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1.
Journal of Clinical Neurology ; : 122-124, 2019.
Artigo em Inglês | WPRIM | ID: wpr-719384

RESUMO

No abstract available.


Assuntos
Distonia
2.
Psychiatry Investigation ; : 428-431, 2018.
Artigo em Inglês | WPRIM | ID: wpr-714287

RESUMO

Neurologic symptoms that develop unconsciously and are incompatible with known pathophysiologic mechanisms or anatomic pathways belong to Conversion Disorder (CD). CD diagnosis is based on the clinical history and the exclusion of physical disorders causing significant distress or social and occupational impairment. In a subgroup of CD, called functional weakness (FW), symptoms affecting limbs may be persistent, thus causing a permanent or transient loss of limb function. Physiotherapy, pharmacotherapy, hypnotherapy and repetitive transcranial magnetic stimulation (rTMS) have been proposed as treatment strategies for FW-CD. Herein, we report a 30 year-old male, presenting with lower limb functional paraparesis, having obtained positive, objectively, and stable effects from a prolonged r-TMS protocol associated to a multidisciplinary approach, including psychological and sexuological counseling, and monitored by gait analysis. We postulate that our rTMS protocol, combined with a multidisciplinary approach may be the proper treatment strategy to improve FW-CD.


Assuntos
Humanos , Masculino , Encéfalo , Transtorno Conversivo , Aconselhamento , Diagnóstico , Tratamento Farmacológico , Extremidades , Marcha , Hipnose , Extremidade Inferior , Manifestações Neurológicas , Paraparesia , Estimulação Magnética Transcraniana
3.
Imaging Science in Dentistry ; : 37-44, 2013.
Artigo em Inglês | WPRIM | ID: wpr-105256

RESUMO

PURPOSE: The aim of this study was to analyze three-dimensional images of the arterial supply to the temporomandibular joint. MATERIALS AND METHODS: Ten patients (five men and five women, mean age 36 years) without signs or symptoms of temporomandibular disorders, who underwent contrast-enhanced computed tomographic (CT) scanning with intravenous contrast, were studied. The direct volume rendering technique of CT images was used, and a data set of images to visualize the vasculature of the human temporomandibular joint in three dimensions was created. After elaboration of the data through post-processing, the arterial supply of the temporomandibular joint was studied. RESULTS: The analysis revealed the superficial temporal artery, the anterior tympanic artery, the deep temporal artery, the auricular posterior artery, the transverse facial artery, the middle meningeal artery, and the maxillary artery with their branches as the main arterial sources for the lateral and medial temporomandibular joint. CONCLUSION: The direct volume rendering technique was found to be successful in the assessment of the arterial supply to the temporomandibular joint. The superficial temporal artery and maxillary artery ran along the lateral and medial sides of the condylar neck, suggesting that these arteries are at increased risk during soft-tissue procedures such as an elective arthroplasty of the temporomandibular joint.


Assuntos
Feminino , Humanos , Masculino , Artérias , Artroplastia , Imageamento Tridimensional , Imageamento por Ressonância Magnética , Artéria Maxilar , Artérias Meníngeas , Pescoço , Artérias Temporais , Articulação Temporomandibular , Transtornos da Articulação Temporomandibular
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