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Medical Times Nov 1954
Topics: Humans; Paralyses, Familial Periodic; Paralysis
PubMed: 13213474
DOI: No ID Found -
United States Armed Forces Medical... Feb 1954
Topics: Humans; Paralyses, Familial Periodic; Paralysis
PubMed: 13122930
DOI: No ID Found -
The British Journal of Oral &... Dec 2015Long-standing facial paralyses are those in which fibroadipose metaplasia of mimetic musculature has grown because of the time that has lapsed since the onset of the... (Review)
Review
Long-standing facial paralyses are those in which fibroadipose metaplasia of mimetic musculature has grown because of the time that has lapsed since the onset of the palsy: generally more than 18-24 months. Unlike the treatment of recent paralyses, to provide a neural input to reactivate the mimetic musculature is not enough. New healthy muscles must be transferred to the face. Operations may be subdivided into free-flap transplantations or masticatory muscle transpositions. The principles of treatment are correction of the asymmetry of the face by static means, and restoration of movements. Static correction of ptosis is achieved by deep-lifting, suspensions of fascia lata, and other procedures. Among movements, most efforts are concentrated on the restitution of smiling and closure of the eyelids. One of several techniques may be chosen after careful examination of the patient and paying close attention to their needs and expectations. Closure of the eyelids is generally achieved by a transposition of a double-belly temporalis flap or implantation of a gold/titanium lid plate. Other procedures are less used. Restoration of blinking remains impossible in most cases. The most popular techniques to restore smiling are rotation of a temporalis flap and transfer of a gracilis free flap with double innervation: both pros and cons must be considered. Surgery of the lower lip palsy is mainly based on limiting evident dragging upwards during smiling, because depressor function is difficult to achieve. Symmetry may also be reached by paralysing the lower lip on the other side. Movement of the forehead is a neglected area: reconstruction is possible, although the extent required seems disproportionate to the deficit. The need for ancillary surgery must be stressed. Only rarely are optimal results achieved without further fine-tuning of details.
Topics: Face; Facial Muscles; Facial Paralysis; Free Tissue Flaps; Humans; Plastic Surgery Procedures; Smiling
PubMed: 26194145
DOI: 10.1016/j.bjoms.2015.07.001 -
The Journal of Bone and Joint Surgery.... Mar 1992We report 13 patients with missed bilateral facet dislocation of the lower cervical spine who subsequently developed severe spinal-cord involvement. There were more...
We report 13 patients with missed bilateral facet dislocation of the lower cervical spine who subsequently developed severe spinal-cord involvement. There were more women and the patients were older than in most groups with spinal injury. The commonest cause was a fall, and paralysis appeared from six to 48 hours after injury in most patients. Ten patients made some recovery after late reduction but three remained totally paralysed. We discuss the pathogenesis of the late cord lesion and the reasons for delay in diagnosis.
Topics: Age Factors; Cervical Vertebrae; England; Humans; Joint Dislocations; Paralysis; Radiography; Remission Induction; Retrospective Studies; Sex Factors; Time Factors; Traction
PubMed: 1544956
DOI: 10.1302/0301-620X.74B2.1544956 -
Annales de Medecine Interne 1983
Review
Topics: Diagnosis, Differential; Humans; Hyperthyroidism; Hypokalemia; Paralyses, Familial Periodic; Paralysis
PubMed: 6360010
DOI: No ID Found -
Clinical Rheumatology Jun 1985A patient with long-standing upper limb lower motor neurone paresis more recently developed homolateral upper motor neurone hemiplegia. Subsequent primary generalised...
A patient with long-standing upper limb lower motor neurone paresis more recently developed homolateral upper motor neurone hemiplegia. Subsequent primary generalised osteoarthritis spared only the paralysed upper limb. Detailed review of reported cases suggest that the "protective" effect of paralysis against subsequent development of arthritis is not as clearly established as generally believed.
Topics: Aged; Extremities; Female; Hand; Hemiplegia; Humans; Motor Neurons; Neuromuscular Diseases; Osteoarthritis; Paralysis; Radiography
PubMed: 4006386
DOI: 10.1007/BF02032289 -
ORL; Journal For Oto-rhino-laryngology... 1978A survey of the various kinds of facial palsies that may profit from well-selected therapy. The diagnostic scheme includes the differentiation of central and peripheral...
A survey of the various kinds of facial palsies that may profit from well-selected therapy. The diagnostic scheme includes the differentiation of central and peripheral palsies, between paralyses and palsies, the topical problem and the indication for surgical and non-surgical therapies. Eventually some extra help that can be offered to the patient if the final condition is not satisfactory to him.
Topics: Facial Nerve; Facial Paralysis; Humans; Prednisone; Prognosis
PubMed: 567771
DOI: 10.1159/000275382 -
Spinal Cord Mar 2012
Topics: Adaptation, Psychological; Humans; Paralysis; Quality of Life; Spinal Cord Injuries
PubMed: 22382135
DOI: 10.1038/sc.2012.15 -
Medical Engineering & Physics Jan 2003One of the major obstacles in restoration of functional FES supported standing in paraplegia is the lack of knowledge of a suitable control strategy. The main issue is... (Review)
Review
One of the major obstacles in restoration of functional FES supported standing in paraplegia is the lack of knowledge of a suitable control strategy. The main issue is how to integrate the purposeful actions of the non-paralysed upper body when interacting with the environment while standing, and the actions of the artificial FES control system supporting the paralyzed lower extremities. In this paper we provide a review of our approach to solving this question, which focuses on three inter-related areas: investigations of the basic mechanisms of functional postural responses in neurologically intact subjects; re-training of the residual sensory-motor activities of the upper body in paralyzed individuals; and development of closed-loop FES control systems for support of the paralyzed joints.
Topics: Algorithms; Electric Stimulation Therapy; Feedback; Humans; Leg; Models, Biological; Movement; Paralysis; Peripheral Nerves; Posture; Psychomotor Performance; Reference Values; Rotation
PubMed: 12485786
DOI: 10.1016/s1350-4533(02)00115-7 -
Thorax Aug 1976Radioactive xenon-133 was used to study the regional lung function of five patients with unilateral diaphragmatic paralysis unassociated with intrathoracic disease. All...
Radioactive xenon-133 was used to study the regional lung function of five patients with unilateral diaphragmatic paralysis unassociated with intrathoracic disease. All patients showed a reduction in total lung capacity to which the affected side contributed an average of 37%. There was a decrease in the amount of inhaled xenon and a lesser decrease in the amount of injected xenon reaching the lung base on the paralysed side.The distribution in the opposite lung did not differ significantly from that found in normal subjects although the proportion of inhaled xenon reaching the lung base was rather less than in the normal group. The washout of injected xenon was normal except for slight impairment at the lung base on the paralysed side in one patient and at both bases in another.
Topics: Adult; Diaphragm; Female; Humans; Lung; Male; Middle Aged; Paralysis; Respiration; Total Lung Capacity; Vital Capacity; Xenon
PubMed: 968801
DOI: 10.1136/thx.31.4.438