Myofascial origin of shoulder pain: a literature review.

Background: Shoulder pain is a common problem imposing a considerable burden on the affected person and society. Since interventions targeting traditional musculoskeletal conditions are usually only moderately effective, myofascial origin can be suggested as an alternative possible source of shoulder pain.

Objectives: To examine current evidence associated with myofascial origin of shoulder pain, with emphasis on diagnosis, prevalence and treatment efficacy.

[Temporary clipping and cerebral blood flow in patients with cerebral aneurysms].

Regional cerebral blood flow (RCBF) was measured with cerebral aneurysms by the H2-inhalation technique during intraoperative occlusion test in 15 patients. Temporary clipping was followed by a decrease of RCBF below the critical values in most patients. Reperfusion at the removal of a clip from the internal carotid and middle cerebral artery induced a significant hyperemia (298 +/- 55 ml/100 g x min).

[Temporal arterial clipping and autoregulation of cerebral blood flow at surgery for intracranial aneurysms].

Preoperative dynamic autoregulatory responses in 20 patients considered as candidates for vessel temporal clipping (TC) and/or arterial hypotension (AH) at surgery for aneurysms were studied by the thigh cuff method. Normal autoregulatory responses at a regulation rate (RoR) of 20.4 +/- 2.

[Total intravenous multicomponent anesthesia with diprivan infusion in a specific concentration in neurosurgical patients].

Total intravenous anesthesia (TIVA) with diprivane infusion in a purposeful concentration was carried out in 54 patients for various neurosurgical interventions. Purposeful concentrations of diprivane for induction and maintaining anesthesia were 1.5-2 times lower than those recommended by the manufacturer, which was due to effects of TIVA components fentanyl, clofelin, and diazepam, as well as patient's age, clinical status, and, probably, neurosurgical disease.