Paraparesis or incomplete paraplegia? How should we call it?

Barcelos, Alécio Cristino Evangelista Santos; Scardino, Fabrizio Borges; Patriota, Gustavo Cartaxo; Rotta, José Marcus; Botelho, Ricardo Vieira

doi:10.1007/s00701-009-0238-0

Cited by 10 publications

(5 citation statements)

References 18 publications

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“…Data from early mortality and postoperative complications as paraplegia or paraparesis, renal and respiratory failure, myocardial infarction, ventricular arrhythmias, congestive heart failure were also collected. We defined paraplegia or paraparesis partial (−paresis) or complete (−plegia) loss of voluntary motor function in the pelvic limbs [ 27 ], acute renal failure as acute deterioration of kidney function reflected by a significant increase in serum creatinine [ 28 ], respiratory failure as the impaired ability of the respiratory system to maintain adequate oxygen and carbon dioxide homeostasis [ 29 ], myocardial infarction as an imbalance between myocardial oxygen supply and demand [ 30 ], ventricular arrhythmias (VA) as the presence of ventricular premature beats, ventricular tachycardia (VT), ventricular flutter, torsades de pointes (TdP), accelerated idioventricular rhythm, or ventricular fibrillation (VF) [ 31 , 32 ], and congestive heart failure when the heart is unable to maintain an adequate circulation of blood in the bodily tissues or to pump out the venous blood returned to it by the veins [ 33 ].…”

Section: Methodsmentioning

confidence: 99%

Endovascular repair for acute traumatic transection of the descending thoracic aorta: experience of a single centre with a 12-years follow up

Serra

Franciscis

Grande

et al. 2015

J Cardiothorac Surg

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BackgroundMost blunt aortic injuries occur in the proximal proximal descending aorta causing acute transection of this vessel. Generally, surgical repair of the ruptured segment of aorta is associated with high rates of morbidity and mortality and in this view endovascular treatment seems to be a valid and safer alternative. Aim of this article is to review our experience with endovascular approach for the treatment of acute traumatic rupture of descending thoracic aorta.MethodsFrom April 2002 to November 2014, 11 patients (9 males and 2 females) were referred to our Department with a diagnosis of acute transection of thoracic aorta. Following preoperative Computed Tomography (CT) evaluation, thoracic endovascular aortic repair (TEVAR) with left subclavian artery coverage was performed. Follow-up consisted clinical and instrumental (CT, Duplex ultrasound) controls at discharge, 1, 3 and 6 months and yearly thereafter.ResultsAt 12-year follow up, the overall survival for the entire patients cohort was 100 %, no major or minor neurological complications and no episode of left arm claudication occurred. Cardiovascular, respiratory and bleeding complications, in the early period, was represented by minor, non fatal events. No stent graft failure, collapse, leak or distal migration were detected at CT scan during the entire follow up period.ConclusionsAccording to our experience, despite the small number of patient population, TEVAR procedure with with left subclavian artery coverage, performed in emergency settings, seems to provide excellent long term results.Trials registrationThe protocol was registered at a public trials registry, www.clinicaltrials.gov (trial identifier NCT02376998).

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Section: Methodsmentioning

confidence: 99%

Endovascular repair for acute traumatic transection of the descending thoracic aorta: experience of a single centre with a 12-years follow up

Serra

Franciscis

Grande

et al. 2015

J Cardiothorac Surg

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“…22 The term tetraparesis was used to describe impairment or loss of motor and/or sensory function in the injury of cervical segments and paraparesis when the lesion was more caudal. 23…”

Section: Methodsmentioning

confidence: 99%

“…22 The term tetraparesis was used to describe impairment or loss of motor and/or sensory function in the injury of cervical segments and paraparesis when the lesion was more caudal. 23 The 12-item WHODAS 2.0 (http://www.who. int/classifications/icf/whodasii/en/) includes 12 items (Table 3) from six different disability domains in two components during the previous 30 days.…”

Section: Methodsmentioning

confidence: 99%

Comparing functioning in spinal cord injury and in chronic spinal pain with two ICF-based instruments: WHODAS 2.0 and the WHO minimal generic data set covering functioning and health

2019

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Objective: To investigate whether the two briefest validated ICF-based (International Classification of Functioning, Disability and Health) tools can detect differences between different spinal conditions. Design: Cross-sectional study. Setting: University hospital rehabilitation clinic. Subjects: A total of 84 patients with spinal cord injury and 81 with chronic spinal pain. Main measures: Disability evaluated using self-reported and proxy 12-item WHODAS 2.0 ((World Health Organization Disability Assessment Schedule), and physician-rated WHO minimal generic data set covering functioning and health. Findings: The two measures used showed severe disability in both patient populations, those with spinal cord injury (mean age 47.5 years, SD 13.2) and those with chronic spinal pain (mean age 47.2 years, SD 9.5), WHODAS patient sum being 18.4 (SD 9.6) versus 22.0 (SD 9.0), P < 0.05, and the WHO generic data set 15.6 (SD 4.4) versus 14.2 (SD 3.7), P < 0.01, respectively. Correlations between patient and proxy ratings and between the two disability scales were mostly strong. Severe restrictions were found in the working ability of both the populations, in mobility of patients with spinal cord injury and in pain function of patients with chronic spinal pain. In this tertiary clinic patient population, patients with spinal pain perceived more problems in emotional and cognitive functions, and in participation than patients with spinal cord injury. Conclusions: Both scales were able to find differences between two patient populations with severe disability.

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“…Generally speaking, most paraplegic patients can achieve the goal of self-care and reintegration into society through medical treatment and functional training. High paraplegic patients cannot stand with crutches due to the affected mobility of all their limbs, so they should be trained to use wheelchairs [11][12][13]. X-ray is a common method for diagnosing the severity of SCI in patients in recent years.…”

Section: Introductionmentioning

confidence: 99%

Effect of Comprehensive Nursing on Traumatic Paraplegia Patients by Evaluation of Magnetic Resonance Imaging Features

Xiang

Yin

et al. 2022

Contrast Media & Molecular Imaging

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This research aimed to discuss the comprehensive nursing under the Omaha system in the treatment of patients with traumatic paraplegia (TP) and the changes in magnetic resonance imaging (MRI) features of patients. In total, 60 patients with TP were included as the research objects, and they were randomly divided into the experimental group (Omaha system-based comprehensive nursing) and the control group (routine nursing). All the objects underwent parallel MRI multisequence scanning. The scores of the quality of life, role change, mental health, care, oral hygiene, skin, neuromusculoskeletal (NMS) system, defecation function, urination function, contagion/infection, nutrition, healthcare supervision, and rest/sleep pattern in the experimental group were all significantly higher than those in the control group 3 months and 6 months after discharge P < 0.05 . The caregiving burden scores in the experimental group 3 months and 6 months after discharge from the hospital were 48.67 ± 6.97 and 43.40 ± 4.97, respectively, statistically lower than those in the control group (52.83 ± 6.37; 50.07 ± 7.14) P < 0.05 . On admission, MRI showed that the white lines disappeared from the compression of the dural sac, the spinal cord was compressed, and the intramedullary signal was abnormal. Then, six months after discharge, MRI showed that the compression of the dural sac was relieved, and the double white lines recovered. The apparent diffusion coefficient (ADC) of patients in the experimental group 6 months after discharge (1.063 ± 0.148) was highly lower than that in the control group (1.325 ± 0.245), with a difference of statistical significance P < 0.05 . In conclusion, comprehensive nursing under the Omaha system could improve the clinical treatment effect of patients with spinal cord injury (SCI) effectively, reduce the incidence of complications, and improve the quality of life and nursing outcomes of patients.

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Paraparesis or incomplete paraplegia? How should we call it?

Cited by 10 publications

References 18 publications

Endovascular repair for acute traumatic transection of the descending thoracic aorta: experience of a single centre with a 12-years follow up

Endovascular repair for acute traumatic transection of the descending thoracic aorta: experience of a single centre with a 12-years follow up

Comparing functioning in spinal cord injury and in chronic spinal pain with two ICF-based instruments: WHODAS 2.0 and the WHO minimal generic data set covering functioning and health

Effect of Comprehensive Nursing on Traumatic Paraplegia Patients by Evaluation of Magnetic Resonance Imaging Features

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