- Department of Neurosurgery, Perú
- Title:Design and Clinical Experience of a New Flexible Cervical Implant
- Time :
On present here the design process and the results of the application in the first 25 cases of a novel cervical disc implant, Flexible Cervical Implant, manufactured by digital metal 3D printing in ELI grade titanium alloy.
The implant was designed and patented by the author of the article and was evaluated from the design point as well as metallographic and mechanical in a certified materials laboratory.
Our series includes men and women in an age range from 30 to 65 years of age, with a clinical picture of uni or bilateral cervicobrachialgia or even cervical spinal cord compression diagnosed with Hernia of the Pulposus Nucleus or Degenerative Disc Disease, at one or two levels, which compressed the spinal cord, cervical roots of both and generating clinical picture.
Cases of cervical vertebral disc pathology secondary to trauma, autoimmune processes or infectious processes were excluded.
The patients evolved with relief of their symptoms and signs that motivated the surgery and without presenting intercurrences of neurological type or additional neurological infectious or involvement of the soft cervical structures.
Dr Carlos Alvarez is a Peruvian neurosurgeon trained in the Universidad Nacional Mayor de San Marcos,at Lima-Perú. Member of the Peruvian Society of Neurosurgery and also of the American Medical Association of Neurological Surgeons of USA. Author of several scientific papers and inventor of neurosurgical implants.
Nowadys, he is Head of de Department of Neurosurgery of the Clínica Alvarez.
- University Hospital of Málaga, Spain
- Title:Athlete With Brain Damage: From Spasticity To Myofascial Pain
- Time :
Introduction and Objectives: Cerebral palsy is a non-progressive neurological disorder that occurs around the time of birth. This is the case of a patient who grew up with spastic paraparesis. He reached adulthood with autonomous gait after three surgeries in which multiple tenotomies were carried out in the lower limbs. In the periods between interventions, he required periodic injections with onabotulinumtoxinA. The patient was a member of the national adaptive swimming team. He came to the clinic with a complaint of mechanical pain in the left buttock and right lumbar and abdominal regions, which had caused him to stop swimming training.
Methods: On physical examination, trigger points typical of myofascial pain syndrome were found in the following muscles: left piriformis, right quadratus lumborum, and right rectus abdominis (related to osteitis pubis due to the kick made when swimming). Pubic enthesopathy was confirmed by ultrasound, which showed increased heterogeneity with hypoechoic foci and gross calcifications in the entheses of the pubic musculature with angiogenesis. Treatment of trigger points with intramuscular onabotulinumtoxin A injections was performed.
Results: In two weeks, the patient presented with pain relief shown by a reduction in score from 8 to 4 points on the visual analogue pain scale.
Conclusions: Treatment with botulinum toxin inhibits the hypercontractility of trigger points. In this patient, the objectives evolved from improvement of the gait pattern to relief of myofascial pain syndrome related to a clinical history of spastic paraparesis and a desire to resume swimming practice.
Paba Dotes Ana Belén finished her studies of medicine in 2017 at the University of Granada, Spain. Diploma in Sciences Business Studies from the University of Barcelona in 2004.She have been founder and member of the Scientific Review Committee of the journal Scientific Archives of University Medicine. Currently a PhD student in Biomedicine at the University of Malaga and Collaborating researcher of the group of basic neurosciences, chronicity, aging and health in IBIMA populations (Malaga Biomedicine Research Institute).
At the present time She is working as a physician specialist in physical medicine and rehabilitation at the Regional University Hospital of Malaga.
- Lebedev Physical Institute Russia
- Title:The neuro-cognitive approach to the enigma of aesthetic emotions (the effect of chef-d’oeuvre)
- Time :
The nature of emotions producing by a piece of art or ‘Chef-d’oeuvre’ (so called Aesthetic Emotions, AE) is considered within the neuromorphic Natural-Constructive Cognitive Architecture (NCCA) model. Its important feature being the combination of two subsystems, the one for generation of new information, and the other for its conservation. The enigma of AE (no pragmatic motives and quite individual preferences) is shown to be entirely connected with another mystery — the “Explanatory Gap” between the concepts of “Brain” and “Mind”. Within NCCA, the “Brain” is considered as neuron records of the raw images of real objects (individual objective information), while the “Mind” refers to personal subjective information created inside the cognitive system itself (symbolic infrastructure). It is shown that AE are caused by the “recognition paradox”: an object seems both, familiar but unusual. This occurs if the “Brain” does see its subtle features, while the “Mind” does not realize. Bright AE (goosebumps) are caused by irregular excitation of implicit associations provided by weak (“gray”) connections of the “halo” neurons (simulating the subconsciousness). General formula for Chef-D’oeuvre in science and art could be expressed as “a condensed capacity to see the invisible, to combine the incompatible”.
Olga Chernavskaya Born on 03/30/1957. Studied at the Physics Faculty of Moscow State University, Department
of Quantum Field Theory, graduated in 1980 with honors. Since 1980 has been working at
Lebedev Physical Institute, Laboratory of Elementary Particles, current position – Senior
Researcher. In 1998 she defended her thesis and received a Ph.D. degree in physics-math
sciences. Since 2011 – Member of the Interregional Association for Cognitive Research. Since
2012 – member of the Biologically Inspired Cognitive Architecture (BICA) society. Since 2017 –
Member of the Program Committee of IARIA confs COGNITIVE.
- Ben Gurion University,Israel
- Title:The association between specific temporomandibular disorders and cervicogenic headache
- Time :
Background and aims: Upper neck signs, symptoms and hypomobility have been shown to present with a higher prevalence in patients with temporomandibular disorders (TMDs). However, there is currently no evidence of an association between specific TMDs and cervicogenic headache (CGH). Therefore, the aim of this study was to evaluate the odds ratio and the relative risk of CGH in patients with specific TMDs.
Method: 116 participants, including 74 patients with TMD (pain-related/intraarticular/mixed TMD) and 42 healthy controls took part in this study. The TMD diagnosis was made by senior faculty members of the Dental School according to the Diagnostic Criteria for TMD, while the cervical diagnosis was made by a qualified senior physical therapist. The analysis comprised the evaluation of the odds ratio of CGH among patients with TMD and the relative risk (RR) for CGH during 14-24 months of follow-up.
Results: Significantly higher odds ratios of cervicogenic headache were found among pain-related and mixed TMD (12.17 and 10.76, respectively) versus healthy controls. During the 14-24 months of follow-up, there was no significant difference of relative risk for CGH among patients with TMD versus healthy controls.
Summary and conclusions: The results support a clear clinical association between painful TMD (pain-related and mixed TMD) and cervicogenic headache.
Keywords: Cervical pain; Cervicogenic headache; Neck pain; Orofacial pain; Temporomandibular joint.
Dr. Tzvika Greenbaum is a Physical Therapist, a lecturer and a researcher in the field of Cervico- Cranio-Mandibular rehabilitation. He is the founder of a unique academy – “Cervico-Cranio- Mandibular Academy (CCMA)” which delivers a worldwide evidence based practical training for Physical Therapists, Dentists and MDs in this field. He is also a full-time teaching fellow in the Ben Gurion University of the Negev in Israel and a practicing clinician in the multi-disciplinary Hertzeliya Medical Center in Tel Aviv, Israel. The main vision is to lead the field of Cervico-Cranio-Mandibular rehabilitation into modern evidence-based practice by using an inter- disciplinary approach.