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Evaluation of ultrasound guided erector spinae plane block efficacy on post operative pain in lumbar spine surgery: a randomized clinical trial. 超声引导直立器脊柱平面阻滞对腰椎手术后疼痛的疗效评价:一项随机临床试验。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.04864
Masoud Nashibi, Arash Tafrishinejad, Farhad Safari, Sogol Asgari, Parisa Sezari, Kamran Mottaghi

Objectives: Patients suffer notable levels of pain after lumbar spine surgery. The primary objective of this randomized clinical trial is to investigate the efficacy of erector spinae plane block (ESPB) on 24-h post-operative pain score of patients undergoing lumbar spine surgery. Cumulative opioid consumption and intraoperative bleeding were assessed as well.

Methods: Adult patient candidates for elective lumbar spine surgery were randomly assigned to case (ESPB) and control (no ESPB) groups. The block was performed under ultrasound guidance in prone position after induction of general anesthesia. Both groups received the same anesthesia medication and technique. Post-operative pain score, number of patients requiring rescue analgesia (meperidine), total amount of post-operative rescue analgesic demand in the first 24 h, and intraoperative bleeding were recorded. To compare pain score variable in time span, the ANOVA repeated measure test was used. All the statistical tests were two tailed and p<0.05 considered as statistically significant.

Results: In all time intervals, pain score in case group was significantly lower than control group. In case group, eight patients demanded rescue analgesic (40%) which was significantly lower than that in control group (15 patients [75%]) (p=0.025). Total amount of meperidine consumption was 57.50±45.95 in control group and 22.50±32.34 in case group (p=0.01) which was higher in control group and statistically significant.

Conclusion: ESPB reduces post-operative pain score and opioid consumption, while it does not affect intraoperative bleeding in lumbar spine surgery.

目的:腰椎手术后患者疼痛程度显著。本随机临床试验的主要目的是探讨竖脊肌平面阻滞(ESPB)对腰椎手术患者术后24小时疼痛评分的影响。同时评估阿片类药物累积用量和术中出血。方法:选择腰椎择期手术的成年患者随机分为病例组(ESPB)和对照组(无ESPB)。全麻诱导后,在超声引导下俯卧位进行阻滞。两组均采用相同的麻醉药物和麻醉技术。记录两组患者术后疼痛评分、需抢救镇痛(哌哌啶)患者人数、术后24 h抢救镇痛总需求量及术中出血量。比较疼痛评分变量在时间跨度上的差异,采用方差分析重复测量检验。结果:病例组疼痛评分在所有时间间隔内均显著低于对照组。病例组有8例(40%)患者需要抢救性镇痛,显著低于对照组(15例[75%])(p=0.025)。对照组用药总用量为57.50±45.95,病例组为22.50±32.34 (p=0.01),对照组高于对照组,差异有统计学意义。结论:ESPB可降低腰椎手术患者术后疼痛评分和阿片类药物消耗,但对术中出血无影响。
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引用次数: 4
Erector spinae plane catheter for pain management of multiple rib fractures: Anecdotal records of cases with blunt chest trauma. 竖脊平面导管用于治疗多发肋骨骨折的疼痛:钝性胸外伤病例的轶事记录。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.14744/agri.2020.39327
Hande Gürbüz, Nalan Demir

High-energy chest wall traumas usually lead to multiple rib fractures associated with high morbidity and mortality. Pulmonary morbidity in patients with multiple rib fractures results from the impaired gas exchange from the pulmonary contusion areas and compromised breathing mechanics as a result of severe pain. Thus, analgesia plays a key role in the management of rib fractures. Erector spinae plane (ESP) block is a newly described technique and it has come into use in emergency departments for posterior rib fractures. ESP blocks can be administered in patients under anticoagulant therapy in the intensive care unit because the relevant area is located relatively superficial and far from the major vascular structures. In this report, anecdotal records of three patients with multiple rib fractures who had real benefits from ESP blocks are presented. This report highlights the bilateral extent of the sensory block after unilateral injection, the effect of ESP blocks on weaning from mechanical ventila-tion, and dramatic improvement in arterial blood gases analysis following ESP catheter insertion.

高能胸壁创伤通常导致多发肋骨骨折,发病率和死亡率高。多发肋骨骨折患者的肺部发病是由于肺挫伤区域的气体交换受损以及剧烈疼痛导致的呼吸力学受损。因此,镇痛在肋骨骨折的治疗中起着关键作用。竖脊平面(ESP)阻滞是一种新出现的技术,已在急诊科用于治疗后肋骨骨折。在重症监护病房接受抗凝治疗的患者可以使用ESP阻滞,因为相关区域位于相对浅表且远离主要血管结构。在这篇报道中,我们介绍了3例多处肋骨骨折患者的轶事记录,他们从ESP阻滞中获得了真正的好处。本报告强调了单侧注射后感觉阻滞的双侧程度,ESP阻滞对机械通气脱机的影响,以及插入ESP导管后动脉血气分析的显着改善。
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引用次数: 1
Interactions between the painful disorders and the autonomic nervous system. 疼痛障碍和自主神经系统之间的相互作用。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.43078
Doruk Arslan, Işın Ünal Çevik

he autonomic nervous system (ANS) controls the heart rate, blood pressure, digestion, respiration, pupillary reactivity, sweating, urination, sexual arousal, and regulates the functions of internal organs. This system provides the homeostasis of the cells, tissues, and organs throughout the body and protects against the disturbances imposed by the external and internal stressors. The ANS has three main divisions: The sympathetic nervous system (SNS), the parasympathetic nervous system (PNS), and the enteric nervous system. In general, the SNS and PNS have opposing effects. Each region belonging to the 'pain matrix' interacts with ANS. The descending system regulates pain and creates a regulatory effect by the contribution of aminergic neurotransmitters. Hypothalamus, amygdala, and periaqueductal gray are the main structures of this regulatory system. Dysfunction of the ANS is frequently observed in pain patients. The SNS induce, facilitate, or potentiate chronic pain. Increased responsiveness of injured sensory nerves to catecholamines, increased expression of α-1 adrenoreceptors on the primary afferent nociceptors and hyperalgesic skin, central sensitization rendering Aβ mechanoreceptors, enhanced discharge and sympathetic sprouting in dorsal root ganglia, central sensitization, and dysfunction of the pain modulation is proposed mechanisms. In this review, the anatomical, physiological and pathological aspects of ANS and pain, and laboratory tests to evaluate autonomic functions will be discussed. Pathophysiological role of ANS in migraine, trigeminal autonomic cephalgias, trigeminal neuralgia, peripheral nerve injuries, small fiber neuropathies, myofascial pain syndrome, fibromyalgia, painful joint diseases, visceral pain, phantom limb pain, complex regional pain syndrome, and spinal cord injury will be discussed.

自主神经系统(ANS)控制心率、血压、消化、呼吸、瞳孔反应、出汗、排尿、性唤起,并调节内脏的功能。这个系统提供了细胞、组织和全身器官的稳态,并保护免受外部和内部压力源施加的干扰。ANS有三个主要部分:交感神经系统(SNS)、副交感神经系统(PNS)和肠神经系统。一般来说,SNS和PNS的作用是相反的。属于“疼痛矩阵”的每个区域都与ANS相互作用。下行系统调节疼痛,并通过胺能神经递质的贡献产生调节作用。下丘脑、杏仁核和导水管周围灰质是这一调节系统的主要结构。在疼痛患者中经常观察到ANS功能障碍。SNS诱导、促进或增强慢性疼痛。损伤的感觉神经对儿茶酚胺的反应性增加,初级传入伤害感受器和痛觉过敏皮肤α-1肾上腺素受体表达增加,中枢致敏使Aβ机械感受器,背根神经节放电和交感神经萌芽增强,中枢致敏和疼痛调节功能障碍可能是其机制。在这篇综述中,将讨论ANS和疼痛的解剖、生理和病理方面,以及评估自主神经功能的实验室测试。将讨论ANS在偏头痛、三叉神经自主神经痛、三叉神经痛、周围神经损伤、小纤维神经病变、肌筋膜疼痛综合征、纤维肌痛、关节疼痛疾病、内脏痛、幻肢痛、复杂区域疼痛综合征和脊髓损伤中的病理生理作用。
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引用次数: 16
Platelet-rich plasma in the management of trigger finger: A case report. 富血小板血浆治疗扳机指:1例报告。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.03064
Ivan Medina-Porqueres, Pablo Martin-Garcia, Sofia Sanz-De-Diego, Marcelo Reyes-Eldblom

Platelet-rich plasma (PRP) has emerged as a viable therapeutic alternative for a number of clinical applications and has potential benefit for use in trigger finger. However, PRP use has not been previously reported for this condition. We report a 63-year-old woman sustaining a refractory trigger finger after a series of three PRP injections over a 2-week period. There was resolution of triggering, with no symptom recurrence at 3-month follow-up. On the basis of this report, we can assume that the treatment of trigger finger with PRP is a promising therapeutic option to be further explored with larger samples and high-quality studies.

富血小板血浆(PRP)已成为一种可行的治疗方案,用于许多临床应用,并有潜在的好处,用于扳机指。然而,PRP的使用以前没有报道过这种情况。我们报告一位63岁的女性,在连续注射三次PRP超过两周后,出现难治性扳机指。随访3个月无症状复发。基于本报告,我们可以假设用PRP治疗扳机指是一种很有前景的治疗选择,需要通过更大的样本和高质量的研究来进一步探索。
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引用次数: 1
Results of ultrasound-guided interfascial block of the trapezius muscle for myofascial pain. 超声引导下斜方肌筋膜间阻滞治疗肌筋膜疼痛的结果。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.98048
Tülin Arıcı, İdris Şevki Köken

Objectives: Myofascial pain syndrome (MPS) is a regional pain syndrome that causes pain due to hyperirritable trigger points in the musculoskeletal system. Trapezius is one of the most commonly affected muscles in MPS. We aimed to evaluate the efficacy of an ultrasound-guided interfascial block of the trapezius muscle in patients with MPS.

Methods: The records of patients who underwent an ultrasound-guided interfascial block of the trapezius between November 2019 and October 2020 were retrospectively examined. The pain levels of the patients were evaluated with the numeric rating scale (NRS). Patients with a reduction in pain ≥50% after the procedure were considered to have benefited from the procedure.

Results: A total of 54 patients (41 women and 13 men) were evaluated. The mean NRS values of the patients were 7.16 (5-9) before the procedure, 3.31 (0-8) 10 min after the procedure, and 3.37 (0-8) 1 week after the procedure. The number of patients who benefited from the procedure was 40 (74.07%) 10 min after the procedure. The number of patients who benefited from the procedure for up to 1 week, 1-2 weeks, 2 weeks-1 month, 1-3 months, and more than 3 months after the procedure was 38 (70.37%), 36 (66.66%), 31 (57.40%), 26 (48.14%), and 17 (31.48%), respectively.

Conclusion: Pain relief lasting for months was achieved in most of the patients. We believe that ultrasound-guided interfascial block of the trapezius is effective for the treatment of MPS.

目的:肌筋膜疼痛综合征(MPS)是一种区域性疼痛综合征,由于肌肉骨骼系统的高激触发点引起疼痛。斜方肌是MPS中最常见的受累肌肉之一。我们的目的是评估超声引导下斜方肌筋膜间阻滞治疗MPS患者的疗效。方法:回顾性分析2019年11月至2020年10月超声引导下斜方肌筋膜间阻滞患者的记录。采用数字评定量表(NRS)评定患者的疼痛程度。术后疼痛减轻≥50%的患者被认为受益于该手术。结果:共评估54例患者(女41例,男13例)。患者术前平均NRS值为7.16(5 ~ 9),术后10 min平均NRS值为3.31(0 ~ 8),术后1周平均NRS值为3.37(0 ~ 8)。术后10分钟受益的患者为40例(74.07%)。术后1周、1-2周、2周-1个月、1-3个月和3个月以上受益的患者分别为38例(70.37%)、36例(66.66%)、31例(57.40%)、26例(48.14%)和17例(31.48%)。结论:多数患者均能获得持续数月的疼痛缓解。我们相信超声引导下斜方肌筋膜间阻滞是治疗MPS的有效方法。
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引用次数: 0
The attitudes of Turkish physicians in the treatment of fibromyalgia; is 'Pregabalinophobia' the new reality of pain medicine? 土耳其医生治疗纤维肌痛的态度“普瑞巴林恐惧症”是止痛药的新现实吗?
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.58235
Sertaç Ketenci, Birzat Emre Gölboyu, Ender Salbaş, Bora Uzuner, Bahadır Çiftçi

Objectives: This study aims to determine the treatment preferences of physicians interested in fibromyalgia treatment and to investigate their hesitations about prescribing pregabalin.

Methods: Our survey study was conducted between February 5 and 20, 2021. The survey forms were sent to the known email addresses and phone numbers of 1569 physical medicine and rehabilitation (PMR), algology, and rheumatology physicians. The replies to the surveys were checked for possible resubmissions. The pooled data were evaluated with the SPSS 22.0 statistical package program. Frequency distributions were calculated and presented as n, %.

Results: Four hundred and six PMR, rheumatology, and algology specialists fulfilled the study forms. About 59.0% of physicians stated that they prefer duloxetine as the first-line agent of fibromyalgia syndrome (FMS) treatment. Pregabalin was only 6.0% of the physicians' first choice for FMS. About 35.0% of the participating physicians stated that the PMR department should follow up FMS patients. About 44.3% of the participants noted that they refer FMS patients to other departments which interested in FMS treatment and do not want to follow-up FMS patients. About 81% agreed that pregabalin causes addiction. About 36.7% stated that at least 20% of the patients could abuse pregabalin and 97.8% of physicians stated that they were prejudiced about prescribing pregabalin to prisoners. Approximately two of the three physicians experienced an act of violence in their hospital regarding pregabalin prescribing.

Conclusion: These data showed that the 'Pregabalinophobia' should be accepted. This condition is associated with life safety concerns of the physician not only from unreliability of the drug. It seems that the doctors have valid reasons to develop this prejudice.

目的:本研究旨在确定对纤维肌痛治疗感兴趣的医生的治疗偏好,并调查他们对处方普瑞巴林的犹豫。方法:我们的调查研究于2021年2月5日至20日进行。调查表格被发送到1569名物理医学与康复(PMR)、风湿病学和风湿病学医生的已知电子邮件地址和电话号码。对调查的答复进行了检查,看是否有可能再次提交。采用SPSS 22.0统计软件包程序对合并数据进行评价。计算频率分布,并以n, %表示。结果:460名PMR、风湿病学和藻类学专家填写了研究表格。约59.0%的医生表示,他们更倾向于度洛西汀作为纤维肌痛综合征(FMS)治疗的一线药物。普瑞巴林仅占FMS首选药物的6.0%。约35.0%的受访医生认为PMR科应该对FMS患者进行随访。约44.3%的参与者指出,他们将FMS患者转介到对FMS治疗感兴趣的其他部门,而不想随访FMS患者。约81%的人认为普瑞巴林会导致成瘾。约36.7%的人表示至少有20%的病人可能滥用普瑞巴林,97.8%的医生表示他们对给囚犯开普瑞巴林有偏见。三名医生中约有两人在其医院因开普瑞巴林处方而遭受暴力行为。结论:这些数据表明“普瑞巴林恐惧症”应该被接受。这种情况不仅与药物的不可靠性有关,而且与医生的生命安全问题有关。医生们似乎有充分的理由产生这种偏见。
{"title":"The attitudes of Turkish physicians in the treatment of fibromyalgia; is 'Pregabalinophobia' the new reality of pain medicine?","authors":"Sertaç Ketenci,&nbsp;Birzat Emre Gölboyu,&nbsp;Ender Salbaş,&nbsp;Bora Uzuner,&nbsp;Bahadır Çiftçi","doi":"10.14744/agri.2021.58235","DOIUrl":"https://doi.org/10.14744/agri.2021.58235","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to determine the treatment preferences of physicians interested in fibromyalgia treatment and to investigate their hesitations about prescribing pregabalin.</p><p><strong>Methods: </strong>Our survey study was conducted between February 5 and 20, 2021. The survey forms were sent to the known email addresses and phone numbers of 1569 physical medicine and rehabilitation (PMR), algology, and rheumatology physicians. The replies to the surveys were checked for possible resubmissions. The pooled data were evaluated with the SPSS 22.0 statistical package program. Frequency distributions were calculated and presented as n, %.</p><p><strong>Results: </strong>Four hundred and six PMR, rheumatology, and algology specialists fulfilled the study forms. About 59.0% of physicians stated that they prefer duloxetine as the first-line agent of fibromyalgia syndrome (FMS) treatment. Pregabalin was only 6.0% of the physicians' first choice for FMS. About 35.0% of the participating physicians stated that the PMR department should follow up FMS patients. About 44.3% of the participants noted that they refer FMS patients to other departments which interested in FMS treatment and do not want to follow-up FMS patients. About 81% agreed that pregabalin causes addiction. About 36.7% stated that at least 20% of the patients could abuse pregabalin and 97.8% of physicians stated that they were prejudiced about prescribing pregabalin to prisoners. Approximately two of the three physicians experienced an act of violence in their hospital regarding pregabalin prescribing.</p><p><strong>Conclusion: </strong>These data showed that the 'Pregabalinophobia' should be accepted. This condition is associated with life safety concerns of the physician not only from unreliability of the drug. It seems that the doctors have valid reasons to develop this prejudice.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":"34 3","pages":"200-209"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retrospective evaluation of patients with cervical spinal cord stimulator. 颈脊髓刺激器患者的回顾性评价。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.59837
Dostali Aliyev, Güngör Enver Özgencil

Objectives: Chronic pain is a cause that negatively affects quality of life and functional capacity. Spinal cord stimulation is used for various painful indications such as failed back surgery syndrome, complex regional pain syndrome (CRPS), and peripheral vascular disease (PVD). Our aim is to retrospectively investigate the effectiveness of cervical spinal cord stimulator therapy in nine patients.

Methods: Nine patients with chronic pain in the upper extremity who did not benefit from medical (pharmacological, physical therapy, etc.) and algological interventional procedures (such as nerve blocks) were included in the study. Cervical spinal cord stimulator was applied to these patients in our pain clinic between January 1, 2016, and January 1, 2019. The pain levels and analgesic and antiepileptic drug doses of the patients before and after the procedure were analyzed.

Results: The mean age of patients was 51.8±14.6% (29-76), 44.4% (4) were female and 55.6% (5) were male. Indications for cervical spinal cord stimulator insertion were CRPS type 1 (five patients), CRPS type 2 (two patients), previous neck surgery (one patient), and pain syndrome due to PVD (one patient). After the procedure, we saw a statistical decrease in the pain levels and drug doses of the study patients. SPSS 22.0 statistics package program was used to evaluate the data. NPar and Friedman tests were used for comparisons. Continuous variables are given as mean±standard deviation. p<0.05 was considered statistically significant.

Conclusion: Cervical spinal cord stimulator is an effective method in the treatment of neck and upper extremity chronic pain.

目的:慢性疼痛是负面影响生活质量和功能的一个原因。脊髓刺激用于各种疼痛指征,如背部手术失败综合征、复杂区域疼痛综合征(CRPS)和周围血管疾病(PVD)。我们的目的是回顾性研究9例患者颈脊髓刺激器治疗的有效性。方法:选取9例上肢慢性疼痛患者,均未接受药物(药理、物理治疗等)和神经阻滞等外科介入治疗。这些患者于2016年1月1日至2019年1月1日在我们的疼痛门诊使用颈脊髓刺激器。分析手术前后患者疼痛程度及镇痛、抗癫痫药物剂量。结果:患者平均年龄为51.8±14.6%(29-76岁),其中女性44.4%(4岁),男性55.6%(5岁)。颈脊髓刺激器插入适应症为CRPS 1型(5例)、CRPS 2型(2例)、既往颈部手术(1例)、PVD所致疼痛综合征(1例)。手术后,我们看到研究患者的疼痛程度和药物剂量有统计学上的下降。采用SPSS 22.0统计软件包程序对数据进行评价。采用NPar和Friedman检验进行比较。连续变量以平均值±标准差表示。结论:颈脊髓刺激器是治疗颈上肢慢性疼痛的有效方法。
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引用次数: 1
A novel combination technique (ultrasound-guided subomohyoid suprascapular+posterior axillary nerve block) provides opioid-free perioperative analgesia in shoulder arthroplasty. 超声引导肩胛上肩胛下舌骨下+腋后神经阻滞的新型联合技术为肩关节置换术提供了无阿片类药物的围手术期镇痛。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.09471
Ali Eman, Onur Balaban, Serbülent Gökhan Beyaz
{"title":"A novel combination technique (ultrasound-guided subomohyoid suprascapular+posterior axillary nerve block) provides opioid-free perioperative analgesia in shoulder arthroplasty.","authors":"Ali Eman,&nbsp;Onur Balaban,&nbsp;Serbülent Gökhan Beyaz","doi":"10.14744/agri.2021.09471","DOIUrl":"https://doi.org/10.14744/agri.2021.09471","url":null,"abstract":"","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":"34 3","pages":"225-226"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40485368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of COVID-19 pandemic on pre-existing shoulder problems: Is telerehabilitation a useful tool for physical therapy? COVID-19大流行对已有肩部问题的影响:远程康复是物理治疗的有用工具吗?
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.17363
Sena Tolu, Aylin Rezvani, Nurbanu Hindioğlu, Ahmet Üşen
{"title":"Impact of COVID-19 pandemic on pre-existing shoulder problems: Is telerehabilitation a useful tool for physical therapy?","authors":"Sena Tolu,&nbsp;Aylin Rezvani,&nbsp;Nurbanu Hindioğlu,&nbsp;Ahmet Üşen","doi":"10.14744/agri.2021.17363","DOIUrl":"https://doi.org/10.14744/agri.2021.17363","url":null,"abstract":"","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":"34 3","pages":"227-228"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40485369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bilateral papilledema caused by brucellosis mimicking pseudotumor cerebri. 由模拟假脑瘤的布鲁氏菌病引起的双侧乳头水肿。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.14744/agri.2020.20053
Tuğçe Mengi, Mehmet Çelebisoy

In this article, we report a patient with migraine who was hospitalized with a prediagnosis of pseudotumor cerebri and diagnosed as neurobrucellosis with isolated intracranial hypertension presentation. A 22-year-old woman was admitted to emergency department with a complaint of headache. Her anamnesis indicated that she had migraine for 7 years. Neurological examination revealed bilateral papilledema. Cranial magnetic resonance imaging was normal. Cerebrospinal fluid (CSF) examination revealed 80 lymphocytes per mm3 with 178 mg/dL protein. Opening pressure was 260 mmH2O. Brucella tube agglutination and Rose Bengal tests were positive in blood and CSF. She was diagnosed as neurobrucellosis. If the systemic findings are insignificant and neurological findings are atypical such as isolated papillary edema, neurobrucellosis may not be considered and its diagnosis may be delayed. We believe that brucella serology should be included in the diagnostic protocols in endemic areas. Thus, early diagnosis and appropriate treatment can prevent complications of neurobrucellosis.

在这篇文章中,我们报告了一位偏头痛患者,他因假脑瘤而住院,诊断为神经布鲁氏菌病并孤立的颅内高压表现。一名22岁女子因头痛主诉入院急诊科。她的记忆显示她有七年的偏头痛。神经学检查显示双侧乳头水肿。颅脑磁共振成像正常。脑脊液(CSF)检查显示每mm3 80个淋巴细胞,蛋白178 mg/dL。开启压力为260 mmH2O。血液和脑脊液布鲁氏菌管凝集和玫瑰试验呈阳性。她被诊断为神经布鲁氏菌病。如果全身表现不明显,神经系统表现不典型,如孤立的乳头状水肿,则可能不考虑神经布鲁氏菌病,其诊断可能会延迟。我们认为,布鲁氏菌血清学应纳入流行地区的诊断方案。因此,早期诊断和适当治疗可以预防神经布鲁氏菌病的并发症。
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引用次数: 0
期刊
Agri-The Journal of the Turkish Society of Algology
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