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1.
改良Foerster-Dandy手术治疗痉挛性斜颈 总被引:6,自引:2,他引:4
目的 探讨改良Foerster-Dandy手术治疗痉挛性斜颈的疗效。方法 回顾分析2001年7月至2004年6月显微手术治疗的26例痉挛性斜颈病人,全部采用改良Foerster-Dandy手术,即枕后正中入路硬膜下双侧副神经根、C1脊神经根切断、C2~C4脊神经前、后根选择性部分切断术。结果 全部病人平均随访12.8个月。100%病人术后立即感痉挛状态明显缓解,随访期间缓解率为100%。生活质量提高率在随访期间为96%。术后所有病例发生不同程度转颈无力、耸肩无力、双臂外展受限,随访期间均有所好转,1例病人发生头颈部支撑困难,并因此而影响生活质量。随访期间无复发病例。结论 改良Foerster-Dandy手术是治疗痉挛性斜颈安全有效的手术方法。选择合适病例、熟悉局部解剖、掌握显微手术技巧是保证疗效的关键。 相似文献
2.
痉孪性斜颈是以颈部肌肉不随意收缩为特点,患者不自主的一阵阵的斜着头的颈部颤动性疾病。笔者在临床工作中,应用灸法治疗本病,取得明显效果,现报道如下。 相似文献
3.
Jennifer Horner Ph.D. John E. Riski Ph.D. Bruce A. Weber Ph.D. Blaine S. Nashold Jr. M.D. 《Dysphagia》1993,8(1):29-34
To explore the controversial brainstem theory of spasmodic torticollis, eight consecutively referred patients were examined. Three independent examinations were conducted on the same day: a videofluoroscopic barium swallowing examination, an instrumental speech examination, and a brainstem auditory-evoked potential (BAEP) analysis. Swallowing was normal in two patients; speech physiology, in five; and BAEPs, in all. Normal BAEPs refute the brainstem theory, while abnormalities of speech and swallowing temper this conclusion. Several alternative explanations are proposed.The authors have no commercial or proprietary interest in any product mentioned in this article. 相似文献
4.
Disertori B. Ducati A. Piazza M. Pavani M. 《The Italian Journal of Neurological Sciences》1982,3(4):359-363
A case of spasmodic torticollis with thoracic outlet syndrome observed for over 18 months is presented and discussed.
Maximal head rotation (determining backward gaze) was associated with compression of the brachial plexus between the scaleni muscles and motor, sensory and trophic troubles in the hand. This new syndrome is called after the diviner Manto, quoted by Dante Alighieri in his Divina Commedia (Inferno, XX, 52–56). The etiology was ascribed to subacute toxic effects of methylparathion.
Brainstem Auditory Evoked Potentials (BAEPs) demonstrated severe brainstem involvement, maximal in the mesencephalic structures. Clinical and neurophysiological data improved on treatment with L-5-hydroxytryptophan.
Finally, BAEPs returned to normal.
Sommario Dopo sospetta intossicazione subacuta da metilparatione una giovane donna presenta torcicollo spasmodico extrapiramidale laterale di altissimo grado: con capo girato all'indietro e nocumento secondario al plesso brachiale. Proponiamo il nome di Sindrome di Manto. Con i potenziali evocati acustici del tronco cerebrale (BAEPs) abbiamo dimostrato alterazioni prevalentemente mesencefaliche controlaterali. I tracciati si sono normalizzati progressivamente in rapporto alla guarigione clinica correlata a terapia con L-5-idrossitriptofano.相似文献
5.
Zhang Jian-bin 《针灸推拿医学(英文版)》2003,1(5):22-23
In accordance with the feature of apoplectic dysarthria, it is divided into three types of labial pattern, lingual pattern
and laryngeal pattern. The therapeutic methods are respectively explained with case examples.
Translator: HUANG Guo-qi 相似文献
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The study reported in this paper investigated the abilities of Greek speakers with dysarthria to signal lexical stress at the single word level. Three speakers with dysarthria and two unimpaired control participants were recorded completing a repetition task of a list of words consisting of minimal pairs of Greek disyllabic words contrasted by lexical stress location only. Fourteen listeners were asked to determine the attempted stress location for each word pair. Acoustic analyses of duration and intensity ratios, both within and across words, were undertaken to identify possible acoustic correlates of the listeners’ judgments concerning stress location. Acoustic and perceptual data indicate that while each participant with dysarthria in this study had some difficulty in signaling stress unambiguously, the pattern of difficulty was different for each speaker. Further, it was found that the relationship between the listeners’ judgments of stress location and the acoustic data was not conclusive. 相似文献
8.
《Clinical linguistics & phonetics》2013,27(12):887-900
This paper presents some findings from a case study of repair sequences in conversations between a dysarthric speaker, Chris, and her interactional partners. It adopts the methodology of interactional phonetics, where turn design, sequence organization, and variation in phonetic parameters are analysed in unison. The analysis focused on the use of segmental and prosodic variation found during attempts by Chris to repair a previously identified trouble source. The results indicate that trouble sources were extremely common in the recorded conversations, but that repair attempts were almost always communicatively successful. Analysis of the fragments revealed that repair sequences are often collaborative achievements, with the participant's conversational partners signalling the specific trouble source within a turn, or providing feedback about repair attempts. It was also observed that successful repair attempts were not always simple repetitions of the trouble source, but varied in other linguistic areas. It is suggested that intelligibility repairs should be studied using both experimental and qualitative methods. 相似文献
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