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Spinal Shock

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101. Low-intensity Extracorporeal Shock Wave for Erectile Disfunction

, Alicante, Cordoba and Jerez) and four in Mexico (Altavista, Reforma, Monterrey and Naucalpan), were reviewed. The researchers excluded patients with ED caused by side effects from drugs or spinal cord injury; situational ED (obvious psychological origin); lesions, loss of skin or penile implant; and patients who did not adequately complete the LI-ESWT (Low-intensity extracorporeal shock wave therapy). After the initial assessment and diagnosis consultation, each patient received a treatment of 5 (...) Low-intensity Extracorporeal Shock Wave for Erectile Disfunction Low-intensity Extracorporeal Shock Wave for Erectile Disfunction - 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. Low-intensity Extracorporeal

2017 Clinical Trials

102. Short-term effects of extracorporeal shock wave therapy on bone mineral density in postmenopausal osteoporotic patients. (Abstract)

of the lumbar spine (L2-L4), femoral neck, great tuberosity, and total left hip was measured before ESWT treatment and at 3, 6, and 12 months using dual energy X-ray absorptiometry (DEXA).At 12 months, the lumbar spine, femoral neck, great tuberosity, and total left hip BMD in all patients had increased (p < 0.01). The increase in lumbar spine BMD in group A patients was higher than that in group B patients (p = 0.03); other between-group differences were not observed (p = 0.73, group A vs. C; p = 0.06 (...) Short-term effects of extracorporeal shock wave therapy on bone mineral density in postmenopausal osteoporotic patients. It has been proved that extracorporeal shock wave therapy (ESWT) could promote new bone formation. Therefore, we designed an experiment to test the efficiency of ESWT on BMD in postmenopausal osteoporotic patients. The results showed that ESWT could effectively improve the local bone mass of the treated bone area within a short duration.This study evaluated the short-term

2017 Osteoporosis International Controlled trial quality: uncertain

103. Lumbar Selective Nerve Root Block: Comparative Study Using Two Pharmacological Formulae Full Text available with Trip Pro

Lumbar Selective Nerve Root Block: Comparative Study Using Two Pharmacological Formulae Retrospective cohort study.The objective of the present study was to compare the effectiveness of 2 different pharmacological formulae in selective nerve root injections.We studied a series of 298 patients who received a selective nerve root injection and made a comparative study dividing them into 2 groups according to the drugs used. In group A, we used betamethasone 6 mg and lidocaine, while in group B (...) (2-180) days in group B with no statistical difference (P = .67). Only one complication was documented, an anaphylactic shock in a patient in group B.Based on these results, we found no difference in the type of steroid or local anesthetic used for selective nerve root injections.

2017 Global spine journal

104. Video-assisted thoracoscopic surgery with posterior spinal reconstruction for the resection of upper lobe lung tumors involving the spine. (Abstract)

Video-assisted thoracoscopic surgery with posterior spinal reconstruction for the resection of upper lobe lung tumors involving the spine. Video-assisted thoracoscopic surgery (VATS) is associated with less morbidity and recovery time compared with traditional open thoracotomy (OT) for the resection of early stage non-small cell lung cancer (NSCLC). Local invasion of NSCLC into adjacent vertebrae confers a TNM T status of T4. Anatomical lobectomy by VATS with simultaneous posterior spinal (...) reconstruction (PSR), as a single procedure, offers advantages to selected patients judged as suitable candidates for resection.To report the preliminary results of a novel, multidisciplinary surgical technique for the treatment of upper lobe lung cancers with direct extension to the spine.Consecutive case series.Eight adults who underwent PSR with either VATS or OT for the treatment of a T4 (vertebral body invasion) NSCLC.Total operative time, estimated blood loss, length of hospital stay, postoperative

2013 The Spine Journal

105. Risk of Lumbar Spine Injury from Cyclic Compressive Loading. (Abstract)

Risk of Lumbar Spine Injury from Cyclic Compressive Loading. Survival analyses of a large cohort of published lumbar spine compression fatigue tests.To produce the first large-scale evaluation of human lumbar spine tolerance to repetitive compressive loading and to evaluate and improve guidelines for human exposure to whole-body vibration and repeated mechanical shock environments.Several studies have examined the effects of compressive cyclic loading on the lumbar spine. However, no previous (...) compression. The effects of the number of cycles, load amplitude, sex, and age were examined through the use of survival analyses.Number of cycles, load amplitude, sex, and age all are significant factors in the likelihood of bony failure in the spinal column. Using a modification of the risk prediction parameter from ISO 2631-5, an injury risk model was developed, which relates risk of vertebral failure to repeated compressive loading. The model predicts lifetime risks less than 7% for industrial

2012 Spine

106. Co-induction of the heat shock response ameliorates disease progression in a mouse model of human spinal and bulbar muscular atrophy: implications for therapy. Full Text available with Trip Pro

Co-induction of the heat shock response ameliorates disease progression in a mouse model of human spinal and bulbar muscular atrophy: implications for therapy. Spinal and bulbar muscular atrophy, also known as Kennedy's disease, is an adult-onset hereditary neurodegenerative disorder caused by an expansion of the polyglutamine repeat in the first exon in the androgen receptor gene. Pathologically, the disease is defined by selective loss of spinal and bulbar motor neurons causing bulbar, facial (...) a motor deficit characterized by a reduction in muscle force, abnormal muscle contractile characteristics, loss of functional motor units and motor neuron degeneration. We have previously shown that treatment with arimoclomol, a co-inducer of the heat shock stress response, delays disease progression in the mutant superoxide dismutase 1 mouse model of amyotrophic lateral sclerosis, a fatal motor neuron disease. We therefore evaluated the therapeutic potential of arimoclomol in mice with spinal

2013 Brain

107. Spinal Cord Injury Without Radiographic Abnormality (SCIWORA) Full Text available with Trip Pro

of indication for bracing . Spine (Phila Pa 1976) . 2002 ; 27 ( 24 ): 2788 – 2800 . 10. Hadley MN , Zabramski JM , Browner CM , Rekate H , Sonntag VK Pediatric spinal trauma: review of 122 cases of spinal cord and vertebral column injuries . J Neurosurg . 1988 ; 68 ( 1 ): 18 – 24 . 11. Dare AO , Dias MS , Li V Magnetic resonance imaging correlation in pediatric spinal cord injury without radiographic abnormality . J Neurosurg . 2002 ; 97 ( 1 suppl): 33 – 39 . 12. Davis PC , Reisner A , Hudgins PA , Davis WE (...) in the pediatric age group: a review of 82 cases of spinal cord and vertebral column injuries . Eur Spine J . 1996 ; 5 ( 3 ): 148 – 152 . 27. Rathbone D , Johnson G , Letts M Spinal cord concussion in pediatric athletes . J Pediatr Orthop . 1992 ; 12 ( 5 ): 616 – 620 . ABBREVIATIONS SCIWORA spinal cord injury without radiographic abnormality SSEP somatosensory evoked potential Copyright © 2013 by the Congress of Neurological Surgeons Topic: Issue Section: 1,221 Views Citations Email alerts Close More

2013 Congress of Neurological Surgeons

108. The Acute Cardiopulmonary Management of Patients With Cervical Spinal Cord Injuries Full Text available with Trip Pro

Navigation Close mobile search navigation Article navigation March 2013 Article Contents Article Navigation The Acute Cardiopulmonary Management of Patients With Cervical Spinal Cord Injuries Timothy C. Ryken, MD, MS * Iowa Spine & Brain Institute, University of Iowa, Waterloo/Iowa City, Iowa Search for other works by this author on: R. John Hurlbert, MD, PhD, FRCSC ‡ Department of Clinical Neurosciences, University of Calgary Spine Program, Faculty of Medicine, University of Calgary, Calgary, Alberta (...) spinal cord within the first 14 days of injury. These events were not solely attributable to disruption of the autonomic nervous system. Detection and treatment were best accomplished in an ICU setting. Wolf et al in 1991 described their experience with bilateral facet dislocation injuries of the cervical spine at the University of Maryland in Baltimore. Fifty-two patients with acute cervical trauma were reviewed who received ICU care, volume resuscitation, invasive monitoring, and hemodynamic

2013 Congress of Neurological Surgeons

109. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 2 - Guidance and Recommendations

An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 2 - Guidance and Recommendations Objective: To develop evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain. Methodology: Systematic assessment of the literature. Evidence: I. Lumbar Spine • The evidence for accuracy of diagnostic selective nerve root blocks is limited; whereas for lumbar provocation (...) disc decompression, and implantable therapies. V. MAnAGEMEnT of LoW BACK PAIn Low back pain is the most common of all spinal, and even chronic, pain problems. Lumbar intervertebral discs, facet joints, sacroiliac joints, ligaments, fascia, muscles, and nerve root dura have been shown to be capable of transmitting pain in the lumbar spine with resulting symptoms of low back pain and lower extrem- ity pain (8,10,11,13,17,33,36,374,551). Lumbar disc herniation and spinal stenosis are di- agnosed

2013 American Society of Interventional Pain Physicians

110. Neurogenic Shock

Shock , Vasogenic Shock From Related Chapters II. Definitions Neurogenic Shock Distributive shock from neurogenic vasodilation mediated by loss of sympathetic tone Follows cerebral or spinal cord injury (above T6) affecting sympathtic nervous system In contrast to Neurogenic Shock, is not a true shock syndrome Results in and loss below level of spinal cord injury III. Pathophysiology Results from or upper spine injury (above T6) Peripheral denervation results in ungoverned activity Loss of vasomotor (...) tone (vasodilation) leading to distributive shock Loss of cardiac activity, leads to paradoxical IV. Causes (above T6) V. Signs Secondary to and vasodilation Narrow is absent Lack of typical sympathetic response (increased SVR and diastolic BP) Paradoxical Expected response is a reflex (a sympathetic response) Decreased vascular tone (vasodilation) Warm extremities VI. Associated Conditions See See See See and loss below level of spinal cord injury Diaphragm Paralysis C3-5 resulting in phrenic

2018 FP Notebook

111. Hemorrhagic Shock

or endovascular management CT Spine Consider if suspected XIV. Differential Diagnosis secondary to spinal cord injury does not occur in isolated intracranial injury Other non- tic shock See for approach Hypovolemic (e.g. dehydration) XV. Evaluation (Class I-IV) is unreliable See = ( ) / (Systolic ) >0.9 predicts need for increased transfusion requirements and early mortality risk ( ) Four point score ( , SBP<90 mmHg, >120, positive ) 3 or 4 predicts protocol Associated Severe Hemorrhage (TASH) Based on SBP (...) Hemorrhagic Shock Hemorrhagic Shock Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hemorrhagic Shock Hemorrhagic Shock Aka

2018 FP Notebook

112. Shock

: , Distributive Shock Defined as systemic vasodilation that renders an otherwise sufficient circulating volume to be inadequate Hemodynamic parameters are paradoxically opposite other forms of shock SVR decreases (primary) and , , and increases Adrenal crisis may be present (as in ) Systemic inflammatory response with diffuse, peripheral vasodilation and decreased (esp. cervical and upper thoracic spinal cord injury above T6) Loss of sympathetic nervous function Results in decreased vascular tone (...) Shock Shock Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Shock Shock Aka: Shock , Undifferentiated Shock , Targets of Adequate

2018 FP Notebook

113. Spinal Shock

triggers Slight traction of or Compressing/Squeezing glans penis or clitoris Neurologic function absent below the level of the spinal lesion below the spinal lesion es absent below the spinal lesion IV. Precautions: Pitfalls Intercostal muscle paralysis (hypoventilation) Anesthesia below lesion Hidden injuries (e.g. without pain) Transiently shocked spinal cord Immobilize immediately V. Management Immobilize spine with and with head blocks and all straps Frequent ABC evaluation Careful secondary survey (...) Emergent spine surgery VI. References (2012) , ACOS, p. 179-80 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Spinal Shock." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Spinal shock (C0597503) Definition (CSP) a loss of spinal reflexes after an injury of the spinal cord which affects the muscles innervated by the cord segments situated below

2015 FP Notebook

114. Thoracolumbar Spinal Injuries in Blunt Trauma, Screening for

for reprints: Sherry Sixta, MD, Cooper University Hospital, Camden, NJ; email: Sixta-Sherry@CooperHealth.edu. Statement of the Problem Thoracic and lumbar spinal fractures are commonly encountered in blunt trauma patients. Approximately 50% of all vertebral fractures occur in the thoracolumbar spine (TLS), and the incidence of TLS fractures in trauma patients presenting to Level 1 trauma centers is 4% to 5%. [1] Neurologic injury to the spinal cord occurs in 19% to 50% of these patients, and a delay (...) cord injury without radiographic abnormality in a skeletally mature patient: a case report. Spine . 2003; 28: E78–E80. MacMillan M, Stauffer ES. Transient neurologic deficits associated with thoracic and lumbar spine trauma without fracture or dislocation. Spine . 1990; 15: 466–469. Riggins RS, Kraus JF. The risk of neurologic damage with fractures of the vertebrae. J Trauma . 1977; 17: 126–133. Denis F. The three column spine and its significance in the classification of acute spinal injuries

2012 Eastern Association for the Surgery of Trauma

115. Influence of Tanshinone IIa on heat shock protein 70, Bcl-2 and Bax expression in rats with spinal ischemia/reperfusion injury Full Text available with Trip Pro

Influence of Tanshinone IIa on heat shock protein 70, Bcl-2 and Bax expression in rats with spinal ischemia/reperfusion injury Tanshinone IIa is an effective monomer component of Danshen, which is a traditional Chinese medicine for activating blood circulation to dissipate blood stasis. Tanshinone IIa can effectively improve brain tissue ischemia/hypoxia injury. The present study established a rat model of spinal cord ischemia/reperfusion injury and intraperitoneally injected Tanshinone IIa (...) , 0.5 hour prior to model establishment. Results showed that Tanshinone IIa promoted heat shock protein 70 and Bcl-2 protein expression, but inhibited Bax protein expression in the injured spinal cord after ischemia/reperfusion injury. Furthermore, Nissl staining indicated a reduction in nerve cell apoptosis and fewer pathological lesions in the presence of Tanshinone IIa, compared with positive control Danshen injection.

2012 Neural Regeneration Research

116. Effect of Atropine or Glycopyrrolate on the Prevention of Bradycardia During Sedation Using Dexmedetomidine in Adult Patients Undergoing Lower Extremity Surgery Under Spinal Anesthesia

Effect of Atropine or Glycopyrrolate on the Prevention of Bradycardia During Sedation Using Dexmedetomidine in Adult Patients Undergoing Lower Extremity Surgery Under Spinal Anesthesia Effect of Atropine or Glycopyrrolate on the Prevention of Bradycardia During Sedation Using Dexmedetomidine in Adult Patients Undergoing Lower Extremity Surgery Under Spinal Anesthesia - 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. Effect of Atropine or Glycopyrrolate on the Prevention of Bradycardia During Sedation Using Dexmedetomidine in Adult Patients Undergoing Lower Extremity Surgery Under Spinal Anesthesia The safety and scientific validity of this study is the responsibility of the study sponsor

2017 Clinical Trials

117. Protraction of neuropathic pain by morphine is mediated by spinal damage associated molecular patterns in male rats. Full Text available with Trip Pro

Protraction of neuropathic pain by morphine is mediated by spinal damage associated molecular patterns in male rats. We have recently reported that a short course of morphine, starting 10days after sciatic chronic constriction injury (CCI), prolonged the duration of mechanical allodynia for months after morphine ceased. Maintenance of this morphine-induced persistent sensitization was dependent on spinal NOD-like receptor protein 3 (NLRP3) inflammasomes-protein complexes that proteolytically (...) activate interleukin-1β (IL-1β) via caspase-1. However, it is still unclear how NLRP3 inflammasome signaling is maintained long after morphine is cleared. Here, we demonstrate that spinal levels of the damage associated molecular patterns (DAMPs) high mobility group box 1 (HMGB1) and biglycan are elevated during morphine-induced persistent sensitization in male rats; that is, 5weeks after cessation of morphine dosing. We also show that HMGB1 and biglycan levels are at least partly dependent

2017 Brain, behavior, and immunity

118. Inadvertent Intrathecal Administration of Local Anesthetics Leading to Spinal Paralysis with Lipid Emulsion Rescue Full Text available with Trip Pro

an unusual case of administering intravenous lipid emulsion (ILE) as part of resuscitative efforts to hasten neurological recovery from spinal shock. (...) Inadvertent Intrathecal Administration of Local Anesthetics Leading to Spinal Paralysis with Lipid Emulsion Rescue Bupivacaine and ropivacaine are local anesthetics frequently used for interscalene nerve blocks, which are generally well tolerated; however, some complications include pneumothorax, Horner syndrome, nerve injury and cardiovascular toxicity from vascular injection. On rare occasions, it may be associated with spinal paralysis. While the treatment is mostly supportive, we report

2017 Clinical Practice and Cases in Emergency Medicine

119. A case of bulbospinal muscular atrophy with large fasciculation manifesting as spinal myoclonus Full Text available with Trip Pro

the knees were kept in mild flexion in the supine position, fasciculation of the thigh adductor muscles was so large that it caused shock-like involuntary movements of the legs, corresponding to spinal myoclonus. A genetic test revealed 41 repeats of CAG in the androgen receptor gene, and the diagnosis of BSMA was made.The present case suggests that extremely large fasciculation can cause spinal myoclonus. (...) A case of bulbospinal muscular atrophy with large fasciculation manifesting as spinal myoclonus This paper reports a patient with bulbospinal muscular atrophy (BSMA) who presented with spinal myoclonus, documented by video and surface electromyography.A 66-year-old man had progressive gait disturbance, dysphagia, and easy fatigability of all extremities over a period of 4 years. Neurologically, muscle atrophy, fasciculation, and weakness were observed in the bulbar and limb muscles. When

2017 Clinical Neurophysiology Practice

120. Neglected Necrotizing Fasciitis - A Rare Complication of Spinal Anaesthesia Full Text available with Trip Pro

NF of the back starting from the site of spinal needle insertion. She was referred to our center after 21 days of surgery with extensive NF. She underwent serial debridement but succumbed to septic shock secondary to gram negative and fungal sepsis. (...) Neglected Necrotizing Fasciitis - A Rare Complication of Spinal Anaesthesia Necrotizing Fasciitis (NF) is a rare, rapidly progressive severe bacterial soft tissue infection with a high mortality rate. NF classically involves the trunk, groin/perineum, lower limbs, and postoperative wound sites. NF secondary to spinal anaesthesia in a young postpartum female is extremely rare. Here we are describing a young postpartum female who underwent cesarean section for the delivery of child but developed

2017 Journal of clinical and diagnostic research : JCDR

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