Vertical muscle transposition with silicone band belting in VI nerve palsy

Detalhes bibliográficos
Autor(a) principal: Dourado Leite, Ricardo
Data de Publicação: 2016
Outros Autores: Freitas, Cristina, Guimaraes, Sandra
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/1822/58053
Resumo: A woman aged 60 years developed a Millard-Gubler syndrome after a diagnosis of a cavernous angioma in the median and paramedian areas of the pons. In this context, she presented a right VI nerve palsy, right conjugate gaze palsy, facial palsy and left hemiparesis. To improve the complete VI nerve palsy, we planned a modified transposition approach, in which procedure we made a partial transposition of vertical rectus with a silicone band that was fixated posteriorly. After the procedure, the patient gained the ability to slightly abduct the right eye. We found no compensatory torticollis in the primary position of gaze. There was also an improvement of elevation and depression movements of the right eye. We obtained satisfactory results with a theoretically reversible technique, which is adjustable intraoperatively with no need of muscle detachment, preventing anterior segment ischaemia and allowing simultaneous recession of the medial rectus muscles, if necessary.
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spelling Vertical muscle transposition with silicone band belting in VI nerve palsyAbducens Nerve DiseasesEye MovementsFemaleHumansMagnetic Resonance ImagingMiddle AgedOculomotor MusclesOphthalmologic Surgical ProceduresSuture TechniquesSiliconesA woman aged 60 years developed a Millard-Gubler syndrome after a diagnosis of a cavernous angioma in the median and paramedian areas of the pons. In this context, she presented a right VI nerve palsy, right conjugate gaze palsy, facial palsy and left hemiparesis. To improve the complete VI nerve palsy, we planned a modified transposition approach, in which procedure we made a partial transposition of vertical rectus with a silicone band that was fixated posteriorly. After the procedure, the patient gained the ability to slightly abduct the right eye. We found no compensatory torticollis in the primary position of gaze. There was also an improvement of elevation and depression movements of the right eye. We obtained satisfactory results with a theoretically reversible technique, which is adjustable intraoperatively with no need of muscle detachment, preventing anterior segment ischaemia and allowing simultaneous recession of the medial rectus muscles, if necessary.(undefined)info:eu-repo/semantics/publishedVersionBMJ Publishing GroupUniversidade do MinhoDourado Leite, RicardoFreitas, CristinaGuimaraes, Sandra2016-12-142016-12-14T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/58053engDourado Leite R, Freitas C, Guimaraes S. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-20162167221757-790X10.1136/bcr-2016-21672227974341info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-05-11T06:22:56Zoai:repositorium.sdum.uminho.pt:1822/58053Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-11T06:22:56Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Vertical muscle transposition with silicone band belting in VI nerve palsy
title Vertical muscle transposition with silicone band belting in VI nerve palsy
spellingShingle Vertical muscle transposition with silicone band belting in VI nerve palsy
Dourado Leite, Ricardo
Abducens Nerve Diseases
Eye Movements
Female
Humans
Magnetic Resonance Imaging
Middle Aged
Oculomotor Muscles
Ophthalmologic Surgical Procedures
Suture Techniques
Silicones
title_short Vertical muscle transposition with silicone band belting in VI nerve palsy
title_full Vertical muscle transposition with silicone band belting in VI nerve palsy
title_fullStr Vertical muscle transposition with silicone band belting in VI nerve palsy
title_full_unstemmed Vertical muscle transposition with silicone band belting in VI nerve palsy
title_sort Vertical muscle transposition with silicone band belting in VI nerve palsy
author Dourado Leite, Ricardo
author_facet Dourado Leite, Ricardo
Freitas, Cristina
Guimaraes, Sandra
author_role author
author2 Freitas, Cristina
Guimaraes, Sandra
author2_role author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Dourado Leite, Ricardo
Freitas, Cristina
Guimaraes, Sandra
dc.subject.por.fl_str_mv Abducens Nerve Diseases
Eye Movements
Female
Humans
Magnetic Resonance Imaging
Middle Aged
Oculomotor Muscles
Ophthalmologic Surgical Procedures
Suture Techniques
Silicones
topic Abducens Nerve Diseases
Eye Movements
Female
Humans
Magnetic Resonance Imaging
Middle Aged
Oculomotor Muscles
Ophthalmologic Surgical Procedures
Suture Techniques
Silicones
description A woman aged 60 years developed a Millard-Gubler syndrome after a diagnosis of a cavernous angioma in the median and paramedian areas of the pons. In this context, she presented a right VI nerve palsy, right conjugate gaze palsy, facial palsy and left hemiparesis. To improve the complete VI nerve palsy, we planned a modified transposition approach, in which procedure we made a partial transposition of vertical rectus with a silicone band that was fixated posteriorly. After the procedure, the patient gained the ability to slightly abduct the right eye. We found no compensatory torticollis in the primary position of gaze. There was also an improvement of elevation and depression movements of the right eye. We obtained satisfactory results with a theoretically reversible technique, which is adjustable intraoperatively with no need of muscle detachment, preventing anterior segment ischaemia and allowing simultaneous recession of the medial rectus muscles, if necessary.
publishDate 2016
dc.date.none.fl_str_mv 2016-12-14
2016-12-14T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/58053
url http://hdl.handle.net/1822/58053
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Dourado Leite R, Freitas C, Guimaraes S. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016216722
1757-790X
10.1136/bcr-2016-216722
27974341
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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