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[PMID]:28450253
[Au] Autor:Ladenhauf HN; Brandtner MG; Ardelean MA; Schimke C; Metzger R
[Ad] Endereço:Department of Pediatric and Adolescent Surgery, Paracelsus Medical University, Salzburg, Austria. Electronic address: h.ladenhauf@salk.at.
[Ti] Título:Laparoscopic Management of Autoamputated Ovary in Newborns: A Report of 2 Cases.
[So] Source:J Minim Invasive Gynecol;24(5):859-862, 2017 Jul - Aug.
[Is] ISSN:1553-4669
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Intrauterine autoamputation of the ovary is an extremely rare diagnosis in the pediatric population. The current literature is limited to contradictory recommendations, while a standard management protocol for autoamputated adnexa secondary to intrauterine ovarian torsion is yet to be established. We report 2 cases of auto-amputation of the ovary, leading to a free-floating intra-abdominal cyst in the newborn. Laparoscopic management was successful in both cases.
[Mh] Termos MeSH primário: Doenças dos Anexos/cirurgia
Cistos/cirurgia
Laparoscopia/métodos
Doenças Ovarianas/cirurgia
Ovário/cirurgia
Anormalidade Torcional/cirurgia
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Lactente
Recém-Nascido
Ovário/anormalidades
Ovário/lesões
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29069000
[Au] Autor:Bolli P; Schädelin S; Holland-Cunz S; Zimmermann P
[Ad] Endereço:aPediatric Surgery, University Children's Hospital Basel bClinical Trial Unit, University Hospital Basel, Basel, Switzerland cPediatric Surgery, University of Leipzig, Leipzig, Germany.
[Ti] Título:Ovarian torsion in children: Development of a predictive score.
[So] Source:Medicine (Baltimore);96(43):e8299, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to identify clinical signs and symptoms of ovarian torsion (OT) in children and to develop a simple predictive score.A chart review of patients with acute adnexal pathologies treated at the University Children's Hospital Basel, Switzerland, between March 2006 and June 2015 was performed. Medical records were screened for demographic and clinical data. These included clinical symptoms, laboratory studies, imaging, and type of treatment. The diagnosis OT was defined as intraoperative visualization of the torsed ovary around its pedicle at least 360 degrees. Variables predictive for OT were identified and the following score for the likelihood of having OT was developed: age (points = number of years) minus 3 points (if vomitus = "yes") and plus 1 point (if "pain duration >12 hours").A total of 80 patients with acute adnexal pathologies were identified. OT was recorded in 17 (21%) cases and ovarian cysts (OC) only in 63 (79%) cases. Patients who presented with OT were significantly younger than patients with OC only (P = .001). Correspondingly, 11 (65%) of the patients with OT had no menarche compared to 3 (5%) patients with OC only (P = .001). Vomiting (P = .001), a shorter pain duration (P = .01), and an elevated C-reactive protein (CRP) (P = .01) were observed significantly more often in patients with OT. The sensitivity of a positive OT score was 0.81 and increased to 1.00 if restricted to girls between 2 to 12 years of age.The presence of vomiting, short duration of abdominal pain, and elevated CRP level have a predictive value for the diagnosis of OT. In these patients, an exploratory laparoscopy should be conducted without delay. The presented OT score appears to be a helpful tool in diagnosing OT in children.
[Mh] Termos MeSH primário: Proteína C-Reativa/análise
Laparoscopia/métodos
Doenças Ovarianas
Ovário/diagnóstico por imagem
Medição de Risco/métodos
Anormalidade Torcional
[Mh] Termos MeSH secundário: Dor Abdominal/diagnóstico
Dor Abdominal/etiologia
Adolescente
Criança
Pré-Escolar
Feminino
Seres Humanos
Doenças Ovarianas/diagnóstico
Doenças Ovarianas/epidemiologia
Doenças Ovarianas/fisiopatologia
Doenças Ovarianas/cirurgia
Valor Preditivo dos Testes
Projetos de Pesquisa
Fatores de Risco
Sensibilidade e Especificidade
Suíça/epidemiologia
Avaliação de Sintomas/métodos
Avaliação de Sintomas/estatística & dados numéricos
Anormalidade Torcional/diagnóstico
Anormalidade Torcional/epidemiologia
Anormalidade Torcional/fisiopatologia
Anormalidade Torcional/cirurgia
Vômito/diagnóstico
Vômito/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
9007-41-4 (C-Reactive Protein)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008299


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[PMID]:28984773
[Au] Autor:Jeon H; Ryu A; Seo HG; Jang SH
[Ad] Endereço:Department of Obstetrics and Gynecology, Department of Pathology, Soonchunhyang University College of Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
[Ti] Título:Ovarian torsion of mixed epithelial tumor misdiagnosed as a malignancy in postmenopausal woman: A case report.
[So] Source:Medicine (Baltimore);96(40):e8207, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Adnexal torsion is 1 of the most common emergency gynecological disease. It is more often diagnosed in reproductive age, but rarely in postmenopausal women. The clinical symptoms of adnexal torsion are nonspecific in postmenopausal women. Epithelial ovarian tumors are common in adults, and the risk of malignancy increases with age, especially after menopause. So, it is difficult to diagnose adnexal torsion precisely compared with reproductive women, and most cases of adnexal torsion with postmenopausal women are diagnosed as a malignancy preoperatively. We report a case of ovarian torsion with mixed epithelial tumor misdiagnosed as a malignancy in postmenopausal woman. PATIENT CONCERNS: A 65-year-old woman presented lower left abdominal pain, and there was slight abdominal distension, but no tenderness or rebound tenderness on abdominal palpation. DIAGNOSES: Radiologic assessments showed a huge multiseptated cystic mass with solid portion in the left ovary, and malignancy was suspected. The test for serum tumor markers revealed normal levels of cancer antigen 125 (CA-125). INTERVENTIONS: The patient underwent a laparotomy and there was torsion of the left ovary. We conducted frozen biopsy of left ovary for confirming malignancy before performing staging surgery. OUTCOMES: The result of a frozen section biopsy confirmed a borderline Brenner tumor associated with a benign mucinous tumor. Subsequently, total hysterectomy and right salpingo-oophorectomy were performed. The operation was completed without addition procedures LESSONS:: Ovarian torsion is benign in most cases and malignancy is rare. Although very rare, ovarian torsion can occur in postmenopausal women, and it should be taken into consideration that the possibility of malignancy is low in postmenopausal women with normal CA-125 levels. Instead of performing staging surgery, it appears to be appropriate to carry out surgery based on the result of intraoperative frozen section biopsy so that we were able to avoid unnecessary surgical procedures.
[Mh] Termos MeSH primário: Tumor de Brenner/diagnóstico
Erros de Diagnóstico
Neoplasias Ovarianas/diagnóstico
Ovário/anormalidades
Anormalidade Torcional/diagnóstico
[Mh] Termos MeSH secundário: Idoso
Biomarcadores Tumorais/análise
Tumor de Brenner/patologia
Tumor de Brenner/cirurgia
Antígeno Ca-125/análise
Feminino
Secções Congeladas
Seres Humanos
Neoplasias Ovarianas/patologia
Neoplasias Ovarianas/cirurgia
Ovariectomia/métodos
Ovário/patologia
Ovário/cirurgia
Pós-Menopausa
Anormalidade Torcional/patologia
Anormalidade Torcional/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers, Tumor); 0 (CA-125 Antigen)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008207


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[PMID]:28953636
[Au] Autor:Ren C; Liu Y; Cao R; Zhao T; Chen D; Yao L; Pan Z
[Ad] Endereço:aDepartment of Emergency Surgery bDepartment of Pathology cDepartment of Radiology, Anhui Provincial Hospital, Anhui Medical University, Hefei, Anhui, China.
[Ti] Título:Colonic obstruction caused by accessory spleen torsion: A rare case report and literature review.
[So] Source:Medicine (Baltimore);96(39):e8116, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Accessory spleen torsion is a rare cause of the acute abdomen. The complications of accessory spleen torsion, such as intestinal obstruction, are rarer. We herein report a case of colonic obstruction caused by accessory spleen torsion because of the unusual condition. PATIENT CONCERNS: A 15-year-old patient presented with acute intestinal obstruction with signs of peritoneal irritation. Abdominal computed tomography (CT) and ultrasonography examinations revealed a soft tissue mass in the left midabdomen. Systemic inflammatory response syndrome (SIRS) was observed in this case. DIAGNOSES: The diagnosis of peritonitis and colonic obstruction secondary to accessory spleen torsion was made. Pathologic examination showed infracted splenic tissue. INTERVENTIONS: We performed emergency laparotomy and found that accessory spleen torsion pressured against splenic flexure and descending colon, and caused colon obstruction. The patient underwent accessory splenectomy and enteral decompression. OUTCOMES: At 6 months follow-up, the patient recovered well with perfect digestion. LESSONS: Accessory spleen torsion and its complications are extremely rare. This entity should be considered in differential diagnosis of acute abdomen. However, in case of acute abdomen with critical clinical situation, emergency surgical intervention is necessary for timely diagnosis and treatment.
[Mh] Termos MeSH primário: Doenças do Colo/etiologia
Obstrução Intestinal/etiologia
Baço/anormalidades
Esplenopatias/complicações
Anormalidade Torcional/complicações
[Mh] Termos MeSH secundário: Adolescente
Seres Humanos
Masculino
Baço/patologia
Síndrome de Resposta Inflamatória Sistêmica/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008116


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[PMID]:28926319
[Au] Autor:Shruti A; Wu GS
[Ad] Endereço:From the Department of Radiology, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17822.
[Ti] Título:Case 246: MR Imaging of a Complex Cystic Mass in a Newborn Girl.
[So] Source:Radiology;285(1):324-328, 2017 Oct.
[Is] ISSN:1527-1315
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:History A 6-day-old female neonate presented to the outpatient pediatric surgery clinic for evaluation of a possible prenatal abdominal mass. The neonate was delivered at term via cesarean section due to macrosomia, with a reported birth weight of 11 lb 8.7 oz (5.23 kg). The patient's postnatal course was remarkable for resolving neonatal hyperbilirubinemia. A physical examination was remarkable for a palpable mass in the abdomen. Maternal risk factors included class II obesity, type 2 diabetes, and metabolic syndrome. Prenatal images obtained at an outside institution were not available at this time. Ultrasonography (US) of the abdomen and pelvis was performed 6 days after birth. Follow-up US at 29 days of life revealed no substantial change in the appearance of the findings. This patient remained asymptomatic, and gadolinium-enhanced (Magnevist; Bayer Pharma, Berlin, Germany) magnetic resonance (MR) imaging of the abdomen and pelvis was performed at 84 days of life. The mass was excised surgically at 89 days of life, and the patient had an uncomplicated postoperative course.
[Mh] Termos MeSH primário: Imagem por Ressonância Magnética
Cistos Ovarianos
Anormalidade Torcional
[Mh] Termos MeSH secundário: Abdome/diagnóstico por imagem
Abdome/patologia
Feminino
Seres Humanos
Recém-Nascido
Cistos Ovarianos/diagnóstico por imagem
Cistos Ovarianos/patologia
Cistos Ovarianos/cirurgia
Anormalidade Torcional/diagnóstico por imagem
Anormalidade Torcional/patologia
Anormalidade Torcional/cirurgia
Ultrassonografia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170920
[St] Status:MEDLINE
[do] DOI:10.1148/radiol.2017132069


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[PMID]:28904722
[Au] Autor:Guennoun A; Krimou Y; Mamouni N; Errarhay S; Bouchikhi C; Banani A
[Ad] Endereço:Departement de Gynécologie ObstétriqueI, Hôpital Univiersitaire Hassan II, Fez, Maroc.
[Ti] Título:[Normal adnexal torsion and pregnancy: about a case].
[Ti] Título:Torsion d'annexe saine et grossesse: à propos d'un cas..
[So] Source:Pan Afr Med J;27:197, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Normal adnexal torsion is rare during pregnancy. We here report the case of a 22-year old patient presenting with acute lateropelvic pain associated with a 2-month history amenorrhea. Exploratory laparotomy showed severe ischemia due to torsion in a normal ovary. The patient underwent adnexal detorsion without ovarian pexy. The postoperative course was uneventful. Ultrasound examination after 3 weeks showed normal pregnancy. Ovarian torsion is an emergency that should not be ignored in pregnant women with acute pelvic pain. Conservative treatment is the gold standard and proper management is necessary to avoid possible maternal and fetal complications.
[Mh] Termos MeSH primário: Doenças Ovarianas/diagnóstico
Dor Pélvica/etiologia
Complicações na Gravidez/diagnóstico
Anormalidade Torcional/diagnóstico
[Mh] Termos MeSH secundário: Dor Aguda/etiologia
Doenças dos Anexos/diagnóstico
Doenças dos Anexos/cirurgia
Feminino
Seres Humanos
Isquemia/etiologia
Laparotomia/métodos
Doenças Ovarianas/cirurgia
Gravidez
Complicações na Gravidez/cirurgia
Anormalidade Torcional/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.197.12250


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[PMID]:28571941
[Au] Autor:Webster KW; Scott SM; Huguelet PS
[Ad] Endereço:Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado.
[Ti] Título:Clinical Predictors of Isolated Tubal Torsion: A Case Series.
[So] Source:J Pediatr Adolesc Gynecol;30(5):578-581, 2017 Oct.
[Is] ISSN:1873-4332
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY OBJECTIVE: A rare cause of adolescent abdominal pain includes isolated tubal torsion (ITT). Presentation is nonspecific and few studies have investigated ITT in adolescents. Our study objective was to describe the presentation and management of ITT in a large case series. DESIGN: Retrospective observational case series. SETTING: Tertiary care children's hospital. PARTICIPANTS: Participants were female and aged 3-21 years, presenting to Children's Hospital Colorado and diagnosed with ITT between January 2004 and August 2015. INTERVENTIONS AND MAIN OUTCOME MEASURES: Clinical presentation, physical exam, laboratory findings, surgical diagnosis, and treatment provided. RESULTS: A total of 19 cases were included. Average age was 13.3 (range, 11-18) years. In patients with unilateral abdominal pain (n = 16), there was 100% correlation with side of adnexal pathology. Ultrasound examination in 14 of 18 cases (78%) noted abnormal findings ipsilateral to the ITT. Most cases were managed with laparoscopy (84%; n = 16 of 19) and detorsion with or without cystectomy (74%; n = 14 of 19). Salpingectomy was more common with prolonged pain greater than 24 hours (relative risk 5.6, 95% confidence interval, 0.7-39.0). The most common intraoperative finding was a paratubal cyst (74%; n = 14 of 19). When Doppler flow was performed, it was present in 88% (n = 16 of 18) of the affected adnexa. ITT was more common on the left side (68%; n = 13 of 19). CONCLUSION: The high occurrence of paratubal cysts might suggest pathologic predisposition for ITT. Providers should maintain a high index of suspicion for ITT, particularly if associated with a paratubal cyst. Classic examination findings of surgical abdomen, leukocytosis, fever, and absence of Doppler flow are infrequently present. Laparoscopy and detorsion are appropriate treatments for managing ITT.
[Mh] Termos MeSH primário: Anexos Uterinos/patologia
Anormalidade Torcional/diagnóstico
[Mh] Termos MeSH secundário: Dor Abdominal/etiologia
Anexos Uterinos/cirurgia
Adolescente
Criança
Pré-Escolar
Colorado
Feminino
Seres Humanos
Laparoscopia/métodos
Cisto Parovariano/cirurgia
Estudos Retrospectivos
Salpingectomia/efeitos adversos
Salpingectomia/métodos
Anormalidade Torcional/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[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:170603
[St] Status:MEDLINE


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[PMID]:28570094
[Au] Autor:Morvan G; Guerini H; Carré G; Vuillemin V
[Ad] Endereço:1 Centre d'Imagerie Médicale Léonard de Vinci, 43 rue Cortambert, 75116 Paris, France.
[Ti] Título:Femoral Torsion: Impact of Femur Position on CT and Stereoradiography Measurements.
[So] Source:AJR Am J Roentgenol;209(2):W93-W99, 2017 Aug.
[Is] ISSN:1546-3141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study is to evaluate stereoradiographic measurements of femoral torsion with different femoral positions, in comparison with CT measurements, with use of the current standard axial-slice technique. We hypothesize that CT measurements vary with femoral spatial positioning because of the resulting projection onto the CT plane, whereas stereoradiographic measurements, which are derived from a 3D reconstruction of the femur, remain constant. MATERIALS AND METHODS: Both in vitro and in vivo studies were conducted. CT and stereoradiographic examinations were performed using 30 dry femurs in the following six femoral positions: neutral position (with the femoral mechanical axis aligned with the longitudinal axis of the CT scanner or stereoradiography system), 10° of abduction, 10° of adduction, 5° of flexion, 10° of flexion, and 5° of extension. The impact of femoral position on torsion measurement was assessed using paired t tests. In addition, 18 patients (mean [± SD] age, 42.3 ± 19.9 years) who underwent both CT and stereoradiography examinations were retrospectively assessed. The correlation between femoral positioning and torsion measurement was determined using the Pearson correlation coefficient. RESULTS: Flexion and extension statistically significantly affected CT measurement of femoral torsion (p < 0.01) but not stereoradiography measurement (p > 0.21). A strong correlation existed between hip flexion and the difference between femoral torsion measured by CT and stereoradiography (r = -0.80). CONCLUSION: The accuracy of femoral torsion determined by axial CT depends on the position of the femur. Hip flexion significantly reduced the femoral torsion angle measured by CT. Conversely, the accuracy of stereoradiography was independent of femur positioning. Thus, stereoradiography is preferable to CT for accurate measurement of femoral torsion, while it also substantially reduces the radiation dose.
[Mh] Termos MeSH primário: Fêmur/diagnóstico por imagem
Tomografia Computadorizada por Raios X
Anormalidade Torcional/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Cadáver
Feminino
Fêmur/fisiopatologia
Articulação do Quadril/diagnóstico por imagem
Articulação do Quadril/fisiopatologia
Seres Humanos
Imagem Tridimensional
Masculino
Meia-Idade
Posicionamento do Paciente
Interpretação de Imagem Radiográfica Assistida por Computador/métodos
Amplitude de Movimento Articular
Estudos Retrospectivos
Software
Anormalidade Torcional/fisiopatologia
Torção Mecânica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.16.16638


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[PMID]:28541242
[Au] Autor:Niewiadomski P; Bielinska M; Pietkiewicz P; Olszewski J
[Ad] Endereço:Klinka Otolaryngologii, Onkologii Laryngologicznej, Audiologii i Foniatrii Uniwersytetu Medycznego w Lodzi Kierownik kKliniki: prof. dr hab. med. Jurek Olszewski.
[Ti] Título:Diagnostic evaluation of neck torsion test in objective examination in patients with vertigo and/or hearing-impairment.
[So] Source:Otolaryngol Pol;71(3):20-26, 2017 Jun 30.
[Is] ISSN:2300-8423
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The aim of the study was to evaluate the neck torsion test in objective examinations of patients with vertigo and/or hearing loss. MATERIAL AND METHODS: The study was conducted in 100 patients, including 54 women and 46 men aged 17-79 years, who were divided into two groups: I - 50 patients, including 30 women and 20 men aged 17-79 years (mean age 49.92 years) with dizziness and/or hearing impairments, and confirmed asymmetry of intracranial vessels, II - 50 patients - control group, including 24 women and 26 men aged 20-71 years without dizziness and/or hearing disorders and without disturbance in the construction of intracranial vessels. For each patient, the following tests were carried out: subjective, objective otorhinolaryngological, Doppler ultrasound specifying diameter of vertebral and carotid arteries and the velocity of blood flow in these vessels, audiological diagnostics, including the examination of latency of waves I, III, V of the auditory evoked potentials of the brain stem, otoneurological diagnostics with used the neck torsion test. RESULTS: It appears from the analysis of the material presented that the application of the neck torsion test in the Doppler ultrasound results in the fact that the difference in the mean systolic velocity of blood flow in vertebral artery is higher on the side opposite to the turning of the neck, and the increase in the average diastolic blood flow velocity in the vertebral artery on the side of the test being performed and its reduction on the opposite side in the study group, when compared to the control group. The value of the wave I, II, V latency in the ABR test during the neck torsion test is extended more in the study group than in the controls, on the side of the performed test. The performed neck torsion test in the VNG test increases the occurrence of both, square waves and nystagmus (much higher in the study group than in the controls). Conclussion. The application of the neck torsion test in the Doppler ultrasound, ABR and VNG test in patients with vertigo and/or hearing loss means that these tests become functional, thereby increasing their diagnostic value and may be used to monitor the rehabilitation of inner ear disorders.
[Mh] Termos MeSH primário: Transtornos da Audição/diagnóstico por imagem
Transtornos da Audição/fisiopatologia
Pescoço
Vertigem/diagnóstico por imagem
Vertigem/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Limiar Auditivo
Estudos de Casos e Controles
Feminino
Seres Humanos
Masculino
Meia-Idade
Anormalidade Torcional
Ultrassonografia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.5604/01.3001.0010.0129


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[PMID]:28539570
[Au] Autor:Huang Z; Zhang B; Chai W; Ma D; Liao H; Zhong Z; Wang F; Lin J
[Ad] Endereço:Second Division, Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong General Hospital.
[Ti] Título:Usefulness and Safety of a Novel Modification of the Retrograde Approach for the Long Tortuous Chronic Total Occlusion of Coronary Arteries.
[So] Source:Int Heart J;58(3):351-356, 2017 May 31.
[Is] ISSN:1349-3299
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to evaluate the feasibility and efficacy of the Guidezilla guide extension catheter in a reverse controlled antegrade and retrograde subintimal tracking (CART) technique for chronic total occlusion (CTO) recanalization.We retrospectively collected 80 CTO cases using reverse CART technology from January 2015 to October 2015 and 20 CTO cases using Guidezilla reverse-CART technology from October 2015 to March 2016. Guidezilla was applied in cases when it was difficult to advance a retro-guidewire through an occlusion segment into the antegrade guide catheter.The Guidezilla group had more cases with an occlusion longer > 20 mm (100.0% versus 72.5%, P = 0.005) and "bending > 45°" (90.0% versus 63.7%, P = 0.029) than the non-Guidezilla group, while the non-Guidezilla group had more retry lesions (25.0% versus 63.8%, P = 0.002). The septal collateral channel was the preferred choice for retro-recanalization in both groups (90.0% in Guidezilla group and 68.8% in non-Guidezilla group). All cases in the Guidezilla group achieved technical success with a TIMI 3 flow in the distal true lumen (100.0% versus 75.0% in non-Guidezilla group, P = 0.010). Cardiac tamponade and perforation in the epicardial artery was observed in 1 case each in the Guidezilla group. In the non-Guidezilla group, 19 complications occurred during the PCI procedure. No target vessel revascularization or in-hospital death occurred in either group.CTO lesions using the Guidezilla guide extension catheter to facilitate entry to an antegrade catheter in reverse CART technology is convenient and safe with a high success rate.
[Mh] Termos MeSH primário: Cateterismo Cardíaco/instrumentação
Cateteres Cardíacos
Oclusão Coronária/cirurgia
Vasos Coronários/diagnóstico por imagem
Intervenção Coronária Percutânea/métodos
Anormalidade Torcional/cirurgia
[Mh] Termos MeSH secundário: Doença Crônica
Angiografia Coronária
Oclusão Coronária/diagnóstico
Oclusão Coronária/etiologia
Vasos Coronários/cirurgia
Desenho de Equipamento
Estudos de Viabilidade
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Anormalidade Torcional/complicações
Anormalidade Torcional/diagnóstico
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1536/ihj.16-337



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