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Medications and substances of abuse
Published in James W. Albers, Stanley Berent, Neurobehavioral Toxicology: Neurological and Neuropsychological Perspectives, 2005
James W. Albers, Stanley Berent
The neurologic symptoms and signs were long-standing and chronic, involving the peripheral nervous system in a multifocal distribution confined to individual peripheral nerves. The most likely diagnosis was thought to be an idiopathic multifocal motor neuropathy (MMN) with conduction block (Feldman, Bromberg, Albers, & Pestronk, 1991; Lange, Parry, & Trojaborg, 1993). Other items in the initial differential diagnosis included multiple entrapment neuropathies, hereditary neuropathy with liability to pressure palsy (HNLPP) (Felice, Poole, Blaivas, & Albers, 1994), mononeuritis multiplex secondary to vasculitis (Fauci, Haynes, & Katz, 1978; Kissel, 1989), Kennedy disease, and motor neuron disease of the progressive muscular atrophy type.
Clinical characteristics and outcomes of exertional rhabdomyolysis after indoor spinning: a systematic review
Published in The Physician and Sportsmedicine, 2023
Yoshio Masuda, Rachel Wam, Benjamin Paik, Clara Ngoh, Andrew MTL Choong, Jun Jie Ng
The age of the included patients ranged from 15 to 49 years with a combined mean of 26.7 ± 6.6 years. Of the 19 studies [11,12,26,27,29–42,44] that provided individual patient data, nine (17.6%) patients were between 15 to 19 years of age, 33 (64.7%) patients were between 20 to 29 years of age, and nine (17.6%) patients were 30 years of age and above. All studies provided information on gender, and 74 out of 97 (76.3%) patients were female. Seven studies [12,31,35,36,40,41,43] reported patient body mass index ranging from 18.5 kg/m2 to 33.4 kg/m2, with a combined mean of 24.4 ± 3.9 kg/m2. The vast majority of patients were healthy and had no reported comorbidities. Six patients were reported to have the following comorbidities – hereditary neuropathy with liability to pressure palsy, lower extremity congenital bony anomalies, Gilbert’s syndrome, juvenile myoclonic epilepsy, sickle cell trait and hyperlipidemia, respectively. Nineteen studies [10–12,26–37,39,42–44] with a total of 80 patients provided data about spinning class participation. Of the 80 patients, 67 patients (83.8%) had never participated in a spinning class before and developed SIER after their first spinning session. Data from 12 studies [11,26,29,30,33,34,38–41,43,44] reported that the duration of the spinning session ranged from 15 to 100 minutes, with a combined mean of 53.4 ± 15.7 minutes.