Ultrasonography, Doppler, Color

Publication Title: 
East African Medical Journal

Early this century, the aetiology of priapism was solely attributed to "systemic disease and local irritation of lower genital tract and neurologic lesion". Corpora cavernosa incision described by Young was the only form of treatment. However, the aetiology, diagnosis and treatment options for the management of priapism and prolonged erections have evolved significantly in the past several years. Before the use of pharmacological agents for the production of erections, idiopathic priapism became the most common aetiology.

Author(s): 
Magoha, G. A.
Publication Title: 
Forschende Komplementärmedizin Und Klassische Naturheilkunde = Research in Complementary and Natural Classical Medicine

OBJECTIVE: An influence on organ-associated blood flow is considered as a possible mechanism of action of reflex zone massage of the feet (FRZM) therapy. In the present study we investigated whether changes in intestinal blood flow can be achieved by FRZM. MATERIAL AND METHODS: 32 healthy adults (19 women and 13 men) were randomly assigned to the treatment or the placebo group. Subjects of the treatment group received foot massage on the zones assigned to the intestines and those of the placebo group received massage on zones unrelated to the intestines.

Author(s): 
Mur, E.
Schmidseder, J.
Egger, I.
Bodner, G.
Eibl, G.
Hartig, F.
Pfeiffer, K. P.
Herold, M.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVES: To examine and compare the effects of massage and matrix rhythm therapy in young women on the peripheral blood circulation. DESIGN: Randomized, double-blind, controlled trial. SETTING: Pamukkale University in Denizli, Turkey. PATIENTS: Fifteen healthy women age 19-23 years. INTERVENTION: Matrix rhythm therapy was applied to the left lower extremity for a single 30-minute session. At least 1 week later, massage was applied to the left lower extremity for 30 minutes in a single session. The same physiotherapist applied both sessions.

Author(s): 
Taspinar, Ferruh
Aslan, Ummuhan Bas
Sabir, Nuran
Cavlak, Ugur
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

BACKGROUND: Cervical manipulation is used millions of times every year. Concern about cerebrovascular accidents (CVAs) is common, but actual cases are rarely reported. Premanipulative tests are presumed to identify patients at risk of CVA. In an earlier study we found no significant changes in the vertebral artery blood flow of patients with a positive premanipulative test with different head positions. Consequently, we questioned whether there is a role for premanipulative testing to identify patients at risk of CVAs.

Author(s): 
Licht, Peter B.
Christensen, Henrik W.
Høilund-Carlsen, Poul F.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To examine cerebral arterial blood flow in 2 patients exhibiting signs of vertebrobasilar arterial ischemia (VBI) before and after spinal manipulative therapy. CLINICAL FEATURES: Two patients had a repetitive/resting tremor, one from a spastic torticollis with the onset immediately after self-manipulation by the patient 6 months earlier, and the second one with a generalized resting tremor, hip clonus, dizziness, and presyncope. The diagnosis of vertebrobasilar ischemia was established by continuous wave Doppler ultrasound and physical examination.

Author(s): 
Jensen, Thomas W.
Publication Title: 
Manual Therapy

The combined extended and rotated cervical spine position has been postulated to affect vertebral artery blood flow by primarily causing a narrowing of the vessel lumen, usually within the artery contralateral to the side of head rotation. The production of brainstem symptoms during the manoeuvre has generally been considered to be a positive test result. As a consequence, functional pre-manipulation testing of the cervical spine has been part of clinical screening undertaken by chiropractors and other manual practitioners to rule out the risk of possible injury to the vertebral artery.

Author(s): 
Thiel, Haymo
Rix, George
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

BACKGROUND: Cervical manipulation is used millions of times every year. Concern about cerebrovascular accidents (CVAs) is common, but actual cases are rarely reported. Premanipulative tests are presumed to identify patients at risk of CVA. In an earlier study we found no significant changes in the vertebral artery blood flow of patients with a positive premanipulative test with different head positions. Consequently, we questioned whether there is a role for premanipulative testing to identify patients at risk of CVAs.

Author(s): 
Licht, Peter B.
Christensen, Henrik W.
Høilund-Carlsen, Poul F.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To examine cerebral arterial blood flow in 2 patients exhibiting signs of vertebrobasilar arterial ischemia (VBI) before and after spinal manipulative therapy. CLINICAL FEATURES: Two patients had a repetitive/resting tremor, one from a spastic torticollis with the onset immediately after self-manipulation by the patient 6 months earlier, and the second one with a generalized resting tremor, hip clonus, dizziness, and presyncope. The diagnosis of vertebrobasilar ischemia was established by continuous wave Doppler ultrasound and physical examination.

Author(s): 
Jensen, Thomas W.
Publication Title: 
Manual Therapy

The combined extended and rotated cervical spine position has been postulated to affect vertebral artery blood flow by primarily causing a narrowing of the vessel lumen, usually within the artery contralateral to the side of head rotation. The production of brainstem symptoms during the manoeuvre has generally been considered to be a positive test result. As a consequence, functional pre-manipulation testing of the cervical spine has been part of clinical screening undertaken by chiropractors and other manual practitioners to rule out the risk of possible injury to the vertebral artery.

Author(s): 
Thiel, Haymo
Rix, George
Publication Title: 
Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging

The dissection of the intracranial vertebral artery (VAD) is a common cause of young age brain stem stroke. VAD can be detected by conventional angiography, but there is yet no agreement on the most effective tool to use for the detection of VAD. Here, we report a patient with VAD, who was diagnosed with an intimal flap within the left vertebral artery by the magnetic resonance angiography (MRA) source images. Transcranial Doppler (TCD) showed a reversed flow in the basilar artery.

Author(s): 
Lee, Sung Ik
Yang, Hyun Duk
Son, Il Hong
Han, Sun Jung

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