Bibliographies thématiques / Hemiplegia, complications

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Littérature scientifique sur le sujet « Hemiplegia, complications »

Auteur : Grafiati

Publié le 4 juin 2021

Mis à jour le 4 février 2022

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Articles de revues sur le sujet "Hemiplegia, complications"

Teasell, Robert. « Musculoskeletal complications of hemiplegia following stroke ». Seminars in Arthritis and Rheumatism 20, n^o 6 (juin 1991) : 385–95. http://dx.doi.org/10.1016/0049-0172(91)90014-q.

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D'Ascanio, L., L. Cappiello et F. Piazza. « Unilateral hemiplegia : a unique complication of septoplasty ». Journal of Laryngology & ; Otology 127, n^o 8 (9 juillet 2013) : 809–10. http://dx.doi.org/10.1017/s0022215113001436.

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AbstractBackground:Septoplasty is one of the most common otolaryngological operations. It is often dismissed as a simple procedure, despite the wide range of potential complications. We describe the first reported case of unilateral hemiplegia as a complication of septoplasty.Methods and results:A 51-year-old man presented with right hemiplegia following a septoplasty and turbinoplasty procedure carried out elsewhere. Cranial imaging showed a breakthrough fracture of the left sphenoid sinus anterior wall and clivus, with a haemorrhagic area in the left paramedian pons, which was responsible for the patient's right hemiplegia. Despite neurological and physiotherapeutic rehabilitation, the patient gained only partial recovery from his right hemiplegia.Conclusion:Good intra-operative visualisation and appropriate surgical technique are essential to prevent complications and achieve a functional nasal airway. The importance of the presented case to the pre-operative informed consent process is underlined.

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Suda, Kenji, Masahiko Matsumura et Shigeru Ohta. « Kawasaki disease complicated by cerebral infarction ». Cardiology in the Young 13, n^o 1 (février 2003) : 103–5. http://dx.doi.org/10.1017/s1047951103000179.

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An 8-month-old boy presented with right hemiplegia of sudden onset after 20 days of Kawasaki disease, which was not initially treated by gamma globulin. Cranial X-ray computed tomography confirmed cerebral infarction as the cause of the right hemiplegia. In subsequent weeks, he developed multiple thromboses in coronary aneurysms. He successfully underwent intracoronary thrombolysis using tissue plasminogen activator without haemorrhagic complications. Cerebral infarction as a complication of Kawasaki disease is rare, and is a difficult clinical situation to manage.

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Kakurai, S., et M. Akai. « Clinical experiences with a convertible thermoplastic knee-ankle-foot orthosis for post-stroke hemiplegic patients ». Prosthetics and Orthotics International 20, n^o 3 (décembre 1996) : 191–94. http://dx.doi.org/10.3109/03093649609164442.

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As rehabilitation for post-stroke hemiplegic patients has become widely accepted practice, there has been an increase in patients who are more difficult to treat. In the prescription rationale of orthoses for hemiplegics, the knee-ankle-foot orthosis (KAFO) for the lower limb has generally been underestimated because of its inhibitory effect on the normal walking pattern and also its interference with gait training. The authors had an experience of 28 hemiplegics with severe physical impairments who were fitted with a convertible plastic KAFO. Among these patients, there were 11 cases in which the KAFO was replaced by an ankle-foot orthosis (AFO) within 1.5 to 8 months (average 4 months) following initial prescription when they were able to control their knee actively. Ambulatory capability in these patients was superior to that of the remaining KAFO group. The Barthel index of the AFO group patients was higher than the KAFO group (p<0.01). However neither age, sex, severity of hemiplegia, starting time of rehabilitation following onset of stroke, time of fitting with the orthosis, nor the functional recovery stage were critical factors between the two groups, only the incidence of major complications affected ambulatory capability.

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Brinjikji, Waleed, et Harry J. Cloft. « Outcomes of endovascular occlusion and stenting in the treatment of carotid blowout ». Interventional Neuroradiology 21, n^o 4 (18 juin 2015) : 543–47. http://dx.doi.org/10.1177/1591019915590078.

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Background and purpose Carotid blowout is a life threatening complication of invasive head and neck cancers and their treatments. This is commonly treated with endovascular embolization and carotid stenting. Using the Nationwide Inpatient Sample, we report the immediate clinical results of patients receiving embolization and/or stenting for treatment of carotid blowout associated with head and neck cancer. Materials and methods Using the Nationwide Inpatient Sample from the period 2003–2011, we defined carotid blowout patients as those with head and neck malignancies receiving carotid stenting and/or endovascular embolization without open surgery. Outcomes studied included mortality, acute ischemic stroke, hemiplegia/paresis, and other post-operative neurologic complications. Outcomes for the endovascular embolization and carotid stenting group were compared. Results A total of 1218 patients underwent endovascular treatment for carotid blowout. Of these, 1080 patients (88.6%) underwent embolization procedures and 138 patients (11.4%) underwent carotid stenting. The mortality rate of endovascular embolization patients was similar to that of carotid stenting patients (8.0%, 95% confidence interval (CI) = 6.5%–9.7% versus 10.2%, 95% CI=6.0%–16.4%, p = 0.36). Stroke rate was similar between embolization patients and stenting patients (2.3%, 95% CI=1.6%–3.4% vs. 3.4%, 95% CI=1.3%–8.4%, p = 0.43). Hemiplegia rates were significantly higher rate in stenting patients compared with endovascular occlusion patients (3.8%, 95% CI=1.3%–8.4% vs. 1.4%, 95% CI=1.4%–2.4%, p = 0.05). The rate of post-operative neurologic complications was higher in stenting patients compared with embolization patients (6.5%, 95% CI=3.3%–12.1% vs. 1.4%, 95% CI=0.9%–2.4%, p < 0.0001). Conclusions Given the natural history of carotid blowout, carotid stenting and endovascular embolization are acceptable means of treating this disease. Endovascular embolization remains the most common treatment among patients with head and neck cancers with lower overall rates of post-operative neurologic complications, including hemiplegia/paresis and stroke.

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De Clercq, E., F. Rossignol et A. Martens. « Laryngeal hemiplegia in the horse : an update ». Vlaams Diergeneeskundig Tijdschrift 87, n^o 5 (31 octobre 2018) : 283–94. http://dx.doi.org/10.21825/vdt.v87i5.16062.

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Laryngeal hemiplegia is a progressive upper airway dysfunction in the horse. It is not only seen in thoroughbred racehorses but also in warmblood horses, draft horses and in ponies. The condition is most frequently seen on the left side. The left laryngeal recurrent nerve gradually loses function and the function of the left cricoarythenoideus dorsalis muscle is compromised. This condition is most often idiopathic. It possibly leads to exercise intolerance but a respiratory noise is often the primary complaint of the owner. Right sided laryngeal hemiplegia is almost always related to other pathologies causing the nerve to malfunction. The diagnosis is not always easy because of the restricted availability of endoscopy in the field. A better understanding of laryngeal ultrasound examination might offer a new possibility in diagnosing laryngeal hemiplegia. If abnormal inspiratory sound is the only problem, laser treatment alone can be satisfactory. If the horse shows clear signs of exercise intolerance, further treatment is needed. If correctly executed, the outcome of laryngoplasty is good. Other techniques, like nerve grafting and pacemakers, are being explored and might even be regarded as better alternative treatments in the future, as these are more physiologic compared to laryngoplasty. In sporthorses presented with idiopathic laryngeal neuropathy without postoperative complications, the prognosis is good.

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Song, Donglei, Bing Leng, Yuxiang Gu, Wei Zhu, Bin Xu, Xiecheng Chen et Liangfu Zhou. « Clinical Analysis of 50 Cases of BAVM Embolization with Onyx, a Novel Liquid Embolic Agent ». Interventional Neuroradiology 11, n^o 1_suppl (octobre 2005) : 179–84. http://dx.doi.org/10.1177/15910199050110s122.

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To report the embolization technique of using Onyx, a new liquid embolic agent, to treat cerebral arteriovenous malformations (AVMs) as well as its efficacy. 38 cases of cerebral AVMs located in eloquent area (motor, speech, visual nerve center), 9 in deep cerebral area, and another 3 cases in cerebellar hemisphere. The diameter of AVMs was smaller than 3cm in 10 cases, 3–6cm in 30 cases, and larger than 6cm in 10 cases. A 6F sheath was placed into the femoral artery after Selding's puncture. After a 6F guiding catheter was introduced into the internal carotid artery or vertebral artery, Ultraflow or Marathon microcatheter could be navigated into the nidus of AVMs. A long-slow injection of Onyx under fluoroscopic control was performed to embolize cerebral AVMs by adopting the “plug and push” technique. 10 AVM cases (20.0%) were considered to be totally occluded with Onyx in this group, 3 cases of which were found no regrowth by a 6-month follow-up. 25 cases (50%) were subtotally occluded while another 15 cases (30%) were partially embolized. Complications include: (1) severe cerebral hemorrhage occurred in three cases, two of them left hemiplegia after hematoma resection. (2) mild hemiplegia occurred in one lager frontal AVM patient. (3) mild visual deficit was left in one larger occipital AVM case. There was no severe complication in other 45 patients. Onyx has unique and distinctive superiority in treating cerebral AVMs. Nonetheless, the correct embolization technique should be learned to achieve good clinical results and to avoid complications. The long-term efficacy of Onyx embolization needs to be followed up.

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Linskey, Mark E., Laligam N. Sekhar et Stephen T. Hecht. « Emergency embolectomy for embolic occlusion of the middle cerebral artery after internal carotid artery balloon test occlusion ». Journal of Neurosurgery 77, n^o 1 (juillet 1992) : 134–38. http://dx.doi.org/10.3171/jns.1992.77.1.0134.

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✓ Balloon test occlusion of the internal carotid artery (ICA) is useful in preoperatively assessing the risk of temporary occlusion or permanent sacrifice of the carotid artery. The incidence of symptomatic complications from this procedure is 1.7%. The case is reported of a 57-year-old woman in whom a balloon test occlusion of the left ICA was attempted. She developed a left ICA dissection/occlusion with subsequent embolization to the left middle cerebral artery, leading to right-sided hemiplegia and expressive aphasia. She was successfully treated by an emergency embolectomy followed by surgical repair of the left ICA, with an excellent outcome. This case represents the most serious complication encountered by the authors in more than 300 balloon test occlusions. Means of avoiding this complication during balloon test occlusion as well as the important factors in managing this problem are emphasized.

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Ochi, Fumihiro, Hisamichi Tauchi, Toyohisa Miyata, Tomozo Moritani, Toshiyuki Chisaka, Junpei Hamada, Kozo Nagai, Minenori Eguchi-Ishimae et Mariko Eguchi. « Brain Abscess Associated with Polymicrobial Infection after Intraoral Laceration : A Pediatric Case Report ». Case Reports in Pediatrics 2020 (9 mars 2020) : 1–5. http://dx.doi.org/10.1155/2020/8304302.

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Brain abscesses, infections within the brain parenchyma, can arise as complications of various conditions including infections, trauma, and surgery. However, brain abscesses due to polymicrobial organisms have rarely been reported in children. We herein report a case of a 9-year-old girl with unresolved congenital cyanotic heart disease (CCHD) presenting with right hemiplegia who was diagnosed with brain abscess caused by Streptococcus intermedius, Parvimonas micra, and Fusobacterium nucleatum after oropharyngeal injury. She was treated with intravenous antimicrobial therapy, drainage under craniotomy, and antiedema therapy with glycerol and goreisan, which led to the improvement of right hemiplegia to baseline; she was discharged following eight weeks of intravenous antimicrobial therapy. The clinical diagnosis of the brain abscess was difficult due to the nonspecific presentation, highlighting the importance of cranial imaging without haste in patients at increased risk for brain abscesses such as those with CCHD, presenting with fever in the absence of localizing symptoms or fever, accompanied with abnormal neurological findings.

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Shokeen, Priyanka, Suman Yadav, Chaman Ram Verma et Rupesh Masand. « Neurological complications in Dengue fever ». International Journal of Contemporary Pediatrics 5, n^o 3 (20 avril 2018) : 983. http://dx.doi.org/10.18203/2349-3291.ijcp20181526.

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Background: Neurological involvement in dengue was previously observed as an encephalopathy mainly due to prolonged shock, hyponatremia and liver failure. Recently, direct neurotropic potential of the virus has been recognized. This study was performed to record the neurological complications in children with dengue infection.Methods: A prospective, cross-sectional study was conducted in 315 consecutive pediatric cases of dengue fever to record the neurological complications and perform detailed clinical evaluation and laboratory assessment. These patients were admitted in the pediatric ward or ICU of the Department of Pediatrics of a tertiary care teaching hospital located 50 km from Jaipur city amidst rural surroundings from 1st January 2016 till 31st October 2017. Appropriate statistical analysis was carried out using SPSS software version 22.0.Results: The neurological complications due to dengue fever was observed in 30 cases (9.5%). The most common symptoms were headache (73.3%, n = 22), altered sensorium (73.3%, n = 22), seizure (73.3%, n = 22), besides fever (100%, n = 30) and vomiting (56.6%, n = 17). The common signs were exaggerated DTR (73.3 %, n = 22), papilloedema (20%, n = 6) and muscle tenderness (13.3%, n = 4) besides hepatomegaly (100%, n = 30), and facial puffiness (66.6%, n = 20). The most commonly observed neurological complications were encephalopathy (53.3%, n = 16), encephalitis (n = 7, 23.3%), myositis (13.3%, n = 4), acute disseminated encephalomyelitis (3.3%, n = 1), hemiplegia with facial palsy (3.3%, n = 1) and intracranial hemorrhage (3.3%, n = 1). Mortality was observed in 3 cases (10%).Conclusions: Neurological complications of dengue in children are relatively uncommon. However, awareness is required for prevention, early recognition, and timely therapeutic intervention to prevent further complications and mortality.

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Thèses sur le sujet "Hemiplegia, complications"

Roux, François. « Prévention et dépistage de la thrombose veineuse profonde chez l'hémiplégique en rééducation fonctionnelle ». Bordeaux 2, 1996. http://www.theses.fr/1996BOR2M070.

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Wiart, Laurent. « Troubles psycho-affectifs de l'hémiplégique gauche : rôle de l'héminégligence ». Bordeaux 2, 1992. http://www.theses.fr/1992BOR23071.

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Delpech, Xavier. « Enquête descriptive sur le suivi des patients hémiplégiques en médecine générale ». Bordeaux 2, 2001. http://www.theses.fr/2001BOR2M067.

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Livres sur le sujet "Hemiplegia, complications"

Brian, Neville, et Goodman Robert MRCPsych, dir. Congenital hemiplegia. London : Mac Keith, 2000.

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A, Banks Moira, dir. Stroke. Edinburgh : Churchill Livingstone, 1986.

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A, Banks Moira, dir. Stroke. Edinburgh : Churchill Livingstone, 1986.

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Chapitres de livres sur le sujet "Hemiplegia, complications"

Brahmachari, Ipsit. « Complications and their Management ». Dans A Practical Guide to Hemiplegia Treatment, 354. Jaypee Brothers Medical Publishers (P) Ltd., 2015. http://dx.doi.org/10.5005/jp/books/12438_17.

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Burkhardt, Jan-Karl, et Michael T. Lawton. « Medium-Sized Incidental Anterior Choroidal Artery Aneurysm ». Dans Cerebrovascular Neurosurgery, 79–86. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190887728.003.0009.

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Abstract: Anterior choroidal artery (AChA) aneurysms are rare and can present a particular anatomical challenge in that they often incorporate the origin of the AChA. The success of aneurysm treatment in this location depends on completely occluding the aneurysm and preserving the AChA parent vessel to avoid a devastating AChA infarct, with deficits that can include hemiplegia and hemianopsia. This chapter presents the case of a female patient with an unruptured AChA aneurysm treated with microsurgical clipping. In addition to meticulous microsurgical technique based on anatomic knowledge, intraoperative monitoring including somatosensory evoked potentials, motor evoked potentials, and indocyanine green angiography is an important adjunct for a successful aneurysm occlusion without complications.

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