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[PMID]:28120090
[Au] Autor:Stevanato G; Monteleone G; Sgubin D; Sicolo M; Pastorello G; Vazzana L; Guida F
[Ad] Endereço:Neurosurgery Unit, Dell'Angelo Hospital, Via Paccagnella 11, Mestre-Venezia, 30172, Italy. giorgio.stevanato@ulss12.ve.it.
[Ti] Título:Radioguided Occult Lesion Localization in Deep Schwannomas of the Peripheral Nerves: Results of a Preliminary Case Series.
[So] Source:Acta Neurochir Suppl;124:315-318, 2017.
[Is] ISSN:0065-1419
[Cp] País de publicação:Austria
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The detection of small deep schwannomas of the peripheral nerves has been increasing since the the use of precise neuroimaging techniques has become more widespread; however, although nonpalpable lesions can be well defined by images, it is often difficult to identify them during the surgical procedure. The authors report seven cases of nonpalpable small deep schwannomas surgically treated after their identification using the radioguided occult lesion localization (ROLL) technique. METHODS: Seven men, whose ages ranged from 34 to 70 years (mean 52 years), presented with symptomatic nonpalpable peripheral nerve lesions; two cases involved the sciatic nerve, two the femoral nerve, two the radial nerve, and one the tibial nerve. Before the operation, all the patients were studied by ultrasonography and magnetic resonance imaging (MRI); 1 h before the surgery 3-5 MBq of Tc labeled with human albumin macroaggregates was injected into the lesion. A gamma detection probe permitted the preoperative and intraoperative detection of the nonpalpable schwannomas. CONCLUSIONS: The ROLL technique provides good support for identifying small lesions of the peripheral nerves both preoperatively and intraoperatively. This technique permits the use of minimally invasive approaches performed with local anesthesia, with good cosmetic results and acceptance by the patients.
[Mh] Termos MeSH primário: Neuropatia Femoral/cirurgia
Neurilemoma/cirurgia
Neoplasias do Sistema Nervoso Periférico/cirurgia
Neuropatia Radial/cirurgia
Neuropatia Ciática/cirurgia
Neuropatia Tibial/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Neuropatia Femoral/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Neurilemoma/diagnóstico por imagem
Procedimentos Neurocirúrgicos
Neoplasias do Sistema Nervoso Periférico/diagnóstico por imagem
Neuropatia Radial/diagnóstico por imagem
Compostos Radiofarmacêuticos
Neuropatia Ciática/diagnóstico por imagem
Agregado de Albumina Marcado com Tecnécio Tc 99m
Neuropatia Tibial/diagnóstico por imagem
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Radiopharmaceuticals); 0 (Technetium Tc 99m Aggregated Albumin)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE
[do] DOI:10.1007/978-3-319-39546-3_46


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[PMID]:27694375
[Au] Autor:Kodaira M; Sekijima Y; Ohashi N; Takahashi Y; Ueno K; Miyazaki D; Ikeda S
[Ad] Endereço:Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan. mkodaira@shinshu-u.ac.jp.
[Ti] Título:Squatting-induced bilateral peroneal nerve palsy in a sewer pipe worker.
[So] Source:Occup Med (Lond);67(1):75-77, 2017 Jan.
[Is] ISSN:1471-8405
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Compression neuropathy of the common peroneal nerve (CPN) at the fibula head is a common condition, but it has not attracted attention in working environments. Here, we report a 38-year-old sewer pipe worker who presented with bilateral CPN palsy following 6h working with a squatting posture in a narrow sewer pipe. During the work, he could not stretch his legs sufficiently because of the confined space. His symptoms deteriorated with repetition of the same work for 1 week. Motor nerve conduction study showed conduction block at the fibula head of bilateral CPNs, compatible with compression neuropathy at this lesion. Three months after cessation of work requiring the causative posture, his symptoms and neurophysiological abnormalities had resolved completely. Almost all seven of his co-workers presented transiently with similar and milder symptoms, although one showed CPN palsy for 6 months. Prolonged squatting posture in a confined space causes acute compression neuropathy at the fibula head in the CPN. More attention should be paid to 'confined space worker's compression neuropathy'.
[Mh] Termos MeSH primário: Artrogripose/complicações
Neuropatia Hereditária Motora e Sensorial/complicações
Nervo Fibular/fisiopatologia
Postura/fisiologia
[Mh] Termos MeSH secundário: Adulto
Artrogripose/diagnóstico
Neuropatia Hereditária Motora e Sensorial/diagnóstico
Seres Humanos
Masculino
Neuropatias Fibulares/complicações
Neuropatias Fibulares/diagnóstico
Neuropatia Tibial/complicações
Neuropatia Tibial/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161004
[St] Status:MEDLINE
[do] DOI:10.1093/occmed/kqw133


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[PMID]:27340259
[Au] Autor:VanValkenburg S; Hsu RY; Palmer DS; Blankenhorn B; Den Hartog BD; DiGiovanni CW
[Ad] Endereço:Upstate Bone and Joint Center, East Syracuse, NY, USA.
[Ti] Título:Neurologic Deficit Associated With Lateralizing Calcaneal Osteotomy for Cavovarus Foot Correction.
[So] Source:Foot Ankle Int;37(10):1106-1112, 2016 Oct.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Lateralizing calcaneal osteotomy (LCO) is a frequently used technique to correct hindfoot varus deformity. Tibial nerve palsy following this osteotomy has been described in case reports but the incidence has not been quantified. METHODS: Eighty feet in 72 patients with cavovarus foot deformity were treated over a 6-year span by 2 surgeons at their respective institutions. Variations of the LCO were employed for correction per surgeon choice. A retrospective chart review analyzed osteotomy type, osteotomy location, amount of translation, and addition of a tarsal tunnel release in relation to the presence of any postoperative tibial nerve palsy. Tibial nerve branches affected and the time to resolution of any deficits was also noted. RESULTS: The incidence of neurologic deficit following LCO was 34%. With an average follow-up of 19 months, a majority (59%) resolved fully at an average of 3 months. There was a correlation between the development of neurologic deficit and the location of the osteotomy in the middle third as compared to the posterior third of the calcaneal tuber. We found no relationship between the osteotomy type, amount of correction, or addition of a tarsal tunnel release and the incidence of neurologic injury. CONCLUSIONS: Tibial nerve palsy was not uncommon following LCO. Despite the fact that deficits were found to be transient, physicians should be more aware of this potential problem and counsel patients accordingly. To decrease the risk of this complication, we advocate extra caution when performing the osteotomy in the middle one-third of the calcaneal tuberosity. Although intuitively the addition of a tarsal tunnel release may protect against injury, no protective effect was demonstrated in this retrospective study. LEVEL OF EVIDENCE: Level III, retrospective cohort study.
[Mh] Termos MeSH primário: Calcâneo/cirurgia
Deformidades do Pé/cirurgia
Osteotomia/efeitos adversos
Paralisia/etiologia
Complicações Pós-Operatórias
Neuropatia Tibial/etiologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Osteotomia/métodos
Estudos Retrospectivos
Nervo Tibial/lesões
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:160625
[St] Status:MEDLINE


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[PMID]:26829082
[Au] Autor:Cheong IY; Kim KH; Park BK; Kim DH
[Ad] Endereço:From the Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Seoul, Republic of Korea.
[Ti] Título:Medial Calcaneal Neuropathy as a Cause of Intractable Heel Pain.
[So] Source:Am J Phys Med Rehabil;95(4):e62, 2016 Apr.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Calcâneo/inervação
Dor Intratável/etiologia
Neuropatia Tibial/complicações
[Mh] Termos MeSH secundário: Adulto
Calcanhar
Seres Humanos
Hiperalgesia/etiologia
Masculino
Dor Intratável/cirurgia
Neuropatia Tibial/cirurgia
Escala Visual Analógica
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:161018
[Lr] Data última revisão:
161018
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160202
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000444


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[PMID]:25907349
[Au] Autor:Patel A; Charles L; Ritchie J
[Ad] Endereço:Trauma and Orthopaedic Department, Tunbridge Wells Hospital, Kent, United Kingdom. Electronic address: ankitpatel@doctors.org.uk.
[Ti] Título:A Complication of Posterior Malleolar Fracture Fixation.
[So] Source:J Foot Ankle Surg;55(2):383-6, 2016 Mar-Apr.
[Is] ISSN:1542-2224
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We present a case of tibial nerve impingement by an anteroposterior screw inserted for stabilization of a posterior malleolar fracture. This specific complication has not previously been described in published studies, although numerous reports have described various forms of peripheral nerve entrapment. We discuss the merits of fixation of these fractures using a posterolateral approach.
[Mh] Termos MeSH primário: Fraturas do Tornozelo/cirurgia
Parafusos Ósseos/efeitos adversos
Fixação Interna de Fraturas/efeitos adversos
Síndromes de Compressão Nervosa/cirurgia
Nervo Tibial/lesões
Neuropatia Tibial/cirurgia
[Mh] Termos MeSH secundário: Adulto
Traumatismos do Tornozelo/cirurgia
Feminino
Fixação Interna de Fraturas/instrumentação
Seres Humanos
Síndromes de Compressão Nervosa/etiologia
Nervo Tibial/cirurgia
Neuropatia Tibial/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150425
[St] Status:MEDLINE


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[PMID]:26323826
[Au] Autor:Reddy CG; Amrami KK; Howe BM; Spinner RJ
[Ad] Endereço:Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, Iowa; and.
[Ti] Título:Combined common peroneal and tibial nerve injury after knee dislocation: one injury or two? An MRI-clinical correlation.
[So] Source:Neurosurg Focus;39(3):E8, 2015 Sep.
[Is] ISSN:1092-0684
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECT Knee dislocations are often accompanied by stretch injuries to the common peroneal nerve (CPN). A small subset of these injuries also affect the tibial nerve. The mechanism of this combined pattern could be a single longitudinal stretch injury of the CPN extending to the sciatic bifurcation (and tibial division) or separate injuries of both the CPN and tibial nerve, either at the level of the tibiofemoral joint or distally at the soleal sling and fibular neck. The authors reviewed cases involving patients with knee dislocations with CPN and tibial nerve injuries to determine the localization of the combined injury and correlation between degree of MRI appearance and clinical severity of nerve injury. METHODS Three groups of cases were reviewed. Group 1 consisted of knee dislocations with clinical evidence of nerve injury (n = 28, including 19 cases of complete CPN injury); Group 2 consisted of knee dislocations without clinical evidence of nerve injury (n = 19); and Group 3 consisted of cases of minor knee trauma but without knee dislocation (n = 14). All patients had an MRI study of the knee performed within 3 months of injury. MRI appearance of tibial and common peroneal nerve injury was scored by 2 independent radiologists in 3 zones (Zone I, sciatic bifurcation; Zone II, knee joint; and Zone III, soleal sling and fibular neck) on a severity scale of 1-4. Injury signal was scored as diffuse or focal for each nerve in each of the 3 zones. A clinical score was also calculated based on Medical Research Council scores for strength in the tibial and peroneal nerve distributions, combined with electrophysiological data, when available, and correlated with the MRI injury score. RESULTS Nearly all of the nerve segments visualized in Groups 1 and 2 demonstrated some degree of injury on MRI (95%), compared with 12% of nerve segments in Group 3. MRI nerve injury scores were significantly more severe in Group 1 relative to Group 2 (2.06 vs 1.24, p < 0.001) and Group 2 relative to Group 3 (1.24 vs 0.13, p < 0.001). In both groups of patients with knee dislocations (Groups 1 and 2), the MRI nerve injury score was significantly higher for CPN than tibial nerve (2.72 vs 1.40 for Group 1, p < 0.001; 1.39 vs 1.09 for Group 2, p < 0.05). The clinical injury score had a significantly strong correlation with the MRI injury score for the CPN (r = 0.75, p < 0.001), but not for the tibial nerve (r = 0.07, p = 0.83). CONCLUSIONS MRI is highly sensitive in detecting subclinical nerve injury. In knee dislocation, clinical tibial nerve injury is always associated with simultaneous CPN injury, but tibial nerve function is never worse than peroneal nerve function. The point of maximum injury can occur in any of 3 zones.
[Mh] Termos MeSH primário: Luxação do Joelho/complicações
Neuropatias Fibulares/etiologia
Neuropatia Tibial/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Neuropatias Fibulares/complicações
Neuropatia Tibial/complicações
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1605
[Cu] Atualização por classe:150901
[Lr] Data última revisão:
150901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150902
[St] Status:MEDLINE
[do] DOI:10.3171/2015.6.FOCUS15125


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[PMID]:25407114
[Au] Autor:Zhou D; Seraphim A; Yoong W
[Ad] Endereço:5th year Medical Student, University College London Medical School, London, WC1 6BT, UK.
[Ti] Título:Tibial sensory neuropathy as a rare complication of percutaneous tibial nerve stimulation.
[So] Source:Int Urogynecol J;26(2):301-2, 2015 Feb.
[Is] ISSN:1433-3023
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Hipestesia/etiologia
Neuropatia Tibial/etiologia
Estimulação Elétrica Nervosa Transcutânea/efeitos adversos
Bexiga Urinária Hiperativa/terapia
[Mh] Termos MeSH secundário: Feminino
/inervação
Seres Humanos
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1510
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141120
[St] Status:MEDLINE
[do] DOI:10.1007/s00192-014-2544-1


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[PMID]:25501455
[Au] Autor:Pardal-Fernandez JM
[Ad] Endereço:Complejo Hospitalario Universitario de Albacete, Albacete, Espana.
[Ti] Título:[Functional morphological correlation in a patient with Morton's neuroma. Ultrasonography and electrophysiology].
[Ti] Título:Correlacion morfologica funcional en un paciente con neuroma de Morton. Ultrasonografia y electrofisiologia..
[So] Source:Rev Neurol;59(12):570, 2014 Dec 16.
[Is] ISSN:1576-6578
[Cp] País de publicação:Spain
[La] Idioma:spa
[Mh] Termos MeSH primário: Doenças do Pé/diagnóstico
Doenças do Pé/fisiopatologia
Síndromes de Compressão Nervosa/etiologia
Condução Nervosa
Neuroma/diagnóstico
Neuropatia Tibial/etiologia
[Mh] Termos MeSH secundário: Doenças do Pé/diagnóstico por imagem
Seres Humanos
Masculino
Síndromes de Compressão Nervosa/fisiopatologia
Neuroma/diagnóstico por imagem
Neuroma/fisiopatologia
Tempo de Reação
Nervo Tibial/diagnóstico por imagem
Nervo Tibial/fisiopatologia
Neuropatia Tibial/fisiopatologia
Ultrassonografia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1508
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141216
[St] Status:MEDLINE


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[PMID]:25227728
[Au] Autor:Colombo EV; Howe BM; Amrami KK; Spinner RJ
[Ad] Endereço:Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota; Department of Neurosurgery, Vita-Salute University San Raffaele, Milano, Italy.
[Ti] Título:Elaborating upon the descent phase of fibular and tibial intraneural ganglion cysts after cross-over in the sciatic nerve.
[So] Source:Clin Anat;27(8):1133-6, 2014 Nov.
[Is] ISSN:1098-2353
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cistos Glanglionares/patologia
Neuropatias Fibulares/patologia
Nervo Isquiático/patologia
Neuropatia Tibial/patologia
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Em] Mês de entrada:1506
[Cu] Atualização por classe:141006
[Lr] Data última revisão:
141006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140918
[St] Status:MEDLINE
[do] DOI:10.1002/ca.22466


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[PMID]:25211617
[Au] Autor:Meadows JR; Finnoff JT
[Ad] Endereço:1Lake Tahoe Sports Medicine Fellowship, Zephyr Cove, NV; 2Tahoe Orthopedics and Sports Medicine, South Lake Tahoe, CA; and 3Department of Physical Medicine and Rehabilitation, University of California Davis School of Medicine, Sacramento, CA.
[Ti] Título:Lower extremity nerve entrapments in athletes.
[So] Source:Curr Sports Med Rep;13(5):299-306, 2014 Sep-Oct.
[Is] ISSN:1537-8918
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Nerve entrapments are a potential cause of lower extremity pain in athletes. Signs and symptoms suggestive of nerve entrapment include anesthesia, dysesthesias, paresthesias, or weakness in the distribution of a peripheral nerve. The physical examination may reveal an abnormal neurologic examination finding in the distribution of a peripheral nerve, positive nerve provocative testing, and positive Tinel sign over the area of entrapment. Electrodiagnostic studies, radiographs, magnetic resonance imaging studies, and sonographic evaluation may assist with the diagnosis of these disorders. Initial treatment usually involves conservative measures, but surgical intervention may be required if conservative treatment fails. This article discusses the diagnosis and treatment of common lower extremity nerve entrapments in athletes. A high index of suspicion for nerve entrapments enables the clinician to identify these conditions in a timely manner and institute an appropriate management program, thus improving patient outcomes.
[Mh] Termos MeSH primário: Traumatismos em Atletas/diagnóstico
Neuropatia Femoral/diagnóstico
Perna (Membro)/inervação
Síndromes de Compressão Nervosa/diagnóstico
[Mh] Termos MeSH secundário: Traumatismos em Atletas/terapia
Neuropatia Femoral/terapia
Seres Humanos
Síndromes de Compressão Nervosa/terapia
Neuropatias Fibulares/diagnóstico
Neuropatias Fibulares/terapia
Nervo Sural
Síndrome do Túnel do Tarso/diagnóstico
Síndrome do Túnel do Tarso/terapia
Neuropatia Tibial/diagnóstico
Neuropatia Tibial/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1505
[Cu] Atualização por classe:140912
[Lr] Data última revisão:
140912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140912
[St] Status:MEDLINE
[do] DOI:10.1249/JSR.0000000000000083



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