Chronic Pelvic Pain: Anatomical and Neurological Aspects (Literature Review)

Kuzmenkova, Larisa Nikolaevna; Dreval, О. N.; Chagava, D A; Chekhonatsky, Andrey Anatolyevich; Chekhonatskiy, Vladimir A.; Mukhina, Olga Vladimirovna; Razin, Mikhail Alexandrovich

doi:10.56618/20712693_2022_14_3_146

Российский Нейрохирургический Журнал Им. Профессора А.Л. Поленова

2022

DOI: 10.56618/20712693_2022_14_3_146

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Chronic Pelvic Pain: Anatomical and Neurological Aspects (Literature Review)

Larisa Nikolaevna Kuzmenkova

О. N. Dreval

D A Chagava

et al.

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Modern principles of diagnosis and treatment of ulnar nerve neuropathy at the cubital canal level

Yarikov,

Baytinger,

Logutov

et al. 2023

Vrach

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Cubital tunnel syndrome is manifested by sensory and motor disorders in the hand due to compression of the ulnar nerve in the canal. The diagnosis is based on anamnesis, complaints, neurological status, provocative tests and is confirmed by electroneuromyography, ultrasound examination. At an early stage and with a mild degree of cubital canal syndrome, conservative treatment is indicated: avoidance of certain poses and movements, immobilization of the elbow joint and rational pharmacotherapy. With the ineffectiveness of conservative treatment, the presence of objective weakness and atrophy of the hand muscles, surgical treatment is indicated. The article discusses the etiology, pathogenesis, risk factors of development, principles of clinical and instrumental diagnosis and treatment of patients with cubital canal syndrome.

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Modern principles of diagnosis and treatment of ulnar nerve neuropathy at the cubital canal level

Yarikov,

Baytinger,

Logutov

et al. 2023

Vrach

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Chronic pelvic pain: modern approaches to diagnosis, treatment and routing of patients

Filyaeva,

Yarikov,

Perlmutter

et al. 2024

Vrach

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Chronic pelvic pain is an urgent problem for many patients. A multidisciplinary approach and proper routing of patients will improve the quality of medical care, patient satisfaction with medical care, as well as the quality of life of patients. This article discusses the probable mechanism of origin and pathogenesis of chronic pelvic pain, criteria for differential diagnosis, as well as treatment options for pain syndrome. Evaluation of the effectiveness of these treatment methods is evaluated according to standard scales and questionnaires.

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Pelvic pain in terms of an interdisciplinary approach in patient treatment (literature review)

Chichanovskaya,

Sorokovikova,

Morozov

et al. 2024

Bulletin of Neurology, Psychiatry and Neurosurgery

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The significance of intraoperative neurophysiological monitoring in preserving the facial nerve function is substantial, particularly during surgical removal of giant vestibular schwannomas. The purpose of the study is to analyze the patterns of spontaneous electromyography (EMG) and transcranial corticobulbar motor evoked potentials (MEPs) during resection of giant vestibular schwannomas and assess their correlation with postoperative facial ner ve palsy. Materials and methods. The paper presents a retrospective analysis of the outcomes of surgical treatment of 26 patients with giant vestibular schwannomas (Koos 4, Samii T4b) who underwent surgery in the neurosurgical department of the Interregional Clinical Diagnostic Center between 2022 and 2024. Spontaneous and triggered EMG, corticobulbar MEPs of the facial nerve, somatosensory evoked potentials of bilateral upper extremities, and EMG from the masseter and temporal muscles were used as intraoperative neurophysiological monitoring modalities. Results. Abnormal A-trains were identified in 18 (69.2%) patients during spontaneous EMG. Eight (30.7%) patients exhibited a substantial reduction (exceeding 50%) in the amplitude of corticobulbar MEPs. Postoperatively, five (19.2%) patients experienced severe facial weakness (House-Brackmann grade V-VI). Conversely, eight (30.7%) patients without postoperative facial nerve palsy did not demonstrate pathological A-trains, nor significant decline in corticobulbar MEP amplitude. Conclusion. The method of recording corticobulbar motor evoked potentials is effective in preventing damage to the facial nerve, which is the main goal of intraoperative neurophysiological monitoring in the resection of vestibular schwannomas. The use of spontaneous EMG recording during surgery allows for continuous monitoring of the degree of nerve irritation.

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Chronic Pelvic Pain: Anatomical and Neurological Aspects (Literature Review)

Cited by 3 publications

References 0 publications

Modern principles of diagnosis and treatment of ulnar nerve neuropathy at the cubital canal level

Modern principles of diagnosis and treatment of ulnar nerve neuropathy at the cubital canal level

Chronic pelvic pain: modern approaches to diagnosis, treatment and routing of patients

Pelvic pain in terms of an interdisciplinary approach in patient treatment (literature review)

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