Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0030552 (paresis)
 5,831 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Meningopolyradiculitis (Garin-Bujadoux syndrome, Bannwarth syndrome) is the second stage of Lyme disease, a tick-borne Borrelia infection. Almost 60% of these patients develop an acute peripheral facial paresis. The disease can be differentiated from Bell's palsy only by finding the specific Borrelia antibodies in serum and CSF. Other cranial nerve lesions can be found besides facial paresis. The follow-up of seven Borrelia-infected patients is described: one showed bilateral, the others unilateral, facial paresis. High dosage of penicillin or tetracycline for 10-14 days is the appropriate therapy. The prognosis of facial paresis in tick-borne Borrelia infection is considered to be good. All our patients showed complete recovery of motor nerve function.
HNO 1989 Apr
PMID:[Prognosis of peripheral facial paralysis in Lyme borreliosis (Garin-Bujadoux, Bannwarth meningopolyradiculitis)]. 272 77

Vestibular tests were performed in more than 600 otoneuological patients. The data analysed included the otoneurological history, audiograms, observation of spontaneous nystagmus, caloric and swing tests, and recording by electronystagmography. The tracings were subjected to summation of the amplitudes of the slow-phase nystagmus and classification of the recording as peripheral (small amplitude, high frequency) or central (dysrhythmia with bouts of high-frequency nystagmus). The correlations between spontaneous nystagmus and directional preponderance in caloric and rotation tests are complex, and our results show that an isolated abnormality has little significance. The expected correlation between hearing loss and unilateral caloric paresis was confirmed. Other lesions, such as peripheral or central ENG tracings and reduced vestibular reaction, did not correlate with any other pathological finding. Directional preponderance and spontaneous nystagmus were significantly more frequent in patients with unilateral caloric paresis than in those with a symmetrical response. The incidence of a peripheral type of ENG tracing, hearing loss and unilateral paresis increased with the age of the patients. Reduced vestibular response, a central type of tracing and directional preponderance did not correlate with age. The well-known variability of the subjective threshold of vertiginous sensations was confirmed by the results in patients with no vertigo, and deserves more attention.
HNO 1989 Oct
PMID:[Amplitude summation and the pendulum test as elements of the otoneurologic examination]. 280 5

The Shy-Drager syndrome causes symptoms of multiple nervous atrophy and orthostatic hypotension. This rare disease was diagnosed in a 40-year-old man after he developed an acute bilateral vocal fold paresis. The respiratory failure required an immediate tracheotomy. The Shy-Drager syndrome can include cranial nerve lesions. It should be taken into account in differential diagnosis in ENT diagnoses.
HNO 1988 Jul
PMID:[Acute bilateral recurrent laryngeal nerve paralysis, a symptom of Shy-Drager syndrome]. 320 29

Augmentation of a vocal fold serves to improve glottic closure and may be indicated for paresis of the recurrent nerve and after tumor resection. Methods include injection of viscous fluids (paraffin, liquid silicone, polyvinyl alcohol, gelatin, sesame oil, collagen and particularly teflon paste) and operations to tighten the vocal cord or displace it medially. The disadvantages of the former include the danger of overcorrection, tissue irritation and possible systemic absorption of the material. As an alternative, solid material such as cartilage or synthetics may be used for augmentation. Experience obtained so far has shown that chips of porous polyethylene (PHDPE) are particularly suitable: they are easy to use, show good tissue tolerance and are anchored by ingrowth of connective tissue. The value of photokymography of the larynx in the assessment of therapeutic results after vocal-fold augmentation is discussed.
HNO 1987 Jun
PMID:[Experiences with the augmentation of vocal cords]. 330 34

Lymphocytic meningopolyradiculitis (Bannwarths' syndrome) is a tick-borne Borrelia infection of man. About 60 per cent of such patients exhibit a peripheral facial paresis whose characteristics are clinically not distinguishable from Bell's paresis. Of major importance for the diagnosis, besides the radicular pain that nearly always prevails, are particularly further motoric deficits, a previous erythema migrans and remembered thick bites. A tentative diagnosis can be verified by liquor examination which reveals a characteristic pattern of protein distribution and lymphocytic pleocytosis. Penicillin in high doses is the therapy of choice.
HNO 1986 Apr
PMID:[Differential diagnosis of idiopathic facial paralysis: Bannwarth meningopolyradiculitis]. 371 Aug 42

We report two patients with voice disorders after parathyroidectomy without thyroidectomy and paresis of the recurrent nerve. The connection between hypoparathyroidismus and laryngeal tetany is discussed.
HNO 1985 Nov
PMID:[Voice disorder following parathyroidectomy]. 407 90

19 laryngeal injuries are reported. 16 were secondary to orotracheal intubation and 3 were sequelae of gastroscopy, laryngoscopy and a nasogastric tube. In 6 patients, the trauma followed prolonged nasotracheal intubation, 10 cases followed a single endotracheal intubation. The main symptom was hoarseness. In 6 cases dislocation of an arytenoid cartilage was diagnosed, in 1 case a vocal cord paresis and in the other cases contusion or distortion of the arytenoid joint. In the cases of subluxation the arytenoid cartilage was dislocated posterolaterally, with the cord in the abducted position. For treatment we recommend closed reduction and injection of Cortison-Crystal-suspension into the joint. The outcome is good after single endotracheal intubation, but bad in prolonged nasotracheal intubation because of ankylosis of the cricoarytenoid joint.
HNO 1984 Sep
PMID:[Uncommon injuries of the larynx following intubation. Recurrent paralysis, torsion and luxation of the cricoarytenoid joints]. 650 Oct 14

This paper reports on our experience with electromyography of the larynx in pareses of the recurrent nerve of different causes. Clinical case histories are used to demonstrate the differentiated evaluation of the condition of the damaged recurrent nerve which is possible with the use of electromyography, including reflex electromyography, of the larynx. Knowledge of the type and extent of the lesion of the recurrent nerve only allows limited conclusions to be made about the prognosis of the paresis. For the assessment of the prognosis it is necessary to consider not only the basic disease, but also the actual time at which the electromyography was performed.
HNO 1983 Oct
PMID:[Electromyography of the larynx]. 664 41

83 patients with neurosyphilis and 12 patients with latent syphilis underwent a cochleovestibular examination. Pathological changes were present in 54% of the patients with neurosyphilis. In the group of patients with latent syphilis functional changes could only be found in 25% of the patients. The greatest number of hearing disturbances occurred in persons suffering from general paresis, 65% were affected. Usually damage occurred in both ears. Specific topical diagnosis was often not possible although the results of the stapedial reflex indicated that peripheral cochlear lesions were present. In particular damage in the level of the high frequencies seemed to be prevalent. Disturbances of the vestibular system occurred in 25% of neurosyphilis patients. Most frequently lesions occurred in patients with cerebrospinal syphilis (40%). The comparison of subjective and objective symptoms of the vestibular system were very similar in most groups. As for the results presented it is suggested that a serological treponemal test should be undertaken in patients with non-specific disturbances of the vestibulo-cochlear system.
HNO 1983 Apr
PMID:[Hearing and equilibrium disorders in patients with neurosyphilis]. 685 26

The congenital cholesteatoma of the petrous bone is a rarity. The topographic situation corresponds to a congenital dermoid. The evolution is typic. On the beginning the ear drum is intact, very early one will find a loss of the labyrinth function, often accompanied by a facial paresis. The suppuration of the middle ear comes in a later state. The drainage operation is insufficient. The subtotal petrosectomy with permanent anterior dislocation of the facial nerve gives the chance for a definitive healing.
HNO 1982 Jan
PMID:[On the problem of the congenital (?) cholesteatoma of the petrous bone (author's transl)]. 708 56


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