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Pesquisa : C10.668.829.800.750.700 [Categoria DeCS]
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  1 / 2009 MEDLINE  
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[PMID]:29023556
[Au] Autor:Korse NS; Kruit MC; Peul WC; Vleggeert-Lankamp CLA
[Ad] Endereço:Department of Neurosurgery, Leiden University Medical Centre, Leiden, the Netherlands.
[Ti] Título:Lumbar spinal canal MRI diameter is smaller in herniated disc cauda equina syndrome patients.
[So] Source:PLoS One;12(10):e0186148, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Correlation between magnetic resonance imaging (MRI) and clinical features in cauda equina syndrome (CES) is unknown; nor is known whether there are differences in MRI spinal canal size between lumbar herniated disc patients with CES versus lumbar herniated discs patients without CES, operated for sciatica. The aims of this study are 1) evaluating the association of MRI features with clinical presentation and outcome of CES and 2) comparing lumbar spinal canal diameters of lumbar herniated disc patients with CES versus lumbar herniated disc patients without CES, operated because of sciatica. METHODS: MRIs of CES patients were assessed for the following features: level of disc lesion, type (uni- or bilateral) and severity of caudal compression. Pre- and postoperative clinical features (micturition dysfunction, defecation dysfunction, altered sensation of the saddle area) were retrieved from the medical files. In addition, anteroposterior (AP) lumbar spinal canal diameters of CES patients were measured at MRI. AP diameters of lumbar herniated disc patients without CES, operated for sciatica, were measured for comparison. RESULTS: 48 CES patients were included. At MRI, bilateral compression was seen in 82%; complete caudal compression in 29%. MRI features were not associated with clinical presentation nor outcome. AP diameter was measured for 26 CES patients and for 31 lumbar herniated disc patients without CES, operated for sciatica. Comparison displayed a significant smaller AP diameter of the lumbar spinal canal in CES patients (largest p = 0.002). Compared to average diameters in literature, diameters of CES patients were significantly more often below average than that of the sciatica patients (largest p = 0.021). CONCLUSION: This is the first study demonstrating differences in lumbar spinal canal size between lumbar herniated disc patients with CES and lumbar herniated disc patients without CES, operated for sciatica. This finding might imply that lumbar herniated disc patients with a relative small lumbar spinal canal might need to be approached differently in managing complaints of herniated disc. Since the number of studied patients is relatively small, further research should be conducted before clinical consequences are considered.
[Mh] Termos MeSH primário: Deslocamento do Disco Intervertebral/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Polirradiculopatia/diagnóstico por imagem
Ciática/cirurgia
Canal Vertebral/patologia
[Mh] Termos MeSH secundário: Adulto
Descompressão Cirúrgica
Discotomia
Feminino
Seres Humanos
Deslocamento do Disco Intervertebral/complicações
Deslocamento do Disco Intervertebral/patologia
Deslocamento do Disco Intervertebral/cirurgia
Masculino
Meia-Idade
Polirradiculopatia/etiologia
Polirradiculopatia/patologia
Polirradiculopatia/cirurgia
Complicações Pós-Operatórias/classificação
Canal Vertebral/diagnóstico por imagem
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171013
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186148


  2 / 2009 MEDLINE  
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[PMID]:28708040
[Au] Autor:Tan KA; Sewell MD; Markmann Y; Clarke AJ; Stokes OM; Chan D
[Ad] Endereço:Exeter Spine Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter NHS Foundation Trust, Exeter, United Kingdom; and.
[Ti] Título:Anterior lumbar discectomy and fusion for acute cauda equina syndrome caused by recurrent disc prolapse: report of 3 cases.
[So] Source:J Neurosurg Spine;27(4):352-356, 2017 Oct.
[Is] ISSN:1547-5646
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:There is a lack of information and consensus regarding the optimal treatment for recurrent disc herniation previously treated by posterior discectomy, and no reports have described an anterior approach for recurrent disc herniation causing cauda equina syndrome (CES). Revision posterior decompression, irrespective of the presence of CES, has been reported to be associated with significantly higher rates of dural tears, hematomas, and iatrogenic nerve root damage. The authors describe treatment and outcomes in 3 consecutive cases of patients who underwent anterior lumbar discectomy and fusion (ALDF) for CES caused by recurrent disc herniations that had been previously treated with posterior discectomy. All 3 patients were operated on within 12 hours of presentation and were treated with an anterior retroperitoneal lumbar approach. Follow-up ranged from 12 to 24 months. Complete retrieval of herniated disc material was achieved without encountering significant epidural scar tissue in all 3 cases. No perioperative infection or neurological injury occurred, and all 3 patients had neurological recovery with restoration of bladder and bowel function and improvement in back and leg pain. ALDF is one option to treat CES caused by recurrent lumbar disc prolapse previously treated with posterior discectomy. The main advantage is that it avoids dissection around epidural scar tissue, but the procedure is associated with other risks and further evaluation of its safety in larger series is required.
[Mh] Termos MeSH primário: Discotomia
Deslocamento do Disco Intervertebral/cirurgia
Vértebras Lombares/cirurgia
Polirradiculopatia/cirurgia
Fusão Vertebral
[Mh] Termos MeSH secundário: Adulto
Discotomia/métodos
Feminino
Seres Humanos
Deslocamento do Disco Intervertebral/complicações
Deslocamento do Disco Intervertebral/diagnóstico por imagem
Vértebras Lombares/diagnóstico por imagem
Masculino
Meia-Idade
Polirradiculopatia/diagnóstico por imagem
Polirradiculopatia/etiologia
Prolapso
Recidiva
Fusão Vertebral/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170715
[St] Status:MEDLINE
[do] DOI:10.3171/2017.1.SPINE16352


  3 / 2009 MEDLINE  
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[PMID]:28546122
[Au] Autor:Maki Y; Takayama M; Hayashi H; Yokoyama Y; Agawa Y
[Ad] Endereço:Department of Neurosurgery, Otsu Municipal Hospital, Shiga, Japan. Electronic address: maki0427@kuhp.kyoto-u.ac.jp.
[Ti] Título:Cauda Equina Syndrome Due To Dural Sac Shift with Engorgement of the Epidural Venous Plexus: Rare Complication After Lumbar Microdiscectomy.
[So] Source:World Neurosurg;104:1048.e15-1048.e18, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Several postoperative complications related to lumbar microdiscectomy have been reported, including cauda equina syndrome. However, to the best of our knowledge, postoperative cauda equina syndrome resulting from dural sac shift with engorgement of the epidural venous plexus is yet to be reported. CASE DESCRIPTION: A 71-year-old male patient was referred to our hospital with a chief complaint of pain and sensory disturbance due to the lumbar disc herniation of L5-S1. Microdiscectomy was performed to treat the lumbar disc herniation, and his sensory disturbance improved. However, from postoperative day 2, he started to complain of motor weakness, sensory disturbance of S2, and difficulty in urination. Magnetic resonance imaging showed the dural sac shifted to the bone window of L5-S1 with engorgement of the ventral epidural venous plexus. The dural sac shift was thought to be the cause of postoperative cauda equina syndrome, and laminoplasty was chosen to return the dural sac shift into the spinal canal. Cauda equina syndrome completely resolved after laminoplasty. Postoperative magnetic resonance imaging showed the reduction of the dural sac into the spinal canal. The patient was discharged from the hospital without any residual clinical symptoms. CONCLUSION: We report a rare case of postoperative cauda equina syndrome due to dural sac shift and discuss the nascent mechanism of the dural sac shift focusing on anatomic features of the dural sac. We also propose laminoplasty as an option to treat dural sac shift with engorgement of the epidural venous plexus.
[Mh] Termos MeSH primário: Discotomia
Deslocamento do Disco Intervertebral/cirurgia
Laminoplastia
Vértebras Lombares
Microcirurgia
Polirradiculopatia/cirurgia
Complicações Pós-Operatórias/cirurgia
[Mh] Termos MeSH secundário: Idoso
Dura-Máter
Espaço Epidural/irrigação sanguínea
Seres Humanos
Deslocamento do Disco Intervertebral/diagnóstico por imagem
Imagem por Ressonância Magnética
Masculino
Polirradiculopatia/diagnóstico por imagem
Complicações Pós-Operatórias/diagnóstico por imagem
Veias
[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:170527
[St] Status:MEDLINE


  4 / 2009 MEDLINE  
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[PMID]:28538420
[Au] Autor:Lee DG; Kwak SG; Chang MC
[Ad] Endereço:aDepartment of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University bDepartment of Medical Statistics, College of Medicine, Catholic University of Daegu, Daegu, Republic of Korea.
[Ti] Título:Prediction of the outcome of bladder dysfunction based on electrically induced reflex findings in patients with cauda equina syndrome: A retrospective study.
[So] Source:Medicine (Baltimore);96(21):e7014, 2017 May.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The evaluation of the electrically induced bulbocavernosus reflex (BCR) using electromyography (EMG) is a useful tool for evaluating the integrity of sacral spinal segments 2 to 4, and that of their afferent and efferent connections in the urogenital region. In the current retrospective study, the value of this technique in predicting the outcome of bladder dysfunction was investigated in patients with cauda equina syndrome (CES). Electrically induced BCR (E-BCR) was evaluated in 40 patients with bladder dysfunction due to CES at the subacute stage (7-90 days). Manually examined BCR, perianal pinprick sensation, and voluntary anal contraction were also investigated. The recovery of bladder function was evaluated 1 year after the onset of CES. All patients with the presence of E-BCR showed successful recovery of the bladder function, while all patients in whom E-BCR was absent showed poor recovery. E-BCR showed a higher positive predictive value than perianal pinprick sensation and voluntary anal contraction, and showed a higher negative predictive value than manually examined BCR. Results show that E-BCR has advantages in predicting the outcome of bladder dysfunction. Thus, this method can be used as a reference to predict the final outcome of bladder dysfunction at the subacute stage of CES.
[Mh] Termos MeSH primário: Eletromiografia
Polirradiculopatia/complicações
Reflexo
Doenças da Bexiga Urinária/diagnóstico
Doenças da Bexiga Urinária/fisiopatologia
Bexiga Urinária/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Estimulação Elétrica
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Polirradiculopatia/diagnóstico
Polirradiculopatia/fisiopatologia
Prognóstico
Reflexo/fisiologia
Reflexo Anormal/fisiologia
Estudos Retrospectivos
Doenças da Bexiga Urinária/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170629
[Lr] Data última revisão:
170629
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007014


  5 / 2009 MEDLINE  
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[PMID]:28423044
[Au] Autor:Korse NS; Veldman AB; Peul WC; Vleggeert-Lankamp CLA
[Ad] Endereço:Department of Neurosurgery, Leiden University Medical Center, Leiden, the Netherlands.
[Ti] Título:The long term outcome of micturition, defecation and sexual function after spinal surgery for cauda equina syndrome.
[So] Source:PLoS One;12(4):e0175987, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cauda equina syndrome (CES) is a rare neurologic complication of lumbar herniated disc for which emergency surgical decompression should be undertaken. Despite the common belief that the restoration of functions that are affected by CES can take several years postoperatively, follow up seldom exceeds the first year after surgery. Long term outcome of especially micturition, defecation and sexual function-which are by definition affected in CES-are unknown. The aim of this study is to evaluate 1) postoperative long term outcome of micturition, defecation and sexual function in CES patients 2) attitude of patients towards received hospital care with regard to (recovery of) these functions. METHODS: CES patients were selected by screening the records of all patients operated on lumbar herniated disc in our university hospital between 1995-2010. A questionnaire was sent to the selected CES patients evaluating current complaints of micturition, defecation and sexual function and attitude towards delivered care with focus on micturition, defecation and sexual function. RESULTS: Thirty-seven of 66 eligible CES patients were included (response rate 71%, inclusion rate 56%). Median time after surgery was 13.8 years (range 5.8-21.8 years). Dysfunction at follow up was highly prevalent: 38% micturition dysfunction, 43% defecation dysfunction and 54% sexual dysfunction. Younger age at presentation was associated with sexual dysfunction at follow up: for every year younger at presentation, odds ratio for sexual dysfunction at follow up was 1.11 (p = 0.035). Other associations with outcome were not identified. Two-third of the CES patients wished their neurosurgeon had given them more prognostic information about micturition, defecation and sexual function. CONCLUSION: The presented data demonstrate that dysfunction of micturition, defecation and sexual function are still highly prevalent in a large number of CES patients even years postoperatively. These alarming follow up data probably have a devastating effect on personal perceived quality of life, which should be studied in more detail. CES patients communicate a clear demand for more prognostic information. The presented figures enable clinicians to inform their CES patients more realistically about long term postoperative outcome of micturition, defecation and sexual function after surgical intervention.
[Mh] Termos MeSH primário: Deslocamento do Disco Intervertebral/cirurgia
Vértebras Lombares/cirurgia
Polirradiculopatia/cirurgia
Qualidade de Vida/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Coito/fisiologia
Descompressão Cirúrgica/métodos
Defecação/fisiologia
Feminino
Seres Humanos
Deslocamento do Disco Intervertebral/patologia
Deslocamento do Disco Intervertebral/fisiopatologia
Deslocamento do Disco Intervertebral/psicologia
Vértebras Lombares/patologia
Vértebras Lombares/fisiopatologia
Masculino
Meia-Idade
Polirradiculopatia/patologia
Polirradiculopatia/fisiopatologia
Polirradiculopatia/psicologia
Estudos Prospectivos
Resultado do Tratamento
Micção/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170505
[Lr] Data última revisão:
170505
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0175987


  6 / 2009 MEDLINE  
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[PMID]:28347895
[Au] Autor:Liu Y; Yang R; Kong Q; Wang Y; Zhang B; Sun J; Yang Y; Zheng B; Yuan H; Shi J
[Ad] Endereço:Student Brigade, Second Military Medical University, Shanghai, China; Second Department of Spine Surgery, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, China.
[Ti] Título:Metabolomic Changes in Rat Model of Cauda Equina Injury.
[So] Source:World Neurosurg;102:449-458, 2017 Jun.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To show the differences of metabolomic changes in a rat model of cauda equina injury (CEI) and find potent metabolic biomarkers of CEI. METHODS: A total of 28 Sprague-Dawley rats were used in this study. After the rats were given anesthesia and fixed in a prone position, a piece of silicone block was placed into the epidural space below the lamina. Behavior tests including the Basso, Beattie, and Bresnahan open field locomotor scale and an inclined plane test were conducted 1 day and 2 days after surgery. The cauda equina tissue was collected 12 hours, 1 day, and 2 days after surgery. Ultraperformance liquid chromatography coupled with quadruple time-of-flight mass spectrometry was used for a quantitative analysis of cauda equine metabolic changes in rats from different groups. The differences between the metabolic profiles of the rats in 4 groups were analyzed using partial least squares discriminant analysis. RESULTS: In behavior tests and histologic analyses given 2 days after surgery, the animals showed remarkable organ dysfunction and pathologic damage. Metabolic profiles showed remarkable differences between the control and model groups. Thirty-four potential CEI metabolite biomarkers were identified between the control group and different time-point model groups. These potential biomarkers appeared in 15 metabolic pathways. CONCLUSIONS: Our results may improve the cause of CEI and provide a basis for clinical diagnosis and locating biomarkers in the early stages of the pathologic process of CEI.
[Mh] Termos MeSH primário: Cauda Equina/patologia
Redes e Vias Metabólicas
Polirradiculopatia/metabolismo
[Mh] Termos MeSH secundário: Animais
Cromatografia Líquida
Modelos Animais de Doenças
Medo
Locomoção/fisiologia
Bainha de Mielina/patologia
Polirradiculopatia/fisiopatologia
Polirradiculopatia/psicologia
Análise de Componente Principal
Ratos
Ratos Sprague-Dawley
Índice de Gravidade de Doença
Espectrometria de Massas por Ionização por Electrospray
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170329
[St] Status:MEDLINE


  7 / 2009 MEDLINE  
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[PMID]:28325780
[Au] Autor:Torjesen I
[Ad] Endereço:London.
[Ti] Título:GPs are warned of costs of missing "red flags" for spinal condition.
[So] Source:BMJ;356:j1427, 2017 03 20.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Dor Lombar/diagnóstico
Polirradiculopatia/diagnóstico
[Mh] Termos MeSH secundário: Seres Humanos
Programas de Rastreamento/métodos
Guias de Prática Clínica como Assunto
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j1427


  8 / 2009 MEDLINE  
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[PMID]:28285756
[Au] Autor:Raftopoulos C; Koenig S; Joris V; Duprez T
[Ad] Endereço:Department of Neurosurgery, University Hospital St-Luc, Avenue Hippocrate, 10, 1200 Brussels, Belgium. Electronic address: christian.raftopoulos@uclouvain.be.
[Ti] Título:Partial cauda equina syndrome after an uneventful minimally invasive microdiscectomy in a patient with Crohn's disease.
[So] Source:Neurochirurgie;63(1):21-24, 2017 Mar.
[Is] ISSN:1773-0619
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:Cauda equina syndrome is a serious condition resulting from dysfunction of the lumbosacral nerve roots and characterized by impairment of bladder, bowel, sexual and lower limb functions. We report the case of a 48-year-old woman who had Crohn's disease for more than twenty years. The patient was undergoing immunotherapy with infliximab and developed a partial cauda equina syndrome after an uneventful minimally invasive microdiscectomy (L -S ) that completely cured her sciatica. A postoperative magnetic resonance imaging examination showed root clumping but no compressive lesion. We discuss a possible relationship between the cauda equina syndrome and the patient's active Crohn's disease, treatment and surgery.
[Mh] Termos MeSH primário: Cauda Equina/cirurgia
Doença de Crohn/cirurgia
Vértebras Lombares/cirurgia
Polirradiculopatia/cirurgia
Ciática/cirurgia
[Mh] Termos MeSH secundário: Cauda Equina/patologia
Doença de Crohn/complicações
Doença de Crohn/diagnóstico
Discotomia/métodos
Feminino
Seres Humanos
Imagem por Ressonância Magnética/métodos
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos
Polirradiculopatia/diagnóstico
Ciática/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170314
[St] Status:MEDLINE


  9 / 2009 MEDLINE  
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[PMID]:28235527
[Au] Autor:Tseng WC; Wu ZF; Liaw WJ; Hwa SY; Hung NK
[Ad] Endereço:Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan, ROC.
[Ti] Título:A patient with postpolio syndrome developed cauda equina syndrome after neuraxial anesthesia: A case report.
[So] Source:J Clin Anesth;37:49-51, 2017 Feb.
[Is] ISSN:1873-4529
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Combined spinal anesthesia and postoperative epidural analgesia is widely used in orthopedic surgery. Uncommon but serious neurologic complications of neuraxial anesthesia (NA) include direct trauma during needle or catheter insertion, central nervous system infections, and neurotoxicity of local anesthetics. Cauda equina syndrome (CES) is a rare complication after NA but can result in severe neurologic deterioration that may require surgical intervention. We present a case of a 69-year-old woman with postpolio syndrome who developed CES after combined spinal anesthesia and postoperative epidural analgesia. Perioperative observations and follow-up examinations, including magnetic resonance imaging, revealed no evidence of direct needle- or catheter-induced trauma, spinal hematoma, spinal ischemia, intraneural anesthetic injection, or infection. We speculate that CES symptoms were observed because of enhanced sensitivity to a combination of regional anesthetic technique-related microtrauma and neurotoxicity of bupivacaine and ropivacaine. Thus, practitioners should be aware that patients with preexisting neurologic diseases may be at increased risk for CES after NA.
[Mh] Termos MeSH primário: Analgesia Epidural/efeitos adversos
Analgesia Controlada pelo Paciente/efeitos adversos
Raquianestesia/efeitos adversos
Anestésicos Locais/efeitos adversos
Polirradiculopatia/etiologia
Síndrome Pós-Poliomielite/complicações
[Mh] Termos MeSH secundário: Idoso
Amidas/administração & dosagem
Amidas/efeitos adversos
Analgesia Controlada pelo Paciente/métodos
Analgésicos Opioides/administração & dosagem
Anestésicos Locais/administração & dosagem
Artroplastia de Quadril/efeitos adversos
Bupivacaína/administração & dosagem
Bupivacaína/efeitos adversos
Eletromiografia
Epinefrina/administração & dosagem
Feminino
Fentanila/administração & dosagem
Seres Humanos
Lidocaína/administração & dosagem
Imagem por Ressonância Magnética
Osteoartrite do Quadril/cirurgia
Polirradiculopatia/induzido quimicamente
Polirradiculopatia/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Amides); 0 (Analgesics, Opioid); 0 (Anesthetics, Local); 7IO5LYA57N (ropivacaine); 98PI200987 (Lidocaine); UF599785JZ (Fentanyl); Y8335394RO (Bupivacaine); YKH834O4BH (Epinephrine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170226
[St] Status:MEDLINE


  10 / 2009 MEDLINE  
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[PMID]:28109509
[Au] Autor:Chau AM; Xu LL; Gragnaniello C
[Ad] Endereço:Department of Neurosurgery, Canberra Hospital, Canberra, Australian Capital Territory, Australia. Electronic address: amtchau@gmail.com.
[Ti] Título:In Reply to the Letter to the Editor "Cauda Equina Syndrome: The Importance of Including Small Studies in a Meta-Analysis".
[So] Source:World Neurosurg;97:731, 2017 01.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cauda Equina
Polirradiculopatia
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170123
[St] Status:MEDLINE



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