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Postoperative Ataxic Breathing: A New Tool for Early Diagnosis of Opioid-Induced Respiratory Depression?
Anesth Analg
December 2024
From the Beth Israel Deaconess Medical Center-Harvard Medical School, Boston, Massachusetts.
Rebound Tremor Frequency as a Potential Diagnostic Marker for Delayed Therapy Escape after Thalamic Deep Brain Stimulation for Essential Tremor-Insights from a Cross-Sectional Study.
Brain Sci
June 2024
Department of Stereotactic and Functional Neurosurgery, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.
Delayed therapy escape (DTE) is frequent after thalamic deep brain stimulation for essential tremor, leading to reduced quality of life, often with ataxic symptoms, and early recognition is challenging. Our goal was to examine whether a low-frequency rebound tremor of the left hand after switching off stimulation is useful as a diagnostic marker for DTE. In this cross-sectional study with additional retrospective analysis, we examined 31 patients with bilateral thalamic DBS ≥ 12 months for essential tremor, using quantitative assessments including video-based motion capture, Fahn-Tolosa-Marin Tremor Rating Scale (FTMTRS), and scale for the assessment and rating of ataxia (SARA).
View Article and Find Full Text PDFUltrasound-Guided Greater Ischiatic Notch Plane Block Combined with the Caudal Quadratus Lumborum Block (GIN-TONIC Block) in Dogs Undergoing Pelvic Limb Surgery: Preliminary Results.
Animals (Basel)
June 2024
Department of Comparative, Diagnostic, and Population Medicine, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610-0123, USA.
This study assessed the analgesic and motor effects of the GIN-TONIC block, a combination of the greater ischiatic notch plane block and the caudal lateral quadratus lumborum block, in 24 dogs undergoing pelvic limb surgery. Dogs were randomly divided into two equal groups: G received acepromazine [(20 µg kg intravenously (IV)] as premedication, and G received dexmedetomidine (2 µg kg IV). General anesthesia was maintained with isoflurane, and both groups received a GIN-TONIC block using 2% lidocaine.
View Article and Find Full Text PDFDiagnosis and Management Approaches for Cerebellar Hydatid Cysts: A Systematic Review of Cases.
Cureus
May 2024
College of Medicine, Alfaisal University, Riyadh, SAU.
Article Synopsis
- Cerebellar hydatid cysts are rare lesions with limited documentation, prompting a systematic review to evaluate diagnostic and management strategies due to their low suspicion index.
- The review included 15 studies from 1965-2022, primarily from Turkish hospitals, encompassing 12 case reports and three case series, with a mean patient age of 24 years.
- Common symptoms noted were headaches, ataxic gait, and visual disturbances, and the most frequent treatment involved surgical intervention along with postoperative medication like albendazole and praziquantel.
Delayed recovery from ataxic dementia following liposuction.
Neurocase
December 2023
Department of Neuropathology, The D'Or Institute for Research & Education, Rio de Janeiro, Brazil.
A 19-year-old student developed hypoventilation and cyanosis at the end of a cosmetic liposuction procedure. She was awake, but severely abulic, disoriented, and unable to stand and walk due to severe locomotor ataxia. Neuropsychological evaluation showed psychomotor slowness, and deficits in memory encoding and retrieval, and on executive, and visuospatial and visuoperceptual tests; oral comprehension and constructional praxis were spared.
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