Medline Abstracts not related to MRI evidence of AP effects in brain

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Chen CY, Liu GC, Sheu RS, Huang CL. | Bacterial meningitis and

lumbar epidural hematoma due to lumbar APs: a case report. |

Kaohsiung J Med Sci. 1997 May;13(5):328-31. | Dept of Radiology,

Kaohsiung Medical College, Taiwan, Republic of China. | A 48-year-

old female expressed signs of meningeal irritation after having

received several lumbar APs within one week for back pain.

Bacterial meningitis was diagnosed from cerebrospinal fluid

examinations. MRI of spine at admission demonstrated a fusiform

lesion with characters of subacute hematoma in the epidural space

of the first and second lumbar level. She received antibiotics

treatment only and recovered from her central nervous system

infection completely. The epidural lesion disappeared

spontaneously in the MRI follow up three weeks later. We report

the diagnosis and follow-up of epidural hematoma of the lumbar

spine by MRI which aided the medical physician to treat meningitis

attentively. | Publication Types: Case Reports PMID: 9226976

[PubMed - indexed for MEDLINE]

 

Choo DC, Yue G. | Acute intracranial hemorrhage caused by AP. |

Headache. 2000 May;40(5):397-8. Comment in: Headache. 2001

Mar;41(3):328-9. | Dept of Medicine, Loma Linda University Medical

Center, CA, USA. | A 44-year-old Chinese man developed severe

occipital headache, nausea, and vomiting during AP treatment of

the posterior neck for chronic neck pain. Computed tomography of

the head showed hemorrhage in the fourth, third, and lateral

ventricles. A lumbar puncture confirmed the presence of blood. MRI

angiography with gadolinium did not reveal any saccular

aneurysms or arteriovenous malformations. The patient's headache

resolved over a period of 28 days without any neurological deficits.

AP of the posterior neck can cause acute intracranial hemorrhage.

| Publication Types: Case Reports PMID: 10849036 [PubMed -

indexed for MEDLINE]

 

Daivajna S, Jones A, O'Malley M, Mehdian H. | Unilateral septic

arthritis of a

lumbar facet joint secondary to AP treatment--a case report. | Acupunct Med.

2004 Sep;22(3):152-5. | Centre for Spinal Studies and Surgery, University

Hospital, Nottingham,UK. | This report describes a case of septic arthritis of

the

lumbar facet joint probably as a result of AP treatment. A 48 year old man with

a

long history of back pain presented with a two week history of increasing pain

following a third session of AP. Examination revealed tenderness in the right

lumbosacral area and laboratory investigations revealed raised inflammatory

markers with negative blood cultures. A bone scan and MRI scan showed

evidence of septic arthritis of the right L5/S1 facet joint. An x ray computed

tomography guided biopsy was carried out which isolated staphylococcus

aureus. The patient was initially treated with intravenous antibiotics. A repeat

MRI scan demonstrated persistent septic arthritis with adjacent early abscess

formation. Surgical debridement of the facet joint was therefore performed. The

patient had resolution of his symptoms and the inflammatory markers returned to

normal. He regained a full range of movement of the lumbar spine. Very few

cases have been reported of lumbar facet joint septic arthritis and this

condition

is rare in association with AP treatment. A high index of suspicion needs to be

maintained and if conservative management fails then debridement can result in

an acceptable outcome. | PMID: 15551942 [PubMed - in process]

 

Evtushenko SK, Omel'ianenko AA. | [The therapy of non-traumatic vegetative

state syndrome in children - Article in Russian] | Zh Nevrol Psikhiatr Im S S

Korsakova. 2001;101(11):19-25. | | Twenty nine non-traumatic appalic

syndrome (AS) cases of various etiology were observed in children aged from

3 to 14 years. The clinical picture study was carried out, along with brain

structure visualization in vivo (CT and MRT), EEG and cerebral blood flow

detection with transcranial ultrasonic dopplerography. All the cases were

studied in dynamics in relation to influence of complex course therapy developed

by the authors, including vasoactive drugs, nootropics, craniopuncture, AP and

electrostimulation of craniopuncture zones. Five patients (17.2%) had a distinct

positive dynamics with complete consciousness rehabilitation on the background

of moderate neurological deficit regress. In general, CT-data and changes of

EEG and cerebral blood flow in AS were not found to have any prognostic value

and to be etiologically specific. But changes of EEG and cerebral blood flow in

response to the treatment appear to be positive prognostic sign. The prognosis

for AS due to meningoencephalitis is worse than one for AS due to hypoxic-

ischemic encephalopathy. The non-traumatic AS duration for more than 2

months corresponds to unfavorable outcome. | PMID: 11765607 [PubMed -

indexed for MEDLINE]

 

Ha KY, Kim YH. | Chronic inflammatory granuloma mimics clinical manifestations

of lumbar spinal stenosis after AP: a case report. | Spine. 2003 Jun

1;28(11):E217-20. | Dept of Orthopedic Surgery, Kang-Nam St. Mary's Hospital,

the Catholic University of Korea, College of Medicine, Seoul, Korea.

kyh | STUDY DESIGN: A case report and review of the literature.

OBJECTIVES: To present a case of chronic inflammatory epidural granuloma

formed after AP. SUMMARY OF THE BACKGROUND DATA: A number of cases

of complications resulting from AP have been reported, including acute

infection,

hemorrhage, and direct injury to internal organs or neural tissues. However, to

the best of our knowledge, there has been no report of epidural granuloma

formed following AP and mimicking clinical manifestations of lumbar stenosis.

METHODS: A 68-year-old woman suffered from low back pain and sciatica

aggravated by AP. We reviewed her medical record, imaging studies,

microscopic findings of the mass, and related literature. RESULTS: Microscopic

examination revealed the mass as a chronic inflammatory granuloma. From her

previous history and imaging study, the mass, which compressed the lumbar

forth nerve and dural sac,was highly suspected to have been formed after AP.

Surgical decompression and excision of the epidural mass relieved her

symptoms. CONCLUSION: Chronic inflammatory granuloma may be formed as a

complication of AP. Under such circumstances, surgical excision of the mass

may be an effective way of relieving the symptoms. | Publication Types: Case

Reports PMID: 12782998 [PubMed - indexed for MEDLINE]

 

Ilhan A, Alioglu Z, Adanir M, Ozmenoglu M. | Transverse myelopathy after AP

therapy: a case report. | Acupunct Electrother Res. 1995 Aug-Dec;20(3-4):191-

4. | Dept of Neurology, K.T.U Medical Faculty, Trabzon, Turkey. | Acute

transverse myelopathy (ATM) due to AP therapy is a rare neurologic condition.

Diagnostic criteria for ATM consisted of acute onset of symmetrical motor,

sensory dysfunction and may be associated with sphincter dysfunction with

respect to the level of the spinal cord injury. In this report, the mechanism of

occurrence of meylopathy and progressive symptoms which appeared after AP

therapy is discussed. | Publication Types: Case Reports PMID: 8686572 [PubMed

- indexed for MEDLINE]

 

Ishibe M, Inoue M, Saitou K. | Septic arthritis of a lumbar facet joint due to

pyonex. | Arch Orthop Trauma Surg. 2001;121(1-2):90-2. | Dept of Orthopaedic

Surgery, Nippon Telegraph and Telephone East Corporation, Sapporo Hospital,

Japan. ishibe | We present a case of septic

arthritis of a lumbar facet joint with an associated epidural abscess. A

13-year-

old boy was hospitalized with acute severe back pain and fever after pyonex

was done. The infection was precisely localized with MRI, bone and gallium

scintigraphy. He responded to antibiotic therapy. We suppose that the infection

was caused by pyonex because the blood cultures were negative, and the

patient had an abrupt onset of severe pain and fever 24 h after the AP. |

Publication Types: Case Reports PMID: 11195129 [PubMed - indexed for

MEDLINE]

 

Jenner C, Filshie J. | Galactorrhoea following AP. | Acupunct Med. 2002

Aug;20(2-3):107-8. | | A 41-year-old woman with breast cancer was referred

to the pain management clinic for a course of AP for intense pain following a

subcutaneous mastectomy and a latissimus dorsi flap reconstruction. She was

treated with a standard course of AP for breast pain, using paravertebral

segmental points, trigger points, plus contralateral L14 on the non-

lymphoedematous arm. She experienced an episode of galactorrhoea six days

following the first treatment and during the second treatment. She had not

previously lactated for four years. CT and MRI of the brain revealed no focal

abnormality. AP has been used in to promote lactation in TCM using 'Tianzong'

AP point SI11. This AP point coincided with a trigger point over infraspinatus

that

was included in the neurophysiologically based AP treatment. Quantitative

analysis has shown an increase in the production of prolactin and oxytocin

following AP. These hormones are involved in the synthesis and release of milk

from mammary glands respectively. This is the first report of galactorrhoea, in

the contralateral normal breast, following AP in a patient with breast cancer. |

Publication Types: Case Reports PMID: 12216598 [PubMed - indexed for

MEDLINE]

 

Johnson GD. | Medical management of migraine-related dizziness and vertigo. |

Laryngoscope. 1998 Jan;108(1 Pt 2):1-28. | Dept of Otolaryngology, Dartmouth-

Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA. | Historically,

review of migraine-related vestibular symptoms has focused on the various

clinical presentations that occur and the results of diagnostic studies of

vestibular function. Treatment of vestibular symptoms related to migraine has

been proposed similar to that used for headache control, but few examples of

the effectiveness of this therapy have been published. The purpose of this

study is to present the various approaches that can be used to manage

vestibular symptoms related to migraine, and to evaluate the overall

effectiveness of these treatment approaches. This was a retrospective review

of 89 patients diagnosed with migraine-related dizziness and vertigo. The

character of vestibular symptoms, pattern of cochlear symptoms, results of

auditory and vestibular tests, and comorbidity factors are presented. Treatment

was individualized according to symptoms and comorbidity factors, and

analyzed regarding effectiveness in control of the major vestibular symptoms of

episodic vertigo, positional vertigo, and nonvertiginous dizziness. Medical

management included dietary changes, medication, physical therapy, lifestyle

adaptations, and AP. Complete or substantial control of vestibular symptoms

was achieved in 68 (92%) of 74 patients complaining of episodic vertigo; in 56

(89%) of 63 patients with positional vertigo; and 56 (86%) of 65 patients with

non-vertiginous dizziness. Similarly, aural fullness was completely resolved or

substantially improved in 34 (85%) of 40 patients; ear pain in 10 (63%) of 16

patients; and phonophobia in 17 (89%) of 19 patients. No patient reported

worsened symptoms following medical management. The conflicting concept of

a central disorder (migraine) as the cause of cochlear and vestibular

dysfunction that often has peripheral features is discussed. | PMID: 9430502

[PubMed - indexed for MEDLINE]

 

Kong J, Wang Y, Shang H, Wang Y, Yang X, Zhuang D. | Brain potentials during

mental arithmetic-effects of problem difficulty on event-related brain

potentials. |

Neurosci Lett. 1999 Feb 5;260(3):169-72. | Institute of AP and Moxibustion,

China

Academy of TCM, Beijing, People " s Republic of China. kongj |

One addend '+' symbol and another addend were presented in sequence to

subjects in a monitor, and event-related brain potentials (ERPs) were recorded

at the same time to examine the effect of problem difficulty (with or without

carrying in solution) on ERPs. After the presentation of the second addend, N1,

P1, N2, late positive complex and slow waves were recorded. The P2 amplitude

at F3 site for the difficult arithmetic problems between 168 and 184 ms is

larger

(more positive) than that for easy problems (P < 0.05). The mean latency of P2

at

F7 and P3b at F3 and F4 is significantly longer for difficult problems than that

for

easy ones (P < 0.05). It is suggested that prefrontal activity may be involved

in

the arithmetic data retrieval process. ERPs is modified to different degrees by

changing the difficulty of mental arithmetic. | Publication Types: Clinical

Trial

PMID: 10076894 [PubMed - indexed for MEDLINE]

 

Lonner JH. | A 57-year-old man with osteoarthritis of the knee. | JAMA. 2003 Feb

26;289(8):1016-25. Comment in: JAMA. 2003 Jul 2;290(1):36; author reply 36.

JAMA. 2003 Jul 2;290(1):36; author reply 36. | Booth, Bartolozzi, Balderston

Orthopaedics, Pennsylvania Hospital, 800 Spruce St, Philadelphia, PA 19107,

USA. lonnerj | | Publication Types: Case Reports Clinical

Conference PMID: 12597755 [PubMed - indexed for MEDLINE]

 

Sato M, Yamane K, Ezima M, Sugishita Y, Nozaki H. | [A case of transverse

myelopathy caused by AP - Article in Japanese] | Rinsho Shinkeigaku. 1991

Jul;31(7):717-9. | Dept of Neurology, Ota-Atami Hospital. | A 54-year-old man

received insertion of an AP needle into the region extending from the posterior

neck to the back on two occasions for the treatment of shoulder stiffness. Two

weeks after the second AP, he developed fever, dysarthria and mictionary

disturbance, finally reaching the condition of tetraplegia. He was immediately

admitted to an emergency room in our hospital, and was diagnosed as sepsis

with DIC, ARDS, heart failure, renal failure, liver failure, and myelitis. After

one

month, he recovered with transverse myelopathy as a residual deficit.

Neurological findings showed transverse myelopathy below the level of Th2 at

that time. Cervical CT revealed an irregular low density at the periphery of the

cervical vertebra from the C2 to C4 level. Cervical MRI revealed an irregular

swelling of his spinal cord from the C2 to C7 level. We explained the mechanism

of transverse myelopathy in this case as follows. After the AP, he suffered a

focal infection of the region of needle insertion, and then the infection

expanded

to the cervical vertebra, thus causing osteomyelitis, sepsis, and finally

cervical

myelitis. Direct injury of the spinal cord and nerve roots as a complication of

AP

was previously reported, but indirect injury of the spinal cord due to myelitis

had

not been reported except our present case. Careful attentions should be paid to

the complications of AP. | Publication Types: Case Reports Review Review of

Reported Cases PMID: 1786654 [PubMed - indexed for MEDLINE]

 

Shiraishi T, Onoe M, Kojima TA, Kageyama T, Sawatsugawa S, Sakurai K,

Yoshimatsu H, Sakata T. | Effects of bilateral auricular AP stimulation on body

weight in healthy volunteers and mildly obese patients. | Exp Biol Med

(Maywood). 2003 Nov;228(10):1201-7. | Dept of Neurophysiology, Division of

Human Structure and Function, The Tokai University School of Medicine, Isehara

259-1193, Japan. whitston | We investigated the effects of ear

AP stimulation on non-obese healthy volunteers and mildly obese patients.

Subjects (n = 55 and 5, respectively) averaged 34.5 years old, and BMI was

24.3 and less than 27.5 kg/m2, respectively. We also studied the effects of

single-blind sham treatment in approximately 500 age-, sex-, and BMI-matched

subjects. Small (0.15 x 2.0 mm) ear needles were placed intracutaneously into

the bilateral cavum conchae identified by having a resistance of less than 100

kOmega/cm2. In the 2-week pretreatment the period, in which body weight was

measured without ear AP stimulation, 57.1% of the subjects showed a reduction

in body weight. This indicates that charting one's own body weight might itself

be a useful method of weight control. In the ear AP treatment period, 35 healthy

subjects of 55 (63.6%) showed a decreased body weight, 11 (20%) showed

an increased body weight, and 9 (16.4%) showed no change in body weight.

The obese patients showed individual variation, but all achieved weight

reduction, with a highly significant correlation between body weight and fat

volume. The CT/MRI cross-sectional pictures supported these findings. Sham

treatment had no statistically significant effect on body weight. These results

suggest that success in achieving weight reduction can be partly attributed to

the act of charting of one's own weight pattern. Bilateral ear AP stimulation

can

help reduce body weight both in mildly obese patients and in healthy non-obese

subjects. In conclusion, this is in accord with the bilateral ear AP stimulation

that

it may be useful in the treatment of the obesity. We propose a possible

mechanism for the weight-reducing effects of bilateral ear AP stimulation. |

Publication Types: Evaluation Studies PMID: 14610261 [PubMed - indexed for

MEDLINE]

 

Yazawa S, Ohi T, Sugimoto S, Satoh S, Matsukura S. | Cervical spinal epidural

abscess following AP: successful treatment with antibiotics. | Intern Med. 1998

Feb;37(2):161-5. | Dept of Internal Medicine, Miyazaki Medical College,

Kiyotake. |

A 67-year-old man with poorly controlled diabetes mellitus (DM) had AP several

times a month for chronic shoulder muscle stiffness. A few days after AP in the

posterior nuchal region, a low-grade fever and backache developed, and

subacutely progressed. Finally he complained of gait disturbance, and then

respiratory distress appeared. MRI demonstrated high cervical epidural abscess

with massive soft tissue inflammation and vertebral osteomyelitis. Conservative

treatment with antibiotics was effective and it was well documented by

following serial MRIs. This case suggested that needle AP should be avoided for

immunocompromised subjects such as patients with poorly controlled DM. |

Publication Types: Case Reports PMID: 9550597 [PubMed - indexed for MEDLINE]

 

 

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