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[PMID]:29187957
[Au] Autor:Sharma SC; Sakthivel P
[Ad] Endereço:Department of Otorhinolaryngology & Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.
[Ti] Título:Cricopharyngeal bar.
[So] Source:Pan Afr Med J;27:288, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos de Deglutição/etiologia
Dilatação/métodos
Músculos Faríngeos/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso
Transtornos de Deglutição/terapia
Seres Humanos
Masculino
Músculos Faríngeos/patologia
Espasmo/diagnóstico por imagem
Espasmo/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.288.13296


  2 / 5444 MEDLINE  
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[PMID]:28578122
[Au] Autor:Yan KK; Wei JB; Lin W; Zhang YH; Zhang M; Li M
[Ad] Endereço:Department of Functional Neurosurgery, Central Hospital of Panzhihua City in Sichuan Province, Sichuan, China. Electronic address: yankekunyanwenhao@163.com.
[Ti] Título:Hemimasticatory Spasm with a Single Venous Compression Treated with Microvascular Decompression of the Trigeminal Motor Rootlet.
[So] Source:World Neurosurg;104:1050.e19-1050.e22, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Hemimasticatory spasm is a very rare disorder of the trigeminal motor rootlet that is characterized by a paroxysmal involuntary contraction of the jaw-closing muscles. The mechanisms for hemimasticatory spasm remain unclear, and an efficient treatment strategy still needs to be developed. CASE DESCRIPTION: We report a case of a successful treatment of hemimasticatory spasm with single venous compression via microvascular decompression of the trigeminal motor rootlet. CONCLUSIONS: Our report shows that a single venous compression may be also responsible for idiopathic hemimasticatory spasm which can be cured by microvascular decompression. This is the first report on hemimasticatory compressed by a single vein in the world.
[Mh] Termos MeSH primário: Músculos da Mastigação
Cirurgia de Descompressão Microvascular/métodos
Espasmo/cirurgia
Doenças do Nervo Trigêmeo/cirurgia
Veias/cirurgia
[Mh] Termos MeSH secundário: Adulto
Eletromiografia
Feminino
Seres Humanos
Espasmo/etiologia
Doenças do Nervo Trigêmeo/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170605
[St] Status:MEDLINE


  3 / 5444 MEDLINE  
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[PMID]:28375396
[Au] Autor:Jones KB; Allred J; Shprecher D
[Ad] Endereço:Department of Family and Preventive Medicine, University of Utah, Salt Lake City, USA. Email: kyle.jones@hsc.utah.edu.
[Ti] Título:Muscle spasms, twitches in arm upon throwing · Dx?
[So] Source:J Fam Pract;66(4):234-236, 2017 Apr.
[Is] ISSN:1533-7294
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Involuntary upper right arm muscle contractions and spasms, which began intermittently when the patient was a teenager, were now a real problem for him as an adult. The patient was having difficulty rolling a baseball underhand to players as part of infield practice and he was experiencing muscle spasms when lifting his right arm over his head. "Twitches" in the patient's upper arm were making drinking difficult, but he had no problems feeding himself, writing, or performing other basic activities of daily living.
[Mh] Termos MeSH primário: Distonia/diagnóstico
Distonia/tratamento farmacológico
Músculos/fisiopatologia
Ombro/fisiopatologia
Espasmo/diagnóstico
Espasmo/tratamento farmacológico
Espasmo/terapia
[Mh] Termos MeSH secundário: Adulto
Beisebol
Distonia/fisiopatologia
Seres Humanos
Masculino
Espasmo/fisiopatologia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE


  4 / 5444 MEDLINE  
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[PMID]:28367849
[Au] Autor:Adachi Y; Sakakura K; Ibe T; Yoshida N; Wada H; Fujita H; Momomura SI
[Ad] Endereço:Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University.
[Ti] Título:Acute Heart Failure Triggered by Coronary Spasm With Transient Left Ventricular Dysfunction.
[So] Source:Int Heart J;58(2):286-289, 2017 Apr 06.
[Is] ISSN:1349-3299
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Coronary spasm is abnormal contraction of an epicardial coronary artery resulting in myocardial ischemia. Coronary spasm induces not only depressed myocardial contractility, but also incomplete myocardial relaxation, which leads to elevated ventricular filling pressure. We herein report the case of a 55-year-old woman who had repeated acute heart failure caused by coronary spasm. Acetylcholine provocation test with simultaneous right heart catheterization was useful for the diagnosis of elevated ventricular filling pressure as well as coronary artery spasm. We should add coronary spasm to a differential diagnosis for repeated acute heart failure.
[Mh] Termos MeSH primário: Doença da Artéria Coronariana/complicações
Insuficiência Cardíaca/etiologia
Espasmo/complicações
[Mh] Termos MeSH secundário: Doença da Artéria Coronariana/diagnóstico
Feminino
Seres Humanos
Meia-Idade
Espasmo/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170502
[Lr] Data última revisão:
170502
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.1536/ihj.16-283


  5 / 5444 MEDLINE  
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[PMID]:28338183
[Au] Autor:Scoppetta C; Di Gennaro G
[Ad] Endereço:Department of Human Physiology and Pharmacology, Sapienza University of Rome, Rome, Italy. cscoppetta@tin.it.
[Ti] Título:Psychogenic convergence spasm mimicking ocular myasthenia.
[So] Source:Eur Rev Med Pharmacol Sci;21(5):1088-1090, 2017 Mar.
[Is] ISSN:2284-0729
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:A 14-year-old girl presented with a two-years history of fluctuating convergent strabismus, diplopia, and reading difficulty. She has been previously diagnosed by experienced neurologists as having ocular myasthenia and she had been treated for two years with anticholinesterase inhibitors and immunomodulatory drugs. After a thorough medical interview and neurological examination, a diagnosis of psychogenic convergence spasm was made. The patient was then reassured and the symptoms immediately disappeared. She also had psychotherapy and maintained a condition of sustained freedom from symptoms.
[Mh] Termos MeSH primário: Miastenia Gravis/diagnóstico
Estrabismo/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Diagnóstico Diferencial
Feminino
Seres Humanos
Espasmo
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE


  6 / 5444 MEDLINE  
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[PMID]:28316319
[Au] Autor:Park JT; Chugani HT
[Ad] Endereço:Division of Pediatric Epilepsy, Department of Pediatrics, Rainbow Babies & Children's Hospital, Case Western University School of Medicine, Cleveland, Ohio.
[Ti] Título:Epileptic spasms in paediatric post-traumatic epilepsy at a tertiary referral centre.
[So] Source:Epileptic Disord;19(1):24-34, 2017 Mar 01.
[Is] ISSN:1950-6945
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:To recognize epileptic spasms (ES) as a seizure type after traumatic brain injury (TBI), accidental or non-accidental, in infants and children. In the process, we aim to gain some insight into the mechanisms of epileptogenesis in ES. A retrospective electronic chart review was performed at the Children's Hospital of Michigan from 2002 to 2012. Electronic charts of 321 patients were reviewed for evidence of post-traumatic epilepsy. Various clinical variables were collected including age at TBI, mechanism of trauma, severity of brain injury, electroencephalography/neuroimaging data, and seizure semiology. Six (12.8%) of the 47 patients diagnosed with post-traumatic epilepsy (PTE) had ES. Epileptic spasms occurred between two months to two years after TBI. All patients with ES had multiple irritative zones, manifesting as multifocal epileptiform discharges, unilateral or bilateral. Cognitive delay and epileptic encephalopathy were seen in all six patients, five of whom were free of spasms after treatment with vigabatrin or adrenocorticotropic hormone. The risk of PTE is 47/321(14.6%) and the specific risk of ES after TBI is 6/321 (1.8%). The risk of ES appears to be high if the age at which severe TBI occurred was during infancy. Non-accidental head trauma is a risk factor of epileptic spasms. While posttraumatic epilepsy (not ES) may start 10 years after the head injury, ES starts within two years, according to our small cohort. The pathophysiology of ES is unknown, however, our data support a combination of previously proposed models in which the primary dysfunction is a focal or diffuse cortical abnormality, coupled with its abnormal interaction with the subcortical structures and brainstem at a critical maturation stage.
[Mh] Termos MeSH primário: Epilepsia Pós-Traumática/fisiopatologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Eletroencefalografia
Epilepsia Pós-Traumática/diagnóstico por imagem
Epilepsia Pós-Traumática/etiologia
Feminino
Seres Humanos
Lactente
Masculino
Estudos Retrospectivos
Espasmo/fisiopatologia
Centros de Atenção Terciária
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170321
[St] Status:MEDLINE
[do] DOI:10.1684/epd.2017.0900


  7 / 5444 MEDLINE  
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[PMID]:28267828
[Au] Autor:Li J; Peng D; Jiang T; Avivi-Arber L
[Ti] Título:Satoyoshi Syndrome with Progressive Orofacial Manifestations: A Case History Report.
[So] Source:Int J Prosthodont;30(2):163-167, 2017 Mar/Apr.
[Is] ISSN:0893-2174
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A young female patient suffering from Satoyoshi syndrome had the first characteristic signs and symptoms of hair loss and progressive spontaneous intermittent painful spasms of limb muscles at age 6.5 years. Thereafter, she developed chronic diarrhea, amenorrhea, and skeletal deformities. In the orofacial region, she suffered from painful spasms of the masseter (jaw closing) muscles, progressive tooth loss, and degeneration of the mandibular condyles. Treatment with steroids and provision of complete dentures improved the signs and symptoms. Early diagnosis and timely provision of multidisciplinary care can minimize complications in these patients and improve their orofacial functions and quality of life.
[Mh] Termos MeSH primário: Alopecia/diagnóstico
Alopecia/tratamento farmacológico
Anticonvulsivantes/uso terapêutico
Osso e Ossos/anormalidades
Diarreia/diagnóstico
Diarreia/tratamento farmacológico
Espasmo/diagnóstico
Espasmo/tratamento farmacológico
Esteroides/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
China
Feminino
Seres Humanos
Qualidade de Vida
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticonvulsants); 0 (Steroids)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170308
[St] Status:MEDLINE
[do] DOI:10.11607/ijp.4905


  8 / 5444 MEDLINE  
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[PMID]:28150279
[Au] Autor:Zencirci E; Degirmencioglu A
[Ad] Endereço:Department of Cardiology, Acibadem Maslak Hospital, Istanbul, Turkey. ertuzencirci@gmail.com.
[Ti] Título:Can radial artery pulse grading predict radial artery spasm during transradial approach?
[So] Source:Kardiol Pol;75(4):360-367, 2017.
[Is] ISSN:1897-4279
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Radial artery spasm (RAS) has been defined as one of the major disadvantage of transradial approach. AIM: The aim of this study was to investigate the predictive value of radial artery pulse grading on RAS during transradial approach. METHODS: The present study prospectively included 115 consecutive patients who underwent transradial coronary catheterisation at a single centre. Patients were divided into two groups: those with RAS and those without. RESULTS: The incidence of RAS was 16.5% (n = 19). Multivariate logistic regression analysis demonstrated that female sex, guiding catheter usage, and radial artery pulse grading ≤ 2 independently predicted RAS (odds ratio [OR] 8, 95% confidence interval [CI] 1.8-36.2, p = 0.007, OR 10.6, 95% CI 2.2-51.2, p = 0.03 and OR 25.8, 95% CI 6.1-108.5, p < 0.001, respec-tively). These three variables were weighted proportionally to their respective OR for RAS (female sex [1.5 points], guiding catheter usage [2 points], and radial artery pulse grading ≤ 2 [5 points]). Two risk strata were defined (low risk, score 0-4, high risk, score 5-8.5), and high risk was associated with increased incidence of RAS (n = 13 [61.9%] vs. n = 6 [6.4%], p < 0.001). CONCLUSIONS: Radial artery pulse grading together with female sex and guiding catheter usage are independent predictors of RAS, and by using a simple risk score high-risk patients for RAS can be identified.
[Mh] Termos MeSH primário: Cateterismo Cardíaco/efeitos adversos
Frequência Cardíaca
Artéria Radial/fisiopatologia
Espasmo/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Prognóstico
Estudos Prospectivos
Fatores de Risco
Sensibilidade e Especificidade
Fatores Sexuais
Espasmo/epidemiologia
Espasmo/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170203
[St] Status:MEDLINE
[do] DOI:10.5603/KP.a2016.0184


  9 / 5444 MEDLINE  
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[PMID]:28067739
[Au] Autor:Smith MM; Sethi NK; Kinderknecht J
[Ad] Endereço:1Department of Medicine, Hospital for Special Surgery, New York, NY; and 2Department of Neurology, New York-Presbyterian Hospital, Weill Cornell Medical Center, New York, NY.
[Ti] Título:Intermittent Muscle Spasms in a Professional Baseball Player.
[So] Source:Curr Sports Med Rep;16(1):36-37, 2017 Jan/Feb.
[Is] ISSN:1537-8918
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Traumatismos em Atletas/complicações
Beisebol/lesões
Distúrbios Distônicos/complicações
Distúrbios Distônicos/diagnóstico
Espasmo/diagnóstico
Espasmo/etiologia
[Mh] Termos MeSH secundário: Adolescente
Anticonvulsivantes/administração & dosagem
Traumatismos em Atletas/diagnóstico
Carbamazepina/administração & dosagem
Diagnóstico Diferencial
Distúrbios Distônicos/tratamento farmacológico
Seres Humanos
Masculino
Espasmo/tratamento farmacológico
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticonvulsants); 33CM23913M (Carbamazepine)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170302
[Lr] Data última revisão:
170302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170110
[St] Status:MEDLINE
[do] DOI:10.1249/JSR.0000000000000331


  10 / 5444 MEDLINE  
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[PMID]:27973337
[Au] Autor:Collet C; Corral JM; Cavalcante R; Tateishi H; Belzarez O; Ribamar Costa J; Costa R; Chamié D; Onuma Y; de Winter RJ; Abizaid A; Serruys PW
[Ad] Endereço:Department of Cardiology, Academic Medical Center, Amsterdam University, Amsterdam, the Netherlands.
[Ti] Título:Pressure-mediated versus pharmacologic treatment of radial artery spasm during cardiac catheterisation: a randomised pilot study.
[So] Source:EuroIntervention;12(18):e2212-e2218, 2017 Apr 07.
[Is] ISSN:1969-6213
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:AIMS: The aim of the study was to determine the effectiveness of a novel strategy to treat radial artery spasm (RAS). METHODS AND RESULTS: We conducted a prospective, randomised, single-centre, open-label trial comparing a novel strategy of pressure-mediated dilatation versus intra-arterial administration of a combination of nitroglycerine plus verapamil for the treatment of RAS. The primary endpoint was radial artery intraluminal diameter acute gain assessed by quantitative radial angiography. After screening two hundred and twenty consecutive cases, twenty patients presented with RAS and were randomised 1:1 to either strategy. Overall the mean age was 60.8±11.5 years and 53% were females. Pre-treatment angiographic characteristics were similar between the groups. The primary endpoint of radial artery acute gain was significantly greater in the pressure-mediated dilatation group (0.85±0.46 mm vs. 0.03±0.24 mm, p<0.001). Blood pressure drop was significantly lower in the pressure-mediated dilatation group (ΔBP -3.8±24 vs. -31.6±19 mmHg, p<0.001). There was one case of radial artery occlusion in the pressure-mediated dilatation group at follow-up. Short-duration pain was observed during the application of pressure. CONCLUSIONS: Pressure-mediated dilatation for the treatment of RAS was feasible, with superior angiographic results compared to a pharmacologic vasodilator strategy, with no impact on blood pressure. This novel approach proved to be safe and effective and should be tested in a large randomised trial.
[Mh] Termos MeSH primário: Cateterismo Cardíaco/efeitos adversos
Artéria Radial
Espasmo/terapia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Nitroglicerina/administração & dosagem
Projetos Piloto
Estudos Prospectivos
Artéria Radial/diagnóstico por imagem
Grau de Desobstrução Vascular/efeitos dos fármacos
Vasodilatação
Verapamil/administração & dosagem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
CJ0O37KU29 (Verapamil); G59M7S0WS3 (Nitroglycerin)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161216
[St] Status:MEDLINE



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