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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1843425 | PMC |
| http://dx.doi.org/10.1136/bmj.1.5481.192 | DOI Listing |
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[Sequential use of botulinum toxin A and bovhyaluronidase azoximer in the correction of post-stroke spasticity].
Zh Nevrol Psikhiatr Im S S Korsakova
March 2025
N.N. Burdenko Neurosurgical Center, Moscow, Russia.
A clinical case of consistent use of botulinum toxin type A (BTA) and azoximer bovhialuronidase (BA) in a 69-year-old patient who suffered an ischemic stroke (II) with right-sided hemiparesis is presented. BTA (incobotulotoxin) was injected under ultrasound control (ultrasound) into the muscles of the target pathological patterns at a dose of 500 units. After 3 weeks, under the control of ultrasound navigation, BA was injected into the 2 most fibrotic shoulder muscles at a dose of 3.
View Article and Find Full Text PDFEffectiveness of advanced cardiovascular life support in hyperkalemic cardiac arrest: A randomized experimental study in pigs.
Heliyon
January 2025
Department of Emergency Medicine, Chonnam National University Hospital, 42 Jebong-ro, Donggu, Gwangju, Republic of Korea.
Current treatment recommendations for hyperkalemic cardiac arrest focus exclusively on the addition of antihyperkalemic therapies and are otherwise identical to those for cardiac arrest caused by non-hyperkalemic etiologies. We were unable to find any studies that specifically examine the hemodynamic effects of cardiopulmonary resuscitation in hyperkalemic cardiac arrest compared to cardiac arrest from non-hyperkalemic etiologies. We hypothesized that myocardial ischemic contracture would be less severe in hyperkalemic cardiac arrest compared with ventricular fibrillation cardiac arrest, resulting in higher cerebral perfusion pressure, brain tissue oxygen tension, and coronary perfusion pressure during cardiopulmonary resuscitation.
View Article and Find Full Text PDFChronic Hand Ischemia in Pediatric Patients Due to Brachial Artery Injury After Supracondylar Humerus Fracture.
Ann Vasc Surg
April 2025
Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
Objectives: Brachial artery injury due to displaced supracondylar fracture (SC) of the humerus in children may present with pink pulseless hand (PPH), denoting a well perfused hand without radial pulse, or acute hand ischemia. Some reports state that brachial artery reconstruction is not necessary in children with persisting PPH, but the reports on long-term consequences such as intermittent claudications, growth retardation and ischemic contracture in children with pulseless hand are scarce and often misinterpreted. The objective of our analysis was to assess the long-term outcomes of children with brachial artery injury associated with SC fracture.
View Article and Find Full Text PDF[Application of elbow skin fold extension line in extreme elbow flexion in ulnar Kirschner wire insertion of extended supracondylar humeral fractures in children].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
January 2025
Department of Orthopedics, Nanjing Drum Tower Hospital Group Suqian Hospital, the Affiliated Suqian Hospital of Xuzhou Medical University, Suqian Jiangsu, 223800, P. R. China.
Objective: To discuss the elbow skin fold extension line in Kirschner wire internal fixation of extended supracondylar humeral fractures in children.
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Severe Flexor Digitorum Profundus Muscular Adhesion by Pseudo-Volkmann's Contracture without Fracture: A Case Report and Literature Review.
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Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea.
Article Synopsis
- - Volkmann's ischemic contracture involves permanent muscle and nerve damage from insufficient blood flow, leading to flexion contractures, whereas pseudo-Volkmann's contracture shares similar symptoms but can fully recover without ischemic damage.
- - A case study describes a 39-year-old man who experienced finger extension failure after blunt forearm trauma, showing progressive symptoms over two months despite no broken skin or bones.
- - Surgical intervention after two years revealed severe muscle adhesions due to the trauma, and immediate recovery was achieved after the adhesions were released, suggesting a diagnosis of pseudo-Volkmann's contracture.
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