Página 1 dos resultados de 249 itens digitais encontrados em 0.001 segundos

Relationship between median nerve somatosensory evoked potentials and spinal cord injury levels in patients with quadriplegia

GASPAR, M. I. F. de Arruda Serra; CLIQUET JR., A.; LIMA, V. M. Fernandes; ABREU, D. C. C. de
Fonte: NATURE PUBLISHING GROUP Publicador: NATURE PUBLISHING GROUP
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.78%
Study design: Cross-sectional study. Objectives: To observe if there is a relationship between the level of injury by the American Spinal Cord Injury Association (ASIA) and cortical somatosensory evoked potential (SSEP) recordings of the median nerve in patients with quadriplegia. Setting: Rehabilitation Outpatient Clinic at the university hospital in Brazil. Methods: Fourteen individuals with quadriplegia and 8 healthy individuals were evaluated. Electrophysiological assessment of the median nerve was performed by evoked potential equipment. The injury level was obtained by ASIA. N(9), N(13) and N(20) were analyzed based on the presence or absence of responses. The parameters used for analyzing these responses were the latency and the amplitude. Data were analyzed using mixed-effect models. Results: N(9) responses were found in all patients with quadriplegia with a similar latency and amplitude observed in healthy individuals; N(13) responses were not found in any patients with quadriplegia. N(20) responses were not found in C5 patients with quadriplegia but it was present in C6 and C7 patients. Their latencies were similar to healthy individuals (P > 0.05) but the amplitudes were decreased (P < 0.05). Conclusion: This study suggests that the SSEP responses depend on the injury level...

Diaphragmatic pacing stimulation in spinal cord injury: anesthetic and perioperative management

Tedde, Miguel L.; Vasconcelos Filho, Paulo; Hajjar, Ludhmila Abrahao; de Almeida, Juliano Pinheiro; Flora, Gustavo Fagundes; Okumura, Erica Mie; Osawa, Eduardo A.; Fukushima, Julia Tizue; Teixeira, Manoel Jacobsen; Barbosa Gomes Galas, Filomena Regina; Ja
Fonte: HOSPITAL CLINICAS, UNIV SAO PAULO; SAO PAULO Publicador: HOSPITAL CLINICAS, UNIV SAO PAULO; SAO PAULO
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
27.04%
OBJECTIVE: The standard therapy for patients with high-level spinal cord injury is long-term mechanical ventilation through a tracheostomy. However, in some cases, this approach results in death or disability. The aim of this study is to highlight the anesthetics and perioperative aspects of patients undergoing insertion of a diaphragmatic pacemaker. METHODS: Five patients with quadriplegia following high cervical traumatic spinal cord injury and ventilator-dependent chronic respiratory failure were implanted with a laparoscopic diaphragmatic pacemaker after preoperative assessments of their phrenic nerve function and diaphragm contractility through transcutaneous nerve stimulation. ClinicalTrials.gov:NCT01385384. RESULTS: The diaphragmatic pacemaker placement was successful in all of the patients. Two patients presented with capnothorax during the perioperative period, which resolved without consequences. After six months, three patients achieved continuous use of the diaphragm pacing system, and one patient could be removed from mechanical ventilation for more than 4 hours per day. CONCLUSIONS: The implantation of a diaphragmatic phrenic system is a new and safe technique with potential to improve the quality of life of patients who are dependent on mechanical ventilation because of spinal cord injuries. Appropriate indication and adequate perioperative care are fundamental to achieving better results.; Fundacao de Amparo a Pesquisa do Estado de Sao Paulo [FAPESP - 2010/50785-6]; Fundacao de Amparo a Pesquisa do Estado de Sao Paulo

Treinamento de músculos inspiratórios em pacientes com quadriplegia

Silveira,Janne Marques; Gastaldi,Ada Clarice; Boaventura,Cristina de Matos; Souza,Hugo Celso
Fonte: Sociedade Brasileira de Pneumologia e Tisiologia Publicador: Sociedade Brasileira de Pneumologia e Tisiologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2010 Português
Relevância na Pesquisa
37.51%
OBJETIVO: Determinar se o treinamento de músculos inspiratórios pode aumentar a força e endurance desses músculos em pacientes com quadriplegia. MÉTODOS: Oito pacientes quadriplégicos (7 homens e 1 mulher) com lesão medular cervical entre C4 e C7 foram submetidos ao treinamento de músculos inspiratórios utilizando-se um resistor de carga linear ajustado em 30% da PImáx. As sessões de treinamento foram realizadas com os pacientes sentados 5 vezes por semana por 8 semanas. Tempo de endurance, PImáx, PEmáx e CVF foram medidos antes do treinamento e nas semanas 4 e 8. RESULTADOS: Em comparação ao valor basal médio, houve um aumento da PImáx, mensurada na posição sentada, nas semanas 4 e 8 (-83,0 ± 18,9 cmH2O vs. -104,0 ± 19,4 e -111,3 ± 22,7 cmH2O). Houve aumento da PEmáx, também na posição sentada, na semana 4 (de 36,8 ± 8,1 a 42,6 ± 8,8 cmH2O). Houve uma melhora na FVC na 4ª semana (de 2,1 ± 0,8 a 2,5 ± 0,6 L, representando um incremento de 24 ± 22%). O tempo de endurance (sentado) não apresentou um aumento significativo entre o momento basal e a semana 8 (29,8 ± 21,0 min vs. 35,9 ± 15,5 min; aumento de 173 ± 233%). CONCLUSÕES: Pacientes com quadriplegia podem se beneficiar com o treinamento com baixas cargas (30% da PImáx)...

Diaphragmatic pacing stimulation in spinal cord injury: anesthetic and perioperative management

Tedde,Miguel L.; Vasconcelos Filho,Paulo; Hajjar,Ludhmila Abrahão; Almeida,Juliano Pinheiro de; Flora,Gustavo Fagundes; Okumura,Erica Mie; Osawa,Eduardo A.; Fukushima,Julia Tizue; Teixeira,Manoel Jacobsen; Galas,Filomena Regina Barbosa Gomes; Jatene,Fabi
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2012 Português
Relevância na Pesquisa
27.04%
OBJECTIVE: The standard therapy for patients with high-level spinal cord injury is long-term mechanical ventilation through a tracheostomy. However, in some cases, this approach results in death or disability. The aim of this study is to highlight the anesthetics and perioperative aspects of patients undergoing insertion of a diaphragmatic pacemaker. METHODS: Five patients with quadriplegia following high cervical traumatic spinal cord injury and ventilator-dependent chronic respiratory failure were implanted with a laparoscopic diaphragmatic pacemaker after preoperative assessments of their phrenic nerve function and diaphragm contractility through transcutaneous nerve stimulation. ClinicalTrials.gov: NCT01385384. RESULTS: The diaphragmatic pacemaker placement was successful in all of the patients. Two patients presented with capnothorax during the perioperative period, which resolved without consequences. After six months, three patients achieved continuous use of the diaphragm pacing system, and one patient could be removed from mechanical ventilation for more than 4 hours per day. CONCLUSIONS: The implantation of a diaphragmatic phrenic system is a new and safe technique with potential to improve the quality of life of patients who are dependent on mechanical ventilation because of spinal cord injuries. Appropriate indication and adequate perioperative care are fundamental to achieving better results.

Spinal cord potentials in traumatic paraplegia and quadriplegia.

Sedgwick, E M; el-Negamy, E; Frankel, H
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /09/1980 Português
Relevância na Pesquisa
27.04%
Cortical, cervical and lumbar somatosensory evoked potentials were recorded following median and tibial nerve stimulation in patients with traumatic paraplegia and quadriplegia. The isolated cord was able to produce normal potentials even during spinal shock if the vertical extent of the lesion did not involve the generator mechanisms. The cervical potentials showed subtle changes in paraplegia at Th5 levels and below. In high cervical lesions the early cervical potentials may still be present but the later potentials were absent or, in partial lesions, delayed.

Anterior interbody fusion for cervical osteomyelitis: Reversal of quadriplegia after evacuation of epidural spinal abscess

Bartal, A. D.; Schiffer, J.; Heilbronn, Y. D.; Yahel, M.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /02/1972 Português
Relevância na Pesquisa
27.04%
Interbody fusion for stabilization of the cervical spine after osteomyelitic destruction of the body of C5 vertebra is reported in a patient with quadriplegia and sphincter disturbances secondary to an epidural abscess. The successful union of the bone graft along with complete neurological recovery after anterior decompression and evacuation of the epidural mass seem to justify the procedure.

Sleep apnoea in patients with quadriplegia.

McEvoy, R. D.; Mykytyn, I.; Sajkov, D.; Flavell, H.; Marshall, R.; Antic, R.; Thornton, A. T.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /06/1995 Português
Relevância na Pesquisa
27.04%
BACKGROUND--This study was undertaken to establish the prevalence of, and the factors contributing towards, sleep disordered breathing in patients with quadriplegia. METHODS--Forty representative quadriplegic patients (time since injury > 6 months, injury level C8 and above, Frankel category A, B, or C; mean (SE) age 35.0 (1.7) years) had home sleep studies in which EEG, EOG, submental EMG, body movement, nasal airflow, respiratory effort, and pulse oximetry (SpO2) were measured. Patients reporting post traumatic amnesia of > 24 hours, drug or alcohol abuse or other major medical illness were excluded from the study. A questionnaire on medications and sleep was administered and supine blood pressure, awake SpO2, spirometric values, height, and neck circumference were measured. RESULTS--A pattern of sustained hypoventilation was not observed in any of the patients. Sleep apnoeas and hypopnoeas were, however, common. Eleven patients (27.5%) had a respiratory disturbance index (RDI, apnoeas plus hypopnoeas per hour of sleep) of > or = 15, with nadir SpO2 ranging from 49% to 95%. Twelve of the 40 (30%) had an apnoea index (AI) of > or = 5 and, of these, nine (75%) had predominantly obstructive apnoeas-that is, > 80% of apnoeas were obstructive or mixed. This represents a prevalence of sleep disordered breathing more than twice that observed in normal populations. For the study population RDI correlated with systolic and diastolic blood pressure and neck circumference. RDI was higher in patients who slept supine compared with those in other postures. Daytime sleepiness was a common complaint in the study population and sleep architecture was considerably disturbed with decreased REM sleep and increased stage 1 non-REM sleep. CONCLUSIONS--Sleep disordered breathing is common in quadriplegic patients and sleep disturbance is significant. The predominant type of apnoea is obstructive. As with non-quadriplegic patients with sleep apnoea...

Cervical osteochondroma presenting with acute quadriplegia

Mudumba, Vijayasaradhi; Mamindla, Ravi Kumar
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2012 Português
Relevância na Pesquisa
27.04%
Osteochondromas of the vertebral column are rare tumors and constitute about 3-4% of all primary vertebral column tumors. We report a case of osteochondroma arising from C3 lamina presenting with acute quadriplegia following a trivial fall. Computed Tomography (CT) and Magnetic Resonance imaging (MRI) showed bony lesion arising from C3 laminar arch compressing the cord with underlying spinal cord contusion. Emergency C3 laminectomy and complete enbloc excision of the lesion was performed, following which patient showed gradual recovery in neurological status. This acute presentation in this rare, slow growing, tumor has never been reported in literature till date.

Acute onset quadriplegia

Rajasekharan, Chandrasekharan; Deepak, Menon
Fonte: BMJ Publishing Group Publicador: BMJ Publishing Group
Tipo: Artigo de Revista Científica
Publicado em 10/07/2012 Português
Relevância na Pesquisa
27.33%
A 50-year-old man, with history of chronic alcohol intake was brought in a stuporous state to the emergency services having been found in that condition in his home the same day. Examination revealed the patient in an akinteic mute state with apparently normal cranial nerves, hypotonia and quadriplegia with bilateral extensor plantar reflex. CT scan and MRI of the brain revealed bilateral infarct parasagittally with normal Magnetic resonance venogram suggestive of bilateral anterior cerebral artery infarct. Follow-up magnetic resonance angiogram revealed an azygous anterior cerebral artery thus proving an infarct of unpaired anterior cerebral artery infarct as the cause for quadriplegia in this patient.

The detrimental effect of neck pain followed by solitary plasmacytoma resulting in spontaneous quadriplegia: a case report

Kök, Ahmet N.; Yildirim, Omer S.; Kizilkaya, Mehmet; Isik, Ali F.; Aydin, Nasuhi E.; Yurtman, Talat
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
Publicado em /08/2004 Português
Relevância na Pesquisa
27.04%
After complaining of neck pain for 3 weeks, a 36-year-old man suddenly become quadriplegic during a massage session in a traditional Turkish bath. He was immediately transferred to hospital, where the initial examination consisting in plain radiography and magnetic resonance imaging revealed a compression fracture of the fourth cervical vertebra. The patient was immediately treated by anterior vertebral decompression and bone grafting from the iliac crest. Unfortunately, the patient did not respond to surgical intervention and died. Solitary plasmacytoma of the fourth cervical vertebrae was detected at autopsy during forensic examination. Pain and spinal cord compression resulted from solitary plasmacytoma of the vertebral column. However, paralysis, especially quadriplegia, occurs seldom. In this case report, solitary plasmacytoma of the vertebral column associated with neck pain is presented with the relevant pathological and clinical aspects.

Infarction of the cervical spinal cord in a 20-year-old healthy man resulting in complete quadriplegia

Safadi, Wajdi; Srour, Saher; Waksman, Igor
Fonte: BMJ Publishing Group Publicador: BMJ Publishing Group
Tipo: Artigo de Revista Científica
Publicado em 18/04/2013 Português
Relevância na Pesquisa
27.04%
How often are we faced with a tragic diagnosis in a young patient whose life is completely changed? Often in medicine the tragedy is short-lived: the patients never stabilise, they succumb early to their injuries or complications. We present the case of a young man in whom the exact cause of a spinal cord infarct has never been confirmed. As it transpires, regardless of the sequence of events and the time elapsed between injury and the onset of paralysis, his symptoms came with no warning, were life-threatening and terrifying. He could have had no time to understand what had happened and is now faced with what must seem an eternity to come to terms with a life of quadriplegia. He gives an account of his life for the last 7 years as he has remained at home, while life for his siblings has moved on and he watches from his bed. The triumph is his adjustment to his life now, the vigilance and care of his family and the dedication of the medical staff of a local clinic in a small village in the mountains in the north of Israel.

Surgical Correction of Scoliosis in Children with Spastic Quadriplegia: Benefits, Adverse Effects, and Patient Selection

Legg, Julian; Davies, Evan; Raich, Annie L.; Dettori, Joseph R.; Sherry, Ned
Fonte: Georg Thieme Verlag KG Publicador: Georg Thieme Verlag KG
Tipo: Artigo de Revista Científica
Publicado em /04/2014 Português
Relevância na Pesquisa
27.04%
Study Rationale Cerebral palsy (CP) is a group of nonprogressive syndromes of posture and motor impairment associated with lesions of the immature brain. Spastic quadriplegia is the most severe form with a high incidence of scoliosis, back pain, respiratory compromise, pelvic obliquity, and poor sitting balance. Surgical stabilization of the spine is an effective technique for correcting deformity and restoring sitting posture. The decision to operate in this group of patients is challenging.

An Odontoid Fracture Causing Apnea, Cardiac Instability, and Quadriplegia

Bowers, Christian A.; Jost, Gregory F.; Dailey, Andrew T.
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
27.04%
Odontoid fractures are typically associated with low rates of acute neurologic deficit and morbidity/mortality in nonelderly patients. In the patient in this case, traumatic injury triggered by a syncopal event led to a combined C1-C2 fracture and a fatal spinal cord injury with apnea, quadriplegia, and cardiovascular instability. We briefly review the anatomical basis for the pathophysiology of cardiac dysfunction following high-cervical spine injury and present an example of a worst-case scenario.

Acute quadriplegia caused by necrotizing myopathy in a renal transplant recipient with severe pneumonia: acute onset and complete recovery

Tu, Guo-wei; Song, Jie-qiong; Ting, Simon Kang Seng; Ju, Min-jie; He, Hong-yu; Dong, Ji-hong; Luo, Zhe
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em 03/02/2015 Português
Relevância na Pesquisa
27.04%
Critical illness polyneuropathy and myopathy are multifaceted complications that follow severe illnesses involving the sensorimotor axons and proximal skeletal muscles. These syndromes have rarely been reported among renal transplant recipients. In this paper, we report a case of acute quadriplegia caused by necrotizing myopathy in a renal transplant recipient with severe pneumonia. The muscle strength in the patient’s extremities improved gradually after four weeks of comprehensive treatment, and his daily life activities were normal a year after being discharged.

Topography and severity of axonal injury in human spinal cord trauma using amyloid precursor protein as a marker of axonal injury

Cornish, R.; Blumbergs, P.; Manavis, J.; Scott, G.; Jones, N.; Reilly, P.
Fonte: Lippincott Williams & Wilkins Publicador: Lippincott Williams & Wilkins
Tipo: Artigo de Revista Científica
Publicado em //2000 Português
Relevância na Pesquisa
27.04%
STUDY DESIGN: Axonal injury was examined in 18 human cases of acute spinal cord compression using amyloid precursor protein as a marker of AI. OBJECTIVES: To topographically map and semiquantitate axonal injury in spinal cord compression of sufficient severity to produce para- or quadriplegia. SUMMARY OF BACKGROUND DATA: Amyloid precursor protein is carried along the axon by fast axoplasmic transport and has been extensively used as a marker of traumatic axonal injury. METHODS: The study group comprised 18 cases of spinal cord compression (17 due to fracture dislocation of the vertebral column and 1 iatrogenic compression from Harrington rods) and two normal control. All the cords were examined according to a standard protocol, and at least 10 segmental levels were immunostained using a monoclonal antibody to amyloid precursor protein and immunopositive AI was semiquantitated using a grading system to provide the axonal injury severity score (AISS). The focal injury at the site of cord compression (haemorrhage, haemorrhagic necrosis, ischaemic necrosis) was also semiquantitated to provide the focal injury area score (FIAS). AI occurring around the site of focal compression (focal axonal injury severity score or FAISS) was distinguished from AI distant to the focal injury (nonfocal axonal injury severity score or NFAISS). RESULTS: All 18 cases showed widespread amyloid precursor protein immunoreactive axonal injury and the AISS ranged from 28 to 60%. In all cases...

Functional recovery measures for spinal cord injury: An evidence-based review for clinical practice and research

Anderson, K.; Aito, S.; Atkins, M.; Biering-Sorensen, F.; Charlifue, S.; Curt, A.; Ditunno Jr, J.; Glass, C.; Marino, R.; Marshall, R.; Mulcahey, M.; Post, M.; Savic, G.; Scivoletto, G.; Catz, A.
Fonte: American Paraplegia Society Publicador: American Paraplegia Society
Tipo: Artigo de Revista Científica
Publicado em //2008 Português
Relevância na Pesquisa
27.04%
BACKGROUND/OBJECTIVE: The end goal of clinical care and clinical research involving spinal cord injury (SCI) is to improve the overall ability of persons living with SCI to function on a daily basis. Neurologic recovery does not always translate into functional recovery. Thus, sensitive outcome measures designed to assess functional status relevant to SCI are important to develop. METHOD: Evaluation of currently available SCI functional outcome measures by a multinational work group. RESULTS: The 4 measures that fit the prespecified inclusion criteria were the Modified Barthel Index (MBI), the Functional Independence Measure (FIM), the Quadriplegia Index of Function (QIF), and the Spinal Cord Independence Measure (SCIM). The MBI and the QIF were found to have minimal evidence for validity, whereas the FIM and the SCIM were found to be reliable and valid. The MBI has little clinical utility for use in the SCI population. Likewise, the FIM applies mainly when measuring burden of care, which is not necessarily a reflection of functional recovery. The QIF is useful for measuring functional recovery but only in a subpopulation of people with SCI, and substantial validity data are still required. The SCIM is the only functional recovery outcome measure designed specifically for SCI. CONCLUSIONS: The multinational work group recommends that the latest version of the SCIM (SCIM III) continue to be refined and validated and subsequently implemented worldwide as the primary functional recovery outcome measure for SCI. The QIF may continue to be developed and validated for use as a supplemental tool for the nonambulatory tetraplegic population.; Functional Recovery Outcome Measures Work Group:...

Quantas medidas de pressões respiratórias são necessárias para se obterem medidas máximas em pacientes com tetraplegia?; How many maneuvers of respiratory pressures are required to obtain maximal values in patients with quadriplegia?; ¿Cuántas medidas de presiones respiratorias son necesarias para obtener mediciones máximas en pacientes con tetraplejia?

GASTALDI, Ada Clarice; FREITAS FILHO, Getúlio Antonio de; PEREIRA, Ana Paula Manfio; SILVEIRA, Janne Marques
Fonte: Sociedade Brasileira de Coluna Publicador: Sociedade Brasileira de Coluna
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.51%
INTRODUÇÃO: pressões inspiratórias (PImax) ou expiratórias (PEmax) máximas constituem um método simples e não-invasivo para avaliação da força de músculos respiratórios e auxiliam a identificação de fraqueza dos músculos respiratórios, presente em diversas doenças e situações clínicas, como a tetraplegia. OBJETIVO: avaliar o número de manobras necessárias para atingir as pressões máximas em pacientes com tetraplegia. MÉTODOS: oito pacientes com tetraplegia (sete homens), média de idade de 37,8±11,96 anos, com diagnóstico de lesão raquimedular cervical completa realizaram 10 medidas de PImax e PEmax nas posições sentada e deitada, totalizando 320 medidas. Os dados foram comparados pelo teste de Wilcoxon (p<0,05). RESULTADOS: as medidas obtidas na primeira e décima medidas de PImax na posição sentada variaram de 74,1±15,1 a 74,8±19,8 cmH2O e de PEmax de 32,4±6,8 a 32,4±9,0 cmH2O; na posição deitada, de 76,5±18,6 a 91,1±13,3 cmH2O (p<0,05) e de 32,5±5,8 a 32,9±5,1 cmH2O, respectivamente. Os resultados das 3 e 5 primeiras medidas com 10 medidas de PImax na posição sentada foram 81,1±19,5 cmH2O; 81,5±18,8 cmH2O e 83,0±18,9 cmH2O e de PEmax 35,0±8,2 cmH2O; 35,3±7,9 cmH2O e 36,8±8,0 cmH2O. A PImax na posição deitada foi 90...

Medicolegal corner: Quadriplegia following chiropractic manipulation

Epstein, Nancy E.; Forte Esq, Carol L.
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em 28/05/2013 Português
Relevância na Pesquisa
27.04%
A 45 year old male with multiple comorbidities presented to his internist with a 2 week history of right sided neck pain and tenderness, accompanied by tingling in the hand. The internists’ neurological examination was normal, except for decreased range of motion of the right arm. He referred the patient to a chiropractor; he performed plain X rays which revealed mild spasm, but never ordered a magnetic resonance imaging study. The chiropractor manipulated the patient's neck on two successive days. By the morning of the third visit, the patient reported extreme pain and difficulty walking. Without performing a new neurological examination or obtaining an MR scan, the chiropractor again manipulated the patient's neck. He immediately became quadriplegic. Despite undergoing an emergency C5 C6 anterior cervical diskectomy/fusion to address a massive disc found on the MR scan (CT was negative), the patient remained quadriplegic (e.g., C4 sensory, C6 motor levels). A major point of negligence in this case was the failure of both the referring internist and chiropractor to order an MR of the cervical spine prior to the chiropractic manipulation. The internist claimed that there was no known report of permanent quadriplegia resulting from neck manipulation in any medical journal...

Primary Sjogren's syndrome presenting as Acute Flaccid Quadriplegia:

Singhvi, J.P.; Ganguli, Anirban; Kaur, Bramhjyot
Fonte: Indian Academy of Neurosciences Publicador: Indian Academy of Neurosciences
Tipo: Artigo de Revista Científica
Publicado em /04/2010 Português
Relevância na Pesquisa
27.04%
Primary Sjogren's Syndrome presenting as quadriplegia and respiratory involvement due to renal tubular acidosis causing hypokalemia is rare and the significance of managing such case with potassium citrate instead of potassium chloride is highlighted.

Prognóstico motor e perspectivas atuais na paralisia cerebral; Motor prognosis and current perspectives in cerebral palsy

Rebel, Marcos Ferreira; Rodrigues, Rafaela Fintelman; Araújo, Alexandra Prufer de Queiroz Campos; Corrêa, Clynton Lourenço
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/08/2010 Português
Relevância na Pesquisa
27.51%
A paralisia cerebral é uma sequela de agressão encefálica caracterizada por transtorno motor não evolutivo quanto à sua lesão. De acordo com o local da lesão pode provocar diferentes seqüelas que resultam em incapacidade funcional. OBJETIVO: revisar de forma não sistemática sobre o tema paralisia cerebral, enfocando o seu prognóstico motor, incluindo expectativa de vida e funcionalidade. MÉTODO: utilização das bases de dados Medline e LILACS, dos últimos quinze anos, com os unitermos paralisia cerebral, quadriplegia, diplegia, hemiplegia, prognóstico. RESULTADOS: foram listados 474 artigos científicos, sendo selecionados para esta revisão 34 artigos com base em: título, resumo, assunto, originalidade e disponibilidade de acesso pelo portal da CAPES. Foram identificadas as variáveis que podem influenciar o prognóstico motor nas crianças com paralisia cerebral. O prejuízo motor das crianças com paralisia cerebral está diretamente relacionado com o nível de gravidade da paralisia cerebral, assistência terapêutica e o tipo apresentado pelas crianças. Os pacientes com hemiplegia resultante de paralisia cerebral apresentam um prognóstico motor mais favorável comparado aos diplégicos e quadriplégicos.; Cerebral palsy it is a consequence characterized by non-progressive motor disturbance referring to his lesion. According to the lesion area...