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At least 1,117 records · Page 62Linked to original sources
PubMed1979

Paralysis of divergence in an adult with aqueductal stenosis: case report.

Paralysis of divergence was observed in an adult with membranous aqueductal stenosis. This association has not previously been reported, although the clinical syndrome of divergence paralysis has been described in several other neurologic disorders, which are reviewed. Recognition of the clinical syndrome of paralysis of divergence is important, since it may occur as an early sign of increased intracranial pressure and since it has been observed in several conditions that are amenable to treatment.

Adult↗
PubMed1999

Surgical treatment of paralysis of the inferior division of the oculomotor nerve.

BACKGROUND: Paralysis of the inferior division of the oculomotor nerve is relatively rare. Little has been written about its surgical treatment. METHODS: Five patients with paralysis of the inferior division of the oculomotor nerve were treated with transposition of the superior rectus muscle toward the insertion of the medial rectus muscle, transposition of the lateral rectus muscle toward the insertion of the inferior rectus muscle, and tenotomy of the superior oblique tendon in the affected eye. RESULTS: All 5 patients had a satisfactory outcome. They were free of diplopia in the primary position as of their last examination. Follow-up ranged from 3 to 10 years after surgery. CONCLUSION: Paralysis of the inferior division of the oculomotor nerve can be adequately treated by simultaneous transposition of the superior rectus muscle toward the insertion of the medial rectus muscle, transposition of the lateral rectus muscle toward the insertion of the inferior rectus muscle, and tenotomy of the superior oblique tendon in the affected eye.

Adult↗
PubMed2002

Normokalemic periodic paralysis revisited: does it exist?

Normokalemic periodic paralysis (normoKPP) is well established in the literature, but there are doubts as to whether it exists as a discrete entity. Retrospective clinical and molecular analysis has confirmed suspicions that most normoKPP families actually have a variant of hyperkalemic periodic paralysis (hyperKPP) due to a mutation of the muscle-specific sodium channel gene (SCN4A). However, the original normoKPP family described by Poskanzer and Kerr (Poskanzer DC, Kerr DNS. A third type of periodic paralysis, with normokalemia and favourable response to sodium chloride. Am J Med 1961;31:328-342) has remained unchallenged. We identified the Met1592Val mutation of SCN4A in an affected descendent of this original normoKPP family. This is the final piece in the puzzle: normoKPP is actually a variant of hyperKPP and is not a distinct disorder.

Adult↗
PubMed1991

Paramyotonia congenita and hyperkalemic periodic paralysis are linked to the adult muscle sodium channel gene.

The hyperkalemic periodic paralyses are a clinically heterogeneous group of autosomal dominant syndromes characterized by episodic paralysis associated with an elevated serum potassium level. Affected individuals in the same family tend to have homogeneous symptom complexes, although phenotypic variation is present among different families. For example, myotonia is absent in some pedigrees, present in others, and, in a third variant, paramyotonia congenita, myotonia coexists with cold-induced paralysis. Electrophysiological studies have demonstrated variant-specific abnormalities in skeletal muscle membrane sodium conductance. We tested the hypothesis that hyperkalemic periodic paralysis (without myotonia) and paramyotonia congenita are tightly linked to the tetrodotoxin-sensitive adult skeletal muscle sodium channel gene on chromosome 17q23-25 in two large pedigrees. The DNA polymorphisms detected in the growth hormone skeletal muscle sodium channel complex (GH1-SCN4A) and by flanking polymorphic markers (D17S74 and D17S40) demonstrated no recombinants between the disease phenotypes and this complex. Phenotypic variation in the hereditary hyperkalemic periodic paralyses may result from allelic heterogeneity at the tetrodotoxin-sensitive adult skeletal muscle sodium channel locus.

Adult↗
PubMed1990

Paralysis agitans and levodopa in "Ayurveda": ancient Indian medical treatise.

Neurologic diseases (Vata rogas, Sanskrit) and the pharmacologic treatment of them were described in the ancient Indian medical system--Ayurveda. This article explores paralysis agitans, which was described under the name Kampavata. Mucuna pruriens (Atmagupta, Sanskrit), which contains levodopa, was used in the treatment of Kampavata. Existence of paralysis agitans prior to the industrial revolution is not just of historical interest, but would also suggest that under the hypothesis of exposure to environmental toxins as a possible cause of paralysis agitans, natural organic compounds with worldwide distribution should also be considered.

History, Ancient↗
PubMed1986

Lack of cold sensitivity in hyperkalemic periodic paralysis.

The nosologic distinction between paramyotonia congenita and hyperkalemic periodic paralysis is somewhat blurred. Muscle membrane inexcitability induced by cooling seems to be characteristic of paramyotonia congenita. The effect of cooling on the maximal compound muscle action potential (CMAP) in patients with paramyotonia congenita was compared to that in patients with hyperkalemic periodic paralysis. Diminution in CMAP amplitude and area, which was observed in paramyotonia congenita, did not occur in hyperkalemic periodic paralysis. We suggest that this effect of cooling on the CMAP can be utilized in the differentiation of these two syndromes.

Action Potentials↗
PubMed2000

Analysis of the complete genome sequence of acute bee paralysis virus shows that it belongs to the novel group of insect-infecting RNA viruses.

The complete genome sequence of acute bee paralysis virus (ABPV) was determined. The 9470 nucleotide, polyadenylated RNA genome encoded two open reading frames (ORF1 and ORF2), which were separated by 184 nucleotides. The deduced amino acid sequence of the 5' ORF1 (nucleotides 605 to 6325) showed significant similarity to the RNA-dependent RNA polymerase, helicase, and protease domains of viruses from the picornavirus, comovirus, calicivirus, and sequivirus families, as well as to a novel group of insect-infecting RNA viruses. The 3' ORF2 (nucleotides 6509-9253) was proposed as encoding a capsid polyprotein with three major structural proteins (35, 33, and 24 kDa) and a minor protein (9.4 kDa). This was confirmed by N-terminal sequence analysis of two of these proteins. The overall genome structure of ABPV showed similarities to those of Drosophila C virus, Plautia stali intestine virus, Rhopalosiphum padi virus, and Himetobi P virus, which have been classified into a novel group of picorna-like insect-infecting RNA viruses called cricket paralysis-like viruses. It is suggested that ABPV belongs to the cricket paralysis-like viruses.

Amino Acid Sequence↗
PubMed1982

The shift in X/Y ratio after chronic monocular paralysis: a binocularly mediated, barbiturate-sensitive effect in the adult lateral geniculate nucleus.

Adult-onset stimulus modifications, such as monocular paralysis, alter the physiology of the lateral geniculate nucleus (LGN), reducing the encounter rate for X-latency cells in all of the principal layers of both LGNs whether the innervating eye is paralyzed or mobile. These reductions in encounter rate for X-latency cells are confined to those portions of the LGN representing central binocular visual space and are sensitive to the level of anesthesia in that, while these effects are evident in subjects sedated during recording, no such reductions are found when subjects are anesthetized with sodium pentobarbital during recording. Finally, conduction velocity and receptive field classification data from these experiments confirm, as the shifts in OX latency distributions would indicate, that chronic monocular paralysis does have a selective impact upon the recordability of LGN X-cells. These observations together with earlier ones involving monocular paralysis suggest that this adult-onset modification reduces the encounter rate for X-cells by disrupting a binocular mechanism which controls the relative excitability of X- and Y-cells which represent central visual space.

Anesthesia, General↗
PubMed1975

[The acute vestibular paralysis (author's transl)].

Acute vestibular paralysis may not be considered as a nosologic entity but as a syndrome. Symptomatology (vertigo, spontaneous and provoked vestibular nystagmus, absence of cochlear signs) shows an uniform picture. The results of the caloric test as well as the nystagmic responses induced by galvanic stimulation and the development of central vestibular compensation however indicate that the site of the lesion is not only confined to the labyrinth but may also occur at the level of the peripheral neuron or even the vestibular nuclei. Etiology and pathology are still vague. Our own clinical observations as well as the scarce data in literature about morphological and experimental studies suggest in a way that vascular and infectious disorders are of importance as primary releasing factors. Hypothetically, vestibular loss of function may either be caused by a disturbance of labyrinthine microcirculation, initiated in a great majority of cases by infection, or by a direct lesion of the peripheral neuron as well as the vestibular nuclei. Retrolabyrinthine lesions may be due to menigoencephalitis, caused by a neurotropic virus or other infectious agents such as Toxoplasma gondii. Acute vestibular paralysis should be strictly distinguished from vestibular neuronitis. While vestibular paralysis is a syndrome, vestibular neuronitis must be considered as a nosologic entity, including a lesion of the peripheral neuron as well as evidence of an infectious event.

Adolescent↗
PubMed1991

Sites of attachment and intraspecific infestation densities of the brown paralysis tick (Rhipicephalus punctatus) on Angora goats.

Significant differences in the distribution of brown paralysis ticks on various age classes of Angora goats were recorded. In kids, most (greater than 98%) of the ticks attached to the head and ears, whereas in older groups, in addition to the ears, a high proportion (greater than 20%) of ticks also attached to the ventral side of the neck. There were significant differences in the mean infestation densities of both male and female R. punctatus in kids and older animals. These differences were, however, only significant for the first two sample dates involving kids, and are probably related to behavioural attributes of the kids which enhance tick/host contact. Newly born Angora goat kids are considered a high-risk group with regard to paralysis caused by the brown paralysis tick. Methods of avoiding mortality amongst kids are suggested.

Age Factors↗
PubMed1992

The role of host behaviour in tick-host interactions: a domestic host-paralysis tick model.

The aim of this study was to quantify the infestation densities of Karoo and brown paralysis ticks on sheep and goats and explain it in terms of the etho-ecology of these ticks and their domestic hosts. The Karoo paralysis tick usually quests from a vantage point on the vegetation whereas the brown paralysis tick displays an appetence response from the ground and mainly engages hosts that are prostrate. Both tick species are confined chiefly to hilly areas. Temporal differences in the infestation densities of the hosts within and between tick species were evident. These differences were related to disparities in the spatial distribution of the hosts, their activity patterns and the specific appetence responses of the two tick species. Differential climatological conditions affected the quality of forage in areas with a varied topography and the feeding preferences of hosts influenced tick-host sympatry and hence infestation densities.

Animals↗
PubMed1980

Paralysis of the small bowel resembling mechanical intestinal obstruction.

In some instances, particularly in the neonate, paralytic ileus affects predominantly the small bowel, thus resembling intestinal obstruction. Localized paralysis of the small bowel occurs secondary to regional events in a segment of gut and resembles mechanical obstruction even more closely. In localized paralysis the bowel lumen is usually dilated without abrupt distal transition to collapsed intestines. If there is radiographic and clinical recognition of localized, transitory bowel paralysis, surgery is usually unnecessary.

Adolescent↗
PubMed2004

Progressive bulbur paralysis (Fazio-Londe disease).

Progressive bulbar paralysis of childhood is characterised by progressive paralysis of muscles innervated by cranial nerves. The authors report a case of progressive bulbar paralysis of childhood in a 12-year-old child. Child was admitted with the complaints of drooping of eyelids, difficulty in swallowing and hoarse voice. She had involvement of III, VII, IX, X, XI and XII cranial nerves and the corticospinal tracts. Electromyography revealed spontaneous activity in the form of fasciculations, giant motor unit potential and discrete recruitment of motor neurons suggestive of denervation pattern. Hearing assessment was normal. Muscle biopsy was also suggestive of neurogenic atrophy.

Biopsy, Needle↗
PubMed2006

Pressure-volume curves with and without muscle paralysis in acute respiratory distress syndrome.

OBJECTIVE: Pressure-volume (PV) curves are recorded after induction of complete muscle paralysis, which may limit their clinical use. The feasibility of recording PV curves without paralysis has not been tested. In 19 patients with acute respiratory distress syndrome (ARDS) and no hemodynamic instability we prospectively evaluated whether PV curves can be safely and reliably recorded under deep sedation without neuromuscular blockade. METHODS: After standardized sedation (continuous infusion of midazolam and fentanyl) PV curves were recorded during apneic sedation, defined as absence of respiratory effort during a 6-s expiratory pause and during paralysis induced by cis-atracurium. MEASUREMENTS AND RESULTS: Agreement between PV curve parameters in the two conditions was evaluated. Curves were obtained from 10 cmH2O and from zero end-expiratory pressure in all patients under apneic sedation. In five patients propofol was given in addition to midazolam and fentanyl, and in two of them fluid resuscitation was needed. A strong agreement was found for respiratory system compliance and the lower inflection point and for chest wall compliance in the five patients whose esophageal pressure was measured. The variability of the measurements, however, should be taken into account in clinical practice. CONCLUSION: Neuromuscular blockade can be dispensed with when recording PV curves in many ARDS patients. Reliable PV curves can be obtained under anesthesia alone, with no serious adverse effects.

Adult↗
PubMed1993

Multiple deletions of mitochondrial DNA in a patient with periodic attacks of paralysis.

In this study multiple deletions of mitochondrial genome were found in a patient presenting with periodic attacks of paralysis. Morphological studies revealed mitochondrial abnormalities along with typical histopathological features of periodic paralysis. Southern blot and PCR analysis revealed multiple mtDNA deletions. Our patient could be affected by two unrelated diseases, idiopathic periodic paralysis and presymptomatic mitochondrial myopathy. Alternatively, mtDNA alterations and oxidative deficiency might express themselves phenotypically as periodic paralytic attacks, although this correlation has never been reported.

Biopsy↗
PubMed1989

Reliability and reproducibility of the larval paralysis test as an in vitro method for the detection of anthelmintic resistance of nematodes against levamisole and morantel tartrate.

In order to study the reliability of the larval paralysis test as an in vitro assay for the detection of resistance of nematodes to levamisole and morantel tartrate, the influence of different parameters was evaluated using resistant and susceptible Ostertagia ostertagi strains. The operator, the sample (10% of the larvae present in the suspension), the incubation time (24, 48 or 72 h), the incubation temperature (20 or 25 degrees C) and the observation period of the larvae (5 or 15 s) had no statistically significant influence on the test results. Statistical differences were obtained only when L3 larvae of different ages (1 or 2 months) were used. Reversibility of the paralysis did not occur when concentrations of levamisole of less than or equal to 200 micrograms ml-1 or morantel tartrate of less than 2000 micrograms ml-1 were used. The reproducibility of the test was fairly good, with a mean standard deviation of 21.3% for the LC50 values. Morantel resistance in a strain of O. ostertagi was not confirmed as such by the larval paralysis test. The resistance factor was less than or equal to 1, in spite of an efficacy of morantel of 77.4% as shown in vivo.

Animals↗
PubMed1987

The sudden infant death syndrome induced by "the fear paralysis reflex'?

The sudden infant death syndrome (SIDS) is the greatest single cause of death between one month and one year of age in industrial countries. Its etiology still remains a mystery despite extensive research during the past decades. The outstanding problem is to define the trigger mechanism leading to death. Most theories have dealt with bodily malfunctions, infections and toxic agents, and only minor attention has been paid to a possible psychical trigger mechanism. The hypothesis is advanced that the so-called 'fear paralysis reflex' (for other terms, see below), an atavistic reflex present in the entire animal kingdom, may be a major trigger mechanism for SIDS. The reflex is evoked by fear resulting from any threatening event which is perceived as a danger, and with which the organism is unable to cope, typically in a predator confrontation. Important threatening stimuli in animals, and which may be of particular importance in human infants, are restraint of movement, sudden and unfamiliar noises, separation from the mother and companions, and sudden exposure to an unfamiliar environment. The main response characteristics are an immediate motor 'paralysis' (prolonged and generalized immobility), unresponsiveness, and abrupt and profound bradycardia. The latter may proceed to asystole and fatal cardiac arrythmias. Any hypothesis attempting to explain the cause of SIDS must account for the unique age distribution of SIDS' victims with a peak age incidence at 2-4 months, its frequent occurrence in REM sleep, and the observation that most deaths are silent. Further, it must be consistent with previously established risk factors (genetic determination, opiate-addicted mothers and cigarette smoking). The fear paralysis hypothesis is in accordance with all these facts, and it suggests new and potentially hazardous triggering mechanisms which, one recognized, possibly can be avoided. As a central reflex, it does not leave any trace in the organism, which explains the negative postmortem findings. Suggestions for testing the hypothesis are given, and possible preventive measures are presented.

Age Factors↗
PubMedDate not supplied

Emergency intubation for paralysis of the uncooperative trauma patient.

The impact of paralysis followed by intubation was studied in patients who had been traumatized and subsequently admitted to Lehigh Valley Hospital Center. Trauma admission records between January 1987 and June 1988 were reviewed. Fifty-seven patients, intubated for control of agitation and combativeness, were divided into high injury severity (HIS) and low injury severity (LIS) subgroups using admission trauma (TS) and injury severity scores (ISS). Thirty-eight (70%) were classified as HIS and 19 (30%) as LIS. All HIS patients had significant injuries diagnosed following paralysis with intubation (PWI). Mortality in the HIS group was 9%. The LIS subgroup was compared to a randomly selected group of similarly injured blunt trauma patients who did not require PWI. There were significant differences (P less than 0.05) in age, hospital cost, hours per day of nursing care, and percent of patients with an ETOH level greater than 100 mg%. Emergency paralysis with intubation is an effective method for controlling the uncooperative, combative, seriously injured patient. However, patients with low injury severity who require restraint have higher costs and require more care if they are paralyzed and intubated than if they are not.

Adult↗