phenylephrine-hydrochloride and Hemiplegia

Angiography with selective embolization has become an accepted method of treating posterior epistaxis that is not controlled with conservative measures. The authors reviewed 112 cases of patients who had received selective angiographic embolization for refractory epistaxis from January 1990 to December 1995. There were 114 embolizations over this 5-year period. The immediate success rate was 93%, with long-term success achieved in 88% of patients. The overall complication rate was 17%, with the long-term morbidity rate less than 1%. Selective angiographic embolization is a safe and effective method that should be considered in the treatment of refractory epistaxis.

Topics: Adolescent; Adult; Aged; Aged, 80 and over; Angiography; Brain Ischemia; Catheterization, Peripheral; Embolization, Therapeutic; Epistaxis; Female; Follow-Up Studies; Hemiplegia; Humans; Length of Stay; Longitudinal Studies; Male; Maxillary Artery; Middle Aged; Nose; Palate; Polyvinyl Alcohol; Recurrence; Retreatment; Risk Factors; Safety; Sphenoid Bone; Treatment Outcome

A 16-mo-old girl is described with acute hemiplegia associated with virologic and serologic evidence of Coxsackie A9 infection. Possibilities of pathogenesis are discussed. It is suggested that the present hemiplegia may have been the result of a focal vasculitis due to Coxsachie A9 viral infection in the region of the middle cerebral artery.

Topics: Acute Disease; Antibodies, Viral; Cerebral Arterial Diseases; Cerebrospinal Fluid; Coxsackievirus Infections; Enterovirus; Female; Hemiplegia; Humans; Infant; Nose; Radionuclide Imaging; Technetium

Topics: Acoustics; Cleft Palate; Hemiplegia; Humans; Nose; Palatal Neoplasms; Palate; Phonetics; Speech; Tape Recording

Topics: Adult; Airway Obstruction; Dental Occlusion; Diplopia; Female; Functional Laterality; Hemiplegia; Humans; Jaw Fractures; Male; Mandibular Fractures; Maxillary Fractures; Nose; Palpation; Radiography; Shock, Hemorrhagic; Zygomatic Fractures

Topics: Frontal Sinus; Hemiplegia; Humans; Neoplasms; Nose; Osteoma; Paranasal Sinuses; Pneumocephalus