- MeSH
- Pain MeSH
- Electric Stimulation methods MeSH
- Research Support as Topic MeSH
- Upper Extremity pathology MeSH
- Complex Regional Pain Syndromes therapy MeSH
- Neck MeSH
- Middle Aged MeSH
- Humans MeSH
- Pain Management MeSH
- Spinal Cord MeSH
- Animals MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Animals MeSH
- Publication type
- Case Reports MeSH
Bolesť hlavy je pomerne častým neurologickým symptómom a môže mať mnoho príčin. Podľa ICHD-3 (The International Classification of Headache Disorders 3rd edition) sa delí do troch skupín: primárne bolesti hlavy, sekundárne bolesti hlavy a bolestivé kraniálne neuropatie a iné bolesti tváre a hlavy. Farmakologická liečba primárnych bolestí hlavy je často náročná, nedostatočne účinná a prináša so sebou aj časté nežiaduce účinky. V posledných rokoch sa u pacientov s chronickými primárnymi bolesťami hlavy aplikujú do praxe neurostimulačné metódy, ktoré zahŕňajú neinvazívne a miniinvazívne techniky, ako aj hlbokú mozgovú stimuláciu, ktorá je využívaná predovšetkým v liečbe chronickej cluster headache rezistentnej na liečbu.
Headache is one of the most common neurological symptoms and may have many causes. According to the ICHD-3 (The InternationalClassification of Headache Disorders 3rd edition), they are divided into three groups: primary headaches, secondaryheadaches, and painful cranial neuropathy and other facial pain and headaches. Pharmacological treatment of primary headachesis often difficult, insufficient and ineffective, and often carries various side effects. Recently, neurostimulation methods involvingnon-invasive and mini-invasive techniques, as well as deep brain stimulation, are used in patients with chronic primary headaches,which is used primarily in the treatment of chronic resistant cluster headache.
- MeSH
- Headache * diagnosis classification therapy MeSH
- Chronic Pain diagnosis etiology therapy MeSH
- Cluster Headache diagnosis etiology therapy MeSH
- Electric Stimulation Therapy * methods trends MeSH
- Ganglia, Parasympathetic MeSH
- Deep Brain Stimulation classification methods adverse effects MeSH
- Humans MeSH
- Migraine Disorders * diagnosis therapy MeSH
- Pulsed Radiofrequency Treatment methods trends MeSH
- Statistics as Topic MeSH
- Transcutaneous Electric Nerve Stimulation classification methods adverse effects MeSH
- Occipital Lobe drug effects MeSH
- Vestibule, Labyrinth physiopathology drug effects MeSH
- Check Tag
- Humans MeSH
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Cíl: Je popisována technika neurostimulace n. laryngeus recurrens (NLR), jako nově zavedená metoda v České republice, užívaná k prevenci poranění zvratného nervu při operaci štítné žlázy, s poukázáním na její význam. Metoda: Neurostimulace n. laryngeus recurrens (NLR) při operacích štítné žlázy je metodou zaváděnou ve světě v posledních letech jako standardní postup v prevenci jeho peroperačního poranění. Dosud není stanovená jednotná všeobecně akceptovaná doktrína, jak minimalizovat riziko peroperační léze zvratného nervu, a neurostimulace k tomu může přispět. Výsledky: Tuto novou techniku jsme využili u 370 operovaných v roce 2005/2006 a nezaznamenali jsme žádnou trvalou parézu NLR. Závěr: Neurostimulace NLR v průběhu tyreoidektomie je novou metodou, která dále snižuje pravděpodobnost peroperačního poranění zvratného nervu.
Aim: The n. laryngeus recurrens (NLR) neurostimulation technique is described as a recently introduced method in the Czech Republic, used to prevent injuries to the recurrent nerve during thyroid procedures, highlighting its significance. Method: Neurostimulation of the n. laryngeus recurrens (NLR) during thyroid procedures is a method which has been, in recent years, introduced worldwide as a standard procedure in peroperative injuries prevention. A generally accepted doctrine on the risk of peroperative recurrent nerve lesions minimalization has not been established, however, neurostimulation may be a contribution. Results: The new technique was employed in 370 patients operated in 2005/2006 and no permanent NLR paresis was recorded. Conclusion: Neurostimulation of the NLR during thyreoidectomy is a new method, further reducting probability of a peroperative recurrent nerve injury.
- MeSH
- Electric Stimulation methods instrumentation MeSH
- Research Support as Topic MeSH
- Humans MeSH
- Recurrent Laryngeal Nerve surgery MeSH
- Intraoperative Complications prevention & control MeSH
- Recurrent Laryngeal Nerve Injuries MeSH
- Thyroidectomy methods adverse effects MeSH
- Check Tag
- Humans MeSH
- Publication type
- Evaluation Study MeSH