Navegando por Palavras-chave "peripheral nervous system"

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    Morphometric studies of the muscular branch of the median nerve
    (Cambridge Univ Press, 1996-10-01) Olave, Enrique [UNIFESP]; Prates, José Carlos [UNIFESP]; Gabrielli, Carla [UNIFESP]; Pardi, Paulo Celso [UNIFESP]; UNIV LA FRONTERA; Universidade Federal de São Paulo (UNIFESP)
    The branch from the median nerve to the thenar muscles has a proximal and lateral (recurrent) course and is vulnerable to lesions that affect these muscles. Because of its anatomical-clinical importance, this branch was studied in 60 palmar regions from 30 cadavers of adult individuals of both sexes, aged between 23 and 77 y. It arose from the lateral branch of the median nerve in 83.3% of the cases. Its origin was distal to the flexor retinaculum in 48.3%, at the distal margin of the retinaculum in 31.6%, in the carpal tunnel in 18.3% and proximal to the retinaculum in 1.7%; it pierced the retinaculum in 15%. The point of recurrence of the branch was localised topographically to 34.6 +/- 3.6 mm from the distal wrist crease; the angle between its recurrent course and the longitudinal axis of the hand averaged 66.8 degrees. In 50% of the cases the muscular branch innervated abductor pollicis brevis (APE), opponens pollicis (OF) and the superficial head of flexor pollicis brevis (FPB), in 40% it supplied only APE and OF, and in 10% a short muscular branch gave rise to independent branches in the palm and which supplied APE, OP and the superficial head of FPB. The so called 'accessory thenar branch' was found in 38.3%.
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    Neurological complications of solid organ transplantation
    (Assoc Arquivos Neuro- Psiquiatria, 2017) Pedroso, Jose Luiz [UNIFESP]; Dutra, Livia Almeida [UNIFESP]; Braga-Neto, Pedro; Abrahao, Agessandro [UNIFESP]; Clares de Andrade, Joao Brainer [UNIFESP]; da Silva, Gabriel Lopes [UNIFESP]; Viana, Laila Almeida [UNIFESP]; Medina Pestana, Jose Osmar [UNIFESP]; Barsottini, Orlando G. [UNIFESP]
    Solid organ transplantation is a significant development in the treatment of chronic kidney, liver, heart and lung diseases. This therapeutic approach has increased patient survival and improved quality of life. New surgical techniques and immunosuppressive drugs have been developed to achieve better outcomes. However, the variety of neurological complications following solid organ transplantation is broad and carries prognostic significance. Patients may have involvement of the central or peripheral nervous system due to multiple causes that can vary depending on time of onset after the surgical procedure, the transplanted organ, and the intensity and type of immunosuppressive therapy. Neurological manifestations following solid organ transplantation pose a diagnostic challenge to medical specialists despite extensive investigation. This review aimed to provide a practical approach to help neurologists and clinicians assess and manage solid organ transplant patients presenting with acute or chronic neurological manifestations.