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  • Agammaglobulinämie  (1)
  • Conservative treatment  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European spine journal 6 (1997), S. 357-361 
    ISSN: 1432-0932
    Keywords: Epidural perineural injection ; Local injection therapy ; Lumbar radicular syndrome ; Conservative treatment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two controlled studies for a new epidural, perineural, singleshot, selective nerve root injection with a double-needle approach to the anterior epidural space of the lumbar spinal canal are presented. The results were analysed to determine the effectiveness of the new epidural perineural injection technique. The trial comprised two controlled studies on 182 patients. One study compared prospectively randomized results of patients with lumbar radicular syndromes who received epidural perineural injections (n = 47), conventional posterior epidural injections (n = 40) and, as a control group, paravertebral local anaesthetic (n = 46). A second, prospective, double-blind study compared the effect of epidural perineural injections with triamcinolone (n = 24) and pure saline (n = 25). Epidural perineural injections were more effective than conventional posterior epidural injections. Both epidural groups had better results than the paravertebral local injection group. Epidural perineural injections with steroids (10 mg triamcinolone) were more effective than saline alone. A systemic steroid effect was excluded by additional intramuscular steroid injections in the saline group. There were no severe complications or side effects in any of the three groups. The studies concluded that single-shot epidural perineural injection is effective in the treatment of lumbar radicular pain. It is a “one drop only” therapy to the source of pain.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Monatsschrift Kinderheilkunde 147 (1999), S. 921-923 
    ISSN: 1433-0474
    Keywords: Schlüsselwörter Aseptische Gonarthritis ; Synovitis ; Kniegelenksonographie ; Agammaglobulinämie ; Mykoplasmeninfektion ; Key words Sterile gonarthritis ; Synovitis ; Ultrasonography of the knee ; Agammaglobulinemia ; Mycoplasma infection
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary A non-traumatic and sterile effusion of the knee joint was the presenting symptom of agammaglobulinemia in a five year old boy. The patient had experienced recurrent infections, but these had been localized and responded to antibiotics so that the disease had not been diagnosed before. Synovitis of the knee was demonstrated by ultrasonography, while HRCT of the lungs showed thickening and dilatation of bronchial walls. Complete recovery of gonarthritis was achieved following intravenous gamma globulin substitution. Discussion: Agammaglobulinemia has to be considered in the presence of an atraumatic and sterile monarthritis of the knee. Ultrasonography is a valuable diagnostic tool in demonstrating synovitis.
    Notes: Zusammenfassung Ein fünfjähriger Junge entwickelte einen einseitigen nicht traumatischen, aseptischen Kniegelenkerguß, der sonographisch eine ausgeprägte Synovialishyperplasie zeigte. Die weitere Diagnostik erbrachte eine Agammaglobulinämie sowie Bronchiektasen. Eine vollständige und bleibende Remission der Kniegelenkbeschwerden wurde nach i.v. Immunglobulinsubstitution erreicht. Diskussion: Bei einer aseptischen Arthritis sollte auch an einen Immunglobulinmangel gedacht werden. Die Synovitis kann sonographisch gut dargestellt werden.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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