JavaScript NENÍ povolen !

Ovarian hyperstimulation syndrome (OHSS) is the most serious complication of sterility treatment. It is characterised by ovarian enlargement, ascites, electrolyte disturbance, hypovolaemia and haemoconcentration. A case of ischaemic stroke due to right middle cerebral artery (MCA) occlusion in a young female with OHSS after pharmacological treatment of sterility is reported. Left central hemiparesis occurred suddenly within a few days after the embryo transfer. Magnetic resonance imaging diffusion-weighted images showed infarction in the right basal ganglia and magnetic resonance angiography (MRA) revealed the occlusion of the M1 segment of the right MCA. The haemodilution and the anticoagulation therapy were effective. Twenty-four hours after the stroke onset, MRA showed MCA recanalisation. The neurological deficit resolved completely within 3 months. The patient delivered 2 healthy infants at term. This case emphasises that the recent advent of ovulation induction and reproductive techniques is a newly recognised cause of cerebral stroke in otherwise healthy females.

Článek

Segmental abdominal wall paresis caused by lateral low thoracic disc herniation

Spine. 2007 ; 32 (22) : E635-639.

Medvik
Zdroj

STUDY DESIGN: Clinical, radiologic, and neurophysiologic description of 2 cases. OBJECTIVE: To describe 2 cases with spontaneous deep unilateral abdominal pain as the first symptom of thoracic disc herniation at a low thoracic vertebral level, further manifested by unilateral partial paresis of the obliquus abdominis muscle. SUMMARY OF BACKGROUND DATA: Clinical manifestation of lateral thoracic disc herniation with electrophysiologic results and conservative therapy as treatment of choice when spinal cord functions are preserved. METHODS: Magnetic resonance imaging revealed bilateral paramedian disc protrusions at T12-L1 in Patient 1 and foraminal herniation at T10-T11 and paramedian herniation at T11-T12 in Patient 2. Electromyography (EMG) and evoked potentials were investigated in the acute stage and after 6 months. RESULTS: Spontaneous activity on needle EMG confirmed axonal root impairment. Somatosensory and motor-evoked potentials were within normal limits and excluded spinal cord involvement. Nonsteroidal anti-inflammatory drugs and periradicular injection of steroids and local anesthetics rendered both patients pain-free. Normalization of muscle strength within 3 to 6 months was accompanied by EMG findings of reinnervation. CONCLUSION: Lateral disc herniation causing compression of a thoracic root associated with unilateral segmental paresis of the abdominal wall is a rare condition. Despite EMG documentation of axonal root lesion, however, a purely conservative therapeutic approach may be considered treatment of choice in cases without spinal cord involvement.

Článek

Bobathových koncept pri rehabilitácii centrálnych paréz
[Bobath's concept in rehabilitation central paresis]

Královičová, M
Autor Královičová, M

Rehabilitácia. 2004 ; Roč. 41 (č. 1) : s. 14-21.

ISSN 0375-0922
Medvik
Zdroj

Overovali sme účinnosť rehabilitácie podľa Bobathových konceptu u pacientov s centrálnou parézou, s hľadaním "hraníc" práce podľa tohto konceptu. Sledovaný súbor tvorilo 24 pacientov hospitalizovaných na oddelení FBLR v Nitre s priemerným vekom 62,5 roka s CT nálezom UM u 21, s hemorágiou u 3 pacientov. V 4 prípadoch išlo o recidívu ochorenia. Pacienti boli ošetrovaní a rehabilitovaní s využitím techník Bobathových konceptu. Na objektivizáciu účinnosti sme použili Test hemiparetického pacienta, výsledky boli hodnotené štandardnými štatistickými metódami. Zlepšenie sme pozorovali u všetkých pacientov nášho súboru, s vysokou štatistickou významnosťou účinnosti konceptu na liečbu pacientov s centrálnou parézou. Dokázali sme vplyv spolupráce a hlbokej citlivosti na zlepšenie a celkový efekt liečby. Vek pacienta, ani doba začiatku rehabilitácie od vzniku ochorenia nie sú limitom pre dosiahnutie dobrých výsledkov. V koncepte sa kladie menší dôraz na rozvoj fázickej funkcie HK a ruky. Je nutné začleniť ergoterapiu a multimodálny tréning ruky do rehabilitačného programu.

We checked efficacy Bohath 's concept in patients with central paresis. The controlled group included 24 patients of Physiatric Service in Nitra / average age was 62,5yrs., 21 ischaemic strokes, 3 haemorrhagic strokes, 4 causes recidived strokes/. Patients used physiotherapy in accordance with Bobath 's concept and we compared results by standard statistic methods. We observed improvement in all patients od the controlles group. Is demonstrabled influence of collaboration to total efficacy of the therapy. The concept laxs lower stress to developmend to improve function upper extremity and hand, therefore it´s necessary to include ergotherapy and multimodaly training of hand. There is no limit in patient´s age or starting time of rehabilitation for satisfactory result.