The electronystagmographically recorded response of the spontaneous nystagmus and of the per- and postrotatory nystagmus were examined in 70 patients suffering from acute unilateral vestibular disorders. Within a short time the SPN declined logarithmically compared to the reduction of the perrotatory directional preponderance. But the postrotatory nystagmus levels changed only a little in the course of time. The patient's symptoms did not correlate with results of the rotatory test or the intensity of the SPN. The graphs of both parameters (maximal velocity of the slow nystagmus phase and nystagmus frequency in culmination range) which had been analysed showed an almost identical course. Obviously two independent functions are recorded by the caloric and rotatory vestibular test: the rotatory test is said to describe the extent of the central compensation. The lack of conformity in the results of various vestibular tests, including the rotating chair, limit the reliability of the individual tests and indicate that different methods of investigation should always be carried out especially in medico-legal cases.
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Korean J Anesthesiol
January 2025
Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Background: Regional anesthesia techniques that provide analgesia to the entire lateral abdomen are limited. We present a modified external oblique intercostal block for complete lateral abdominal analgesia with a single injection.
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Ophthalmology
January 2025
Eye Center, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.
Purpose: To identify baseline clinical predictors of visual outcomes six months after acute optic neuritis using data from our completed clinical neuroprotection trial (TONE study).
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Subjects: Total of 103 patients presenting within 10 days of a first episode of acute unilateral optic neuritis as a clinically isolated syndrome with baseline high contrast visual acuity (HCVA) < 20/40 Snellen (logMAR 0.
Pharmacol Res
January 2025
Post-surgical pain affects millions each year, hindering recovery and quality of life. Surgical procedures cause tissue damage and inflammation, leading to peripheral and central sensitization, resulting in pain at rest or hyperalgesia to mechanical stimuli, among others. In a rat model for post-surgical pain, spinal GABAergic transmission via GABA receptors reduces mechanical hypersensitivity but has no effect on pain at rest.
View Article and Find Full Text PDFAm Fam Physician
January 2025
University of Kansas Medical Center, Kansas City.
Acute rhinosinusitis causes more than 30 million patients to seek health care per year in the United States. Respiratory tract infections, including bronchitis and sinusitis, account for 75% of outpatient antibiotic prescriptions in primary care. Sinusitis is a clinical diagnosis; the challenge lies in distinguishing between the symptoms of bacterial and viral sinusitis.
View Article and Find Full Text PDFEur J Trauma Emerg Surg
January 2025
Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Purpose: Thoracic trauma causes pain and hospitalisation. Middle- and high-income countries have different trauma contexts and populations. To report patients' clinical presentation (pain and shortness of breath) and its influence on hospital length of stay (LOS), acute care management, and discharge destinations in South Africa (SA) and Sweden.
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