-
Rivista Di Neurologia 1987A case of uncommon feature of herpes zoster, a segmental abdominal paresis, is described. The importance of searching a motor defect in the thoracoabdominal segments and...
A case of uncommon feature of herpes zoster, a segmental abdominal paresis, is described. The importance of searching a motor defect in the thoracoabdominal segments and the utility of the electromyographic examination are stressed.
Topics: Abdominal Muscles; Electromyography; Herpes Zoster; Humans; Male; Middle Aged; Paresis
PubMed: 2961042
DOI: No ID Found -
Application of tenotomy on Korean native cattle (Hanwoo) with spastic paresis symptoms in the field.Journal of Veterinary Science May 2023Bovine spastic paresis (BSP) is a neuromuscular disorder characterized by hypertension and stiffness of hindlimb. Two Korean native cattle (Hanwoo) calves developed BSP...
Bovine spastic paresis (BSP) is a neuromuscular disorder characterized by hypertension and stiffness of hindlimb. Two Korean native cattle (Hanwoo) calves developed BSP or BSP-like symptoms, and a tenotomy of superficial tendon of medial head and deep tendon of lateral head of gastrocnemius muscle was performed for treatment. A cast was applied postoperatively to prevent muscle rupture and was removed three weeks later. The prognosis was evaluated at 3 weeks, 6 and 18 months postoperatively. Neither calf showed any other postoperative sequelae. This is the first case study to report the diagnosis, treatment, and prognosis of BSP in Hanwoo.
Topics: Cattle; Animals; Tenotomy; Muscle Spasticity; Muscle, Skeletal; Paresis; Republic of Korea
PubMed: 37271513
DOI: 10.4142/jvs.23018 -
Journal of Visualized Experiments : JoVE Jul 2023Neurological deficits from a stroke can result in long-term motor disabilities, including those that affect walking gait. However, extensive rehabilitation following...
Neurological deficits from a stroke can result in long-term motor disabilities, including those that affect walking gait. However, extensive rehabilitation following stroke is typically time limited. Establishing predictive biomarkers to identify patients who may meaningfully benefit from additional physical therapy and demonstrate improvement is important to improve the patients' quality of life. Detection of neuroplastic remodeling of the affected region and changes in the activity patterns excited while performing suitable motor tasks could have valuable implications for chronic stroke recovery. This protocol describes the use of a digitally controlled, magnetic resonance-compatible foot-induced robotic device (MR_COFID) to present a personalized foot-motor task involving trajectory following to stroke-affected subjects with gait impairment during functional magnetic resonance imaging (fMRI). In the task, foot flexion is performed against bi-directional resistive forces, which are tuned to the subject's strength in both the dorsiflexion and plantar flexion directions, while following a visual metronome. fMRI non-invasively uses endogenous deoxyhemoglobin as a contrast agent to detect blood oxygenation level-dependent (BOLD) changes between the active and resting periods during testing. Repeated periodic testing can detect therapy-related changes in excitation patterns during task performance. The use of this technique provides data to identify and measure biomarkers that may indicate the likelihood of an individual benefitting from rehabilitation beyond that which is currently provided to stroke patients.
Topics: Humans; Stroke Rehabilitation; Quality of Life; Stroke; Magnetic Resonance Imaging; Paresis
PubMed: 37486119
DOI: 10.3791/64613 -
Muscle & Nerve Aug 2014Paresis is a long-recognized complication of herpes zoster, but there has been comparatively little study of zoster-associated limb paresis (ZALP).
INTRODUCTION
Paresis is a long-recognized complication of herpes zoster, but there has been comparatively little study of zoster-associated limb paresis (ZALP).
METHODS
In this study we reviewed 49 Mayo Clinic patients with ZALP.
RESULTS
The mean age of onset was 71 years, 67% were men, and the lower limb was affected in 55%. The mean weakness score was 2.0 (0 = normal strength, 4 = plegia). Most patients developed postherpetic neuralgia (PHN, 92% at 1 month and 65% at 3 months), and the average minimum duration of weakness was 193 days. ZALP was caused by radiculopathy (37%), plexopathy (41%), mononeuropathy (14%), and radiculoplexus neuropathy (8%). MRI demonstrated nerve enlargement, T2 signal prolongation, or enhancement in a majority (64%) of affected plexi and peripheral nerves.
CONCLUSIONS
ZALP is associated with considerable weakness. It typically lasts at least several months, localizes to plexus or peripheral nerve in 63%, and is associated with high rates of PHN.
Topics: Adult; Aged; Aged, 80 and over; Brachial Plexus; Electrodiagnosis; Female; Herpes Zoster; Humans; Lumbosacral Plexus; Magnetic Resonance Imaging; Male; Middle Aged; Paresis; Retrospective Studies; Simplexvirus; Upper Extremity
PubMed: 24638224
DOI: 10.1002/mus.24141 -
No Shinkei Geka. Neurological Surgery Mar 2021A woman in her 60s was admitted to our hospital because of sudden-onset right hemiparesis, paresthesia, and neck pain. At first, a head CT scan was performed to rule out...
A woman in her 60s was admitted to our hospital because of sudden-onset right hemiparesis, paresthesia, and neck pain. At first, a head CT scan was performed to rule out stroke, which did not detect any abnormalities. Subsequently, a neck CT scan was performed, which revealed a mild high-density structure compressing the dural sac within the cervical spinal canal. She was suspected to have a spinal hematoma. A MRI scan revealed a spindle-shaped structure with a heterogeneous high signal on T2-weighted and a mild high signal on T1-weighted sagittal images, which led to the diagnosis of a spontaneous spinal epidural hematoma. The patient was treated with conservative therapy upon which her symptoms improved. She was discharged seven days after admission. Spontaneous cervical spinal epidural hematoma often causes neck pain followed by unilateral spinal cord compression symptoms(such as hemiparesis and paresthesia)and can be misdiagnosed as a stroke. In cases of hemiparesis with sudden-onset neck pain, cervical lesions should be considered in the differential diagnoses in addition to stroke.
Topics: Female; Hematoma, Epidural, Cranial; Hematoma, Epidural, Spinal; Humans; Magnetic Resonance Imaging; Neck; Paresis; Spinal Cord Compression
PubMed: 33762457
DOI: 10.11477/mf.1436204398 -
Journal of the American Veterinary... Feb 2019
Topics: Animals; Cat Diseases; Cats; Electrocardiography; Extremities; Male; Paresis
PubMed: 30714864
DOI: 10.2460/javma.254.4.470 -
Reconstruction Surgery and Traumatology 1972
Review
Topics: Brain; Ethanol; Extrapyramidal Tracts; Humans; Hypothermia, Induced; Injections, Spinal; Medulla Oblongata; Muscle Spasticity; Neurosurgery; Paresis; Peripheral Nerves; Phenols; Spinal Cord; Stereotaxic Techniques
PubMed: 4560979
DOI: No ID Found -
The Neurologist Nov 2011The precise innervation of the sternocleidomastoids is uncertain. Of clinical interest is whether a unilateral hemispheric lesion leads to an ispilateral or...
OBJECTIVES
The precise innervation of the sternocleidomastoids is uncertain. Of clinical interest is whether a unilateral hemispheric lesion leads to an ispilateral or contralateral sternocleidomastoid weakness.
METHODS
Sternocleidomastoid strength was assessed in 124 consecutive acute stroke patients during yaw, pitch, and roll head movements. This was correlated with limb paresis and neuroimaging findings.
RESULTS
The incidence and the degree of sternocleidomastoid paresis were low (16.9%). In all cases, head rotation weakness away from the affected hemisphere was observed. Lateral tilt and vertical head rotations were unaffected. No weakness was detected in lesions that did not cause manifest limb paresis.
CONCLUSIONS
Our data point to an ipsihemispheric sternocleidomastoid control. Sternocleidomastoid paresis in stroke is expected only with concomitant limb paresis and is always less severe. Head tilt is not affected probably due to sparing of ancillary neck-muscle function.
Topics: Adult; Aged; Aged, 80 and over; Female; Head Movements; Humans; Middle Aged; Muscle Weakness; Neck Muscles; Paresis; Stroke
PubMed: 22045280
DOI: 10.1097/NRL.0b013e318224ed5a -
Vestnik Otorinolaringologii 2005One of frequent complications after adenotomy and tonsillectomy is paresis of the soft palate. Literature data, four groups of causes of soft palate paresis are... (Review)
Review
One of frequent complications after adenotomy and tonsillectomy is paresis of the soft palate. Literature data, four groups of causes of soft palate paresis are analysed. The treatment was given to 28 patients with soft palate paresis of different etiology. Active treatment recovered function of the palate in most of the patients.
Topics: Adenoidectomy; Child; Humans; Palate, Soft; Paresis; Postoperative Complications; Tonsillectomy
PubMed: 16247366
DOI: No ID Found -
The Veterinary Record Oct 2012Partial brachial plexus paresis was diagnosed in three calves with unilateral functional lameness in a forelimb based on clinical and neurologic examinations. Clinical...
Partial brachial plexus paresis was diagnosed in three calves with unilateral functional lameness in a forelimb based on clinical and neurologic examinations. Clinical signs of radial nerve paresis were the main presenting problems. Electromyography was used to identify the affected nerves with the calves under general anaesthesia. Abnormal spontaneous activity of denervated muscles showed that the radial, musculocutaneous, median and ulnar nerves were compromised. The calves were treated medically, using splint bandages, and with physiotherapy. All calves regained function of the affected legs and normal weight bearing.
Topics: Animals; Brachial Plexus Neuropathies; Cattle; Cattle Diseases; Electromyography; Female; Forelimb; Lameness, Animal; Muscular Atrophy; Nerve Degeneration; Paresis; Ulnar Nerve
PubMed: 22952132
DOI: 10.1136/vr.100869