Drop foot Post Mitral Valve Replacement and Total correction of Tetralogy of Fallot: A Two Case Report

2019 ◽  
Vol 1 (2) ◽  
pp. 65
Author(s):  
Dewi Poerwandari ◽  
Daisy F Lapasi ◽  
Bayu Aji M
Keyword(s):  
Peripheral Nerve ◽  
Cardiac Rehabilitation ◽  
Nerve Stimulation ◽  
Heart Surgery ◽  
Nerve Lesion ◽  
Drop Foot ◽  
Therapeutic Exercise ◽  
Peripheral Nerve Lesion ◽  
Electrical Nerve Stimulation ◽  
First Case

Background: Peripheral nerve lesion after heart surgery was reported on brachial plexus, phrenic nerve, laryngeal recurrent nerve facial nerve, lumbosacral root and spinal cord. Incidence of peroneal communis nerve lesion after heart surgery was not much reported (0,19%). Diagnostic procedure of peripheral nerve lesion are including clinical sign and symptom,  electrophysiology studies and MRI. Rehabilitation management of peripheral nerve lesion are not only management of pain and nerve stimulation, but also walking aid beside cardiac rehabilitation due to cardiac problem.Methods: Reporting two case of peripheral nerve lesion after heart surgery. First case is a female, 37 years old suffered from drop foot two days after mitral valve replacement with mechanic valve. She got pain management, electrical nerve stimulation and therapeutic exercise beside cardiac rehabilitation program. Second case is a female, 9 years old, after total correction of Tetralogy of Fallot, got drop foot at day two. She also got pain management, electrical nerve stimulation and therapeutic exercise beside cardiac rehabilitation.Results: First case result was the drop foot getting better after she entered phase two of cardiac rehabilitation. In the second case, the drop foot was relieved at phase two cardiac rehabilitation and back to normal condition after one year after surgery.Conclusion: In these two case of drop foot after heart surgery, the drop foot was relieved after pain and rehabilitation management beside cardiac rehabilitation.

scholarly journals Drop foot Post Mitral Valve Replacement and Total correction of Tetralogy of Fallot: A Two Case Report

2019 ◽  
Vol 1 (2) ◽  
pp. 65
Author(s):  
Dewi Poerwandari ◽  
Daisy F Lapasi ◽  
Bayu Aji M
Keyword(s):  
Peripheral Nerve ◽  
Cardiac Rehabilitation ◽  
Nerve Stimulation ◽  
Heart Surgery ◽  
Nerve Lesion ◽  
Drop Foot ◽  
Therapeutic Exercise ◽  
Peripheral Nerve Lesion ◽  
Electrical Nerve Stimulation ◽  
First Case

Background: Peripheral nerve lesion after heart surgery was reported on brachial plexus, phrenic nerve, laryngeal recurrent nerve facial nerve, lumbosacral root and spinal cord. Incidence of peroneal communis nerve lesion after heart surgery was not much reported (0,19%). Diagnostic procedure of peripheral nerve lesion are including clinical sign and symptom,  electrophysiology studies and MRI. Rehabilitation management of peripheral nerve lesion are not only management of pain and nerve stimulation, but also walking aid beside cardiac rehabilitation due to cardiac problem.Methods: Reporting two case of peripheral nerve lesion after heart surgery. First case is a female, 37 years old suffered from drop foot two days after mitral valve replacement with mechanic valve. She got pain management, electrical nerve stimulation and therapeutic exercise beside cardiac rehabilitation program. Second case is a female, 9 years old, after total correction of Tetralogy of Fallot, got drop foot at day two. She also got pain management, electrical nerve stimulation and therapeutic exercise beside cardiac rehabilitation.Results: First case result was the drop foot getting better after she entered phase two of cardiac rehabilitation. In the second case, the drop foot was relieved at phase two cardiac rehabilitation and back to normal condition after one year after surgery.Conclusion: In these two case of drop foot after heart surgery, the drop foot was relieved after pain and rehabilitation management beside cardiac rehabilitation.

scholarly journals The Parameters of Transcutaneous Electrical Nerve Stimulation Are Critical to Its Regenerative Effects When Applied Just after a Sciatic Crush Lesion in Mice

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Diana Cavalcante Miranda de Assis ◽  
Êmyle Martins Lima ◽  
Bruno Teixeira Goes ◽  
João Zugaib Cavalcanti ◽  
Alaí Barbosa Paixão ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Nerve Regeneration ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Peripheral Nerve Regeneration ◽  
Light And Electron Microscopy ◽  
Nerve Crush ◽  
Electrical Nerve Stimulation ◽  
The Right ◽  
Crush Lesion

We investigated the effect of two frequencies of transcutaneous electrical nerve stimulation (TENS) applied immediately after lesion on peripheral nerve regeneration after a mouse sciatic crush injury. The animals were anesthetized and subjected to crushing of the right sciatic nerve and then separated into three groups: nontreated, Low-TENS (4 Hz), and High-TENS (100 Hz). The animals of Low- and High-TENS groups were stimulated for 2 h immediately after the surgical procedure, while the nontreated group was only positioned for the same period. After five weeks the animals were euthanized, and the nerves dissected bilaterally for histological and histomorphometric analysis. Histological assessment by light and electron microscopy showed that High-TENS and nontreated nerves had a similar profile, with extensive signs of degeneration. Conversely, Low-TENS led to increased regeneration, displaying histological aspects similar to control nerves. High-TENS also led to decreased density of fibers in the range of 6–12 μm diameter and decreased fiber diameter and myelin area in the range of 0–2 μm diameter. These findings suggest that High-TENS applied just after a peripheral nerve crush may be deleterious for regeneration, whereas Low-TENS may increase nerve regeneration capacity.

scholarly journals Foot Drop due to Central cause – A Case Report on Bilateral Parasagittal Meningioma

2014 ◽  
Vol 4 (1) ◽  
pp. 52-55
Author(s):  
R Habib ◽  
SB Mizan ◽  
A Rahman ◽  
NB Bhowmik ◽  
A Haque
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Pyramidal Tract ◽  
Foot Drop ◽  
Nerve Lesion ◽  
Drop Foot ◽  
Peripheral Nerve Lesion ◽  
The Central Nervous System ◽  
Parasagittal Meningioma

Most clinicians consider a peripheral nerve lesion in patients with drop foot. However, causes stemming from the central nervous system represent rare, important, and underappreciated differential etiologies. Central causative lesions usually occur at locations where pyramidal tract connections are condensed and specific and the function is somatotopically organized. Here we report case presenting as central foot drop or spastic foot-drop and other myriad clinical features which after investigations was found due to bilateral parasagittal meningiomas. DOI: http://dx.doi.org/10.3329/birdem.v4i1.18559 Birdem Med J 2014; 4(1): 52-55

scholarly journals MicroRNA machinery responds to peripheral nerve lesion in an injury-regulated pattern

Neuroscience ◽  
2011 ◽  
Vol 190 ◽  
pp. 386-397 ◽  
Author(s):  
D. Wu ◽  
M. Raafat ◽  
E. Pak ◽  
S. Hammond ◽  
A.K. Murashov
Keyword(s):  
Peripheral Nerve ◽  
Nerve Lesion ◽  
Peripheral Nerve Lesion

Sensory profiles and immune-related expression patterns of patients with and without neuropathic pain after peripheral nerve lesion

Pain ◽  
2019 ◽  
Vol 160 (10) ◽  
pp. 2316-2327 ◽  
Author(s):  
Melissa Held ◽  
Franziska Karl ◽  
Eva Vlckova ◽  
Aneta Rajdova ◽  
Fabiola Escolano-Lozano ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Peripheral Nerve ◽  
Expression Patterns ◽  
Nerve Lesion ◽  
Peripheral Nerve Lesion ◽  
Sensory Profiles

Acute pain

2021 ◽  
pp. 1151-1180
Author(s):  
Adrian Dashfield ◽  
David Kibblewhite
Keyword(s):  
Pain Management ◽  
Epidural Analgesia ◽  
Peripheral Nerve ◽  
Acute Pain ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Electrical Nerve Stimulation ◽  
Analgesic Drugs ◽  
Peripheral Nerve Blockade ◽  
Inflammatory Drugs

This chapter discusses the management of acute pain. It begins with an introduction which describes the benefits of acute pain management and the measurement of pain. Analgesic drugs are then described, including paracetamol; non-steroidal anti-inflammatory drugs (NSAIDs), and opioids (including their comparative efficacy). Patient-controlled analgesia (PCA), epidural analgesia, and continuous peripheral nerve blockade are described. Transcutaneous electrical nerve stimulation (TENS) and acupuncture are discussed. The management of the patient with persistent pain and a substance misuse disorder is also discussed. The chapter concludes with a discussion of non-opioid adjuvant analgesics.

Sign in / Sign up

Export Citation Format

Share Document