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[PMID]:29480857
[Au] Autor:Shi M; Qi H; Ding H; Chen F; Xin Z; Zhao Q; Guan S; Shi H
[Ad] Endereço:Department of Ultrasound, Qianfoshan Hospital Affiliated to Shandong University, Jinan.
[Ti] Título:Electrophysiological examination and high frequency ultrasonography for diagnosis of radial nerve torsion and compression.
[So] Source:Medicine (Baltimore);97(2):e9587, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aims to evaluate the value of electrophysiological examination and high frequency ultrasonography in the differential diagnosis of radial nerve torsion and radial nerve compression.Patients with radial nerve torsion (n = 14) and radial nerve compression (n = 14) were enrolled. The results of neurophysiological and high frequency ultrasonography were compared.Electrophysiological examination and high-frequency ultrasonography had a high diagnostic rate for both diseases with consistent results. Of the 28 patients, 23 were positive for electrophysiological examination, showing decreased amplitude and decreased conduction velocity of radial nerve; however, electrophysiological examination cannot distinguish torsion from compression. A total of 27 cases showed positive in ultrasound examinations among all 28 cases. On ultrasound images, the nerve was thinned at torsion site whereas thickened at the distal ends of torsion. The diameter and cross-sectional area of torsion or compression determined the nerve damage, and ultrasound could locate the nerve injury site and measure the length of the nerve.Electrophysiological examination and high-frequency ultrasonography can diagnose radial neuropathy, with electrophysiological examination reflecting the neurological function, and high-frequency ultrasound differentiating nerve torsion from compression.
[Mh] Termos MeSH primário: Eletrodiagnóstico
Síndromes de Compressão Nervosa/diagnóstico
Nervo Radial/diagnóstico por imagem
Nervo Radial/fisiopatologia
Neuropatia Radial/diagnóstico
Ultrassonografia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Diagnóstico Diferencial
Feminino
Seres Humanos
Masculino
Síndromes de Compressão Nervosa/fisiopatologia
Síndromes de Compressão Nervosa/cirurgia
Condução Nervosa
Nervo Radial/cirurgia
Neuropatia Radial/fisiopatologia
Neuropatia Radial/cirurgia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009587


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[PMID]:29252737
[Au] Autor:Lee WY; Hwang DS; Kang C; Zheng L
[Ad] Endereço:Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Daejeon, South Korea.
[Ti] Título:Entrapment Neuropathy of the Sciatic Nerve Caused by a Paralabral Cyst: Three Cases Treated Arthroscopically: A Case Report.
[So] Source:JBJS Case Connect;6(4):e82, 2016 Oct-Dec.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: Three patients with sciatica were referred to our outpatient clinic between 2007 and 2012. Magnetic resonance imaging (MRI) of the hip showed compression of the sciatic nerve by a perineural cyst arising from a paralabral cyst. All 3 patients underwent arthroscopic decompression. Upon follow-up, the mean visual analog scale scores for pain had improved from 7.3 to 0.3. MRI showed no evidence of recurrence of the cyst in any of the patients. CONCLUSION: Arthroscopic treatment for entrapment neuropathy of the sciatic nerve caused by a paralabral cyst was effective for improving symptoms; at the final follow-up, none of the patients had experienced recurrence of the cyst.
[Mh] Termos MeSH primário: Cistos/complicações
Síndromes de Compressão Nervosa/etiologia
Ciática/etiologia
[Mh] Termos MeSH secundário: Adulto
Artroscopia
Feminino
Seres Humanos
Masculino
Meia-Idade
Síndromes de Compressão Nervosa/cirurgia
Ciática/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.16.00064


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[PMID]:29257018
[Au] Autor:Zhu D; Tapadia MD; Palispis W; Luu M; Wang W; Gupta R
[Ad] Endereço:Peripheral Nerve Research Laboratory, Department of Orthopaedic Surgery, University of California, Irvine, Irvine, California.
[Ti] Título:Attenuation of Robust Glial Scar Formation Facilitates Functional Recovery in Animal Models of Chronic Nerve Compression Injury.
[So] Source:J Bone Joint Surg Am;99(24):e132, 2017 Dec 20.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Late surgery for chronic nerve compression injuries usually improves sensation but rarely reverses motor atrophy. We hypothesized that a persistent glial scar after chronic nerve compression injury might account for poor motor recovery and that degradation of the glial scar as an adjunct to surgical decompression would improve functional recovery. METHODS: A previously described model of chronic nerve compression injury was created in C57BL/6 mice and Sprague-Dawley rats, and the nerves were harvested early or late after electrophysiological confirmation of the injury. Western blot, polymerase chain reaction, and quantitative immunohistochemical analyses were performed to determine levels of chondroitin sulfate proteoglycans and extracellular matrix molecules. Subsets of mice were treated either with surgical decompression alone or with decompression coupled with intraepineurial injection of a low dose (0.1 µgµL) or a high dose (0.2 µg/µL) of chondroitinase ABC at 6 weeks after injury. RESULTS: Aggrecan showed the greatest change in mRNA and protein levels at the early and late time points following creation of the chronic nerve compression injury. Quantitative immunohistochemical analysis revealed early aggrecan upregulation localized primarily to the endoneurium and late upregulation localized to the perineurium and epineurium (p < 0.0105). Quantitative immunohistochemical analysis for collagen IV, laminin-α2, and fibronectin also showed early upregulation with perineurial scarring. Quantitative immunohistochemical analysis and Western blot analysis for aggrecan demonstrated a marked increase in the endoneurium at the early time points and upregulation of expression in the epineurium and perineurium at the late time points. Decompression along with intraepineurial injection of high-dose chondroitinase ABC at 6 weeks after creation of the compression injury resulted in marked attenuation of decorin and aggrecan expression with functional improvement in nerve conduction velocity. CONCLUSIONS: Significant upregulation of chondroitin sulfate proteoglycans and other extracellular matrix components contributes to the pathogenesis of compression neuropathies in murine models. The administration of chondroitinase ABC degrades these chondroitin sulfate proteoglycans and improves functional recovery after chronic nerve compression injury; thus, it can be considered as a possible therapeutic adjunct.
[Mh] Termos MeSH primário: Condroitina ABC Liase/farmacologia
Cicatriz/prevenção & controle
Descompressão Cirúrgica/métodos
Síndromes de Compressão Nervosa/tratamento farmacológico
Traumatismos dos Nervos Periféricos/tratamento farmacológico
Traumatismos dos Nervos Periféricos/patologia
[Mh] Termos MeSH secundário: Agrecanas/farmacologia
Análise de Variância
Animais
Western Blotting
Doença Crônica
Modelos Animais de Doenças
Injeções Intralesionais
Masculino
Camundongos
Camundongos Endogâmicos C57BL
Síndromes de Compressão Nervosa/patologia
Síndromes de Compressão Nervosa/cirurgia
Condução Nervosa/efeitos dos fármacos
Traumatismos dos Nervos Periféricos/cirurgia
RNA Mensageiro/efeitos dos fármacos
Distribuição Aleatória
Ratos
Ratos Sprague-Dawley
Reação em Cadeia da Polimerase em Tempo Real/métodos
Recuperação de Função Fisiológica/fisiologia
Sensibilidade e Especificidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Aggrecans); 0 (RNA, Messenger); EC 4.2.2.20 (Chondroitin ABC Lyase)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.17.00396


  4 / 9591 MEDLINE  
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[PMID]:29016507
[Au] Autor:Katrikh AZ; Ettarh R; Kahn MA
[Ad] Endereço:Departments of Structural and Cellular Biology, Obstetrics and Gynecology, and Urology, Tulane University School of Medicine, New Orleans, Louisiana; and the Department of Medical Education, California University of Science and Medicine, Colton, California.
[Ti] Título:Cadaveric Nerve and Artery Proximity to Sacrospinous Ligament Fixation Sutures Placed by a Suture-Capturing Device.
[So] Source:Obstet Gynecol;130(5):1033-1038, 2017 Nov.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To simulate sacrospinous ligament fixation on cadaveric specimens, describe the surrounding retroperitoneal anatomy, and estimate the risk to nerves and arteries for the purposes of optimizing safe suture placement. METHODS: Sacrospinous ligament fixation was performed on eight fresh-tissue female cadavers using a Capio ligature capture device. Distances from placed sutures to the following structures were measured: ischial spine; fourth sacral root; pudendal nerve; the nerve to coccygeus muscle; the nerve to levator ani muscle; inferior gluteal artery; and internal pudendal artery. Periligamentous anatomy was examined in an additional 17 embalmed cadaver dissections. RESULTS: Sacrospinous ligament length was not seen to differ significantly between sides. The fourth sacral spinal nerve was seen most commonly associated with the medial third of the ligament, whereas the pudendal nerve and the nerves to coccygeus and levator ani muscles were associated with the lateral third. The inferior gluteal artery was seen leaving the greater sciatic foramen a median 15.8 mm (range 1.8-48.0, CI 14.9-22.3) above the ligament, whereas the internal pudendal artery exited just above the ischial spine. The two sets of sutures were placed 20.5 mm (range 9.2-34.4, CI 19.7-24.7) and 24.8 mm (range 12.4-46.2, CI 24.0-30.0) medial to the ischial spine, respectively. No structures were directly damaged by placed sutures. The nerves to coccygeus and levator ani were closest and arteries farthest from the placed sutures. CONCLUSION: The middle segment of the sacrospinous ligament has the lowest incidence of nerves and arteries associated with it. This study confirms that the nerves supplying the pelvic floor muscles are at a higher risk from entrapment than the pudendal nerve.
[Mh] Termos MeSH primário: Ligamentos/cirurgia
Sacro/cirurgia
Âncoras de Sutura
Técnicas de Sutura/instrumentação
[Mh] Termos MeSH secundário: Artérias/anatomia & histologia
Artérias/cirurgia
Cadáver
Feminino
Seres Humanos
Ligadura/instrumentação
Síndromes de Compressão Nervosa/etiologia
Músculos Paraespinais/anatomia & histologia
Músculos Paraespinais/irrigação sanguínea
Músculos Paraespinais/inervação
Diafragma da Pelve/anatomia & histologia
Diafragma da Pelve/irrigação sanguínea
Diafragma da Pelve/inervação
Nervo Pudendo/cirurgia
Sacro/anatomia & histologia
Sacro/inervação
Âncoras de Sutura/efeitos adversos
Técnicas de Sutura/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002324


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[PMID]:28984725
[Au] Autor:Vuong LN; Hedges TR
[Ad] Endereço:New England Eye Center, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA.
[Ti] Título:Ganglion cell layer complex measurements in compressive optic neuropathy.
[So] Source:Curr Opin Ophthalmol;28(6):573-578, 2017 Nov.
[Is] ISSN:1531-7021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE OF REVIEW: Neuroophthalmologists and neurosurgeons are often asked by their patients what their visual prognosis will be after decompression of an optic chiasm lesion. Previous methods have been studied but have not provided consistent guidance. However, a recent algorithm which allows for retinal ganglion cell analysis from optical coherence tomography (OCT) may be more helpful. RECENT FINDINGS: Recent studies have shown that ganglion cell layer complex (GCC) measurements from OCT strongly correlate with the visual field loss associated with compressive optic neuropathies. For example, GCC measurements show corresponding binasal thinning with bitemporal hemianopia. Some investigators have also shown that more preserved GCC thickness is preoperatively associated with better postsurgical outcome. Interestingly, some patients experience almost complete recovery of visual fields despite considerable GCC thinning, and others may have GCC loss before they develop demonstrable visual field defects. SUMMARY: GCC measurements on OCT strongly correlate with visual field defects from optic chiasm compressive lesions and may help with regard to prognosis following treatment. However, considerable visual recovery is possible despite persistent GCC loss.
[Mh] Termos MeSH primário: Síndromes de Compressão Nervosa/diagnóstico
Fibras Nervosas/patologia
Doenças do Nervo Óptico/diagnóstico
Células Ganglionares da Retina/patologia
[Mh] Termos MeSH secundário: Algoritmos
Descompressão Cirúrgica
Seres Humanos
Síndromes de Compressão Nervosa/cirurgia
Doenças do Nervo Óptico/cirurgia
Tomografia de Coerência Óptica
Transtornos da Visão/diagnóstico
Campos Visuais
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE
[do] DOI:10.1097/ICU.0000000000000428


  6 / 9591 MEDLINE  
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[PMID]:28863215
[Au] Autor:Sousa RM; Oyamada MK; Cunha LP; Monteiro MLR
[Ad] Endereço:Division of Ophthalmology and Laboratory of Investigation in Ophthalmology (LIM 33), University of São Paulo Medical School, São Paulo, Brazil.
[Ti] Título:Multifocal Visual Evoked Potential in Eyes With Temporal Hemianopia From Chiasmal Compression: Correlation With Standard Automated Perimetry and OCT Findings.
[So] Source:Invest Ophthalmol Vis Sci;58(11):4436-4449, 2017 Sep 01.
[Is] ISSN:1552-5783
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose: To verify whether multifocal visual evoked potential (mfVEP) can differentiate eyes with temporal hemianopia due to chiasmal compression from healthy controls. To assess the relationship between mfVEP, standard automated perimetry (SAP), and Fourier domain-optical coherence tomography (FD-OCT) macular and peripapillary retinal nerve fiber layer (RNFL) thickness measurements. Methods: Twenty-seven eyes with permanent temporal visual field (VF) defects from chiasmal compression on SAP and 43 eyes of healthy controls were submitted to mfVEP and FD-OCT scanning. Multifocal visual evoked potential was elicited using a stimulus pattern of 60 sectors and the responses were averaged for the four quadrants and two hemifields. Optical coherence tomography macular measurements were averaged in quadrants and halves, while peripapillary RNFL thickness was averaged in four sectors around the disc. Visual field loss was estimated in four quadrants and each half of the 24-2 strategy test points. Multifocal visual evoked potential measurements in the two groups were compared using generalized estimated equations, and the correlations between mfVEP, VF, and OCT findings were quantified. Results: Multifocal visual evoked potential-measured temporal P1 and N2 amplitudes were significantly smaller in patients than in controls. No significant difference in amplitude was observed for nasal parameters. A significant correlation was found between mfVEP amplitudes and temporal VF loss, and between mfVEP amplitudes and the corresponding OCT-measured macular and RNFL thickness parameters. Conclusions: Multifocal visual evoked potential amplitude parameters were able to differentiate eyes with temporal hemianopia from controls and were significantly correlated with VF and OCT findings, suggesting mfVEP is a useful tool for the detection of visual abnormalities in patients with chiasmal compression.
[Mh] Termos MeSH primário: Potenciais Evocados Visuais/fisiologia
Hemianopsia/diagnóstico
Síndromes de Compressão Nervosa/diagnóstico
Quiasma Óptico/patologia
Doenças do Nervo Óptico/diagnóstico
Tomografia de Coerência Óptica
Testes de Campo Visual
[Mh] Termos MeSH secundário: Adulto
Feminino
Análise de Fourier
Voluntários Saudáveis
Hemianopsia/fisiopatologia
Seres Humanos
Masculino
Meia-Idade
Imagem Multimodal
Síndromes de Compressão Nervosa/fisiopatologia
Fibras Nervosas/patologia
Quiasma Óptico/fisiopatologia
Doenças do Nervo Óptico/fisiopatologia
Células Ganglionares da Retina/patologia
Estatística como Assunto
Transtornos da Visão/diagnóstico
Transtornos da Visão/fisiopatologia
Campos Visuais/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170902
[St] Status:MEDLINE
[do] DOI:10.1167/iovs.17-21529


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[PMID]:28720412
[Au] Autor:Tsutsumi S; Ono H; Yasumoto Y
[Ad] Endereço:Department of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan. Electronic address: shotaro@juntendo-urayasu.jp.
[Ti] Título:Vascular Compression of the Anterior Optic Pathway: A Rare Occurrence?
[So] Source:Can Assoc Radiol J;68(4):409-413, 2017 Nov.
[Is] ISSN:1488-2361
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Vascular compression of the anterior optic pathway has been documented as an infrequent cause of visual impairments. Here we characterize such vascular compression using magnetic resonance imaging. METHODS: A total of 183 patients without pathologies affecting the optic pathways underwent T2-weighted or constructive interference steady-state sequence magnetic resonance imaging. Imaging data from coronal sections were analyzed. RESULTS: A vascular compression of the anterior optic pathway was identified in 20 patients (11%). They comprised 13 men and 7 women with a mean age of 60.8 years. The vascular compressions were observed at 22 sites, 15 on the optic nerve (ON) and 7 on the optic chiasm (OC). Twelve of them were on the right and 10 were on the left side. The offending vessels were the supraclinoid portion of the internal carotid artery in 86.4% and the A1 segment of the anterior cerebral artery in 13.6%. Compression sites at the ON and OC were variable, with the inferolateral surface being the most frequent (77.3% occurrences). In 2 patients (9.1%), the ON was compressed in a sandwich manner. CONCLUSIONS: Vascular compression of the ON and OC may not be an infrequent occurrence in the cranial cavity. Progressive and unexplainable visual impairment might possibly be caused by vascular-compressive neuropathy.
[Mh] Termos MeSH primário: Artéria Carótida Interna/diagnóstico por imagem
Artérias Cerebrais/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Síndromes de Compressão Nervosa/diagnóstico por imagem
Nervo Óptico/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Artéria Carótida Interna/fisiopatologia
Artérias Cerebrais/fisiopatologia
Criança
Feminino
Seres Humanos
Masculino
Meia-Idade
Nervo Óptico/fisiopatologia
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação: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:170720
[St] Status:MEDLINE


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[PMID]:28614252
[Au] Autor:Kim JR; Wang SI
[Ad] Endereço:Department of Orthopaedics Surgery, Chonbuk National University Medical School, Research Institute for Endocrine Sciences and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea.
[Ti] Título:Suprascapular nerve entrapment caused by an intraosseous ganglion of the scapula: A case report.
[So] Source:Medicine (Baltimore);96(24):e7167, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Suprascapular nerve compression is a rare but important entity that is often missed in clinical practice. Nerve dysfunction caused by an intraosseous ganglion of the glenoid is extremely rare, to the best of our knowledge, only 1 case of suprascapular nerve entrapment due to an intraosseous ganglion cyst has been reported previously in the published literature. PATIENT CONCERNS: We report a 61-year-old woman who had complained right shoulder pain that lasted over 3 years which was exacerbated by overhead activities. DIAGNOSES: We diagnosed it as suprascapular nerve entrapment at the spinoglenoid notch caused by an intraosseous ganglion of the scapula. INTERVENTIONS: Plain X-ray, computed tomography, magnetic resonance imaging (MRI), and electromyography (EMG) of the shoulder. OUTCOMES: She undertook surgical excision with curettage of the cyst. The infraspinatus fossa dull pain subsided immediately after surgery. No recurrence of the cystic lesion was noted on follow-up plain radiograph and MRI performed 18 months postoperatively. Shoulder external rotation strength was graded as 5 of 5. LESSIONS: Intraosseous ganglion of the glenoid can cause compression of the suprascapular nerve when the lesion is expanded toward the spinoglenoid notch. The EMG study confirmed compression of the suprascapular nerve. The patient showed clinical and radiologic improvement after surgical decompression with no recurrence.
[Mh] Termos MeSH primário: Cistos Ósseos/complicações
Síndromes de Compressão Nervosa/etiologia
Escápula
Dor de Ombro/etiologia
[Mh] Termos MeSH secundário: Cistos Ósseos/diagnóstico por imagem
Cistos Ósseos/fisiopatologia
Cistos Ósseos/cirurgia
Feminino
Seres Humanos
Meia-Idade
Síndromes de Compressão Nervosa/diagnóstico por imagem
Síndromes de Compressão Nervosa/fisiopatologia
Síndromes de Compressão Nervosa/cirurgia
Escápula/diagnóstico por imagem
Escápula/cirurgia
Dor de Ombro/diagnóstico por imagem
Dor de Ombro/fisiopatologia
Dor de Ombro/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007167


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[PMID]:28578770
[Au] Autor:Bindra RR
[Ad] Endereço:Griffith University School of Medicine, Gold Coast University Hospital, Southport, Australia.
[Ti] Título:Commentary on "Compressive Neuropathy of the Ulnar Nerve: A Perspective on History and Current Controversies".
[So] Source:J Hand Surg Am;42(6):470, 2017 06.
[Is] ISSN:1531-6564
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Nervo Ulnar
Neuropatias Ulnares
[Mh] Termos MeSH secundário: Artrogripose
Neuropatia Hereditária Motora e Sensorial
Seres Humanos
Síndromes de Compressão Nervosa
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171101
[Lr] Data última revisão:
171101
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170606
[St] Status:MEDLINE


  10 / 9591 MEDLINE  
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[PMID]:28559083
[Au] Autor:Liebelt BD; Barber SM; Desai VR; Harper R; Zhang J; Parrish R; Baskin DS; Trask T; Britz GW
[Ad] Endereço:Department of Neurosurgery, Houston Methodist Neurological Institute, Houston, Texas, USA.
[Ti] Título:Superior Petrosal Vein Sacrifice During Microvascular Decompression: Perioperative Complication Rates and Comparison with Venous Preservation.
[So] Source:World Neurosurg;104:788-794, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate potential effect of sacrifice of the superior petrosal vein (SPV) on postoperative complications after microvascular decompression (MVD). METHODS: Retrospective review of 98 consecutive patients undergoing MVD of cranial nerve V was performed. Frequency of division of the SPV during surgery was recorded, and postoperative complications and imaging were recorded and analyzed. In patients with complications, the specific anatomic variation of the superior petrosal venous complex was noted. RESULTS: Of 98 patients undergoing MVD, 83 (84.7%) had sacrifice of the SPV at the time of surgery, 12 (12.2%) had the SPV preserved, and 3 (3.1%) were revision operations. Four patients (4.8%) had complications deemed to be attributable to venous insufficiency or congestion. These included sigmoid sinus thrombosis with coincident cerebellar hemorrhage, midbrain and pontine infarction, hemiparesis with midbrain and pontine edema, and facial paresis with ischemia in the middle cerebellar peduncle. None of the patients with preserved SPV were symptomatic or had imaging changes consistent with venous congestion. CONCLUSIONS: Sacrifice of the SPV is often performed during MVD. This is associated with a complication rate that is significant in frequency and severity compared with preserving the vein. SPV sacrifice should be limited to cases where it is deemed absolutely necessary for successful cranial nerve decompression.
[Mh] Termos MeSH primário: Veias Cerebrais/cirurgia
Cirurgia de Descompressão Microvascular/métodos
Síndromes de Compressão Nervosa/cirurgia
Complicações Pós-Operatórias/etiologia
Doenças do Nervo Trigêmeo/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Veias Cerebrais/diagnóstico por imagem
Cavidades Cranianas/diagnóstico por imagem
Cavidades Cranianas/cirurgia
Eletrocoagulação
Feminino
Seres Humanos
Hiperemia/diagnóstico por imagem
Hiperemia/etiologia
Masculino
Meia-Idade
Síndromes de Compressão Nervosa/diagnóstico por imagem
Complicações Pós-Operatórias/diagnóstico por imagem
Estudos Retrospectivos
Doenças do Nervo Trigêmeo/diagnóstico por imagem
Insuficiência Venosa/diagnóstico por imagem
Insuficiência Venosa/etiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE



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