[Is transcranial magnetic stimulation a helpful method in diagnosis of cervical myelopathy in patients with chronic polyarthritis?].

Abstract:

:Fifty-seven patients with rheumatoid arthritis were examined clinically, radiologically, and by means of transcranial magnetic brain stimulation. With this method central motor conduction times of the corticospinal pathways can be measured. The aim of the study was to compare the different methods to detect a cervical myelopathy and to correlate them. In 90% of patients clinical signs of cervical myelopathy could be detected, although in two-thirds of these, the neurological deficit was minimal. Radiologically, over 50% of patients had an atlanto-axid dislocation (AAD) of more than 5 mm. The central motor latencies measured in the upper extremities were prolonged in 47% of cases. These results show the usefulness of transcranial magnetic brain stimulation as an additional noninvasive investigation for detecting compression of the cervical myelon. This is an additional useful criterion for determining the need for operative intervention.

journal_name

Z Rheumatol

authors

Theiler R,Dvorak J,Janssen B,Baumgartner H,Herdmann J

subject

Has Abstract

pub_date

1990-09-01 00:00:00

pages

298-303

issue

5

eissn

0340-1855

issn

1435-1250

journal_volume

49

pub_type

杂志文章
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    authors: Jurna I

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  • [Erythropoietin--therapeutic option in chronic polyarthritis-induced anemia].

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    authors: Rave O,Wienands K

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  • Enumeration of T cell subsets and functional suppressor cell assays in patients with rheumatoid arthritis and HLA-B27-associated arthritis.

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  • [Variability of the clinical picture and the classification of progressive systemic scleroderma].

    abstract::Fiftythree patients with progressive systemic sclerosis were studied. Four of them (3 males) had the diffuse form of the disease. The skin manifestation of this clinical picture is characterized by diffuse progression of the cutaneous sclerosis over almost the whole body surface, except for the hands where it eventual...

    journal_title:Zeitschrift fur Rheumatologie

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    authors: Giordano M,Ara M,Capelli L,Tirri G,Vatti M

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  • [Serum and synovial adiponectin, resistin, and visfatin levels in rheumatoid arthritis patients. Relation to disease activity].

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  • [Progressive multifocal leukoencephalopathy and rheumatic disease].

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  • [Health-related quality of life (HRQoL) in rheumatoid arthritis].

    abstract::In order to measure therapeutic effects or assess disease course, outcomes measurement parameters are commonly used in patients with rheumatoid arthritis. From the patient's perspective, possibly the most important outcome measurement parameter is quality of life (QoL). QoL may be defined in terms of "health status" a...

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  • [Liberation of the oxygen radical from peripheral human phagocytes (granulocytes and monocytes) in patients with chronic polyarthritis].

    abstract::Monocytes from patients with definite or classical rheumatoid arthritis show a significantly higher release of O2-radicals in the chemiluminescence assay (2925 X 10(3) cpm) than those of healthy volunteers (267 X 10(3) cpm) (p = 0.01). This difference does not appear in a similar test with granulocytes, which in both ...

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  • [Bacterial sacroiliitis].

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  • [Traumatic finger polyarthrosis in judo athletes: a follow-up study].

    abstract::Osteoarthritis is the most common joint disease. In addition to known risk factors e.g. genetics, age and hormonal status it has been suggested that chronic-repetitive micro- and substantial (macro-) injury may play an important pathogenetic role. In a longitudinal case-study we examined Judo-players for clinical and ...

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  • [Inflammation mediated osteopenia (IMO): therapeutic effect of D-hormone and the role of cytokines].

    abstract::Inflammation-mediated osteopenia is an animal model for bone mass reduction following chronic inflammation. We found a reduction of calcitriol serum concentrations during the inflammatory process, in addition cytokines are increased. Treatment of the animals with calcitriol is able to prevent bone mass reduction and t...

    journal_title:Zeitschrift fur Rheumatologie

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  • [Pulmonary manifestations of lupus erythematodes visceralis].

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    authors: Görlitz N,Berzon R,Rössner B,Wessel G,Jäckel R

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  • [Treatment of patients with destructive arthritis with certolizumab pegol].

    abstract::Certolizumab pegol is a new anti-TNF-alpha inhibitor which has been approved for the treatment of rheumatoid arthritis since October 2009. Due to the modification of the antibody fragment by the adherence of polyethylene glycol (PEG) a sufficient distribution in inflammatory tissue was found in animal experiments. In ...

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  • [Regulatory T-cells in systemic lupus erythematosus. IL-2 is decisive for loss of tolerance].

    abstract::Systemic lupus erythematosus (SLE) results from loss of immunological tolerance. Regulatory T‑cells (Treg) are major gatekeepers of peripheral tolerance by suppression of autoreactive lymphocytes. Defects in Treg function are therefore possible pathogenetic mechanisms of SLE. Despite this fact published work about num...

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    abstract::The enzyme poly-(ADP-ribose) polymerase (PARP) is localized within the cell nucleus and catalyzes DNA-repair. During programmed cell death (apoptosis), PARP is enzymatically cleaved. Detection of the cleavage products is characteristic for apoptosis. In patients with systemic lupus erythematosus (SLE), the highly orde...

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