Neurology-2021
July 23, 2021
Scientific Program
Keynote Session:
Title: Esthesioneuroblastoma: Experience at the National Institute of Neurology and Neurosurgery
Biography:
Rafael Vazquez Gregorio is a senior neurosurgeon resident from Mexico City from the National Autonomuous University from Mexico City in the National Neurology and Neurosurgery Institute from Mexico City. He has performed and assisted more than 550 surgeries in their program. He won the award from his University in Puebla , Mexico obtaining the best GPA in Medical School. He had won one of the places to assit the simposium from the NEJM 200th Anniversary Essay contest in Harvard Medical school. He had a course from Harvard Medical School, Principles and Practice of Clinical Research and published 4 international articles.
Abstract:
Esthesioneuroblastoma or olfactory neuroblastoma (ENB) is a neuroectodermic malignant tumor derived from the olfactory epithelium of the nasal cavity and paranasal sinuses mucosa. It can extend to the superior third of the nasal septum, anterior floor, and intracranial compartment. This article presents the institutional experience and the prognosis of patients with the diagnosis of esthesioneuroblastoma.Â
Title: Effect of sensory motor facilitation with occupational therapy services in the recovery of post traumatic hand injury
Biography:
Work –related accidents or domestic traumas of upper-extremities have become more frequent in the modern industrial and technological society.
Purpose of this study to evaluate effectiveness of sensory re- education and desensitization techniques in upper extremity injury and surgery or both
Abstract:
Through randomized quantitative experimental design , a sample of 16 patient was enrolled in sensory motor area of occupational therapy department SIPMR Karachi ,Disability of Arm ,shoulder and hand (DASH)used to measured hand functioning, Sensory examination by design neurological evaluation form were also administered to the clients pre and post 6 to 8 weeks of occupational therapy services. All participant signed informed consent .Generally, hand rehabilitation involves comprehensive services for physiological impairments, activity difficulties, limitations in roles or occupation. Occupational therapist may address physiological issues e.g. , pain, stiffness, edema, limited ROM and sensory issues.
Title: Impact of Modified Game Based Activities in Motor Control and Functional Outcome of Stroke Patients
Biography:
This study was conducted at Sindh Institute of physical medicine and rehabilitation DOW University of health sciences. 15 patients those included were diagnosed as stroke through randomized control trial; patients having muscle grade 3, aged between 20-50, acute cases were included .All patients received conventional therapy and additional game based activities 4 days a week. Sports based therapy included Basket Ball, Balloon Bounce, Volley Ball, Cricket, and Football .These 5 activities covered with warm up and cool down exercises. Pre and post assessment is done by Fugal Mayer and Chadock scale.
Abstract:
Stroke is one of the most common causes of physical disability, and early, intensive, and repetitive rehabilitation exercises are crucial to the recovery of stroke survivors. Thus, to motivate stroke survivors to engage in monotonous rehabilitation is a significant issue in the therapy process. Game-based rehabilitation systems have the potential to encourage patients continuing rehabilitation exercises
The purpose of this study was to evaluate the effect of modified game based activity that improve, motor performance in stroke survivors and increased automatic learning pattern to enhance motor control
Title: Split foot sign in Amyotrophic lateral sclerosis (ALS)
Biography:
The muscle patterns involved in amyotrophic lateral sclerosis (ALS) remains controversial. split leg and split hand signs were assessed previously. However; foot muscles involvement could be not equal in ALS like in case of split hand sign with preference for lateral hand muscles.
Abstract:
We recruited 11 patients with ALS and 12 healthy controls. Compound Muscle Action Potentials (CMAPs) were recorded over the EDB, ADM and AH muscles in all subjects. EDB/AH and ADM/AH ratios were obtained and compared between patients and controls.
The EDB/AH and ADM/AH CMAP amplitude ratio were significantly reduced in patients with ALS (0.26 +_ 0.16, P = 0.001) and (0.27 +_ 0.10, p = 0.001) respectively. These findings indicate a greater loss of lower motor neurons innervating the EDB and ADM and dysfunction of spinal motor neurons innervating these muscles. The EDB/AH and ADM/AH CMAP ratios reliably differentiated patients from HCs, with AUCs of 0.42 (95% CI 0.00-0.9) and 0.41 (95% CI 0.00–0.95), sensitivities of 78%, and specificities of 100% for both with cut-off ratios of 0.12 and 0.15 recpectively
