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Cranial Nerve 10

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161. Long-Lasting Cranial Nerve III Palsy as a Presenting Feature of Chronic Inflammatory Demyelinating Polyneuropathy Full Text available with Trip Pro

Long-Lasting Cranial Nerve III Palsy as a Presenting Feature of Chronic Inflammatory Demyelinating Polyneuropathy We describe a patient with chronic inflammatory demyelinating polyneuropathy (CIDP) in which an adduction deficit and ptosis in the left eye presented several years before the polyneuropathy. A 52-year-old man presented with a 14-year history of unremitting diplopia, adduction deficit, and ptosis in the left eye. At the age of 45 a mild bilateral foot drop and impaired sensation (...) nerve palsy. A diagnostic workup for CIDP should therefore be performed in those patients in which an isolated and unremitting cranial nerve palsy cannot be explained by common causes.

2015 Case reports in medicine

162. Occipital condyle fracture and lower cranial nerve palsy after blunt head trauma – a literature review and case report Full Text available with Trip Pro

Occipital condyle fracture and lower cranial nerve palsy after blunt head trauma – a literature review and case report Lower cranial nerve (IX-XII) palsy is a rare condition with numerous causes, usually non-traumatic. In the literature it has been described only a few times after trauma, mostly accompanied by a fracture of the occipital condyle. Although these types of fractures have rarely been reported one could suspect they have been under-diagnosed. During the past decade they have been (...) seen more frequently, most probably due to increased use of CT- and MRI-scanning. The purpose of this review is to increase the awareness of complications following injuries in the craniocervical region.We based this article on a retrospective review of the medical record of a 24-year old woman admitted to our trauma center after being involved in a car accident and a review of the literature on occipital condyle fractures associated with lower cranial nerve palsy.The multitraumatized patient had

2015 Journal of trauma management & outcomes

163. Extraocular cranial nerve palsies in children. (Abstract)

Extraocular cranial nerve palsies in children. Visual disturbances resulting from acute nerve paralysis of the muscles controlling eye movements can be challenging to evaluate in the pediatric population. Children may not be capable of describing symptoms or providing an adequate history. Therefore, it is important to have an understanding of the anatomical course of the extraocular cranial nerves and clinical manifestations of their dysfunction. We report 2 cases of extraocular cranial nerve

2015 Pediatric Emergency Care

164. Risk factors for cranial nerve injury after carotid endarterectomy. Full Text available with Trip Pro

Risk factors for cranial nerve injury after carotid endarterectomy. Although numerous studies have described the incidence of postoperative cranial nerve injury (CNI) after carotid endarterectomy (CEA), there have been few attempts to identify risk factors for this complication.The 2012 CEA-targeted American College of Surgeons National Surgical Quality Improvement Program database was used to determine the incidence of CNI after CEA. Multivariate logistic regression analysis was performed

2015 Journal of Vascular Surgery

165. Disorders of the lower cranial nerves Full Text available with Trip Pro

Disorders of the lower cranial nerves Lesions of the lower cranial nerves (LCN) are due to numerous causes, which need to be differentiated to optimize management and outcome. This review aims at summarizing and discussing diseases affecting LCN. Review of publications dealing with disorders of the LCN in humans. Affection of multiple LCN is much more frequent than the affection of a single LCN. LCN may be affected solely or together with more proximal cranial nerves, with central nervous

2015 Journal of neurosciences in rural practice

166. Radiation-induced lower cranial nerve palsy in patients with head and neck carcinoma Full Text available with Trip Pro

Radiation-induced lower cranial nerve palsy in patients with head and neck carcinoma Radiation-induced cranial nerve palsy (RICNP) is a severe long-term complication in patients with head and neck cancer following high-dose radiation therapy (RT). We present the case report of a patient with bilateral RICNP of the hypoglossal and vagus cranial nerves (XII/X) following postoperative RT in the era prior to the introduction of intensity-modulated RT (IMRT), and an analysis of our IMRT patient (...) cohort at risk including the case of a XII RICNP. A total of 201 patients whose glosso-pharyngeal (IX), X and XII cranial nerves had been exposed to >65 Gy definitive IMRT in our institution between January, 2002 and December, 2012 with or without systemic therapy, were retrospectively identified. A total of 151 patients out of 201 fulfilling the following criteria were included in the analysis: Locoregionally controlled disease, with a follow-up (FU) of >24 months and >65 Gy exposure of the nerves

2015 Molecular and clinical oncology

167. Management of acute cranial nerve 3, 4 and 6 palsies: role of neuroimaging. (Abstract)

Management of acute cranial nerve 3, 4 and 6 palsies: role of neuroimaging. This article will discuss the management of isolated, acute cranial nerve 3,4 and 6 palsies with special focus on the role of neuroimaging in older adults based on recently published data.Acute cranial nerve palsies affecting the third, fourth or sixth cranial nerves in isolation or in combination with other neurological signs and symptoms can be due to a variety of causes such as ischemia, inflammation, infection (...) and compression of the ocular motor nerves. Although neuroimaging is generally recommended in all individuals presenting with ocular motor nerve palsies that occur in association with other neurological signs and symptoms, the indications for neuroimaging in older individuals (age > 50 years) who present with acute isolated ocular motor nerve palsies are less clear and controversial. Past and recent studies have attempted to address this question. A recent prospective study found that overall 16.5% of adult

2015 Current Opinion in Ophthalmology

168. Facial Nerve Translocation for Low Tension Neurorrhaphy to Masseteric Nerve. (Abstract)

Facial Nerve Translocation for Low Tension Neurorrhaphy to Masseteric Nerve. The techniques of facial reanimation are continually evolving in search of the ideal method for rehabilitating the paralyzed face. In the past, alternative cranial nerve motor nuclei have been used to power facial musculature. The trigeminal nerve is gaining popularity as a promising nerve to drive facial motion, particularly in the lower face.This article describes a low-tension technique of using the transposed (...) facial nerve to the trigeminal nerve (masseteric branch) for facial reanimation.Six patients over 2.5 years were treated with facial nerve translocation with division at the geniculate and direct neurorrhaphy to the motor branch of the masseter. Patients were evaluated by physical examination, measurement of oral commissure excursion using MEEI FACE-gram software, video assessment, Sunnybrook Facial Grading System, Facial Disability Index, and Facial Clinimetric Evaluation Scale (FaCE).Patients

2019 Otology and Neurotology

169. Treatment Design and Rationale for a Randomized Trial of Prophylactic Cranial Irradiation With or Without Hippocampal Avoidance for SCLC: PREMER Trial on Behalf of the Oncologic Group for the Study of Lung Cancer/Spanish Radiation Oncology Group-Radiation (Abstract)

Treatment Design and Rationale for a Randomized Trial of Prophylactic Cranial Irradiation With or Without Hippocampal Avoidance for SCLC: PREMER Trial on Behalf of the Oncologic Group for the Study of Lung Cancer/Spanish Radiation Oncology Group-Radiation Prophylactic cranial irradiation (PCI) is part of the usual treatment in most patients with small-cell lung cancer (SCLC) and response after treatment of the primary tumor. Clinical evidence suggests that radiation dose received (...) %) and a significance level of 5% (α = 5%), with a maximum loss to follow-up of 10%.This study is an important step in introducing a new therapeutic approach to patients with SCLC candidates for PCI.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Clinical lung cancer Controlled trial quality: uncertain

170. The effect of cranial electrotherapy stimulation on sleep in healthy women. (Abstract)

The effect of cranial electrotherapy stimulation on sleep in healthy women. Cranial electrotherapy stimulation (CES) is considered to be a potential treatment for insomnia. Women are more likely to suffer from insomnia than men. Therefore we studied the effect of CES on sleep efficiency in young healthy women.A randomized, controlled clinical study was conducted on 40 women (age 18-35 years) without sleep disorders. Each subject underwent two nights of polysomnography in a sleep center. During (...) (sham). Using EEG spectral analysis there was evidence of a frequency-lowering influence on the low-α frequency band (8-10 Hz).At most we may assume a reproducible effect on the α frequency measured in the EEG for application of CES with current levels  >100 µA and presumably also with frequencies  >0.5 Hz, with application directly at the cranium. We found no influence on sleep parameters. The effect on the low-α band evidenced in quantitative EEG analysis would require further investigation

2018 Physiological measurement Controlled trial quality: uncertain

171. Cardiac autonomic response after cranial technique of the fourth ventricle (cv4) compression in systemic hypertensive subjects. (Abstract)

Cardiac autonomic response after cranial technique of the fourth ventricle (cv4) compression in systemic hypertensive subjects. The aim of this study was to compare blood pressure (BP) behavior and heart rate variability (HRV) among hypertensive stage I and normotensive individuals who were submitted to the cranial technique of the 4th ventricle compression (CV4), an osteopathic technique.In this experimental controlled study, thirty men between 40 and 60 years old were evaluated and divided (...) into two groups: normotensive (NT) and hypertensive (HT). The CV4 maneuver was applied in both groups and BP was measured at 5 (five) different stages: pre and post-intervention, 5, 10 and 15min after technique. Time-frequency parameters were obtained from measurements of RR intervals. Data were analyzed using an ANOVA two-way for analysis of the condition factor (NT and HT) and times with p-value ≤ .05.There was a reduction in the BP of the HT group. A significant intergroup difference (p = .01

2018 Journal of bodywork and movement therapies

172. Varicella zoster presenting as cranial polyneuropathy. (Abstract)

Varicella zoster presenting as cranial polyneuropathy. Cranial polyneuropathy is commonly caused by Lyme disease. We discuss the case of a man who presented with cranial nerve deficits causing dysphagia, dysphonia and facial weakness. This diagnostic dilemma stemmed from a workup that ruled out Lyme and vascular causes leading to an expanded search for infectious explanations, which revealed varicella zoster in the cerebrospinal fluid. On review, this phenomenon is rarely reported, but has been (...) observed with a number of herpes family viruses. In emergency department settings, clinical suspicion should be raised for VZV infection even in the absence of rash in patients that present with multiple cranial nerve palsies.Copyright © 2018. Published by Elsevier Inc.

2018 American Journal of Emergency Medicine

173. Symptom Burden Associated With Late Lower Cranial Neuropathy in Long-term Oropharyngeal Cancer Survivors. Full Text available with Trip Pro

Symptom Burden Associated With Late Lower Cranial Neuropathy in Long-term Oropharyngeal Cancer Survivors. Lower cranial neuropathy (LCNP) is a rare but potentially disabling result of radiotherapy and other head and neck cancer therapies. Survivors who develop late LCNP may experience profound functional impairment, with deficits in swallowing, speech, and voice.To investigate the association of late LCNP with severity of cancer treatment-related symptoms and subsequent general functional (...) impairment among oropharyngeal cancer (OPC) survivors.This cross-sectional survey study analyzed 889 OPC survivors nested within a retrospective cohort of OPC survivors treated at MD Anderson Cancer Center from January 1, 2000, to December 31, 2013. Eligible survey participants were disease free and completed OPC treatment 1 year or more before the survey. Data analysis was performed from October 10, 2017, to March 15, 2018.Late LCNP defined by onset 3 months or more after cancer therapy.The primary

2018 JAMA otolaryngology-- head & neck surgery

174. Use of collagen/chitosan sponges mineralized with hydroxyapatite for the repair of cranial defects in rats. (Abstract)

Use of collagen/chitosan sponges mineralized with hydroxyapatite for the repair of cranial defects in rats. In traumatology, we encounter several clinical challenges that involve extensive bone loss primarily related to trauma, conditions that can be treated with autologous grafts. A good alternative is the use of synthetic biomaterials as substitutes. These polymers provide a suitable environment for the growth of new bone and vascular tissue, which are essential for repair. Collagen (...) animals were used for the creation of a defect in the left parietal bone and were divided into three groups of 10 animals each: a control group without biomaterial implantation, a group receiving the blend of collagen and chitosan, and a group receiving this blend combined with hydroxyapatite. Each group was subdivided and the animals were sacrificed 3 or 8 weeks after surgery. After sacrifice, the skulls were removed for macroscopic photodocumentation and radiographic examination. The samples were

2018 Injury

175. Prophylactic cranial irradiation for limited-stage small-cell lung cancer patients: secondary findings from the prospective randomized phase 3 CONVERT trial. Full Text available with Trip Pro

Prophylactic cranial irradiation for limited-stage small-cell lung cancer patients: secondary findings from the prospective randomized phase 3 CONVERT trial. The impact of the dose and fractionation of thoracic radiotherapy on the risk of developing brain metastasis (BM) has not been evaluated prospectively in limited stage SCLC patients receiving prophylactic cerebral irradiation (PCI).Data from patients treated with PCI from the CONVERT trial were analyzed.Four hundred forty-nine of 547 (...) , weight loss of more than 10%, and tGTV were prognostic factors associated with OS. In the multivariate analysis, only tGTV was associated with OS. Delay between end of chemotherapy and PCI was not associated with OS.Patients receiving OD or BD thoracic radiotherapy have the same risk of developing BM. Larger tumors are associated with a higher risk of BM.Copyright © 2018 International Association for the Study of Lung Cancer. Published by Elsevier Inc. All rights reserved.

2018 Journal of Thoracic Oncology Controlled trial quality: uncertain

176. Lyme disease presenting with multiple cranial neuropathies on MRI Full Text available with Trip Pro

Lyme disease presenting with multiple cranial neuropathies on MRI We present the case of a 10-year old patient from southeastern Ontario with severe bilateral facial palsy. MRI was performed that showed extensive symmetric enhancement of cervical cranial nerve roots and multiple cranial nerves (III, V, VI, VII, VIII, X and XII). Lumbar puncture was performed that revealed pleocytosis and elevated proteins in the cerebrospinal fluid. Serology confirmed the diagnosis of neuroborreliosis

2018 IDCases

177. Predictive Value of Cranial Ultrasound for Neurodevelopmental Outcomes of Very Preterm Infants with Brain Injury Full Text available with Trip Pro

Predictive Value of Cranial Ultrasound for Neurodevelopmental Outcomes of Very Preterm Infants with Brain Injury Compared with full-term infants, very preterm infants are more vulnerable to injury and long-term disability and are at high risk of death. The predictive value of ultrasound and imaging on the neurodevelopment is one of the hot topics. This study aimed to investigate the relationship between cranial ultrasound (cUS) variables and neurodevelopmental outcomes of very preterm (...) rates and poorly developed brain nerves. Cerebral palsy can result from severe cerebral hemorrhage, moderate and severe hydrocephaly, and extensive c-PVL. The sustained, inhomogeneous echogenicity of white matter may suggest subtle brain injury.

2018 Chinese medical journal

178. Point-of-care Cranial Ultrasound in a Hemicraniectomy Patient Full Text available with Trip Pro

Point-of-care Cranial Ultrasound in a Hemicraniectomy Patient 30443636 2018 12 07 2474-252X 2 4 2018 Nov Clinical practice and cases in emergency medicine Clin Pract Cases Emerg Med Point-of-care Cranial Ultrasound in a Hemicraniectomy Patient. 375-377 10.5811/cpcem.2018.7.39379 Sarwal Aarti A Wake Forest School of Medicine, Department of Neurology, Winston-Salem, North Carolina. Elder Natalie M NM Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina (...) . eng Journal Article 2018 09 10 United States Clin Pract Cases Emerg Med 101718968 2474-252X Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none. 2018 06 13 2018 06 19 2018 07 19 2018 11 17 6 0 2018 11 18 6 0 2018 11 18 6 1 epublish 30443636 10.5811/cpcem.2018.7.39379 cpcem-02-375 PMC6230339

2018 Clinical Practice and Cases in Emergency Medicine

179. Prophylactic cranial irradiation in small-cell lung cancer: update on patient selection, efficacy and outcomes Full Text available with Trip Pro

Prophylactic cranial irradiation in small-cell lung cancer: update on patient selection, efficacy and outcomes Over 10% of small-cell lung cancer (SCLC) patients have brain metastases (BM) at initial diagnosis; more than 50% will develop BM within 2 years. BM are detected in up to 80% of all patients at autopsy. After primary treatment, prophylactic cranial irradiation (PCI) has been established as standard of care in SCLC patients responding to initial therapy. Based on level I evidence, PCI

2018 Lung Cancer: Targets and Therapy

180. A hybrid volumetric dose verification method for single‐isocenter multiple‐target cranial SRS Full Text available with Trip Pro

A hybrid volumetric dose verification method for single‐isocenter multiple‐target cranial SRS A commercial semi-empirical volumetric dose verification system (PerFraction [PF], Sun Nuclear Corp.) extracts multi-leaf collimator positions from the electronic portal imaging device movies collected during a pre-treatment run, while the rest of the delivered control point information is harvested from the accelerator log files. This combination is used to reconstruct dose on a patient CT dataset (...) with a fast superposition/convolution algorithm. The method was validated for single-isocenter multi-target SRS VMAT treatments against absolute radiochromic film measurements in a cylindrical phantom. The targets ranged in size from 0.8 to 3.6 cm and in number from 3 to 10 per plan. A total of 17 films rotated at different angles around the cylinder axis were analyzed. Each of 27 total targets was intercepted by at least one film, and 2-4 different films were analyzed per plan. Film dose was always

2018 Journal of Applied Clinical Medical Physics

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