PICKWICKIAN SYNDROME

PEDIATRICS ◽  
1979 ◽  
Vol 64 (3) ◽  
pp. 385-385
Author(s):  
M. Yirka

A classic description of the association of the signs and symptoms of the PICKWICKIAN SYNDROME was written by Charles Dickens. The author refers to "a fat and red-faced boy in a state of somnolency." This boy was subsequently addressed as YOUNG DROPSY, YOUNG OPIUM-EATER AND YOUNG BOA CONSTRICTOR—no doubt in reference to his obesity, his somnolence and his excessive appetite. A characteristic of these patients is an extraordinary degree of somnolence in which sleep may overcome the patient while he is sitting up or even while he is engaged in conversation or other muscular activity.

2021 ◽  
Vol 10 (3) ◽  
pp. e38810313468
Author(s):  
Carolina Carvalho Bortoletto ◽  
Fernanda Yukie Kobayashi ◽  
Lara Jansiski Motta ◽  
Raquel Agnelli Mesquita-Ferrari ◽  
Kristianne Porta Santos Fernandes ◽  
...  

Objective: Sleep bruxism (SB) is considered masticatory muscle activities that occur during sleep, which can interfere in stomatognathic system function. When treatment occurs earlier, most of the signs and symptoms can be prevented. However, there are few studies about treatment in early ages. Thus, the present study aimed to evaluate muscle activity and bite force changes after massage therapy (MT) and the use of occlusal splints (OST) for children with SB. Methodology: Forty-eight children were divided into 4 groups after SB diagnosis, according to the American Academy of Sleep Medicine’s criteria: Group 1–without bruxism; Group 2–SB, MT treated; Group 3–SB, OST treated for 30 days; Group 4–SB, not treated.  Children were submitted to initial and final bite force (BF) evaluations and muscular activity, using a digital dynamometer and BiteStrip®, respectively. The results were computed and statistical analysis performed using SPSS 20.0 program, with a significant level of 95% (p ≤ 0.05). Results: Significant differences were statistically found in muscle activity in Group 3 (p = 0.003) and BF in both Groups 2 (p = 0.001) and 3 (p = 0.007). Conclusion: Results indicate that the use of OST led to a reduction in muscle activity and increase on BF in children with SB, whereas MT did not alter muscle activity, but provided an increase on BF in these children.


2008 ◽  
Vol 19 (4) ◽  
pp. 354-357 ◽  
Author(s):  
Patrícia Tiemy Hirono Hotta ◽  
Takami Hirono Hotta ◽  
César Bataglion ◽  
Rogério Fávaro Pavão ◽  
Selma Siéssere ◽  
...  

The signs and symptoms of temporomandibular dysfunction (TMD) may contribute to reduce bite force and muscular activity. The aims of this study were to compare bite force in complete denture wearers with TMD (TMD group) and without TMD (healthy group).The TMD group consisted of 9 individuals, who had worn a maxillary and a mandibular complete removable denture for more than 10 years. The healthy group consisted of 9 participants who wore dentures and had satisfactory interocclusal and maxillomandibular relationship. Helkimo Index was used to analyze the dysfunction level. Maximum bite force was measured using a digital dynamometer with capacity of 100 kgf and adapted to oral conditions.The TMD group presented smaller mean bite force values than the healthy group, though without statistical significance (p>0.05). This outcome suggests that the TMD signs and symptoms and the structural conditions of the dentures did not affect the maximal bite force of complete denture wearers.


2007 ◽  
Vol 135 (5-6) ◽  
pp. 269-274
Author(s):  
Slobodan Dodic ◽  
Miroslav Vukadinovic ◽  
Vladimir Sinobad

Introduction: Anomalies in growth and development of the craniofacial skeleton, particularly of vertical dysplasia, may be accompanied by distinct signs and symptoms of temporomandibular disorders. Vertical dysplasia followed by numerous occlusal disturbances alters muscular activity resulting in non-physiological strain on articular structures and their remodelling. Objective. The purpose of this study was to evaluate a possible assocciation between certain morphologic features of the craniofacial skeleton and the presence of signs and symptoms of temporomandibular disorders in young adults with preserved natural dentition. Method. The investigation was carried out on 30 lateral cephalometric radiographs made of 30 subjects with signs and symptoms of temporomandibular disorders. According to the values of the ANB angle (Steiner cephalometric analysis), all subjects were classified in the skeletal class 1.The control group consisted of 50 lateral cephalometric radiographs made of subjects with the skeletal class 1 without signs and symptoms of temporomandibular disorders. The roentgencraniometric analysis of lateral cephalometric radiographs included the evaluation of 20 angular dimensions. Results. The result of this study points at significant differences between the Bolton standards and the following angular dimensions in subjects with temoromandibular disorders:(S-Na)-Pg, (B-Na)-Pg, (Pns-Ans)-(Go-Gn), Occl-i, (S-Na)-i, (S-Na)-(Go-Me), (Go-Me)-i, SNB. The comparative analysis between the subjects of the experimental and the control group revealed significant differences in the values of the following angular dimensions: OccP-(Go-Po) i (S-N)-(Go-Me) at the level of p<0.001. Conclusion. The values of the analyzed angular dimensions in both subjects of the experimental and the control group show significant differences when related to the same angular dimensions in the Bolton standards. This can be explained by specific morphologic features of the craniofacial skeleton in subjects of our population. Small number of significant differences in the values of the examined angular variables between the subjects with signs and symptoms of temporomandibular disorders and subjects without such signs/symptoms can be explained by the fact that the study included young persons with the skeletal class 1 jaw relationships and relatively harmonious relations within the orofacial complex. .


2017 ◽  
Vol 2 (15) ◽  
pp. 9-23 ◽  
Author(s):  
Chorong Oh ◽  
Leonard LaPointe

Dementia is a condition caused by and associated with separate physical changes in the brain. The signs and symptoms of dementia are very similar across the diverse types, and it is difficult to diagnose the category by behavioral symptoms alone. Diagnostic criteria have relied on a constellation of signs and symptoms, but it is critical to understand the neuroanatomical differences among the dementias for a more precise diagnosis and subsequent management. With this regard, this review aims to explore the neuroanatomical aspects of dementia to better understand the nature of distinctive subtypes, signs, and symptoms. This is a review of English language literature published from 1996 to the present day of peer-reviewed academic and medical journal articles that report on older people with dementia. This review examines typical neuroanatomical aspects of dementia and reinforces the importance of a thorough understanding of the neuroanatomical characteristics of the different types of dementia and the differential diagnosis of them.


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