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  1 / 25583 MEDLINE  
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[PMID]:29472200
[Au] Autor:Davies BM; Mowforth OD; Smith EK; Kotter MR
[Ad] Endereço:Academic neurosurgery unit, Department of Clinical Neurosurgery, University of Cambridge, Cambridge, UK.
[Ti] Título:Degenerative cervical myelopathy.
[So] Source:BMJ;360:k186, 2018 02 22.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Vértebras Cervicais
Imagem por Ressonância Magnética
Doenças da Medula Espinal/diagnóstico
Doenças da Medula Espinal/terapia
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Progressão da Doença
Seres Humanos
Exame Neurológico
Encaminhamento e Consulta
Doenças da Medula Espinal/epidemiologia
Doenças da Medula Espinal/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180224
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.k186


  2 / 25583 MEDLINE  
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[PMID]:28457905
[Au] Autor:Radabaugh HL; LaPorte MJ; Greene AM; Bondi CO; Lajud N; Kline AE
[Ad] Endereço:Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, PA 15213, United States; Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA 15213, United States.
[Ti] Título:Refining environmental enrichment to advance rehabilitation based research after experimental traumatic brain injury.
[So] Source:Exp Neurol;294:12-18, 2017 08.
[Is] ISSN:1090-2430
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The typical environmental enrichment (EE) paradigm, which consists of continuous exposure after experimental traumatic brain injury (TBI), promotes behavioral and histological benefits. However, rehabilitation is often abbreviated in the clinic and administered in multiple daily sessions. While recent studies have demonstrated that a once daily 6-hr bout of EE confers benefits comparable to continuous EE, breaking the therapy into two shorter sessions may increase novelty and ultimately enhance recovery. Hence, the aim of the study was to test the hypothesis that functional and histological outcomes will be significantly improved by daily preclinical neurorehabilitation consisting of two 3-hr periods of EE vs. a single 6-hr session. Anesthetized adult male rats received a controlled cortical impact of moderate-to-severe injury (2.8mm tissue deformation at 4m/s) or sham surgery and were then randomly assigned to groups receiving standard (STD) housing, a single 6-hr session of EE, or two 3-hr sessions of EE daily for 3weeks. Motor function (beam-balance/traversal) and acquisition of spatial learning/memory retention (Morris water maze) were assessed on post-operative days 1-5 and 14-19, respectively. Cortical lesion volume was quantified on day 21. Both EE conditions improved motor function and acquisition of spatial learning, and reduced cortical lesion volume relative to STD housing (p<0.05), but did not differ from one another in any endpoint (p>0.05). The findings replicate previous work showing that 6-hr of EE daily is sufficient to confer behavioral and histological benefits after TBI and extend the findings by demonstrating that the benefits are comparable regardless of how the 6-hrs of EE are accrued. The relevance of the finding is that it can be extrapolated to the clinic and may benefit patients who cannot endure a single extended period of neurorehabilitation.
[Mh] Termos MeSH primário: Lesões Encefálicas Traumáticas/reabilitação
Meio Ambiente
[Mh] Termos MeSH secundário: Análise de Variância
Animais
Lesões Encefálicas Traumáticas/fisiopatologia
Modelos Animais de Doenças
Masculino
Exame Neurológico
Desempenho Psicomotor/fisiologia
Ratos
Ratos Sprague-Dawley
Recuperação de Função Fisiológica
Retenção (Psicologia)/fisiologia
Aprendizagem Espacial/fisiologia
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180218
[Lr] Data última revisão:
180218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  3 / 25583 MEDLINE  
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[PMID]:29241238
[Au] Autor:Warchol JM; Cooper JS; Diesing TS
[Ad] Endereço:Department of Emergency Medicine, 981150 NMC, University of Nebraska Medical Centre, Omaha, NE 68198-1150, USA, jeffrey.cooper@unmc.edu.
[Ti] Título:Hyperbaric oxygen-associated seizure leading to stroke.
[So] Source:Diving Hyperb Med;47(4):260-262, 2017 Dec.
[Is] ISSN:1833-3516
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Oxygen toxicity seizures are a well-known complication of hyperbaric oxygen treatment (HBOT). Until now, there have not been any reported cases of an acute ischaemic event (stroke) as the result of a HBOT-associated oxygen toxicity seizure. We report an event in which a seizure and stroke occurred together and consider that the stroke may have been caused by seizure-induced demand ischaemia. This challenges the generally held view that oxygen toxicity seizures in the clinical hyperbaric setting are benign. A discussion of the literature on the subject of seizure-induced brain injury is included. Risk factors for cerebrovascular disease should be taken into consideration in determining treatment pressures for HBOT, as reducing pressure reduces seizure risk.
[Mh] Termos MeSH primário: Oxigenação Hiperbárica/efeitos adversos
Convulsões/etiologia
Acidente Vascular Cerebral/etiologia
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Seres Humanos
Úlcera da Perna/terapia
Masculino
Exame Neurológico
Fatores de Risco
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.28920/dhm47.4.260-262


  4 / 25583 MEDLINE  
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Vargas, Fernando R
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[PMID]:28456900
[Au] Autor:Monte TL; Reckziegel ER; Augustin MC; Silva ASP; Locks-Coelho LD; Barsottini O; Pedroso JL; Vargas FR; Saraiva-Pereira ML; Leotti VB; Jardim LB; Rede Neurogenética
[Ad] Endereço:Serviço de Neurologia, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
[Ti] Título:NESSCA Validation and Responsiveness of Several Rating Scales in Spinocerebellar Ataxia Type 2.
[So] Source:Cerebellum;16(4):852-858, 2017 Aug.
[Is] ISSN:1473-4230
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Spinocerebellar ataxia type 2 (SCA2), caused by a CAG expansion (CAGexp) at ATXN2, has a complex clinical picture. While validated ataxia scales are available, comprehensive instruments to measure all SCA2 neurological manifestations are required. This study aims to validate the Neurological Examination Score for the assessment of Spinocerebellar Ataxias (NESSCA) to be used in SCA2 and to compare its responsiveness to those obtained with other instruments. NESSCA, SARA, SCAFI, and CCFS scales were applied in symptomatic SCA2 patients. Correlations were done with age at onset, disease duration, CAGexp, and between scales. Responsiveness was estimated by comparing deltas of stable to worse patients after 12 months, according to Patient Global Impression of change, and the area under the curve (AUC) of the Receiver Operating Characteristics curve of scores range. Eighty-eight evaluations (49 patients) were obtained. NESSCA had an even distribution and correlated with disease duration (r = 0.55), SARA (r = 0.63), and CAGexp (rho = 0.32): both explained 44% of NESSCA variance. Deltas (95% CI) after 1 year in stable and worse patients were only significantly different for SARA. NESSCA, SARA, SCAFI, and CCFS AUC were 0.63, 0.81, 0.49, and 0.48, respectively. NESSCA is valid to be used in SCA2. However, the only instrument that presented good responsiveness to change in 1 year was SARA. We suggest that NESSCA can be used as a secondary outcome in future trials in SCA2 due to the burden of neurological disabilities related to disease progression.
[Mh] Termos MeSH primário: Exame Neurológico
Índice de Gravidade de Doença
Ataxias Espinocerebelares/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Idade de Início
Idoso
Área Sob a Curva
Progressão da Doença
Feminino
Seguimentos
Heterozigoto
Seres Humanos
Masculino
Meia-Idade
Curva ROC
Ataxias Espinocerebelares/genética
Ataxias Espinocerebelares/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE
[do] DOI:10.1007/s12311-017-0855-8


  5 / 25583 MEDLINE  
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[PMID]:28462794
[Au] Autor:Nakipoglu Yuzer GF; Köse Dönmez B; Özgirgin N
[Ad] Endereço:Ankara Physical Medicine Rehabilitation Training and Research Hospital, Ankara, Turkey. Electronic address: guldalfunda@hotmail.com.
[Ti] Título:A Randomized Controlled Study: Effectiveness of Functional Electrical Stimulation on Wrist and Finger Flexor Spasticity in Hemiplegia.
[So] Source:J Stroke Cerebrovasc Dis;26(7):1467-1471, 2017 Jul.
[Is] ISSN:1532-8511
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: The objective of this study was to investigate the effectiveness of functional electrical stimulation (FES) applied to the wrist and finger extensors for wrist flexor spasticity in hemiplegic patients. METHODS: Thirty stroke patients treated as inpatients were included in the study. Patients were randomly divided into study and control groups. FES was applied to the study group. Wrist range of movement, the Modified Ashworth Scale (MAS), Rivermead Motor Assessment (RMA), Brunnstrom (BS) hand neurophysiological staging, Barthel Index (BI), and Upper Extremity Function Test (UEFT) are outcome measures. RESULTS: There was no significant difference regarding range of motion (ROM) and BI values on admission between the groups. A significant difference was found in favor of the study group for these values at discharge. In the assessment within groups, there was no significant difference between admission and discharge RMA, BS hand, and UEFT scores in the control group, but there was a significant difference between the admission and discharge values for these parameters in the study group. Both groups showed improvement in MAS values on internal assessment. CONCLUSION: It was determined that FES application is an effective method to reduce spasticity and to improve ROM, motor, and functional outcomes in hemiplegic wrist flexor spasticity.
[Mh] Termos MeSH primário: Terapia por Estimulação Elétrica/métodos
Dedos/inervação
Hemiplegia/terapia
Espasticidade Muscular/terapia
Articulação do Punho/inervação
[Mh] Termos MeSH secundário: Idoso
Fenômenos Biomecânicos
Avaliação da Deficiência
Feminino
Hemiplegia/diagnóstico
Hemiplegia/fisiopatologia
Seres Humanos
Masculino
Meia-Idade
Atividade Motora
Espasticidade Muscular/diagnóstico
Espasticidade Muscular/fisiopatologia
Exame Neurológico
Amplitude de Movimento Articular
Recuperação de Função Fisiológica
Fatores de Tempo
Resultado do Tratamento
Turquia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180109
[Lr] Data última revisão:
180109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE


  6 / 25583 MEDLINE  
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[PMID]:29245216
[Au] Autor:Birnbaum J; Lalji A; Piccione EA; Izbudak I
[Ad] Endereço:aDivision of Rheumatology and Department of Neurology, The Johns Hopkins University School of MedicinebThe Johns Hopkins University School of Medicine, Baltimore, MDcDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, NEdDivision of Neuroradiology, Department of Radiology and Radiological Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD.
[Ti] Título:Magnetic resonance imaging of the spinal cord in the evaluation of 3 patients with sensory neuronopathies: Diagnostic assessment, indications of treatment response, and impact of autoimmunity: A case report.
[So] Source:Medicine (Baltimore);96(49):e8483, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Sensory neuronopathy can be a devastating peripheral nervous system disorder. Profound loss in joint position is associated with sensory ataxia, and reflects degeneration of large-sized dorsal root ganglia. Prompt recognition of sensory neuronopathies may constitute a therapeutic window to intervene before there are irreversible deficits. However, nerve-conduction studies may be unrevealing early in the disease course. In such cases, the appearance of dorsal column lesions on spinal-cord MRI can help in the diagnosis. However, most studies have not defined whether such dorsal column lesions may occur within earlier as well as chronic stages of sensory neuronopathies, and whether serial MRI studies can be used to help assess treatment efficacy. In this case-series of three sensory neuronopathy patients, we report clinical characteristics, immunological markers, nerve-conduction and skin-biopsy studies, and neuroimaging features. PATIENT CONCERNS: All three patients presented with characteristic features of sensory neuronopathy with abnormal spinal-cord MRI studies. Radiographic findings included non-enhancing lesions in the dorsal columns that were longitudinally extensive (spanning ≥ 3 vertebral segments). DIAGNOSES: All patients had anti-Ro/SS-A and/or anti-La/SS-B antibodies, with patients one and two having Sjögren's syndrome. MRI findings were similar when performed in the earlier stages of a sensory neuronopathy (patient one, after four months) and chronic stages (patients two and three, after five and three years, respectively). INTERVENTIONS: Patient one was treated with rituximab combined with intravenous immunoglobulin therapy. OUTCOMES: Patient one was initially wheelchair-bound and had improved ambulation after treatment. In this patient, serial MRI studies revealed partial resolution of dorsal column lesions, associated with decreased sensory ataxia and improved nerve-conduction studies. LESSONS: In addition to vitamin B12 and copper deficiency, it is important to include sensory neuronopathies in the differential diagnosis of dorsal column lesions. MRI spinal-cord lesions have similar appearances in the earlier as well as chronic phases of a sensory neuronopathy, and therefore suggest that such dorsal column lesions may reflect inflammatory as well as a gliotic burden of injury. MRI may also be a useful longitudinal indicator of treatment response.
[Mh] Termos MeSH primário: Gânglios Espinais/diagnóstico por imagem
Neuropatias Hereditárias Sensoriais e Autônomas/diagnóstico por imagem
Imagem por Ressonância Magnética
Doenças da Medula Espinal/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Anticorpos Antinucleares/sangue
Autoimunidade
Feminino
Neuropatias Hereditárias Sensoriais e Autônomas/imunologia
Seres Humanos
Meia-Idade
Exame Neurológico/métodos
Doenças da Medula Espinal/imunologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Antinuclear); 0 (SS-A antibodies); 0 (SS-B antibodies)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008483


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[PMID]:29037434
[Au] Autor:Taylor AR; Kerwin SC
[Ad] Endereço:Department of Clinical Sciences, Auburn University College of Veterinary Medicine, Auburn, AL 36849, USA. Electronic address: art0022@auburn.edu.
[Ti] Título:Clinical Evaluation of the Feline Neurologic Patient.
[So] Source:Vet Clin North Am Small Anim Pract;48(1):1-10, 2018 Jan.
[Is] ISSN:1878-1306
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Efficient, gentle, and safe handling of cats can result in complete neurologic evaluations and accurate neuroanatomic localizations. The clinic environment should facilitate the examination by providing a quiet and secure environment for the cat. When direct examination of a cat is not possible, the practitioner should fully use indirect methods of examination and video recordings of cat behavior or clinical signs. Direct examination of a cat should proceed in a logical order, where the most useful tests are performed early on in the examination.
[Mh] Termos MeSH primário: Comportamento Animal
Doenças do Gato/diagnóstico
Gatos/psicologia
Doenças do Sistema Nervoso/veterinária
Exame Neurológico/veterinária
[Mh] Termos MeSH secundário: Animais
Diagnóstico Diferencial
Marcha
Doenças do Sistema Nervoso/diagnóstico
Exame Neurológico/métodos
Postura
Gravação em Vídeo
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171018
[St] Status:MEDLINE


  8 / 25583 MEDLINE  
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[PMID]:29236890
[Au] Autor:Maranhão AA; Carvalho SRDS; Caetano MR; Alamy AH; Peixoto EM; Filgueiras PDEP
[Ad] Endereço:Universidade Federal do Estado do Rio de Janeiro, Faculdade de Medicina, Departamento de Pneumologia, Rio de Janeiro RJ, Brasil.
[Ti] Título:Phrenic nerve conduction studies: normative data and technical aspects.
[So] Source:Arq Neuropsiquiatr;75(12):869-874, 2017 Dec.
[Is] ISSN:1678-4227
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of the present study was to define normative data of phrenic nerve conduction parameters of a healthy population. METHODS: Phrenic nerve conduction studies were performed in 27 healthy volunteers. RESULTS: The normative limits for expiratory phrenic nerve compound muscle action potential were: amplitude (0.47 mv - 0.83 mv), latency (5.74 ms - 7.10 ms), area (6.20 ms/mv - 7.20 ms/mv) and duration (18.30 ms - 20.96 ms). Inspiratory normative limits were: amplitude (0.67 mv - 1.11 mv), latency (5.90 ms - 6.34 ms), area (5.62 ms/mv - 6.72 ms/mv) and duration (13.77 ms - 15.37 ms). CONCLUSION: The best point of phrenic nerve stimulus in the neck varies among individuals between the medial and lateral border of the clavicular head of the sternocleidomastoid muscle and stimulation of both sites, then choosing the best phrenic nerve response, seems to be the appropriate procedure.
[Mh] Termos MeSH primário: Potenciais de Ação/fisiologia
Condução Nervosa/fisiologia
Nervo Frênico/fisiologia
Tempo de Reação/fisiologia
[Mh] Termos MeSH secundário: Adulto
Estimulação Elétrica
Eletromiografia
Feminino
Voluntários Saudáveis
Seres Humanos
Masculino
Meia-Idade
Exame Neurológico
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  9 / 25583 MEDLINE  
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[PMID]:28466970
[Au] Autor:Alanazy MH; Alfurayh NA; Almweisheer SN; Aljafen BN; Muayqil T
[Ad] Endereço:Department of Internal Medicine, Division of Neurology, King Saud University Medical City and College of Medicine, King Saud University, PO Box 7805, Riyadh, 11472, Saudi Arabia.
[Ti] Título:The conventional tuning fork as a quantitative tool for vibration threshold.
[So] Source:Muscle Nerve;57(1):49-53, 2018 Jan.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: This study was undertaken to describe a method for quantifying vibration when using a conventional tuning fork (CTF) in comparison to a Rydel-Seiffer tuning fork (RSTF) and to provide reference values. METHODS: Vibration thresholds at index finger and big toe were obtained in 281 participants. Spearman's correlations were performed. Age, weight, and height were analyzed for their covariate effects on vibration threshold. Reference values at the fifth percentile were obtained by quantile regression. RESULTS: The correlation coefficients between CTF and RSTF values at finger/toe were 0.59/0.64 (P = 0.001 for both). Among covariates, only age had a significant effect on vibration threshold. Reference values for CTF at finger/toe for the age groups 20-39 and 40-60 years were 7.4/4.9 and 5.8/4.6 s, respectively. Reference values for RSTF at finger/toe for the age groups 20-39 and 40-60 years were 6.9/5.5 and 6.2/4.7, respectively. DISCUSSION: CTF provides quantitative values that are as good as those provided by RSTF. Age-stratified reference data are provided. Muscle Nerve 57: 49-53, 2018.
[Mh] Termos MeSH primário: Exame Neurológico/instrumentação
Limiar Sensorial/fisiologia
Vibração
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Estatura/fisiologia
Peso Corporal/fisiologia
Feminino
Dedos/inervação
Dedos/fisiologia
Seres Humanos
Masculino
Meia-Idade
Valores de Referência
Reprodutibilidade dos Testes
Dedos do Pé/inervação
Dedos do Pé/fisiologia
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171212
[Lr] Data última revisão:
171212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25680


  10 / 25583 MEDLINE  
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[PMID]:28745701
[Au] Autor:Khripun AI; Salikov AV; Pryamikov AD; Mironkov AB; Asratyan SA; Abashin MV; Mikhailenko VP
[Ad] Endereço:Chair of surgery and endoscopy of the Department of advanced medical training of the N.I. Pirogov's Russian National Research Medical University, Moscow, Russia.
[Ti] Título:[Early reconstruction of brachiocephalic arteries as a prevention of recurrent ischemic stroke].
[Ti] Título:Ranniaia rekonstruktsiia brakhitsefal'nykh arterii kak profilaktika povtornogo ishemicheskogo insul'ta..
[So] Source:Khirurgiia (Mosk);(7):18-23, 2017.
[Is] ISSN:0023-1207
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:AIM: To assess an efficacy and safety of brachiocephalic arteries reconstruction at the acute stage of stroke. MATERIAL AND METHODS: Early reconstruction of brachiocephalic arteries was made in 7 patients (mean age 67±9 years). Mean terms of brachiocephalic arteries reconstruction after stroke were 4.6 days (range 2-7 days). Pre- and postoperative neurological state was assessed by NIHSS score (mean preoperative score was 3.9±2.7 in these 7 patients, range 0-7). All patients had ipsilateral cerebral ischemic lesions with stenosis/occlusion of brachiocephalic artery. Their mean dimension was 10 mm (range 4-32 mm). Internal carotid artery stenting was made in 2 patients, carotid endarterectomy - in 4 patients, stenting of the 1st segment of left subclavian artery - in 1 patient. RESULTS: There were no deaths and recurrent postoperative ischemic strokes. Complications developed in 2 patients: postoperative hematoma and intraoperative transient ischemic attack during ICA stenting in 5 days after stroke. There was a positive course of neurological state after brachiocephalic arteries reconstruction: mean score of neurological deficit decreased by almost 2 times (from 3.9±2.7 to 2±1.7). CONCLUSION: Early surgical prevention (within 7 days after stroke) may be effective and safe in certain patients with ischemic stroke (neurological deficit by Rankin score ≤3 and NIHSS ≤7, ischemic focus dimension less than 4 cm). Brachiocephalic arteries reconstruction early after stroke improves neurological state postoperatively by reducing motor and sensitive disorders. However, at present time there are no clear indications for early revascularization depending on either neurological deficit severity and ischemic focus dimension. So, our data should be confirmed by large trials.
[Mh] Termos MeSH primário: Tronco Braquiocefálico
Isquemia Encefálica
Procedimentos Endovasculares
Complicações Pós-Operatórias
Acidente Vascular Cerebral
[Mh] Termos MeSH secundário: Idoso
Aterosclerose/complicações
Tronco Braquiocefálico/diagnóstico por imagem
Tronco Braquiocefálico/patologia
Tronco Braquiocefálico/cirurgia
Isquemia Encefálica/etiologia
Isquemia Encefálica/fisiopatologia
Isquemia Encefálica/prevenção & controle
Isquemia Encefálica/terapia
Artérias Carótidas/diagnóstico por imagem
Artérias Carótidas/cirurgia
Procedimentos Endovasculares/efeitos adversos
Procedimentos Endovasculares/métodos
Feminino
Seres Humanos
Masculino
Meia-Idade
Exame Neurológico/métodos
Avaliação de Processos e Resultados (Cuidados de Saúde)
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/epidemiologia
Federação Russa
Stents
Acidente Vascular Cerebral/etiologia
Acidente Vascular Cerebral/fisiopatologia
Acidente Vascular Cerebral/prevenção & controle
Acidente Vascular Cerebral/terapia
Artéria Subclávia/diagnóstico por imagem
Artéria Subclávia/cirurgia
Tempo para o Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171130
[Lr] Data última revisão:
171130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.17116/hirurgia2017718-23



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