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Achilles Reflex

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Richard P. Doe – One of the best experts on this subject based on the ideXlab platform.

  • The Achilles Reflex in Thyroid Disorders
    Annals of Internal Medicine, 2020
    Co-Authors: Frank Q. Nuttall, Richard P. Doe
    Abstract:

    Excerpt In spite of the plethora of thyroid function tests currently available to the clinician, only two tests represent measurements of end-organ or tissue response to changes in thyroid function…

Frank Q. Nuttall – One of the best experts on this subject based on the ideXlab platform.

  • The Achilles Reflex in Thyroid Disorders
    Annals of Internal Medicine, 2020
    Co-Authors: Frank Q. Nuttall, Richard P. Doe
    Abstract:

    Excerpt In spite of the plethora of thyroid function tests currently available to the clinician, only two tests represent measurements of end-organ or tissue response to changes in thyroid function…

Motohiro Kajiwara – One of the best experts on this subject based on the ideXlab platform.

  • Clinical analysis and prognostic study of ossified ligamentum flavum of the thoracic spine.
    Journal of Neurosurgery: Spine, 2001
    Co-Authors: Kazuhiko Shiokawa, Junya Hanakita, Hideyuki Suwa, Masaaki Saiki, Masashi Oda, Motohiro Kajiwara
    Abstract:

    Object. A variety of factors may affect surgery-related outcome in patients with ossification of the ligamentum flavum (OLF) of the thoracic spine. The aim of this study was to determine these factors on the basis of preoperative clinical and radiological findings. Methods. The authors treated 31 cases of symptomatic thoracic OLF between 1988 and 1999. The following factors were retrospectively studied: patient age, sex, morbidity level, initial symptoms, chief complaint, duration of symptoms, patellar Reflex, Achilles Reflex, computerized tomography (CT) finding, presence of intramedullary change determined by magnetic resonance imaging, coexistent spinal lesions, preoperative grade, and postoperative grade. A decompressive laminectomy was performed in all cases. In 29 patients (94%) improved symptoms were demonstrated postoperatively. In terms of functional prognosis, the preoperative duration of symptoms was significantly shorter in the group of patients with excellent outcomes than in those with fair …

  • Clinical analysis and prognostic study of ossified ligamentum flavum of the thoracic spine.
    Journal of neurosurgery, 2001
    Co-Authors: Kazuhiko Shiokawa, Junya Hanakita, Hideyuki Suwa, Masaaki Saiki, Masashi Oda, Motohiro Kajiwara
    Abstract:

    A variety of factors may affect surgery-related outcome in patients with ossification of the ligamentum flavum (OLF) of the thoracic spine. The aim of this study was to determine these factors on the basis of preoperative clinical and radiological findings. The authors treated 31 cases of symptomatic thoracic OLF between 1988 and 1999. The following factors were retrospectively studied: patient age, sex, morbidity level, initial symptoms, chief complaint, duration of symptoms, patellar Reflex, Achilles Reflex, computerized tomography (CT) finding, presence of intramedullary change determined by magnetic resonance imaging, coexistent spinal lesions, preoperative grade, and postoperative grade. A decompressive laminectomy was performed in all cases. In 29 patients (94%) improved symptoms were demonstrated postoperatively. In terms of functional prognosis, the preoperative duration of symptoms was significantly shorter in the group of patients with excellent outcomes than in those with fair outcomes (p < 0.05). No significant difference was observed in the correlation between other factors. To evaluate the degree of preoperative thoracic stenosis and the severity/extent of OLF-induced spinal compression, we used an original OLF CT scoring system. A score of excellent on the CT scale tended to indicate an excellent prognosis (p < 0.01). Thoracic OLF frequently develops in the lower-thoracic spine in middle-aged men, and it is complicated by various spinal lesions in many cases. Early diagnosis and treatment are important for understanding the clinical symptoms and imaging diagnosis because the present findings suggest that a delay in diagnosis and treatment correlates with the functional prognosis postoperatively.

Kazuhiko Shiokawa – One of the best experts on this subject based on the ideXlab platform.

  • Clinical analysis and prognostic study of ossified ligamentum flavum of the thoracic spine.
    Journal of Neurosurgery: Spine, 2001
    Co-Authors: Kazuhiko Shiokawa, Junya Hanakita, Hideyuki Suwa, Masaaki Saiki, Masashi Oda, Motohiro Kajiwara
    Abstract:

    Object. A variety of factors may affect surgery-related outcome in patients with ossification of the ligamentum flavum (OLF) of the thoracic spine. The aim of this study was to determine these factors on the basis of preoperative clinical and radiological findings. Methods. The authors treated 31 cases of symptomatic thoracic OLF between 1988 and 1999. The following factors were retrospectively studied: patient age, sex, morbidity level, initial symptoms, chief complaint, duration of symptoms, patellar Reflex, Achilles Reflex, computerized tomography (CT) finding, presence of intramedullary change determined by magnetic resonance imaging, coexistent spinal lesions, preoperative grade, and postoperative grade. A decompressive laminectomy was performed in all cases. In 29 patients (94%) improved symptoms were demonstrated postoperatively. In terms of functional prognosis, the preoperative duration of symptoms was significantly shorter in the group of patients with excellent outcomes than in those with fair …

  • Clinical analysis and prognostic study of ossified ligamentum flavum of the thoracic spine.
    Journal of neurosurgery, 2001
    Co-Authors: Kazuhiko Shiokawa, Junya Hanakita, Hideyuki Suwa, Masaaki Saiki, Masashi Oda, Motohiro Kajiwara
    Abstract:

    A variety of factors may affect surgery-related outcome in patients with ossification of the ligamentum flavum (OLF) of the thoracic spine. The aim of this study was to determine these factors on the basis of preoperative clinical and radiological findings. The authors treated 31 cases of symptomatic thoracic OLF between 1988 and 1999. The following factors were retrospectively studied: patient age, sex, morbidity level, initial symptoms, chief complaint, duration of symptoms, patellar Reflex, Achilles Reflex, computerized tomography (CT) finding, presence of intramedullary change determined by magnetic resonance imaging, coexistent spinal lesions, preoperative grade, and postoperative grade. A decompressive laminectomy was performed in all cases. In 29 patients (94%) improved symptoms were demonstrated postoperatively. In terms of functional prognosis, the preoperative duration of symptoms was significantly shorter in the group of patients with excellent outcomes than in those with fair outcomes (p < 0.05). No significant difference was observed in the correlation between other factors. To evaluate the degree of preoperative thoracic stenosis and the severity/extent of OLF-induced spinal compression, we used an original OLF CT scoring system. A score of excellent on the CT scale tended to indicate an excellent prognosis (p < 0.01). Thoracic OLF frequently develops in the lower-thoracic spine in middle-aged men, and it is complicated by various spinal lesions in many cases. Early diagnosis and treatment are important for understanding the clinical symptoms and imaging diagnosis because the present findings suggest that a delay in diagnosis and treatment correlates with the functional prognosis postoperatively.

Osman Hakan Gunduz – One of the best experts on this subject based on the ideXlab platform.

  • The role of transforaminal epidural steroid injections on H-Reflex parameters in unilateral S1 radiculopathy
    Annals of Physical and Rehabilitation Medicine, 2018
    Co-Authors: S. Mirzayeva, Savas Sencan, Osman Hakan Gunduz
    Abstract:

    Introduction/Background We aimed to evaluate whether transforaminal epidural steroid injections (TFESI) impact on H-Reflex (HR) parameters in unilateral S1 radiculopathy, correlation between changes in HR parameters and treatment outcomes. Material and method A total of 34 patients with radicular low back pain, lumbar disc herniation and unilateral S1 root compression detected at L5-S1 level were included in this prospective study. The study was carried out in three stages. Before TFESI, patients were evaluated clinically (with motor and sensory examination, Achilles Reflex, fingertip-to-floor and straight leg raise test, numeric rating scale for pain, Oswestry Disability Index and Beck DeprDepression Inventory) and radiologically by the first clinician. A second clinician performed nerve conduction studies and late responses. A third clinician carried out TFESI. 1st hour, 3rd week, 3rd month post-TFESI evaluations were carried out as they were before the treatment. Results In all follow-ups, there was a significant decrease in the HR latency, H-M interval in the affected side, and in difference between both sides in terms of HR latency after treatment, when compared to pre-treatment (P  Conclusion It was found that recovery in HR latency parameters can be achieved in addition to the clinical parameters after TFESI. The results are notable since they can shed light on future studies, which will investigate the role of HR in evaluating treatment outcomes and its predictive value. In cases where clinical and radiological findings are insufficient or controversial, changes in HR latency can be suggestive of the stage of nerve root compression.