{"id":146159,"date":"2018-03-11T13:28:57","date_gmt":"2018-03-11T13:28:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-neurofisiologico-de-la-paralisis-facial-periferica-pf\/"},"modified":"2018-03-11T13:28:57","modified_gmt":"2018-03-11T13:28:57","slug":"estudio-neurofisiologico-de-la-paralisis-facial-periferica-pf","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-neurofisiologico-de-la-paralisis-facial-periferica-pf\/","title":{"rendered":"Estudio neurofisiol\u00f3gico de la par\u00e1lisis facial perif\u00e9rica (pf)"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 M Fernandez Rodriguez <\/strong><\/h2>\n<p>Bases y objetivos.  la electroneurograf\u00eda (enog) es un m\u00e9todo r\u00e1pido, fiable y no invasivo para cuantificar el grado de axonotmesis en una neuropat\u00eda focal y en consecuencia, ideal para establecer el pron\u00f3stico en las par\u00e1lisis faciales perif\u00e9ricas y otra par\u00e1lisis de nervio perif\u00e9rico. En esta tesis se ha empleado en la valoraci\u00f3n y pron\u00f3stico precoz as\u00ed como en la cuantificaci\u00f3n de la reinervaci\u00f3n a largo plazo.  pacientes y m\u00e9todos.  la enog se basa en el c\u00e1lculo de la amplitud y\/o \u00e1rea del potencial motor evocado en el orbicularis oris de ambos lados, sano y par\u00e9tico empleando electrodos de superficie en la estimulaci\u00f3n y registro; la enog es la raz\u00f3n entre ambas magnitudes expresada en porcentaje. El examen se realiz\u00f3 en 500 pacientes en al menos dos ocasiones, a los 10-15 y 30-40 d\u00edas. Los pacientes con grados de axonotmesis severos (enog < 20%) fueron seguidos hasta los 2 a\u00f1os exploraciones a los 3, 6 y 12 meses y a los 2a\u00f1os). Asimismo, se estudiaron 150 en los primeros 4-6 d\u00edas. La valoraci\u00f3n cl\u00ednica y secuelas se cuantificaron en 4 grupos siguiendo el baremo de zander olsen (acta neurol scand 1975: suppl 61; vol.52).  resultados.  valores de enog    50% a los 10-15 d\u00edas implican una recuperaci\u00f3n completa en 4-8 semanas (grupo i). Con enog entre 50% y 25% la recuperaci\u00f3n es aun completa y sin secuelas valorables pero en 4-6 meses (grupo i). Valores de enog entre un 25 y un 10% predicen una recuperaci\u00f3n con secuela m\u00ednima o moderada (grupos ii y iii). Finalmente, valores de enog 10% es decir grados de degeneraci\u00f3n axonal 90%, suponen una recuperaci\u00f3n lenta (m\u00e1s de 1 a\u00f1o) y siempre con secuela, en particular sincinesia y contractura (grupo iv).  conclusiones. la enog tiene un elevado valor predictivo positivo en el pron\u00f3stico de la pfp. La mayor\u00eda de los pacientes con secuela severa tienen a los 2 a\u00f1os valores de enog > 50%; este dato sugiere que las secuelas se deben m\u00e1s a la reinervaci\u00f3n aberrante que a reinervaci\u00f3n cuantitativamente insuficiente.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio neurofisiol\u00f3gico de la par\u00e1lisis facial perif\u00e9rica (pf)<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio neurofisiol\u00f3gico de la par\u00e1lisis facial perif\u00e9rica (pf) <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 M Fernandez Rodriguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/04\/1993<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jos\u00e9 Manuel Martinez Vazquez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Quesada marin <\/li>\n<li>tomas Fernandez de sevilla ribosa (vocal)<\/li>\n<li>m teresa Sagales i serra (vocal)<\/li>\n<li>jordi Batlle  i nadal (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 M Fernandez Rodriguez Bases y objetivos. la electroneurograf\u00eda (enog) es un m\u00e9todo r\u00e1pido, fiable y no [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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