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Cranial Nerve 10

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201. Ultrasound Greater Occipital Nerve Block at C2 Level Compared to Landmark-based Greater Occipital Nerve Block

around the nerve at the level of the superior nuchal line. Outcome Measures Go to Primary Outcome Measures : Change in Numeric Rating Scale (NRS) Pain Score [ Time Frame: baseline, 4 weeks ] Pain intensity will be assessed using a NRS marked from 0-10 with fixed intervals, with 0=no pain, and 10=worst pain. Secondary Outcome Measures : Change in number of patients with medication overuse [ Time Frame: baseline, 4 weeks ] The subjects will be provided a headache journal to record the number of days (...) Ultrasound Greater Occipital Nerve Block at C2 Level Compared to Landmark-based Greater Occipital Nerve Block Ultrasound Greater Occipital Nerve Block at C2 Level Compared to Landmark-based Greater Occipital Nerve Block - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies

2018 Clinical Trials

202. Delayed Trochlear Nerve Palsy Following Traumatic Subarachnoid Hemorrhage: Usefulness of High-Resolution Three Dimensional Magnetic Resonance Imaging and Unusual Course of the Nerve Full Text available with Trip Pro

Delayed Trochlear Nerve Palsy Following Traumatic Subarachnoid Hemorrhage: Usefulness of High-Resolution Three Dimensional Magnetic Resonance Imaging and Unusual Course of the Nerve Cranial nerve palsies are relatively common after trauma, but trochlear nerve palsy is relatively uncommon. Although traumatic trochlear nerve palsy is easy to diagnose clinically because of extraocular movement disturbances, radiologic evaluations of this condition are difficult to perform because of the nerve's (...) small size. Here, we report the case of a patient with delayed traumatic trochlear nerve palsy associated with a traumatic subarachnoid hemorrhage (SAH) and the related radiological findings, as obtained with high-resolution three-dimensional (3D) magnetic resonance imaging (MRI). A 63-year-old woman was brought to the emergency room after a minor head trauma. Neurologic examinations did not reveal any focal neurologic deficits. Brain computed tomography showed a traumatic SAH at the left ambient

2018 Korean Journal of Neurotrauma

203. Modified Candy-Package technique vs Cerclage technique for refixation of the lesser trochanteric fragment in pertrochanteric femoral fractures. A biomechanical comparison of 10 specimens. (Abstract)

Modified Candy-Package technique vs Cerclage technique for refixation of the lesser trochanteric fragment in pertrochanteric femoral fractures. A biomechanical comparison of 10 specimens. Separation of the lesser trochanteric fragment in pertrochanteric 3-part fractures leads to a significant weakening of the medial cortical wall. Because of the attachment of the Iliopsoas muscle to this structure, the lesser trochanteric fragment tends to cranial dislocation along this muscle's action

2020 Injury

204. Atypical Schwannoma: A 10-year experience. Full Text available with Trip Pro

data of the cohort were recorded. Findings on pathology were evaluated. Initial treatment and post-operative course was recorded. Main outcome measures were clinical presentation, including cranial nerve deficits at the time of presentation, complication and recurrence rates.At presentation, a somewhat accelerated course of cranial nerve deficit was noted among patients with atypical schwannoma as compared to benign schwannoma. In the immediate post-operative period, there were no differences noted (...) Atypical Schwannoma: A 10-year experience. The goal of this study was to describe the clinical presentation associated with atypical schwannoma of the cerebellopontine angle, characterize the pathologic findings and describe the long-term outcome.The study design was retrospective case review of patients with the histopathologic diagnosis of atypical and benign schwannoma of the cerebellopontine angle diagnosed at the study institution over a 10-year period.Tertiary referral center.Demographic

2020 American Journal of Otolaryngology

205. The association between auditory nerve neurovascular conflict and sudden unilateral sensorineural hearing loss Full Text available with Trip Pro

The association between auditory nerve neurovascular conflict and sudden unilateral sensorineural hearing loss There may be an association between a neurovascular conflict (NVC) of the auditory nerve and unilateral sudden sensorineural hearing loss (SSNHL).Compression of cranial nerves by vascular structures can lead to significant symptomatology that may require surgical decompression. Notable examples are trigeminal neuralgia and hemifacial spasm. Magnetic resonance imaging (MRI) is part (...) of the workup for SSNHL, and it may depict an NVC of the auditory nerve. Here we look into the association between this NVC and unilateral SSNHL.A retrospective analysis was performed on all consecutive patients with unilateral SSNHL who underwent an MRI scan in our medical center. The data collected included age, gender, side and severity of hearing loss, and accompanying complaints. Each MRI scan was reviewed by a neuroradiologist who was unaware of hearing loss laterality. The presence, side, extent

2018 Laryngoscope investigative otolaryngology

206. Solitary Infiltrating Meningioma of the Trochlear Nerve: Case Report Full Text available with Trip Pro

. A review of the literature and discussion of meningiomas infiltrating cranial nerves are included. (...) Solitary Infiltrating Meningioma of the Trochlear Nerve: Case Report We report the case of a solitary meningioma infiltrating the trochlear nerve, the first in a patient without a neurocutaneous disorder or cavernous sinus involvement. The patient presented with diplopia was found to have a focal enhancing mass encompassing the trochlear nerve. Following surgical resection, pathological examination showed meningioma infiltrating the nerve itself, demonstrated on the included pathology images

2018 Journal of neurological surgery reports

207. Cranial Electrical Stimulation (CES) as Treatment for Insomnia in Patients With Subacute Stroke

Cranial Electrical Stimulation (CES) as Treatment for Insomnia in Patients With Subacute Stroke Cranial Electrical Stimulation (CES) as Treatment for Insomnia in Patients With Subacute Stroke - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. Cranial Electrical Stimulation (CES) as Treatment for Insomnia in Patients With Subacute Stroke The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03344562 Recruitment Status : Recruiting

2017 Clinical Trials

208. Macroscopic Innervation of the Dura Mater Covering the Middle Cranial Fossa in Humans Correlated to Neurovascular Headache Full Text available with Trip Pro

Macroscopic Innervation of the Dura Mater Covering the Middle Cranial Fossa in Humans Correlated to Neurovascular Headache The trigeminovascular system within the cranial dura mater is a possible cause of headaches. The aim of this study is to investigate macroscopically dural innervation around the middle meningeal artery (MMA) in the middle cranial fossa. Forty-four sides of the cranial dura overlying the skull base obtained from 24 human cadavers were stained using Sihler's method. Overall (...) , the nervus spinosus (NS) from either the maxillary or mandibular trigeminal divisions ran along the lateral wall of the middle meningeal vein rather than that of the MMA. Distinct bundles of the NS running along the course of the frontal branches of the MMA were present in 81.8% of cases (N = 36). Others did not form dominant nerve bundles, instead giving off free nerve endings along the course of the MMA or dural connective tissue. The distribution of these nerve endings was similar

2017 Frontiers in neuroanatomy

209. Unusual cranial infection caused by Citrobacter Koseri. (Abstract)

Unusual cranial infection caused by Citrobacter Koseri. A 60-year-old female had a frontal bone intraosseous meningioma resected 10 years previously. On follow up CT head, an enlarging intraosseous frontal bone lesion was noted. This was thought to be a recurrent frontal meningioma. Intraooperatively, she was found to have an abscess deep to the cranioplasty.

2017 British Journal of Neurosurgery

210. Imaging Strategies for Suspected Acute Cranial Shunt Failure: A Cost-Effectiveness Analysis. Full Text available with Trip Pro

Imaging Strategies for Suspected Acute Cranial Shunt Failure: A Cost-Effectiveness Analysis. We compared cost-effectiveness of cranial computed tomography (CT), fast sequence magnetic resonance imaging (fsMRI), and ultrasonography measurement of optic nerve sheath diameter (ONSD) for suspected acute shunt failure from the perspective of a health care organization.We modeled 4 diagnostic imaging strategies: (1) CT scan, (2) fsMRI, (3) screening ONSD by using point of care ultrasound (POCUS (...) probability of shunt failure of 30%, a screening POCUS in patients with a normal SS was the most cost-effective. For children with abnormal SS or ONSD measurement, fsMRI was the preferred option over CT. Performing fsMRI on all patients would cost $269 770 to gain 1 additional quality-adjusted life-year compared with POCUS. An imaging pathway that involves CT alone was dominated by ONSD and fsMRI because it was more expensive and less effective.In children with low pretest probability of cranial shunt

2017 Pediatrics

211. Cranial Electrotherapy Stimulation for the Management of Depression, Anxiety, Sleep Disturbance, and Pain in Patients with Advanced Cancer: A preliminary study. Full Text available with Trip Pro

Cranial Electrotherapy Stimulation for the Management of Depression, Anxiety, Sleep Disturbance, and Pain in Patients with Advanced Cancer: A preliminary study. Cranial electrotherapy stimulation (CES) is a safe modulation of brain activity for treating depression, anxiety, insomnia, and pain. However, there are no published studies in patients with advanced cancer (ACPs).The aim of the study was to determine the feasibility and preliminary efficacy of a four-week CES intervention on depression (...) , anxiety, sleep disturbance, and pain scores. Concurrent salivary biomarker studies were conducted.In this one group open label pre- and post-intervention study with a four-week CES intervention, ACPs with one or more of four moderate intensity (≥3/10) Edmonton Symptom Assessment Scale (ESAS) symptoms (depression, anxiety, sleep disturbance, and pain) were eligible. Adherence (0%-100%), satisfaction rates (0-10), and safety were assessed. ESAS, Hospital Anxiety and Depression Scale (HADS), Pittsburgh

2017 Journal of pain and symptom management

212. Intra cranial granulomatous disease in common variable immunodeficiency: Case series and review of the literature. (Abstract)

Intra cranial granulomatous disease in common variable immunodeficiency: Case series and review of the literature. Common variable immunodeficiency (CVID) is typically characterized by hypogammaglobulinemia and often but not always recurrent infections. Paradoxically, 8-22% of patients with CVID develop granulomatous disease. Granulomata have been described in many organs including the lungs, skin, liver, spleen, kidneys, eyes, lymph nodes, and intestines. Data about central nervous system (CNS (...) ; mean age when the CNS disease was diagnosed was 21.5 years. 68.4% of the patients (13/19) had granulomas involving ≥2 organs including the central nervous system, 31.6% (6/19) had CNS granulomas only. Associated granulomatous diseases occurred in lungs (72.7%), lymph nodes (27.2%), spleen (27.2%), eyes (18.1%), liver (18.1%), parotid glands (9%), and skin (9%). Fifty-three percent (10/19) of the patients had documented recurrent infections, all of them being upper respiratory tract infections. CNS

2017 Seminars in arthritis and rheumatism

213. Matched increases in cerebral artery shear stress, irrespective of stimulus, induce similar changes in extra-cranial arterial diameter in humans. Full Text available with Trip Pro

of the large extra-cranial arteries. Participants ( n = 10) participated in three 30-min experimental interventions, each separated by ≥48 h: (1) mild-hypercapnia (FICO2:∼0.045); (2) submaximal cycling (EX; 60%HRreserve); or (3) resting (time-matched control, CTRL). Blood flow, diameter, and shear rate were assessed (via Duplex ultrasound) in the internal carotid and vertebral arteries (ICA, VA) at baseline, during and following the interventions. Hypercapnia and EX produced similar elevations in blood (...) Matched increases in cerebral artery shear stress, irrespective of stimulus, induce similar changes in extra-cranial arterial diameter in humans. The mechanistic role of arterial shear stress in the regulation of cerebrovascular responses to physiological stimuli (exercise and hypercapnia) is poorly understood. We hypothesised that, if shear stress is a key regulator of arterial dilation, then matched increases in shear, induced by distinct physiological stimuli, would trigger similar dilation

2017 Journal of Cerebral Blood Flow and Metabolism

214. Gustatory lid retraction: an unusual congenital cranial dysinnervation disorder. (Abstract)

Gustatory lid retraction: an unusual congenital cranial dysinnervation disorder. Congenital cranial dysinnervation disorders are developmental abnormalities of cranial nerves that often include abnormal synkinesis. Among the most common ophthalmic congenital cranial dysinnervation disorders are Duane retraction syndrome and the Marcus-Gunn jaw-winking phenomenon. This report documents gustatory lid retraction as an unusual congenital cranial dysinnervation.Copyright © 2017 American Association

2017 JAAPOS - Journal of the American Association for Pediatric Ophthalmology and Strabismus

215. A case study of Ramsay Hunt Syndrome in conjunction with cranial polyneuritis. Full Text available with Trip Pro

A case study of Ramsay Hunt Syndrome in conjunction with cranial polyneuritis. Ramsay Hunt syndrome in conjunction with cranial polyneuritis is not extensively documented, and is very easily misdiagnosed.A case of a 53-year-old male with Ramsay Hunt syndrome in conjunction with cranial polyneuritis is presented with early symptoms of vertigo, cephalalgia, and facial palsy, followed by zoster oticus 10 days later.Diagnosis was challenging as this condition presents with multiple neuropathies (...) , and attempting to diagnose based on clinical symptoms was often misleading. Polymerase chain reaction can be used to test for presence of the virus in the cerebrospinal fluid, followed by targeted drug therapy.Acupuncture, in conjunction with fire cupping, bloodletting around the afflicted region on the face, as well as oral consumption of herbal medicine and vitamins for nerve nourishment was given to treat this disease.Due to misdiagnosis resulting in delayed treatment, peripheral facial paralysis was left

2017 Medicine

216. Brainwave Changes and Cranial Electrotherapy Stimulation

measure will be taken 5 minutes and 10 minutes post the CES session. Each of these brainwave measures will last 30 seconds. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 50 participants Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose: Diagnostic Official Title: Effects of Cranial Electric Stimulation on Brain Wave Activity: A Pilot Study Actual Study Start Date : May 27, 2016 Actual Primary (...) Completion Date : May 10, 2017 Actual Study Completion Date : May 10, 2017 Arms and Interventions Go to Arm Intervention/treatment Experimental: Brainwave Brainwave analysis after cranial electric stimulation Device: Cranial Electric Stimulation Micro amperage TCDS Outcome Measures Go to Primary Outcome Measures : Quantitative EEG Analysis [ Time Frame: Quantitative EEG collected at baseline (immediately before stimulation), immediately after 20 minutes of stimulation and then 5 and 10 minutes post

2017 Clinical Trials

217. The spatial accuracy of two frameless, linear accelerator‐based systems for single‐isocenter, multitarget cranial radiosurgery Full Text available with Trip Pro

The spatial accuracy of two frameless, linear accelerator‐based systems for single‐isocenter, multitarget cranial radiosurgery Single-isocenter, multitarget cranial stereotactic radiosurgery (SRS) is more efficient than using an isocenter for each target, but spatial positioning uncertainties can be magnified at locations away from the isocenter. This study reports on the spatial accuracy of two frameless, linac-based SRS systems for multitarget, single-isocenter SRS as a function (...) to about 7-8 cm from the isocenter. For distances 10 cm or more, the CBCT-based alignment remained within 1.1 mm while the ExacTrac-based alignment differed by up to 2.2 mm.© 2017 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.

2017 Journal of Applied Clinical Medical Physics

218. Constitutively active Notch1 converts cranial neural crest-derived frontonasal mesenchyme to perivascular cells in vivo Full Text available with Trip Pro

Constitutively active Notch1 converts cranial neural crest-derived frontonasal mesenchyme to perivascular cells in vivo Perivascular/mural cells originate from either the mesoderm or the cranial neural crest. Regardless of their origin, Notch signalling is necessary for their formation. Furthermore, in both chicken and mouse, constitutive Notch1 activation (via expression of the Notch1 intracellular domain) is sufficient in vivo to convert trunk mesoderm-derived somite cells to perivascular (...) cells, at the expense of skeletal muscle. In experiments originally designed to investigate the effect of premature Notch1 activation on the development of neural crest-derived olfactory ensheathing glial cells (OECs), we used in ovo electroporation to insert a tetracycline-inducible NotchΔE construct (encoding a constitutively active mutant of mouse Notch1) into the genome of chicken cranial neural crest cell precursors, and activated NotchΔE expression by doxycycline injection at embryonic day 4

2017 Biology open

219. Clinical Features, Imaging Characteristics, and Long‐term Outcome of Dogs with Cranial Meningocele or Meningoencephalocele Full Text available with Trip Pro

Clinical Features, Imaging Characteristics, and Long‐term Outcome of Dogs with Cranial Meningocele or Meningoencephalocele The term meningoencephalocele (MEC) describes a herniation of cerebral tissue and meninges through a defect in the cranium, whereas a meningocele (MC) is a herniation of the meninges alone.To describe the clinical features, magnetic resonance imaging (MRI) characteristics, and outcomes of dogs with cranial MC and MEC.Twenty-two client-owned dogs diagnosed with cranial MC (...) enhancement of the protruded tissue in 77% of the cases. Porencephaly was seen in all cases with parietal MC. Cerebrospinal fluid (CSF) analysis identified mild abnormalities in 4 of 11 cases. Surgery was not performed in any affected dog. Seventeen patients were treated medically, and seizures were adequately controlled with anti-epileptic drugs in 10 dogs. Dogs with intranasal MEC and mild neurologic signs had a fair prognosis with medical treatment.Although uncommon, MC and MEC should be considered

2017 Journal of Veterinary Internal Medicine

220. Morphological and Morphometric Analysis of Hypoglossal Canal in North Indian Dry Skulls and It’s Significance in Cranial Base Surgeries Full Text available with Trip Pro

Morphological and Morphometric Analysis of Hypoglossal Canal in North Indian Dry Skulls and It’s Significance in Cranial Base Surgeries Hypoglossal Canal (HC) is a paired bony passage which is situated above the Occipital Condyle (OC) and transmits hypoglossal nerve and blood vessels. Studies on the osteotic variations of HC has been a field of considerable interest to research workers especially because of its clinical, radiological and surgical significance.The aim of the present study

2017 Journal of clinical and diagnostic research : JCDR

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