Initial Response to Prism Treatment in an Inpatient Rehabilitation Hospital Setting: Preliminary Results

Strabismus (misaligned eyes) and homonymous field defects (HFD, loss of visual field on the same side in both eyes) commonly result from stroke and brain injury and are routinely treated with temporary press-on prisms in outpatient vision clinics. These temporary lenses, which can be immediately applied to the existing glasses, might be ideal for inpatients. Early treatment might allow better participation in therapy and improved outcomes; however, it is unknown whether patients will tolerate press-on prisms so early after the neurological injury.
Source: Archives of Physical Medicine and Rehabilitation - Category: Rehabilitation Authors: Tags: Research poster Source Type: research

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ConclusionsPatients with acute superior oblique palsy invariably complain of vertical and/or torsional diplopia. Neuroimaging should be considered in cases of acquired superior oblique palsy without a known traumatic cause. Bilateral cases of acquired superior oblique palsy are more challenging to manage surgically because of symptomatic torsional diplopia.
Source: Journal of American Association for Pediatric Ophthalmology and Strabismus - Category: Opthalmology Source Type: research
The aim of this study was to evaluate the clinical characteristics, risk factors, treatment, and outcomes of pediatric stroke cases. A total of 118 patients diagnosed with arterial ischemic stroke (AIS), hemorrhagic stroke, and sinovenous thrombosis (SVT) between January 2000 and December 2011 were included. Neonatal cases were excluded. Demographic and clinical findings were retrospectively examined from medical records. We identified 118 patients with stroke. The age of the patients ranged from 1 to 215 months (17.92 y), with a mean age of 5.19±5.25 years. AIS accounted for the majority of cases (n=69, 58.5...
Source: Journal of Pediatric Hematology Oncology - Category: Hematology Tags: Original Articles Source Type: research
Determine if patients with signs and symptoms of strabismus (eye misalignment) can be diagnosed and treated with press-on prism using a tele-consult process. Strabismus occurs in 20% of stroke survivors, increases risk for fall by 2.2x ’s, and can be successfully and inexpensively treated with press-on prism in a reported 64% to 80%. Unfortunately care is often delayed due to a lack of access to vision rehabilitation specialists (OD).
Source: Archives of Physical Medicine and Rehabilitation - Category: Rehabilitation Authors: Source Type: research
Conclusion The m.10191T>C mutation in the mtDNA of the complex I (CI) subunit of MTND3 results in the substitution of a highly conserved amino acid (p.Ser45Pro) within the ND3 protein, leading to CI dysfunction through impaired enzyme catalysis rather than impaired stability or assembly, causing a broad clinical spectrum of disorders (26). Patients with the m.10191T>C mutation are rare. In the present study, we report on a family of patients with the extremely rare adult-onset Leigh-like syndrome with the m.10191T>C mutation. Including the two patients from our reported family, the m.10191T>C mutation has bee...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
In a recent Bloomberg Governmentarticle, Cheryl Bolen pushes back against what she perceives to be two myths of the much-touted Trump deregulatory agenda: that deregulation is in fact occurring, and that repeal of existing regulations actually helps businesses. I shall address these in reverse order, first demonstrating that most regulation is a net drag on the economy, and then mustering evidence to the effect that the Trump administration ’s deregulatory push is real indeed.Do Regulations Hurt Businesses?Celebrating deregulatory efforts concedes the premise that the typical regulation is on net more costly than it ...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
I saw a video recently that potently illustrates how what we see and believe forms our world view. A teacher presented her students with a sheet of white paper with a black dot in the center. She asked them to describe in writing what they saw. When they completed the task, she read some of them and found they all focused on the dot and not the white space around it. She likened it to the idea that many people only see the block and not the way to get around it to their destination. Negativity begets negativity. When people only see impediments, depression is more likely to take hold and maintain its grip. For those I hav...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Depression Memory and Perception Personal Psychotherapy Stories Research Optimism Perspective Reality testing Source Type: blogs
This study reports the incidence of stroke-related strabismus, characteristics and recovery.
Source: Journal of AAPOS - Category: Opthalmology Authors: Tags: Paper Source Type: research
ConclusionsCentral nervous system vasculitis due to dengue infection is a very rare phenomenon, and to the best of our knowledge, only one case of central nervous system vasculitis has been reported to date, in a patient of pediatric age. Cranial nerve palsy related to dengue infection is also rare, and only a few cases of isolated abducens nerve palsy have been reported to date. The two cases described in this report illustrate the rare but important central nervous system manifestations of dengue fever and support the fact that the central nervous system is one of the important systems that can be affected in patients with dengue infection.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
Conclusions Our results suggest that BTXA offers the advantage of a temporary decrease of the deviation without altering image quality that allows the visual system to recover fusion under real-life conditions. Permanent treatment with surgical correction of the deviation should be reserved for those who achieve fusion during the orthotropic period provided by BTXA.
Source: Journal of American Association for Pediatric Ophthalmology and Strabismus - Category: Opthalmology Source Type: research
Abstract AimTo profile the full range of visual disorders from a large prospective observation study of stroke survivors referred by stroke multidisciplinary teams to orthoptic services with suspected visual problems. MethodsMulticenter prospective study undertaken in 20 acute Trust hospitals. Standardized screening/referral forms and investigation forms documented data on referral signs and symptoms plus type and extent of visual impairment. ResultsOf 1,345 patients referred with suspected visual impairment, 915 were recruited (59% men; mean age at stroke onset 69 years [SD 14]). Initial visual assessment was at medi...
Source: Brain and Behavior - Category: Neurology Authors: Tags: ORIGINAL RESEARCH Source Type: research
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