Spectrum of neurological disorders in pregnancy in a neurology clinic in eastern Uttar Pradesh

Background: Pregnancy-induced endocrinal and physiological changes increase the risk of neuropathy and musculoskeletal problems in pregnancy. The purpose of this study is to provide a comprehensive look at the neurological and musculoskeletal disorders occurring during pregnancy.Methods: A total of 202 antenatal women with neurological and musculoskeletal problems were enrolled for study. Their demographic characteristics were noted. Detailed clinical history and neurological examination was done. Radiological investigations including x-ray, CT head, MRI brain, MRA, MR Venography with electrophysiological NCS studies were performed accordingly.Results: Among musculoskeletal symptoms most prevalent was LBA (50%), cramps (15.7 %) followed by pelvic girdle pain (10%) and wrist pain (8,5). Among peripheral neurological disorders most common was CTS (12.37%) followed by bells palsy. Among Central neurological disorders most common was headache (26.23%), seizures (12.37%), eclampsia (2.47%), followed by Cortical venous thrombosis CVT, BIH, PRES.Conclusions: Among musculoskeletal complaints the most frequent symptoms during pregnancy were low back pain, hip joint pain, cramps and wrist pain. Among neuropathies CTS prevalence was relatively higher in pregnant women especially in third trimester and was mostly bilateral. Among central neurological symptoms headache especially migraine without aura and seizures were common while eclampsia, CVT, BIH, PRES were less common.

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Musculoskeletal Problems in Pregnancy

10.53350/pjmhs211582483 ◽

2021 ◽

Vol 15 (8) ◽

pp. 2483-2486

Author(s):

Nusrat Rasheed ◽

Sundas Karimi ◽

Muhammad Usman Sarwar ◽

Raza Askari ◽

Muhammad Azeem Akhund ◽

...

Keyword(s):

Back Pain ◽

Weight Gain ◽

Neck Pain ◽

University Hospital ◽

Musculoskeletal Symptoms ◽

Health Economy ◽

Average Weight ◽

Study Results ◽

Musculoskeletal Problems ◽

In Pregnancy

Introduction: Pregnancy induces many modifications in a woman's body which include changes in posture, changes in blood physiology, weight gain, changes in musculotendinous strength, joints, and ligaments laxity. Many researchers have suggested that the incidence of back pain in pregnancy is between 30% to 70%. The main objective of this study is to offer an extensive view of the musculoskeletal problems experienced during pregnancy and to find out the most common causes of musculoskeletal pain and symptoms in pregnancy. Materials and methods: This study was conducted at Dow University Hospital in the Department of Orthopedic Surgery from December 2020 to February 2021. After taking ethical approval from IRB (Institutional Review Board) of Dow University of Health Sciences, a total of 184 women are included in this study. Antenatal follow-ups of the patient were conducted in this study, during which certain musculoskeletal problems during pregnancy were asked. The participants who had a term pregnancy (37-42 weeks), aged between 18-45 years, during antenatal visits were included in the study. Those who had prior musculoskeletal disorders other than pregnancy e.g. rheumatoid arthritis, osteoarthritis, SLE (systemic lupus erythematosus) were excluded from the study. Results: The participants of our study had a mean age of 30.15 ± 6.80 years. Most of the participants were graduates i.e. 143(77.72%). Average weight gain during pregnancy was 13.69 ± 6.80 kg and only seven (3.80%) participants did aerobic exercise during pregnancy. Regarding timings of the musculoskeletal symptoms, most of the participants had symptoms at night i.e. 155(84.24%). The low backache was seen in 168(91.3%) participants, arthralgia was seen in 135(73.4%) participants, arthritis was seen in 69(37.5%) participants, and neck pain was seen in 64(34.8%) participants. Conclusions: Musculoskeletal problems due to pregnancy cause a huge burden on the health economy. The most common musculoskeletal problems include low backache, arthritis, arthralgia, and neck pain. Weight gain and a sedentary lifestyle during pregnancy make these problems even worse. Further studies on a larger scale are needed to validate the results of this study. Keywords: Musculoskeletal problems, Pregnancy, Arthritis, Arthralgia, Low back pain, Neck pain

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Musculoskeletal problems in pregnancy

Rheumatology International ◽

10.1007/s00296-014-3135-7 ◽

2014 ◽

Vol 35 (4) ◽

pp. 581-587 ◽

Cited By ~ 13

Author(s):

Molly Thabah ◽

Vinod Ravindran

Keyword(s):

Musculoskeletal Problems ◽

In Pregnancy

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Physical exercise and pelvic girdle pain in pregnancy: A nested case–control study within the Danish National Birth Cohort

Sexual & Reproductive Healthcare ◽

10.1016/j.srhc.2015.04.004 ◽

2015 ◽

Vol 6 (4) ◽

pp. 198-203 ◽

Cited By ~ 6

Author(s):

Linda Kahr Andersen ◽

Mette Backhausen ◽

Hanne Kristine Hegaard ◽

Mette Juhl

Keyword(s):

Physical Exercise ◽

Birth Cohort ◽

Case Control Study ◽

Case Control ◽

Pelvic Girdle ◽

Pelvic Girdle Pain ◽

Danish National Birth Cohort ◽

Nested Case Control ◽

Control Study ◽

In Pregnancy

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Association of Pelvic Alignment and Posture in Pregnancy with Lower Back or Pelvic Girdle Pain During Postpartum Recovery: Myth or Reality? A Systematic Review

Journal of Gynecology and Womens Health ◽

10.19080/jgwh.2021.21.556074 ◽

2021 ◽

Vol 21 (5) ◽

Author(s):

Asuka Sakamoto

Keyword(s):

Systematic Review ◽

Pelvic Girdle ◽

Pelvic Girdle Pain ◽

Lower Back ◽

Postpartum Recovery ◽

In Pregnancy

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Study of etiological factors in unilateral maxillary chronic sinusitis

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20164806 ◽

2016 ◽

Vol 3 (1) ◽

pp. 88

Author(s):

D. Chandrika ◽

Anantharaju G. S.

Keyword(s):

Maxillary Sinusitis ◽

Clinical History ◽

Causative Factor ◽

Successful Outcome ◽

Dental Infection ◽

Deviated Nasal Septum ◽

Detailed Clinical History ◽

Chronic Maxillary Sinusitis ◽

Symptoms And Signs

Background: Chronic rhinosinusitis is an extremely prevalent disorder which has significant effect on quality of life of affected individual. Varied symptomatology and varied etiology of unilateral chronic maxillary rhinosinusitis requires a comprehensive approach by otorhinolaryngologist. The objectives of the study were to evaluate the causative factor of unilateral chronic maxillary sinusitis and to study clinical presentation of unilateral chronic maxillary sinusitis. Methods: 50 patients with symptoms and signs suggestive of unilateral chronic maxillary sinusitis were evaluated. All were subjected to detailed clinical history, ENT examination including complete orodental examination, diagnostic nasal endoscopy, intra oral peri apical radiographs, CT scan of para nasal sinuses. Results: Of total of 50 patients studied, gross deviated nasal septum (DNS) is commonest cause of chronic unilateral maxillary sinusitis followed by dental infection of upper premolars. Conclusions: This study was carried out with an effort to find out etiology of unilateral chronic maxillary sinusitis as identification of etiology will help in successful outcome of the treatment.

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CLINICAL STUDY OF PAIN IN RIGHT ILIAC FOSSA

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i8.1365 ◽

2020 ◽

Vol 4 (8) ◽

Author(s):

Saurabh Kothari ◽

Manjula Kothari ◽

Shree Mohan Joshi ◽

Kalp Shandilya

Keyword(s):

Iliac Fossa ◽

Signs And Symptoms ◽

Clinical History ◽

X Ray ◽

Pain Abdomen ◽

Detailed Clinical History ◽

Right Iliac Fossa Pain ◽

Chest X Ray ◽

The Right ◽

Appendicular Mass

Background: A mass in the right iliac fossa is a common diagnostic problem encountered in clinical practice, requiring skill in diagnosis. Methods: 100 patients with signs and symptoms of right iliac fossa mass admitted in Hospital were identified and were studied by taking detailed clinical history, physical examination and were subjected to various investigations like x ray erect abdomen, chest x-ray, contrast x-ray . Result: In this study of out of 100 cases, 65.00% of cases were related to appendicular pathology either in the form of appendicular mass or appendicular abscess. There were 12.00% cases of ileocaecal tuberculosis. Conclusion: Appendicular lump remains the most common cause for right iliac fossa pain. Ileocaecal tuberculosis is one of the most important differential diagnoses for pain abdomen. Keywords: Appendicular Mass, Ileocaecal Tuberculosis, Carcinoma Caecum, Right Iliac Fossa Mass.

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The Pattern of Neurological Disorders; Revisited Prevalence Data of a Dedicated Neurology Clinic in Sudan

Case Reports in Clinical Medicine ◽

10.4236/crcm.2021.1011043 ◽

2021 ◽

Vol 10 (11) ◽

pp. 339-358

Author(s):

Muaz Elsayed ◽

Omer Aladil Abdalla Hamid ◽

Rayan Tonga ◽

Sara Misbah Elsadig ◽

Mohamed Hasan Ahmed ◽

...

Keyword(s):

Neurological Disorders ◽

Prevalence Data ◽

Neurology Clinic

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Pelvic girdle pain in pregnancy

10.31128/ajgp-01-18-4467 ◽

2018 ◽

Vol 47 (7) ◽

pp. 439-443 ◽

Cited By ~ 2

Author(s):

Charlotte Walters ◽

Simon West ◽

Tanya A Nippita

Keyword(s):

Pelvic Girdle ◽

Pelvic Girdle Pain ◽

In Pregnancy

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SPECTRUM OF MUSCULOSKELETAL DISCOMFORTSIN PREGNANT WOMEN AND IMPACT OF ANTENATALEXERCISES OR POSTURAL CARE ON STATUS OF RELIEF: A SYSTEMATIC REVIEW STUDY

International Journal of Advanced Research ◽

10.21474/ijar01/12952 ◽

2021 ◽

Vol 9 (5) ◽

pp. 1153-1157

Author(s):

Neha Shukla ◽

◽

Puja Shukla ◽

Keyword(s):

Pregnant Women ◽

Musculoskeletal Pain ◽

Developmental Stages ◽

Pelvic Girdle Pain ◽

Low Back ◽

Increased Risk ◽

Musculoskeletal Problems ◽

The Mean ◽

Review Study ◽

Induced Changes

Pregnancy is a normal physical state of womens life when they carried a 9 month developmental stages of the foetus. On these durations some pregnancy induced changes leads normal signs naturally but there is an increased risk of musculoskeletal pain or discomforts associated with increase of uterine size and mental stress of pregnant women, needed non-medicines approached like antenatal physiotherapy care. These possible pain or discomforts can make difficult to carry the pregnancy may leadsome complications. Various research studies are point out these problems of pregnant women and find out the triggers. Some studies show the spectrums of these musculoskeletal problems during pregnancy period. Various case studies are assuredtheparticular physiotherapy techniques as antenatal exercises have good impact on relief of respective musculoskeletal pain.Various researches are also covered some another aspects of musculoskeletal problems during pregnancies. In thepresent study an attempt has been made to comprehensive analysis of these review studies to identify the most common musculoskeletal problems in different stages of pregnancy and efficacy of physiotherapy techniques and antenatal exercises to overcome the problem. It was found in the spectrum analysis that most of the women (68.33 %) faced this problem during their pregnancy. On the analysis of most commonmusculoskeletal problem, the mean percent of reviews reveals showed that the most of the women found to be in muscle cramps and pain in neck and shoulder during I trimester whereas maximum women had low back pain (42.87 %) and pelvic girdle pain (11.65 %) on II and III trimester respectively. The satisfactory impacts of antenatal exercises were observed in different musculoskeletal pain by different techniques of Physiotherapy.These results can utilize to make suggestions and recommendations foradoption of suitable physiotherapy techniques in pregnancy to avoid the problem.

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Clinical spectrum of facial hypermelanosis: a descriptive study from a tertiary care centre

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20200599 ◽

2020 ◽

Vol 6 (2) ◽

pp. 212

Author(s):

Mohammed Thoyyib ◽

Roshni Menon ◽

Brinda G. David

Keyword(s):

Tertiary Care ◽

Clinical History ◽

Climatic Conditions ◽

Research Centre ◽

Tertiary Care Centre ◽

College Hospital ◽

Pigmentary Disorders ◽

Number Of Patients ◽

The Face ◽

Detailed Clinical History

Background: Facial melanosis (FM) which refers to brown, black or blue pigmentation over the face is a common cosmetic concern in Indian patients. This increased incidence could be due to remarkable diversity of Indian ethinic population. Pigmentary disorders of the face are a great cosmetic and psychological concern for the patients.Methods: This is an extensive descriptive clinico epidemiological study comprising of 1024 patients, conducted at Sri Venkateshwara Medical College Hospital and Research Centre, Puducherry, for a period of one and a half years. A detailed clinical history and examination was done, and all the clinical photographs and data were recorded. Necessary investigations like skin biopsy and patch testing was done wherever required.Results: The maximum number of patients belong to the age group of 21-35 years with a female predominance (67.2%). Among patients of FM, post inflammatory pigmentation (35.3%) was the most common comprising of 362 patients, followed by melasma (17.2%), periorbital melanosis (15.7%), seborrheic melanosis (7.5%) followed by other causes.Conclusions: FM is common in Indian skin, several of which have overlapping features, and some have defined clinical classification. Additionally, climatic conditions, cosmetic usage and social parameters predispose to the increased incidence of FM.

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