1.Left Atrial Appendage Occlusion: An Alternative to Triple Therapy in Stroke Patients Undergoing Carotid Angioplasty
Ignacio CRUZ-GONZÁLEZ ; Blanca TREJO-VELASCO ; Laura REDONDO-ROBLES ; Luis LÓPEZ-MESONERO ; Rocío GONZÁLEZ-FERREIRO ; Jean Carlos NÚÑEZ ; Javier RODRÍGUEZ-COLLADO ; Pedro L SÁNCHEZ
Journal of Stroke 2020;22(2):268-270
2.Use of Skull Vibration-Induced Nystagmus in the Follow-up of Patients With Ménière Disease Treated With Intratympanic Gentamicin
Susana Marcos ALONSO ; Nicole Almeida AYERVE ; Chiara Monopoli ROCA ; Guillermo Coronel TOUMA ; Juan Carlos del Pozo de DIOS ; Hortensia Sánchez GÓMEZ ; Santiago Santa Cruz RUÍZ ; Ángel Batuecas CALETRÍO
Clinical and Experimental Otorhinolaryngology 2023;16(3):236-243
Objectives:
. Ménière disease (MD) is an idiopathic disorder that affects hearing and inner ear balance. Intratympanic gentamicin (ITG) is recognized as an effective treatment for uncontrolled MD characterized by persistent vertigo attacks despite therapy. The video head impulse test (vHIT) and skull vibration-induced nystagmus (SVIN) are validated methods for evaluating vestibular function. A progressive linear relationship has been identified between the slow-phase velocity (SPV) of SVIN determined using a 100-Hz skull vibrator and the gain difference (healthy ear/affected ear) measured by vHIT. The aim of this study was to ascertain whether the SPV of SVIN was associated with the recovery of vestibular function following ITG treatment. Consequently, we sought to determine whether SVIN could predict the onset of new vertigo attacks in patients with MD who were treated with ITG.
Methods:
. A prospective longitudinal case-control study was conducted. Several variables were recorded post-ITG and throughout the follow-up period, followed by statistical analyses. Two groups were compared: patients who experienced vertigo attacks 6 months after ITG and those who did not.
Results:
. The sample comprised 88 patients diagnosed with MD who underwent ITG treatment. Of the 18 patients who experienced recurring vertigo attacks, 15 demonstrated gain recovery in the affected ear. However, all 18 patients exhibited a decrease in the SPV of SVIN.
Conclusion
. The SPV of SVIN may be more sensitive than vHIT in identifying the recovery of vestibular function following ITG administration. To our knowledge, this is the first study to illustrate the link between a reduction in SPV and the likelihood of vertigo episodes in patients with MD who have been treated with ITG.
3.Assessment of buccal bone thickness of aesthetic maxillary region: a cone-beam computed tomography study.
Ramon FUENTES ; Tania FLORES ; Pablo NAVARRO ; Carlos SALAMANCA ; Victor BELTRAN ; Eduardo BORIE
Journal of Periodontal & Implant Science 2015;45(5):162-168
PURPOSE: The aim of this study was to analyze the anatomical dimensions of the buccal bone walls of the aesthetic maxillary region for immediate implant placement, based upon cone-beam computed tomography (CBCT) scans in a sample of adult patients. METHODS: Two calibrated examiners analyzed a sample of 50 CBCT scans, performing morphometric analyses of both incisors and canines on the left and right sides. Subsequently, in the sagittal view, a line was traced through the major axis of the selected tooth. Then, a second line (E) was traced from the buccal to the palatal wall at the level of the observed bone ridges. The heights of the buccal and palatal bone ridges were determined at the major axis of the tooth. The buccal bone thickness was measured across five lines. The first was at the level of line E. The second was at the most apical point of the tooth, and the other three lines were equidistant between the apical and the cervical lines, and parallel to them. Statistical analysis was performed with a significance level of P< or =0.05 for the bone thickness means and standard deviations per tooth and patient for the five lines at varying depths. RESULTS: The means of the buccal wall thicknesses in the central incisors, lateral incisors and canines were 1.14+/-0.65 mm, 0.95+/-0.67 mm and 1.15+/-0.68 mm, respectively. Additionally, only on the left side were significant differences in some measurements of buccal bone thickness observed according to age and gender. However, age and gender did not show significant differences in heights between the palatal and buccal plates. In a few cases, the buccal wall had a greater height than the palatal wall. CONCLUSIONS: Less than 10% of sites showed more than a 2-mm thickness of the buccal bone wall, with the exception of the central incisor region, wherein 14.4% of cases were > or =2 mm.
Adult
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Axis, Cervical Vertebra
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Cone-Beam Computed Tomography*
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Esthetics, Dental
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Humans
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Incisor
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Tooth
4.Caudal Neuromodulation with the Transforaminal Sacral Electrode (InterStim(R)): Experience in a Pain Center Regarding 12 Implants.
Laura ALONSO GUARDO ; Carlos CANO GALA ; David SANCHEZ POVEDA ; Pablo RUEDA JUAN ; Francisco Jose SANCHEZ MONTERO ; Jose Carlos GARZON SANCHEZ ; Juan Ignacio SANTOS LAMAS ; Miguel Vicente SANCHEZ HERNANDEZ
The Korean Journal of Pain 2016;29(1):23-28
BACKGROUND: Sacral nerve stimulation is a therapeutic option with demonstrated efficacy for conditions presenting with perineal pain caused by different etiologies. We aimed to assess whether a sacral electrode (InterStim(R), Medtronic, Minneapolis, MN, USA) inserted through the caudal pathway is able to offer an acceptable level of sacral stimulation and rate of catheter migration. METHODS: We present 12 patients with pelvic pain who received sacral neuromodulation via the sacral hiatus with the InterStim electrode. We evaluated patient satisfaction as well as migration and removal of the electrode, if necessary. RESULTS: Our experience included 12 patients, 10 women and two men, with a mean age of 60 years. In eight of the 12 patients, the initial therapy was effective, and the final system implantation was performed. During subsequent follow-up, patient satisfaction was good. To date, there have been no cases of electrode displacement or migration. CONCLUSIONS: The caudal insertion of the InterStim electrode, with its own fixation system, and initially designed for transsacral insertion, appears in our experience to be a satisfactory option which can minimize electrode displacements, achieving similar results in therapeutic efficacy and causing no difficulties in removal.
Catheters
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Electrodes*
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Female
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Follow-Up Studies
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Humans
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Implantable Neurostimulators
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Male
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Pain Clinics*
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Patient Satisfaction
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Pelvic Pain
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Perineum
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Sacrococcygeal Region
;
Sacrum
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Spinal Cord Stimulation