular/fisiologia
[Mh] Termos MeSH secundário: Doenças do Nervo Abducente/diagnóstico
Doenças do Nervo Abducente/fisiopatologia
Criança
Esotropia/etiologia
Esotropia/fisiopatologia
Feminino
Seres Humanos
Músculos Oculomotores/fisiopatologia
Cápsula de Tenon
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.4103/ijo.IJO_768_16


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[PMID]:28720403
[Au] Autor:Vitale M; Amrit M; Arora R; Lata J
[Ad] Endereço:McLaren Macomb Hospital, Department of Emergency Medicine. Electronic address: Matthew.Vitale1@mclaren.org.
[Ti] Título:Gradenigo's syndrome: A common infection with uncommon consequences.
[So] Source:Am J Emerg Med;35(9):1388.e1-1388.e2, 2017 Sep.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Acute otitis media is a common diagnosis encountered by emergency medicine providers. With appropriate antibiotic treatment, patients with otitis media, in general, have minimal long-term sequela from their underlying infection (Limb et al., 2017 [1]). However, untreated cases can develop life-threatening complications that require prompt intervention. We report a case of an 8-year-old that developed Gradenigo's syndrome, a condition characterized by the triad of otitis media, facial pain in the distribution of the trigeminal nerve, and abducens nerve palsy (Yeung and Lustig, 2016; Janjua et al., 2016; Kantas et al., 2010; Motamed and Kalan, n.d.; Vita Fooken Jensen et al., 2016 [2-6]). Signs and symptoms are often subtle, so a high-level of suspicion is required in order not to miss this potentially fatal process.
[Mh] Termos MeSH primário: Doenças do Nervo Abducente/microbiologia
Antibacterianos/uso terapêutico
Mastoidite/diagnóstico por imagem
Petrosite/diagnóstico por imagem
Infecções Pneumocócicas/tratamento farmacológico
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Petrosite/tratamento farmacológico
Petrosite/etiologia
Streptococcus pneumoniae/isolamento & purificação
Nervo Trigêmeo/microbiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[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:170720
[St] Status:MEDLINE


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[PMID]:28345573
[Au] Autor:Gupta C; Sharma P; Saxena R; Garg A; Sharma S
[Ad] Endereço:Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
[Ti] Título:Clinical correlation of imaging findings in congenital cranial dysinnervation disorders involving abducens nerve.
[So] Source:Indian J Ophthalmol;65(2):155-159, 2017 Feb.
[Is] ISSN:1998-3689
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:PURPOSE: High-resolution magnetic resonance imaging (MRI) of intracranial parts of sixth nerve and seventh nerve and the extraocular muscles (EOMs) in orbit to correlate the clinical characteristics in patients with two special forms of strabismus in congenital cranial dysinnervation disorders which are Duane's retraction syndrome (DRS) and Mobius syndrome. MATERIALS AND METHODS: Morphological analysis by 3T MRI of orbit (using surface coils) and brain (using 32 channel head coil) was performed on 6 patients with clinical DRS (1 bilateral), 2 cases with Mobius syndrome, and 1 case with congenital sixth nerve palsy. These were compared with findings in five controls. RESULTS: We observed absence/hypoplasia of sixth nerve in five out of seven eyes with DRS (71.42%), anomalous course in one eye, sixth and seventh nerve absence/hypoplasia in affected eyes with Mobius syndrome and bilateral absence/hypoplasia of the sixth nerve in congenital sixth nerve palsy. For EOMs we calculated maximum diameter, area, and circumference of muscles using Osirix software, and noticed significant hypoplasia of lateral rectus in comparison to controls (P < 0.001). CONCLUSIONS: MRI gives useful information regarding confirmation of clinical diagnosis and its neurological anomalies in complex cases and helps to plan tailor made surgical management.
[Mh] Termos MeSH primário: Doenças do Nervo Abducente/diagnóstico
Anormalidades Múltiplas
Síndrome da Retração Ocular/diagnóstico
Imagem por Ressonância Magnética/métodos
Síndrome de Möbius/diagnóstico
Músculos Oculomotores/inervação
Órbita/diagnóstico por imagem
[Mh] Termos MeSH secundário: Nervo Abducente/diagnóstico por imagem
Doenças do Nervo Abducente/congênito
Seres Humanos
Imagem Tridimensional
Músculos Oculomotores/diagnóstico por imagem
Projetos Piloto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170328
[St] Status:MEDLINE
[do] DOI:10.4103/ijo.IJO_1013_15


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[PMID]:28274277
[Au] Autor:Oishi T; Sakai N; Sameshima T; Kawaji H; Namba H
[Ad] Endereço:Department of Neurosurgery, Hamamatsu University School of Medicine, Handayama 1-20-1, Higashiku, Hamamatsu, Shizuoka, 431-3192, Japan.
[Ti] Título:The efficacy of resection of an intradural extramedullary foramen magnum cavernous malformation presenting with repeated subarachnoid hemorrhage: a case report.
[So] Source:J Med Case Rep;11(1):63, 2017 Mar 09.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Intradural extramedullary cavernous angiomas of the central nervous system are a rare type of cavernous angioma, but they can cause fatal subarachnoid hemorrhage. The efficacy of resection for this type of cavernous malformations remains uncertain. This is the first report to recommend surgical resection of these types of lesions regardless of the fatal condition. CASE PRESENTATION: Our patient was a 70-year-old Japanese man who experienced a sudden onset of an occipital headache, followed by bilateral abducens nerve palsy. Magnetic resonance imaging revealed a small amount of hemorrhage in both of the lateral ventricles and an intradural extramedullary mass lesion in the left side of his foramen magnum. Two weeks after the appearance of initial symptoms, he became comatose. A computed tomography scan showed an increase in the subarachnoid intraventricular hemorrhaging and of the acute hydrocephalus. Following ventricular drainage, total tumor resection was performed using the lateral suboccipital transcondylar approach in conjunction with a first cervical hemilaminectomy. We observed a grape-like vascular-rich tumor with calcification that was adhering tightly to the wall of his left vertebral artery. A histopathological examination of the surgery specimen identified it as a cavernous angioma. After placement of a ventriculoperitoneal shunt and 2 months of rehabilitation, he recovered completely. CONCLUSIONS: An intradural extramedullary foramen magnum cavernous malformation is quite rare. The fragile surface of our patient's lesion was causing repeated subarachnoid hemorrhage and consequently progressive fatal neurological deterioration. Surgical resection of the lesion to prevent repeated hemorrhage was performed and he recovered fully. Therefore, we recommend surgical resection of the lesion regardless of the potentially fatal condition.
[Mh] Termos MeSH primário: Doenças do Nervo Abducente/fisiopatologia
Forame Magno/patologia
Hemangioma Cavernoso/diagnóstico
Malformações Arteriovenosas Intracranianas/diagnóstico
Imagem por Ressonância Magnética
Hemorragia Subaracnóidea/diagnóstico
Derivação Ventriculoperitoneal/métodos
[Mh] Termos MeSH secundário: Doenças do Nervo Abducente/etiologia
Idoso
Cefaleia/etiologia
Hemangioma Cavernoso/cirurgia
Seres Humanos
Malformações Arteriovenosas Intracranianas/complicações
Malformações Arteriovenosas Intracranianas/cirurgia
Masculino
Hemorragia Subaracnóidea/etiologia
Hemorragia Subaracnóidea/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170622
[Lr] Data última revisão:
170622
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170310
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-017-1220-8


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[PMID]:28260625
[Au] Autor:Bhatkar S; Goyal MK; Takkar A; Mukherjee KK; Singh P; Singh R; Lal V
[Ad] Endereço:Department of Neurology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
[Ti] Título:Cavernous sinus syndrome: A prospective study of 73 cases at a tertiary care centre in Northern India.
[So] Source:Clin Neurol Neurosurg;155:63-69, 2017 Apr.
[Is] ISSN:1872-6968
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To study the clinical and etiological profile of patients with cavernous sinus syndrome (CSS) and identify factors which could determine the etiology and influence the outcome of these patients. PATIENTS AND METHODS: This prospective observational study included 73 consecutive patients satisfying the criteria of CSS (i.e. involvement of any 2 of the 3rd, 4th, 5th and 6th cranial nerves or any one of them with radiological evidence of cavernous sinus involvement). All these patients were subjected to detailed haematological, biochemical and radiological investigations and diagnosed and treated as per guidelines. The clinical and investigational data was recorded and analysed meticulously. RESULTS: A definitive etiological diagnosis of CSS could be achieved in 86% of patients. Tumours, fungal infections and Tolosa Hunt syndrome (THS) were most common causes. On univariate analysis, diabetes, severe vision loss (visual acuity of <3/60 in at least one eye), and presence of nasal discharge showed a significantly positive association with a fungal CSS. Evidence of paranasal sinusitis, bone erosion and ICA (internal carotid artery) involvement on Gadolinium enhanced MRI (magnetic resonance imaging) of brain were significantly associated with a fungal CSS (p=0.0001), whereas involvement of orbital apex had a negative association with a neoplastic etiology (p=0.014). On multiple logistic regression, orbital apex involvement on MRI was associated with diagnosis of THS (p=0.019, OR: 18.7; 95% CI: 1.6-217.4) while MRI evidence of paranasal sinusitis (p=0.014, OR: 45; 95% CI: 2.1-94.3) and bone erosion ((p=0.019, OR: 12.5; 95% CI: 1.5-103) correlated with diagnosis of fungal CSS. 65.2% of patients (fungal CSS- 70%) had a good prognosis at six months follow up. CONCLUSION: Most patients with CSS can be diagnosed accurately and managed properly with good outcomes.
[Mh] Termos MeSH primário: Seio Cavernoso/fisiopatologia
Seio Cavernoso/cirurgia
[Mh] Termos MeSH secundário: Doenças do Nervo Abducente/patologia
Doenças do Nervo Abducente/cirurgia
Adolescente
Adulto
Idoso
Seio Cavernoso/patologia
Criança
Feminino
Seres Humanos
Índia
Imagem por Ressonância Magnética/métodos
Masculino
Meia-Idade
Estudos Prospectivos
Sinusite/diagnóstico
Sinusite/cirurgia
Centros de Atenção Terciária
Doenças do Nervo Trigêmeo/patologia
Doenças do Nervo Trigêmeo/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170420
[Lr] Data última revisão:
170420
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170307
[St] Status:MEDLINE


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[PMID]:28254627
[Au] Autor:Velez FG; Chang MY; Pineles SL
[Ad] Endereço:Department of Ophthalmology, Stein Eye Institute, University of California, Los Angeles, Los Angeles, California.
[Ti] Título:Inferior Rectus Transposition: A Novel Procedure for Abducens Palsy.
[So] Source:Am J Ophthalmol;177:126-130, 2017 May.
[Is] ISSN:1879-1891
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Superior rectus transposition has been popularized for the treatment of abduction deficiencies. Potential complications include induced vertical deviation and torsion. A new procedure, the inferior rectus transposition (IRT), may be similarly beneficial for patients at risk for postoperative vertical deviation or incyclotropia. The purpose of this study is to describe the outcomes of patients undergoing IRT. DESIGN: Prospective, interventional case series. METHODS: Five patients in an academic pediatric ophthalmology and strabismus practice with a complete lateral rectus palsy who underwent IRT were studied. Changes in anomalous head posture, ocular rotations, ocular alignment, and torsion preoperatively to postoperatively were compared. RESULTS: The patients ranged in age from 19-89 years. There was a significant correction in the angle of esotropia (ET) from 39±17Δ (14-55Δ) to 12 ± 9.8Δ (0-22Δ) postoperatively (P = .02). Two of 5 patients had preoperative hypertropia of the affected eye (1.4 ± 2.2Δ; range, 2-5Δ). One of those had no vertical deviation postoperatively and 1 patient resulted in 2Δ hypotropia. One patient without vertical misalignment preoperatively developed a small postoperative vertical deviation. Torticollis significantly improved from 31.4 ± 11.6° to 5 ± 5.8° (P = .004). All patients improved abduction, with a mean of -4.4 ± 0.5 preoperatively to -3.4 ± 0.9 postoperatively (P = .07). CONCLUSION: Initial postoperative follow-up in patients with abducens palsy undergoing IRT shows a significant improvement in ocular alignment and torticollis. In patients with preoperative hypertropia, IRT resulted in a downward shifting effect on the operated eye. IRT may be a beneficial procedure for patients with preoperative hypertropia or intorsion requiring transposition procedures. Future studies with larger populations and longer durations of follow-up will be required before this procedure can be recommended.
[Mh] Termos MeSH primário: Doenças do Nervo Abducente/cirurgia
Esotropia/cirurgia
Movimentos Oculares/fisiologia
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/métodos
Visão Binocular
[Mh] Termos MeSH secundário: Doenças do Nervo Abducente/complicações
Doenças do Nervo Abducente/fisiopatologia
Adulto
Idoso
Idoso de 80 Anos ou mais
Esotropia/etiologia
Esotropia/fisiopatologia
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Músculos Oculomotores/fisiopatologia
Período Pós-Operatório
Estudos Prospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170304
[St] Status:MEDLINE


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[PMID]:28253424
[Au] Autor:Rowe FJ; Noonan CP
[Ad] Endereço:Department of Health Services Research, University of Liverpool, Waterhouse Building (B211), 1-3 Brownlow Street, Liverpool, UK, L69 3GL.
[Ti] Título:Botulinum toxin for the treatment of strabismus.
[So] Source:Cochrane Database Syst Rev;3:CD006499, 2017 03 02.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The use of botulinum toxin as an investigative and treatment modality for strabismus is well reported in the medical literature. However, it is unclear how effective it is in comparison to other treatment options for strabismus. OBJECTIVES: The primary objective was to examine the efficacy of botulinum toxin therapy in the treatment of strabismus compared with alternative conservative or surgical treatment options. This review sought to ascertain those types of strabismus that particularly benefit from the use of botulinum toxin as a treatment option (such as small angle strabismus or strabismus with binocular potential, i.e. the potential to use both eyes together as a pair). The secondary objectives were to investigate the dose effect and complication rates associated with botulinum toxin. SEARCH METHODS: We searched CENTRAL (which contains the Cochrane Eyes and Vision Trials Register) (2016, Issue 6), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to July 2016), Embase (January 1980 to July 2016), Latin American and Caribbean Literature on Health Sciences (LILACS) (January 1982 to July 2016), the ISRCTN registry (www.isrctn.com/editAdvancedSearch), ClinicalTrials.gov (www.clinicaltrials.gov), and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 11 July 2016. We handsearched the British and Irish Orthoptic Journal, Australian Orthoptic Journal, proceedings of the European Strabismological Association (ESA), International Strabismological Association (ISA) and International Orthoptic Association (IOA) (www.liv.ac.uk/orthoptics/research/search.htm) and American Academy of Paediatric Ophthalmology and Strabismus meetings (AAPOS). We contacted researchers who are active in this field for information about further published or unpublished studies. SELECTION CRITERIA: We included randomised controlled trials (RCTS) of any use of botulinum toxin treatment for strabismus. DATA COLLECTION AND ANALYSIS: Two review authors independently selected studies and extracted data. We used standard methods expected by Cochrane and assessed the certainty of the evidence using GRADE. We defined ocular alignment as an angle of deviation of less than or equal to 10 prism dioptres. MAIN RESULTS: Six RCTs were eligible for inclusion. We judged the included studies as at a mixture of low, unclear and high risk of bias. We did not consider any of the included studies as at low risk of bias for all domains.Two trials conducted in Spain (102 people, number of eyes not specified) compared botulinum toxin with surgery in children that required retreatment for acquired or infantile esotropia. These two studies provided low-certainty evidence that children who received botulinum toxin may have a similar or slightly reduced chance of achieving ocular alignment (pooled risk ratio (RR) 0.91, 95% confidence interval (CI) 0.71 to 1.16), binocular single vision (RR 0.88, 95% CI 0.63 to 1.23), sensory fusion (RR 0.88, 95% CI 0.63 to 1.23) and stereopsis (RR 0.86, 95% CI 0.59 to 1.25) compared with children who received surgery. One trial from Canada compared botulinum toxin with surgery in 30 adults (30 eyes) with horizontal strabismus and reported a reduced chance of ocular alignment with botulinum toxin (RR 0.38, 95% CI 0.17 to 0.85; low-certainty evidence).One trial in the UK suggested that botulinum toxin may result in a similar or slightly improved chance of ocular alignment in people with acute onset sixth nerve palsy compared with observation (RR 1.19, 95% CI 0.96 to 1.48; 47 participants, low-certainty evidence).Very low-certainty evidence from one trial from Brazil suggested that adjuvant botulinum toxin in strabismus surgery may increase the chances of ocular alignment compared with strabismus surgery alone (RR 1.83, 95% CI 0.41 to 8.11; 23 participants).One trial from China of 47 participants (94 eyes) suggested that people receiving botulinum toxin combined with sodium hyaluronate may have a similar or slightly reduced chance of achieving ocular alignment compared with botulinum toxin alone (RR 0.81, 95% CI 0.36 to 1.82; low-certainty evidence).Reported complications in people given botulinum toxin in the included trials included ptosis (range 9% to 41.66%) and vertical deviation (range 8.3% to 18.51%). Ptosis occurred less frequently when treated with botulinum toxin combined with sodium hyaluronate compared to botulinum toxin alone. AUTHORS' CONCLUSIONS: Most published literature on the use of botulinum toxin in the treatment of strabismus consists of retrospective studies, cohort studies or case reviews. Although these provide useful descriptive information, clarification is required as to the effective use of botulinum toxin as an independent treatment modality. Six RCTs on the therapeutic use of botulinum toxin in strabismus, graded as low and very low-certainty evidence, have shown varying responses. These include a lack of evidence for effect of botulinum toxin on reducing visual symptoms in acute sixth nerve palsy, poor response in people with horizontal strabismus without binocular vision, similar or slightly reduced achievement of successful ocular alignment in children with esotropia and potential increased achievement of successful ocular alignment where surgery and botulinum toxin are combined. Further high quality trials using robust methodologies are required to compare the clinical and cost effectiveness of various forms of botulinum toxin (e.g. Dysport, Xeomin, etc), to compare botulinum toxin with and without adjuvant solutions and to compare botulinum toxin to alternative surgical interventions in strabismus cases with and without potential for binocular vision.
[Mh] Termos MeSH primário: Doenças do Nervo Abducente/tratamento farmacológico
Toxinas Botulínicas Tipo A/uso terapêutico
Fármacos Neuromusculares/uso terapêutico
Estrabismo/tratamento farmacológico
[Mh] Termos MeSH secundário: Adulto
Toxinas Botulínicas Tipo A/efeitos adversos
Criança
Seres Humanos
Fármacos Neuromusculares/efeitos adversos
Ensaios Clínicos Controlados Aleatórios como Assunto
Estrabismo/cirurgia
Visão Binocular
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Nm] Nome de substância:
0 (Neuromuscular Agents); EC 3.4.24.69 (Botulinum Toxins, Type A)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD006499.pub4


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[PMID]:28249714
[Au] Autor:Lee YH; Lambert SR
[Ad] Endereço:Department of Ophthalmology, Chungnam National University Hospital, Daejeon, South Korea.
[Ti] Título:Outcomes After Superior Rectus Transposition and Medial Rectus Recession Versus Vertical Recti Transposition for Sixth Nerve Palsy.
[So] Source:Am J Ophthalmol;177:100-105, 2017 May.
[Is] ISSN:1879-1891
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To compare the effectiveness of superior rectus transposition and medial rectus recession (SRT/MRc) vs inferior and superior rectus transposition (VRT) for acquired sixth nerve palsy. DESIGN: Consecutive, interventional case series. METHODS: The medical records of a consecutive series of patients with acquired sixth nerve palsy who underwent VRT or SRT/MRc by a single surgeon were reviewed. The preoperative and postoperative findings were compared between the 2 groups. RESULTS: Eight patients (mean age, 46.8 years) underwent SRT/MRc and 8 patients underwent VRT (mean age, 51.1 years). Lateral fixation was performed on all but 4 patients in the VRT group. Preoperative esotropia in primary position and abduction deficit were similar in both groups (SRT/MRc, 41.9 prism diopter [PD], -4.6; VRT, 55.6 PD, -4.5; P = .195, 1.0). The SRT/MRc group underwent a mean MR recession of 6 (range, 5-7) mm. Four patients in the VRT later underwent MR recession (mean 5.3 mm, range 5-6 mm). In addition, 5 patients in the VRT group had 1 or more botulinum toxin injections in the medial rectus muscle. No additional procedures were performed in the SRT/MR group. Fewer additional procedures were performed with SRT/MR (SRT/MR, 0; VRT, 1.8 ± 1.2; P < .010). At last follow-up, residual esotropia (SRT/MRc, 7.1 PD; VRT, 10.3 PD; P = .442) was similar in both groups, but abduction was better in the SRT/MRc group (SRT/MR, -3.0 ± 0.7; VRT, -3.8 ± 0.4; P = .038). There were no new persistent vertical deviations or torsional diplopia. CONCLUSIONS: Final outcomes were similar with SRT/MRc vs VRT. However, fewer additional surgical procedures were needed with SRT/MR.
[Mh] Termos MeSH primário: Doenças do Nervo Abducente/cirurgia
Diplopia/cirurgia
Esotropia/cirurgia
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/métodos
Visão Binocular/fisiologia
[Mh] Termos MeSH secundário: Doenças do Nervo Abducente/complicações
Doenças do Nervo Abducente/fisiopatologia
Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Diplopia/etiologia
Diplopia/fisiopatologia
Esotropia/complicações
Esotropia/fisiopatologia
Movimentos Oculares
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Músculos Oculomotores/fisiopatologia
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE


  9 / 873 MEDLINE  
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[PMID]:28131177
[Au] Autor:Ryu J; Park KA; Oh SY; Kim SJ; Cho K; Min JH; Kim BJ
[Ad] Endereço:Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
[Ti] Título:Perioptic neuritis related with varicella-zoster virus infection preceding sixth cranial nerve palsy and progressive outer retinal necrosis in a immunocompetent patient.
[So] Source:J Neurol Sci;373:155-156, 2017 Feb 15.
[Is] ISSN:1878-5883
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças do Nervo Abducente/diagnóstico
Doenças do Nervo Abducente/etiologia
Infecções por Herpesviridae/complicações
Infecções por Herpesviridae/diagnóstico
Herpesvirus Humano 3
Síndrome de Necrose Retiniana Aguda/diagnóstico
Síndrome de Necrose Retiniana Aguda/etiologia
[Mh] Termos MeSH secundário: Doenças do Nervo Abducente/diagnóstico por imagem
Doenças do Nervo Abducente/tratamento farmacológico
Idoso
Diagnóstico Diferencial
Progressão da Doença
Infecções por Herpesviridae/diagnóstico por imagem
Infecções por Herpesviridae/tratamento farmacológico
Seres Humanos
Masculino
Síndrome de Necrose Retiniana Aguda/diagnóstico por imagem
Síndrome de Necrose Retiniana Aguda/tratamento farmacológico
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170130
[St] Status:MEDLINE


  10 / 873 MEDLINE  
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[PMID]:28069788
[Au] Autor:Kirito Y; Yamamoto D; Uchiyama T
[Ad] Endereço:Department of Neurology, Seirei Hamamatu General Hospital, Hamamatsu, Shizuoka, Japan.
[Ti] Título:Proteinase 3-antineutrophil cytoplasmic antibody-positive ulcerative colitis presenting with abducens neuropathy.
[So] Source:BMJ Case Rep;2017, 2017 Jan 09.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A 72-year-old man with ulcerative colitis (UC) presented with complete left abducens nerve palsy. Although MRI showed no significant changes, cerebrospinal fluid analysis revealed pleocytosis and elevated protein and interleukin (IL)-6 levels. His serum proteinase 3-antineutrophil cytoplasmic antibody (PR3-ANCA) level was also elevated to 31.1 U/mL, but granulomatosis with polyangiitis was not observed. On the basis of the diagnosis of autoimmune cranial neuropathy, he was treated with steroid therapy. While tapering steroid therapy, his serum PR3-ANCA levels; cerebrospinal fluid findings, including IL-6 levels; and symptoms improved. Serum PR3-ANCA could be a useful parameter of neurological disorders associated with ANCA-positive UC.
[Mh] Termos MeSH primário: Doenças do Nervo Abducente/etiologia
Anticorpos Anticitoplasma de Neutrófilos/metabolismo
Colite Ulcerativa/complicações
Mieloblastina/imunologia
[Mh] Termos MeSH secundário: Doenças do Nervo Abducente/tratamento farmacológico
Assistência ao Convalescente
Idoso
Colite Ulcerativa/imunologia
Seres Humanos
Infusões Intravenosas
Interleucina-6/metabolismo
Masculino
Metilprednisolona/administração & dosagem
Fármacos Neuroprotetores/administração & dosagem
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Antineutrophil Cytoplasmic); 0 (IL6 protein, human); 0 (Interleukin-6); 0 (Neuroprotective Agents); EC 3.4.21.76 (Myeloblastin); X4W7ZR7023 (Methylprednisolone)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170306
[Lr] Data última revisão:
170306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170111
[St] Status:MEDLINE



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