By P. Akrabor. Southeast College of Technology.
The 20 patients were reviewed clinically and radiologically after an average follow-up of 6 generic gyne-lotrimin 100mg with mastercard. CO was performed by the intertrochanteric open-wedge method using the original plate without fixation of the capital femoral physis buy gyne-lotrimin 100 mg otc. The original plate, made from titanium, had 40° flexion and 15° inner rotation (Fig. Accommodating to the original plate provided correction of posterior tilting deformity. Correction of varus deformity was possible by the blade insert angle; however, normally we produced slight valgus by inserting the blade into the axis of the femur vertically. There was of course a limitation of the correction angle because we corrected the deformity by accommodating to the plate. However, this technique was very simple, and certain correction was obtained (Fig. For the opposite side, we performed prophylactic pinning; this was done when the case was diagnosed as preslippage on radiogram and the patient was obese or had an endocrine abnormality. For the radiographic estimation, we measured the posterior tilt angle (PTA) before and after CO and at the final examination to clarify actual performance and mainte- nance of correction. Duration until union of osteotomy site and duration until physeal closure after surgery were also investigated. An original plate for corrective osteotomy (CO) in the treatment of slipped capital femoral epiphysis (SCFE). The original plate is made from titanium and has 40° flexion and 15° internal rotation (Nagoya U.
There are various syndromes of dysarthria gyne-lotrimin 100 mg low cost, which have been clas- sified as follows: ● Flaccid or nasal dysarthria: hypernasal cheap gyne-lotrimin 100 mg amex, breathy, whining output, as in bulbar palsy, myasthenia gravis. Philadelphia: Lippincott Williams & Wilkins, 2002: 236-243 Murdoch BE (ed. Cheltenham: Stanley Thornes, 1998 Cross References Anarthria; Aphasia; Asynergia; Broca’s aphasia; Bulbar palsy; Coprolalia; Dysphonia; Fatigue; Lower motor neurone (LMN) Syndrome; Parkinsonism; Pseudobulbar palsy; Scanning speech; Upper motor neurone (UMN) syndrome Dyscalculia - see ACALCULIA - 100 - Dysexecutive Syndrome D Dyschromatopsia - see ACHROMATOPSIA Dysdiadochokinesia Dysdiadochokinesia or adiadochokinesia is a difficulty in performing rapid alternating movements, for example pronation/supination of the arms, tapping alternately with the palm and dorsum of the hand, tap- ping the foot on the floor. Dysdiadochokinesia is a sign of cerebellar dysfunction, especially hemisphere disease, and may be seen in association with asynergia, ataxia, dysmetria, and excessive rebound phenomenon. It may reflect the impaired checking response seen in cerebellar disease. Dysdiadochokinesia may also be seen with disease of the frontal lobes or basal ganglia. Cross References Asynergia; Ataxia; Cerebellar syndromes; Dysmetria; Rebound phenomenon Dysesthesia Dysesthesia is an unpleasant, abnormal or unfamiliar, sensation, often with a burning and/or “electrical” quality. Some authorities reserve the term for provoked positive sensory phenomena, as opposed to sponta- neous sensations (paresthesia). Dysesthesia differs from paresthesia in its unpleasant quality, but may overlap in some respects with allody- nia, hyperalgesia and hyperpathia (the latter phenomena are provoked by stimuli, either nonnoxious or noxious). There are many causes of dysesthesia, both peripheral (including small fibre neuropathies, neuroma, nerve trauma) and central (e. Dysesthetic sensations may be helped by agents, such as carbamazepine, amitriptyline, gabapentin and prega- balin. Cross References Allodynia; Hyperalgesia; Hyperpathia; Paresthesia Dysexecutive Syndrome The term executive function encompasses a range of cognitive processes including sustained attention, fluency and flexibility of thought, problem solving skills, planning and regulation of adaptive and goal-directed behavior. Some authors prefer to use these individ- ual terms, rather than “lump” them together as executive function. Deficits in these various functions, the dysexecutive syndrome, are typ- ically seen with lateral prefrontal cortex lesions.
