scholarly journals An unusual “pulseless disease”

2013 ◽  
pp. 47-48
Author(s):  
Carlo Di Donato ◽  
Paolo D’Andrea ◽  
Mara Bozzoli ◽  
Stefano Loi ◽  
Vincenzo Pulitanò ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Aortic Dissection ◽  
Upper Extremity ◽  
Takayasu’S Arteritis ◽  
Upper Extremities ◽  
Artery Embolization ◽  
Pulseless Disease ◽  
Simultaneous Loss ◽  
Clinical Pictures

Simultaneous loss of upper extremity pulses, excluding shock, is present in clinical pictures like aortic dissection (type 1 sec. De Backey), but remarkably in Takayasu’s arteritis, named “pulseless disease”. We describe a case of loss of upper extremities pulses secondary to bilateral simultaneous artery embolization during atrial fibrillation.

A Retrospective Study to Evaluate the Efficacy of a Plasma Energy System (Renuvion) in the Management of Skin Laxity to Improve Tightening at the Time of Standard Liposuction of the Arms

2021 ◽  
pp. 074880682110310
Author(s):  
Angelo Cuzalina ◽  
Pasquale G. Tolomeo
Keyword(s):  
Upper Extremity ◽  
Control Site ◽  
Clinical Staff ◽  
Upper Extremities ◽  
Final Visit ◽  
Recipient Site ◽  
Skin Laxity ◽  
Plasma Energy ◽  
Treatment Site ◽  
And Control

The aim of this study was to determine the efficacy of cool atmospheric plasma (Renuvion/J-plasma) in promoting skin tightening and soft tissue contouring following liposuction of the upper extremities. The study was a retrospective review of upper extremity liposuction with associated Renuvion therapy performed by the same surgeon. Patients were made aware of Renuvion therapy to assist with skin laxity and offered adjunctive treatment following liposuction. While a majority of patients elected to have Renuvion therapy performed bilaterally, a small subset of patients elected for unilateral treatment. This subset of patients pursued delayed treatment on the control side. The inclusion criteria for the study included patients with moderate fat excess of the upper extremity with associated mild to moderate cutaneous laxity. Exclusion criteria for the study included severe medical comorbidities, body mass index greater than 35 kg/m2 and those below the age of 30. The study included 5 female patients between the ages of 46 to 52. The method of treatment was liposuction of the bilateral upper extremities with removal of equal proportions of fat. The recipient site for Renuvion treatment was randomly selected by the study coordinator; the surgeon and clinical staff remained blinded to the selection. Following treatment, the patients were evaluated at 1 week, 6 weeks, and 6 months postoperatively to assess surgical outcomes subjectively. The surgeon and clinical staff were unblinded at the final visit. Patients were evaluated based on subjective criteria and photographic evaluation at each postoperative visit. At the 1-week visit, no significant differences were noted in all subjects. At the 6-week visit, two patients demonstrated improved results to the treatment site when compared with the control site. At the 6-month visit, four out of the five patients demonstrated a significant improvement in contour and laxity at the treatment site when compared with the control site. One patient demonstrated equal results on both treatment and control sites with no major abnormalities. Following the final evaluation, the patients underwent a secondary procedure to the control site with Renuvion to obtain similar results as the recipient site. One patient demonstrated equal results on both test and control sites with no major abnormalities. The use of plasma energy via Renuvion in conjunction with liposuction has demonstrated esthetic results with proposed long-term benefits. The plasma energy device, as an adjuvant therapy, may be beneficial in cases where liposuction alone may not address tissue laxity concerns. Additional studies with a larger sample size, objective criteria, and extended follow-ups are necessary to statistically analyze the results and determine its significance.

Surgical reconstruction of an ascending aortic dissection in Takayasu's arteritis

1992 ◽  
Vol 54 (2) ◽  
pp. 359-360 ◽  
Author(s):  
Yoshiyuki Haga ◽  
Hiroshi Yoshizu ◽  
Eriya Okuda ◽  
Yozo Uriuda ◽  
Atsuhiro Mitsumaru ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Takayasu’S Arteritis ◽  
Surgical Reconstruction ◽  
Takayasu's Arteritis

Posteroventral pallidotomy for midbrain tremor after a pontine hemorrhage

1999 ◽  
Vol 91 (5) ◽  
pp. 885-888 ◽  
Author(s):  
Yasushi Miyagi ◽  
Fumio Shima ◽  
Katsuya Ishido ◽  
Masashi Moriguchi ◽  
Kazufumi Kamikaseda
Keyword(s):  
Upper Extremity ◽  
High Frequency ◽  
Upper Extremities ◽  
Proximal Segment ◽  
Action Tremor ◽  
Content Type ◽  
Pontine Hemorrhage ◽  
Posteroventral Pallidotomy ◽  
Left Thalamus ◽  
Midbrain Tremor

✓ This 49-year-old man gradually developed a disabling action tremor in the proximal right upper extremity 8 months after suffering a pontine tegmental hemorrhage. The intraoperative microrecording in the nucleus ventralis intermedius (VIM) of the left thalamus revealed tremor-synchronous grouped discharges with a vigorous (2.7 Hz) action tremor predominantly in the shoulder and upper arm. High frequency electrical stimulation in the VIM did not affect the tremor. A posteroventral pallidotomy (PVP) was performed and resulted in the successful alleviation of all tremor activity. Posteroventral pallidotomy is known to alleviate parkinsonian tremors, especially those occurring in the contralateral lower extremity, trunk, and proximal segment of the contralateral upper extremity. The authors consider the pallidoreticular pathway to be an important tremor-mediating pathway for the proximal segment of the upper extremities and believe it can be controlled more effectively by PVP than by VIM thalamotomy, as demonstrated by the PVP-induced resolution of the midbrain tremor observed in this case.

scholarly journals Coronary Artery Embolization After Successful Surgical Ablation of Atrial Fibrillation

Circulation ◽  
2013 ◽  
Vol 127 (8) ◽  
pp. 960-961 ◽  
Author(s):  
Louis W. Wang ◽  
Abdullah Omari ◽  
David W.M. Muller ◽  
Neil H. Jacobs ◽  
Rajesh N. Subbiah
Keyword(s):  
Atrial Fibrillation ◽  
Coronary Artery ◽  
Artery Embolization ◽  
Surgical Ablation

Study of the vessels of the upper extremities and the rhythm of heart activity in patients with vibration disease in the post-СOVID period

2021 ◽  
Vol 61 (7) ◽  
pp. 431-435
Author(s):  
Nadezhda I. Kuprina ◽  
Ekaterina V. Ulanovskaya ◽  
Viktor V. Shilov ◽  
Dina N. Serdyukova
Keyword(s):  
Atrial Fibrillation ◽  
Sinus Tachycardia ◽  
Upper Extremities ◽  
Vascular Pathology ◽  
Ultra Sound ◽  
Daily Monitoring ◽  
Vibration Disease ◽  
Arterial Blood ◽  
Large Numbers ◽  
Coronavirus Infection

Currently, there are many consequences of the new coronavirus infection. We shall study the actual long-term consequences of this disease for population health in the coming years. It is necessary to consider concomitant chronic diseases in patients who are particularly dangerous in the post-COVID period. Vibration disease is one of the leading occupational pathologies in the Russian Federation. Symptoms of vibration disease are vegetative-vascular disorders, cold, cyanosis, paresthesia, violation of regional blood circulation of the extremities. As is known from numerous sources, the defeat of the cardiovascular system (CVS) against the background of COVID-19 infection occurs through angiotensin-converting enzyme (ACE-2) receptors, which presents in large numbers in the endothelium of veins and arteries. The study aims to research hemodynamics features in patients with vibration disease after a new coronavirus infection. In the clinic of occupational pathology, the researchers examined 28 patients with a previously established diagnosis of VD after a coronavirus infection. We did a Holter ECG, ultra-sound examination of the arteries and veins of the upper extremities. Arrhythmias in the form of supraventricular extrasystoles, paroxysms of atrial fibrillation, positional sinus tachycardia occur in patients with VB after a new coronavirus infection on an ECG and daily monitoring of the ECG by Holter. As is known, cardiac arrhythmias are essential in the development of acute and chronic vascular pathology, characterized by a decrease in arterial blood filling and changes. Ultrasound of the vessels of the upper extremities revealed moderate expansion of the radial and ulnar veins, insufficiency of the valve apparatus during functional tests, increased venous outflow. There was also an increase in the indicators of peripheral vascular resistance, which indicates violations of the tonic properties of the vessels of the upper extremities and violations of vasodilation. Scientists identified violations of the tonic properties of blood vessels in patients with vibration disease in the post-COVID period on ultrasound, arrhythmias in the form of supraventricular extrasys-toles, paroxysms of atrial fibrillation, positional sinus tachycardia on daily ECG monitoring.

Cognitive Demands Influence Upper Extremity Motor Performance During Recovery From Acute Stroke

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000011992
Author(s):  
David J Lin ◽  
Kimberly S Erler ◽  
Samuel B Snider ◽  
Anna K Bonkhoff ◽  
Julie A DiCarlo ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Grip Strength ◽  
Upper Extremity ◽  
Cognitive Dysfunction ◽  
Motor Performance ◽  
Motor Task ◽  
Upper Extremities ◽  
Cognitive Demands ◽  
Strength Performance ◽  
Lesion Symptom Mapping

Objective:To test the hypothesis that cognitive demands influence motor performance during recovery from acute stroke, we tested acute stroke patients on two motor tasks with different cognitive demands and related task performance to cognitive impairment and neuroanatomic injury.Methods:We assessed the contralesional and ipsilesional upper extremities of a cohort of 50 patients with weakness after unilateral acute ischemic stroke at three timepoints with two tasks: the Box & Blocks Test, a task with greater cognitive demand, and Grip Strength, a simple and ballistic motor task. We compared performance on the two tasks, related motor performance to cognitive dysfunction, and used voxel-based lesion symptom mapping to determine neuroanatomical sites associated with motor performance.Results:Consistent across contralesional and ipsilesional upper extremities and most pronounced immediately post-stroke, Box & Blocks scores were significantly more impaired than Grip Strength scores. The presence of cognitive dysfunction significantly explained up to 33% of variance in Box & Blocks performance but was not associated with Grip Strength performance. While Grip Strength performance was associated with injury largely restricted to sensorimotor regions, Box & Blocks performance was associated with broad injury outside sensorimotor structures, particularly the dorsal anterior insula, a region known to be important for complex cognitive function.Conclusions:Altogether, these results suggest that cognitive demands influence upper extremity motor performance during recovery from acute stroke. Our findings emphasize the integrated nature of motor and cognitive systems and suggest that it is critical to consider cognitive demands during motor testing and neurorehabilitation after stroke.

scholarly journals Association of Angiotensin II Type 1 Receptor Agonistic Autoantibodies With Outcomes in Patients With Acute Aortic Dissection

2021 ◽  
Vol 4 (10) ◽  
pp. e2127587
Author(s):  
Xiao-wei Wu ◽  
Gang Li ◽  
Xiao-bin Cheng ◽  
Min Wang ◽  
Liu-lin Wang ◽  
...  
Keyword(s):  
Angiotensin Ii ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Agonistic Autoantibodies

Aortic dissection presenting with atrial fibrillation

2006 ◽  
Vol 24 (3) ◽  
pp. 379-380 ◽  
Author(s):  
Huck Chin Chew ◽  
Swee Ham Lim
Keyword(s):  
Atrial Fibrillation ◽  
Aortic Dissection

scholarly journals Klippel–Feil Syndrome with Sprengel Deformity and Extensive Upper Extremity Deformity: A Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
John W. Stelzer ◽  
Miguel A. Flores ◽  
Waleed Mohammad ◽  
Nathan Esplin ◽  
Jonathan J. Mayl ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Shoulder Girdle ◽  
Severe Form ◽  
Upper Extremities ◽  
Congenital Deformity ◽  
Radiographic Imaging ◽  
Case Presentation ◽  
Vertebral Bodies ◽  
Woodward Procedure ◽  
Associated Abnormalities

Introduction. Klippel–Feil syndrome (KFS) is a congenital anomaly resulting from fusion of cervical vertebral bodies secondary to the dysregulation of signaling pathways during somite development. It is commonly associated with scoliosis and Sprengel deformity. We present a case of KFS with commonly associated abnormalities as well as deformities that have not yet been reported in the literature. Case Presentation. A 3-year-old girl presented for further evaluation of a left upper extremity deformity following a negative genetic workup. Upon physical exam and radiographic imaging, the patient was diagnosed with KFS and associated abnormalities including cervical scoliosis, Sprengel deformity, and congenital deformity of the left upper extremity. Deformities of the left upper extremity include radioulnar synostosis, a four-rayed hand, and absent thenar musculature. The Sprengel deformity was corrected surgically with a Woodward procedure. Discussion. Congenital musculoskeletal deformities can be differentiated based upon spinal and limb embryology. The presence of extraspinal abnormalities not originating from somite differentiation may suggest a severe form of KFS. Important considerations in the workup of the KFS patient include looking for deformities of the shoulder girdle and upper extremities to identify abnormalities for intervention at a young age.

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