RESUMEN
The hypoglossal nerve supplies motor function to the tongue. Two cases of bilateral, post-traumatic injury to the hypoglossal nerve are described. Physical and electromyographic examinations in these cases showed evidence of bilateral injury to the hypoglossal nerve as well as the absence of injury to the other closely associated cranial nerves. (A review of the English literature in the past 20 years shows no cases of isolated bilateral damage to the hypoglossal nerve, although there are several cases of unilateral or combined injury.) The disabilities resulting from hypoglossal nerve palsy and the importance of the tongue in normal swallowing are discussed. Two possible causes of hypoglossal nerve palsy are offered.
Asunto(s)
Traumatismos del Nervio Hipogloso , Lengua/fisiopatología , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Total care of patients with Guillain-Barre syndrome, particularly the physiatric management during the acute, recovery, and chronic stages of the disease, is very important. The methods of physiatric treatment stress body positioning, bed rest, respiratory care, limited or no activity during the acute stage, gradual increase in activity, and proportionally less bed rest during the recovery phase. Described are 30 consecutive patients admitted to a department of physical medicine and rehabilitation for care. With close and proper management, more than 60% of the patients achieved satisfactory and almost complete recovery, and over 20% had fair recovery. Major problems were respiratory deficit, easy fatigability, and the possibility of relapse. Care should be tailored for each individual and assessed from day to day.
Asunto(s)
Polirradiculopatía , Adolescente , Adulto , Niño , Preescolar , Femenino , Hospitalización , Humanos , Masculino , Persona de Mediana Edad , Modalidades de Fisioterapia , Polirradiculopatía/líquido cefalorraquídeo , Polirradiculopatía/diagnóstico , Polirradiculopatía/rehabilitación , Polirradiculopatía/terapiaRESUMEN
Twelve patients who had previously been treated for palsy of the long thoracic nerve of Bell and resultant serratus anterior paralysis were examined in a follow-up study designed to determine their extent of recovery and/or residual disability. The patients' histories were reviewed, following which they were recalled for updating of the history and reexamination. It was found that those patients whose lesions were due to acute trauma had only partial or no recovery of serratus function, while those with infectious, toxic, allergic or idiopathic etiologies had partial or complete recovery. The occurrence of a prolonged interval between onset of symptoms and institution of therapy was found to adversely affect prognosis. Among those patients with no recovery of serratus anterior function, some were able to maintain relatively good active motion in the affected shoulder by substituting with the trapezius.