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[PMID]:27900474
[Au] Autor:Vaz S; Ferreira TC; Salgado L; Paycha F
[Ad] Endereço:Nuclear Medicine Department, Instituto Português de Oncologia Francisco Gentil, E.P.E. Lisbon, Rua Prof. Lima Basto, 1099-023, Lisbon, Portugal. sofiacarrilhovaz@gmail.com.
[Ti] Título:Bone scan usefulness in patients with painful hip or knee prosthesis: 10 situations that can cause pain, other than loosening and infection.
[So] Source:Eur J Orthop Surg Traumatol;27(2):147-156, 2017 Feb.
[Is] ISSN:1633-8065
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:In recent years, with the higher median life expectancy, the number of hip and knee replacements has increased. Clinical examination and morphological studies are essential to evaluate patients with a painful arthroplasty. Nuclear medicine examinations also play an important role, their main usefulness being the exclusion of prosthesis complications. Nevertheless, conventional examinations, namely bone scan and white blood cell scintigraphy, can also identify complications, such as loosening and infection. This study describes the normal and pathologic patterns of a bone scan and exemplifies ten common situations that can cause pain in patients with hip or knee arthroplasty, other than loosening and infection, which can be disclosed on a bone scintigraphy. The ten situations that should be considered and looked for when analysing a bone scan are: referred pain, patellofemoral pain syndrome, fractures, fissures, abscess/haematoma, bone insert behaviour, heterotopic ossification, greater trochanter pseudarthrosis, osteoarthritis extension in a knee with an unicompartmental prosthesis, and systemic disease with bone involvement.
[Mh] Termos MeSH primário: Prótese de Quadril/efeitos adversos
Prótese do Joelho/efeitos adversos
Dor Pós-Operatória/etiologia
[Mh] Termos MeSH secundário: Abscesso/diagnóstico por imagem
Abscesso/etiologia
Artroplastia de Quadril/efeitos adversos
Artroplastia do Joelho/efeitos adversos
Neoplasias Ósseas/complicações
Neoplasias Ósseas/diagnóstico por imagem
Neoplasias Ósseas/secundário
Substitutos Ósseos/efeitos adversos
Hematoma/diagnóstico por imagem
Hematoma/etiologia
Prótese de Quadril/classificação
Seres Humanos
Ossificação Heterotópica/complicações
Ossificação Heterotópica/diagnóstico por imagem
Osteoartrite do Joelho/complicações
Osteoartrite do Joelho/diagnóstico por imagem
Dor Pós-Operatória/diagnóstico por imagem
Dor Referida/diagnóstico por imagem
Dor Referida/etiologia
Síndrome da Dor Patelofemoral/diagnóstico por imagem
Síndrome da Dor Patelofemoral/etiologia
Fraturas Periprotéticas/complicações
Fraturas Periprotéticas/diagnóstico por imagem
Falha de Prótese/efeitos adversos
Infecções Relacionadas à Prótese/complicações
Infecções Relacionadas à Prótese/diagnóstico por imagem
Pseudoartrose/complicações
Pseudoartrose/diagnóstico por imagem
Tomografia Computadorizada com Tomografia Computadorizada de Emissão de Fóton Único/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Bone Substitutes)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161201
[St] Status:MEDLINE
[do] DOI:10.1007/s00590-016-1884-6


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[PMID]:27889667
[Au] Autor:Ryu K; Choi W; Shim J; Song T
[Ad] Endereço:Department of Anesthesiology and Pain Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
[Ti] Título:The impact of a pulmonary recruitment maneuver to reduce post-laparoscopic shoulder pain: A randomized controlled trial.
[So] Source:Eur J Obstet Gynecol Reprod Biol;208:55-60, 2017 Jan.
[Is] ISSN:1872-7654
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: A pulmonary recruitment maneuver (PRM) can effectively reduce post-laparoscopic shoulder pain (PLSP). However, a high-pressure PRM may cause pulmonary barotrauma. This study aimed to evaluate the efficacy and safety of a PRM using two different maximum inspiratory pressures (40 and 60cmH O) for reducing PLSP. STUDY DESIGN: Patients undergoing gynecologic laparoscopy were randomly allocated to a control group (n=30), a 40 cmH O PRM group (n=30), and a 60 cmH O PRM group (n=30). In the control group, residual carbon dioxide was removed by passive exsufflation through the port site. In the two intervention groups, the PRM consisting of five manual pulmonary inflations was performed at the end of surgery with a maximum pressure of 40 cmH O or 60 cmH O, respectively. Shoulder pain and wound pain were recorded using a visual analogue scale at 24 and 48h postoperatively. RESULTS: Wound pain scores at 24 and 48h post-surgery were not different between the three groups. The PLSP scores in the two intervention groups were significantly lower than that seen in the control group at 24 and 48h postoperatively (P=0.006 and P<0.001, respectively). However, there were no statistically significant differences in the PLSP scores between the two intervention groups. CONCLUSION: A low-pressure PRM (40cmH O) is as effective as a high-pressure PRM (60cmH O) for removing residual gas from the peritoneal cavity. PRM using a maximal inspiratory pressure of 40cmH O is safe and efficacious for the reduction of PLSP.
[Mh] Termos MeSH primário: Barotrauma/prevenção & controle
Procedimentos Cirúrgicos em Ginecologia/efeitos adversos
Complicações Intraoperatórias/prevenção & controle
Laparoscopia/efeitos adversos
Dor Pós-Operatória/prevenção & controle
Pneumoperitônio/terapia
Dor de Ombro/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Barotrauma/etiologia
Barotrauma/fisiopatologia
Dióxido de Carbono/efeitos adversos
Diafragma/lesões
Diafragma/inervação
Feminino
Hospitais Urbanos
Seres Humanos
Ventilação com Pressão Positiva Intermitente/métodos
Complicações Intraoperatórias/etiologia
Complicações Intraoperatórias/fisiopatologia
Meia-Idade
Síndromes Neurotóxicas/fisiopatologia
Síndromes Neurotóxicas/prevenção & controle
Dor Pós-Operatória/etiologia
Dor Referida/etiologia
Dor Referida/prevenção & controle
Traumatismos dos Nervos Periféricos/fisiopatologia
Traumatismos dos Nervos Periféricos/prevenção & controle
Pneumoperitônio/etiologia
Pneumoperitônio/fisiopatologia
República da Coreia
Ombro/inervação
Dor de Ombro/etiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
142M471B3J (Carbon Dioxide)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170419
[Lr] Data última revisão:
170419
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161128
[St] Status:MEDLINE


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[PMID]:27576216
[Au] Autor:Blichfeldt-Eckhardt MR; Andersen C; Ørding H; Licht PB; Toft P
[Ad] Endereço:Department of Anesthesiology, Vejle Hospital, DK-7100 Vejle, Denmark; Departments of Anesthesiology and Intensive Care Odense, Denmark. Electronic address: mr.be@rsyd.dk.
[Ti] Título:Shoulder Pain After Thoracic Surgery: Type and Time Course, a Prospective Cohort Study.
[So] Source:J Cardiothorac Vasc Anesth;31(1):147-151, 2017 Feb.
[Is] ISSN:1532-8422
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To study the time course of ipsilateral shoulder pain after thoracic surgery with respect to incidence, pain intensity, type of pain (referred versus musculoskeletal), and surgical approach. DESIGN: Prospective, observational cohort study. SETTING: Odense University Hospital, Denmark. PARTICIPANTS: Sixty patients for major lung resection. INTERVENTIONS: Postoperative observation of ipsilateral shoulder pain. MEASUREMENTS AND MAIN RESULTS: Postoperative numeric rating scale score of shoulder pain and thoracic pain and postoperative examination of the sites of shoulder pain for musculoskeletal involvement (muscle tenderness on palpation and movement) with follow-up 12 months after surgery. Clinically relevant pain was defined as a numeric rating scale score>3. Of the 60 patients included, 47 (78%) experienced ipsilateral shoulder pain, but only 25 (42%) reported clinically relevant shoulder pain. On postoperative day 4, 19 patients (32%) still suffered shoulder pain, but only 4 patients (7%) had clinically relevant pain. Four patients (8%) still suffered shoulder pain 12 months after surgery. In 26 patients (55%), the shoulder pain was classified as referred versus 21 patients (45%) who suffered shoulder pain of the musculoskeletal type. Shoulder pain of the musculoskeletal type was significantly more intense (p = 0.0008) than referred shoulder pain. CONCLUSION: Only a subset of patients has clinically relevant shoulder pain after postoperative day 2. Chronic shoulder pain is a minor problem after lobectomy and previously may have been overestimated. Ipsilateral shoulder pain of the musculoskeletal type is more intense than referred ipsilateral shoulder pain.
[Mh] Termos MeSH primário: Dor Pós-Operatória/etiologia
Dor de Ombro/etiologia
Procedimentos Cirúrgicos Torácicos/efeitos adversos
[Mh] Termos MeSH secundário: Idoso
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Medição da Dor/métodos
Dor Referida/etiologia
Estudos Prospectivos
Cirurgia Torácica Vídeoassistida/efeitos adversos
Procedimentos Cirúrgicos Torácicos/métodos
Toracotomia/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160831
[St] Status:MEDLINE


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[PMID]:27927638
[Au] Autor:Gray M; Wallace A; Aldridge S
[Ad] Endereço:Royal Victoria Infirmary, Newcastle Upon Tyne, UK matthew.gray@doctors.org.uk.
[Ti] Título:Assessment of shoulder pain for non-specialists.
[So] Source:BMJ;355:i5783, 2016 Dec 07.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Bursite/diagnóstico
Instabilidade Articular/diagnóstico
Osteoartrite/diagnóstico
Dor Referida/diagnóstico
Lesões do Manguito Rotador/diagnóstico
Síndrome de Colisão do Ombro/diagnóstico
Dor de Ombro/diagnóstico
[Mh] Termos MeSH secundário: Bursite/complicações
Bursite/terapia
Gerenciamento Clínico
Herpes Zoster/complicações
Herpes Zoster/diagnóstico
Seres Humanos
Instabilidade Articular/complicações
Instabilidade Articular/terapia
Isquemia Miocárdica/complicações
Isquemia Miocárdica/diagnóstico
Osteoartrite/complicações
Osteoartrite/terapia
Dor Referida/etiologia
Educação de Pacientes como Assunto
Exame Físico
Modalidades de Fisioterapia
Polimialgia Reumática/complicações
Polimialgia Reumática/diagnóstico
Radiografia
Encaminhamento e Consulta
Lesões do Manguito Rotador/complicações
Lesões do Manguito Rotador/terapia
Síndrome de Colisão do Ombro/complicações
Síndrome de Colisão do Ombro/terapia
Dor de Ombro/etiologia
Dor de Ombro/terapia
Doenças da Coluna Vertebral/complicações
Doenças da Coluna Vertebral/diagnóstico
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1703
[Cu] Atualização por classe:171111
[Lr] Data última revisão:
171111
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161209
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.i5783


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[PMID]:27687436
[Au] Autor:Taketa Y; Fujitani T
[Ad] Endereço:Department of Anesthesiology and Critical Care, Ehime Prefectural Central Hospital, Matsuyama City, Ehime 790-0024, Japan. Electronic address: suko1231@yahoo.co.jp.
[Ti] Título:Ultrasound-guided high-thoracic paravertebral block relieves referred pain caused by cervical spondylosis and provides stellate ganglion-blocking effect.
[So] Source:J Clin Anesth;34:490-1, 2016 Nov.
[Is] ISSN:1873-4529
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Bloqueio Nervoso Autônomo/métodos
Cervicalgia/cirurgia
Dor Referida/cirurgia
Espondilose/complicações
Gânglio Estrelado
[Mh] Termos MeSH secundário: Idoso
Bloqueio Nervoso Autônomo/instrumentação
Vértebras Cervicais
Seres Humanos
Masculino
Mepivacaína
Cervicalgia/etiologia
Dor Referida/etiologia
Ultrassonografia
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Nm] Nome de substância:
B6E06QE59J (Mepivacaine)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161001
[St] Status:MEDLINE


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Registro de Ensaios Clínicos
[PMID]:27629371
[Au] Autor:Dengler J; Sturesson B; Kools D; Prestamburgo D; Cher D; van Eeckhoven E; Erk E; Pflugmacher R; Vajkoczy P; and the iMIA study group
[Ad] Endereço:Department of Neurosurgery, Charité - Universitaetsmedizin Berlin, Campus Virchow Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany. julius.dengler@charite.de.
[Ti] Título:Referred leg pain originating from the sacroiliac joint: 6-month outcomes from the prospective randomized controlled iMIA trial.
[So] Source:Acta Neurochir (Wien);158(11):2219-2224, 2016 Nov.
[Is] ISSN:0942-0940
[Cp] País de publicação:Austria
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The first results from the randomized, controlled iFuse Implant System Minimally Invasive Arthrodesis (iMIA) trial showed that minimally invasive surgical management (MISM) of low back pain originating from the sacroiliac joint (SIJ) by placing transarticular triangular titanium implants reduced pain more effectively than conservative management (CM). We now conducted a separate analysis of the iMIA data to assess whether the referred leg pain (RLP) component of SIJ-associated pain may also be affected by MISM or CM. METHODS: Data from 101 patients, recruited between June 2013 and May 2015 at nine European spine care centers, were included. Forty-nine patients were randomized to CM and 51 patients to MISM. RLP was defined as pain below the gluteal fold and assessed using the visual analogue scale (VAS). Changes in RLP over 6 months were the primary endpoint. RESULTS: The prevalence of clinically significant RLP was 76.2 %. Over 6 months of follow-up, CM produced no significant change in RLP, which was 51.0 VAS points (interquartile range (IQR) 17.0-75.0) at baseline. In contrast, in the MISM cohort, we found a significant decrease in RLP from VAS 58.0 (IQR 24.5-80.0) at baseline to VAS 13.5 (IQR 0.0-39.3) after 6 months (p < 0.01). Improvement of RLP was associated only with the type of treatment (OR 5.04, p < 0.01), but not with patient age, sex, or different patterns of pain referral. CONCLUSIONS: Our analysis shows that RLP is a frequent phenomenon in patients with SIJ-associated pain. At 6 months of follow-up, MISM helped relieve RLP more effectively than CM. Clinical Trial Registration-URL: http://www.clinicaltrials.gov . Unique identifier: NCT01741025.
[Mh] Termos MeSH primário: Artralgia/cirurgia
Artroplastia/efeitos adversos
Dor Lombar/cirurgia
Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos
Dor Referida/etiologia
Complicações Pós-Operatórias
Articulação Sacroilíaca/cirurgia
[Mh] Termos MeSH secundário: Adulto
Artroplastia/métodos
Feminino
Seres Humanos
Masculino
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160916
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:27454266
[Au] Autor:Roldan CJ; Huh BK
[Ad] Endereço:The University of Texas MD Anderson Cancer Center, Department of Pain Medicine, Houston, Texas; Department of Emergency Medicine, The University of Texas Health Science Center at Houston, Texas; Memorial Hermann Hospital, Lyndon Baines Johnson General Hospital, Houston, Texas.
[Ti] Título:Iliocostalis Thoracis-Lumborum Myofascial Pain: Reviewing a Subgroup of a Prospective, Randomized, Blinded Trial. A Challenging Diagnosis with Clinical Implications.
[So] Source:Pain Physician;19(6):363-72, 2016 Jul.
[Is] ISSN:2150-1149
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pain of myofascial origin is a well-recognized pathology characterized by the presence of two components: referred pain; which is often distant from its source and specific to each muscle, and the trigger point, a localized hyperirritable band present in the affected muscle and able to reproduce the referred pain when stimulated. Myofascial pain (MP) commonly coexists in patients with acute or chronic pain of other etiologies. The uniqueness of the clinical presentation of some MPs and the lack of training of most specialties represent a clinical challenge. Thus, many patients with MPS receive less than optimal management of this condition. OBJECTIVE: Pain at the anterior torso, originating at the posterior torso, can mimic common pathologies that correlate with the same anatomical area such as cardiac and intra-abdominal conditions. These clinical characteristics could be caused by MP of the iliocostalis thoracis-lumborum (ITL) muscle. However, this entity has not been well addressed in the medical literature. In this report we characterize the manifestations, diagnosis, and clinical implications of ITL MP. STUDY DESIGN: Observational assessment. SETTING: Two university-based academic emergency medicine departments (ED) in an urban setting in the United States. METHODS: A convenience sample of 43 patients who presented to the ED with pain at the anterior aspect of the torso (chest, abdomen, or pelvis) and clinical evidence of MP originated in the ITL muscle.Of a clinical trial of patients with MP, we describe a subgroup of patients with MP of the ITL which was clinically evident by the presence of a trigger point (TP) in its ability to reproduce the referred pain present at the anterior aspect of the torso. Patients received a TP injection. In this trial we intend to demonstrate that TP injections using particulate steroids mixed with a local are no more effective than saline alone to treat MP. The primary outcome was pain control (decrease in intensity of 50% or more below baseline numeric pain rating). A follow-up telephone interview was performed by third-party abstractors. RESULTS: Forty-three patients presented with pain of the anterior torso and ipsilateral back, both correlating with the level of the TP of the ITL muscle. The pain had been present from 2 days to 7 years. The most common locations of pain were the right-lower quadrant and the left side of the chest. In many of them a pattern of missed diagnosis was evident despite extensive workups and consultations. Only 17 patients were able to identify the precipitating event; the most common was coughing. Two weeks after TP injection, all patients still had satisfactory pain control. After treatment, no missed pathology or returns to the ED were reported. LIMITATIONS: This descriptive portion of the ongoing study does not affect the integrity of the trial itself but could be subject to the introduction of subject selection and selective reporting bias. Similarly, this convenience sample does not establish the incidence of this pathology and challenges the external validity to other clinical settings. CONCLUSIONS: Anterior torso pain often resulted in extensive workups before ITL myofascial pain was diagnosed. TP injections were diagnostic and therapeutic of ITL myofascial pain.
[Mh] Termos MeSH primário: Síndromes da Dor Miofascial/diagnóstico
Dor Referida/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Dor Crônica
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Coluna Vertebral
Tronco
Pontos-Gatilho
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160726
[St] Status:MEDLINE


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[PMID]:27257287
[Au] Autor:Tornero-Caballero MC; Salom-Moreno J; Cigarán-Méndez M; Morales-Cabezas M; Madeleine P; Fernández-de-Las-Peñas C
[Ad] Endereço:*Alumna de Doctorado, Escuela Internacional de Doctorado, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.
[Ti] Título:Muscle Trigger Points and Pressure Pain Sensitivity Maps of the Feet in Women with Fibromyalgia Syndrome.
[So] Source:Pain Med;17(10):1923-1932, 2016 Oct.
[Is] ISSN:1526-4637
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE : To investigate the presence of trigger points (TrPs) in feet musculature and topographical pressure sensitivity maps of the feet as well as the relationship between TrPs, pressure pain maps, and clinical variables in women with fibromyalgia (FMS). METHODS : Fifty-one FMS women and 24 comparable healthy women participated. TrPs within the flexor hallucis brevis, adductor hallucis, dorsal interossei, extensor digitorum brevis, and quadratus plantae, as well as external and internal gastrocnemius, were explored. Pressure pain thresholds (PPTs) were assessed in a blind manner over seven locations on each foot. Topographical pressure sensitivity maps of the plantar region were generated using the averaged PPT of each location. RESULTS : The prevalence rate of foot pain was 63% (n = 32). The number of active TrPs for each FMS woman with foot pain was 5 ± 1.5 without any latent TrPs. Women with FMS without foot pain and healthy controls had only latent TrPs (2.2 ± 0.8 and 1.5 ± 1.3, respectively). Active TrPs in the flexor hallucis brevis and adductor hallucis muscles were the most prevalent. Topographical pressure pain sensitivity maps revealed that FMS women with foot pain had lower PPT than FMS women without pain and healthy controls, and higher PPT on the calcaneus bone (P < 0.001). CONCLUSIONS : The presence of foot pain in women with FMS is high. The referred pain elicited by active TrPs in the foot muscles reproduced the symptoms in these patients. FMS women suffering foot pain showed higher pressure hypersensitivity in the plantar region than those FMS women without pain.
[Mh] Termos MeSH primário: Fibromialgia/diagnóstico
/patologia
Músculo Esquelético/patologia
Medição da Dor/métodos
Dor Referida/diagnóstico
Pontos-Gatilho/patologia
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Fibromialgia/fisiopatologia
/fisiopatologia
Seres Humanos
Meia-Idade
Músculo Esquelético/fisiopatologia
Limiar da Dor/fisiologia
Dor Referida/fisiopatologia
Pressão/efeitos adversos
Pontos-Gatilho/fisiopatologia
[Pt] Tipo de publicação: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:160604
[St] Status:MEDLINE


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[PMID]:26843568
[Au] Autor:Zeuner KE
[Ad] Endereço:From the Department of Neurology, Kiel University, Germany.
[Ti] Título:Comment: Reorganization alters sensory perception after full face transplantation.
[So] Source:Neurology;86(9):839, 2016 Mar 01.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Transplante de Face/efeitos adversos
Mãos/fisiopatologia
Plasticidade Neuronal
Dor Referida/etiologia
Dor Referida/fisiopatologia
Córtex Somatossensorial/fisiopatologia
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
[Pt] Tipo de publicação:COMMENT; JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160301
[Lr] Data última revisão:
160301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160205
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000002410


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[PMID]:26843566
[Au] Autor:Uysal H; Özkan Ö; Barçin E; Senol U; Tombak K; Özkan Ö
[Ad] Endereço:From the Departments of Neurology (H.U., E.B.), Plastic and Reconstructive Surgery (Özlenen Özkan, Ömer Özkan), Radiology (U.S.), and Physical Medicine and Rehabilitation (K.T.), Akdeniz University Faculty of Medicine, Antalya, Turkey. uysalh@akdeniz.edu.tr.
[Ti] Título:Referred facial sensation on the hand after full face transplantation.
[So] Source:Neurology;86(9):836-9, 2016 Mar 01.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Using a single patient case study, we aimed to look at the interaction between full face transplantation and subsequent somatosensory representation in the cortex. METHODS: We present a patient with full face transplantation who has recovered primary sensory modalities. The patient also has facial sensations such as touch perception in sensory examinations of the hands and fingers. RESULTS: fMRI findings show interactions between the cortical representations of the face and hand. CONCLUSION: This phenomenon is one of the well-known referred sensations and reveals how face transplantation relates to cortical plasticity.
[Mh] Termos MeSH primário: Transplante de Face/efeitos adversos
Mãos/fisiopatologia
Plasticidade Neuronal
Dor Referida/etiologia
Dor Referida/fisiopatologia
Córtex Somatossensorial/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Mãos/inervação
Seres Humanos
Masculino
Dor Referida/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160301
[Lr] Data última revisão:
160301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160205
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000002409



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