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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.26 no.3 São Paulo Sept. 1968

http://dx.doi.org/10.1590/S0004-282X1968000300002 

A síndrome ombro-mão nas hemiplegias vasculares

 

Shoulder-hand syndrome in cerebrovascular hemiplegia

 

 

Sebastião E. Melo SouzaI; Wilson SanvitoII; Álvaro SoolaIII

IMédico estagiário; Da Clínica Neurológica do Hospital do Servidor Público do Estado de São Paulo (Chefe: Dr. Roberto Melaragno Filho)
IIAssistente; Da Clínica Neurológica do Hospital do Servidor Público do Estado de São Paulo (Chefe: Dr. Roberto Melaragno Filho)
IIIMédico auxiliar; Da Clínica Neurológica do Hospital do Servidor Público do Estado de São Paulo (Chefe: Dr. Roberto Melaragno Filho)

 

 


RESUMO

São expostos os dados obtidos em 18 casos de síndrome ombro-mão, encontrados mediante revisão de 175 pacientes acometidos de afecção cerebro-vascular aguda. Em todos os casos a síndrome se instalou no lado paralisado, evidenciando a importância da imobilização. O início se deu, na maioria das vezes, por edema de mão, aparecendo dentro de duas a três semanas após o icto. Os resultados eletromiográficos obtidos em 7 casos, são comentados. O tratamento de maior êxito se deve à cinesiterapia, podendo-se associar a griseofulvina, útil no alívio da dor.


SUMMARY

From 175 cases of cerebrovascular disease, 18 patients with shoulder-hand syndrome are studied. In all patients the syndrome involved the paralysed limb, a fact that points to immobility as a enhancing factor. Hand edema occurring two to three weeks after the stroke was the first sign of the syndrome. Eletromyographic data were evaluated in 7 patients. Griseofulvine (for pain) and kinesiotherapy are the best available tratment.


 

 

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REFERÊNCIAS

1. ARLET, J.; RASCOL, A.; MOLE, J. & ROGER, J. M. — Observations de rhumatisme gardénalique. Rev. Rhum. 4:193-198, 1967.         [ Links ]

2. BAYLES, T. B.; JUDSON, W. E. & POTTER, T. A. — Reflex simpathetic dystrophy of the upper extremity (Hand-shoulder syndrome). J.A.M.A. 7:537-542, 1950.         [ Links ]

3. EDEIKEN, J. — Shoulder-hand syndrome following myocardial infarction with special reference to prognosis. Circulation 1:14-19, 1957.         [ Links ]

4. ELLIS, L. B. & WEISS, S. — Vasomotor disturbance and edema associated with cerebral hemiplegia. Arch. Neurol. Psychiat. 26:362, 1936.         [ Links ]

5. ENNEVARA, K. — Painful shoulder joint in rheumatoid arthritis. Acta Rheum. Scand. Suplemento 11, 1967.         [ Links ]

6. ESKWTTH, I. S. — Treatment of the shoulder-hand syndrome. Postgrad. Med. 1:800-804, 1959.         [ Links ]

7. GOOD, A. E.; GREEN, R. A. & ZARAFONETIS, C. J. D. — Rheumatic symptoms during tuberculosis therapy. Ann. Int. Med 2:800-807, 1965        [ Links ]

8. ISCH, F. — Electromyographic. Editions Doin, Paris, 1963.         [ Links ]

9. JOHNSON, E. W. & PANNOZZO, A. N. — Management of shoulder-hand syndrome. J.A.M.A. 2:108-110, 1966.         [ Links ]

10. KORST, J K. Van der; COLENBRANDER, H. & CASTS, A. — Phenobarbital and the shoulder-hand syndrome. Ann. Rheum. Dis. 6:553-555, 1966.         [ Links ]

11. LEQUESNE, M. & MOGHTADER, R. — L'algodystrophie de l'isoniazide et de rethionamide. Rev. Rhum. 12:727-734, 1966.         [ Links ]

12. MARCHE, J. & CHATARD, P. — Le pseudo-rhumatisme de la chimiothérapie antituberculeuse. Contribution a 1'etude-pathogénique du rhumatisme neuro-trophique. Rev. Rhum. 1-11:16-33, 1967.         [ Links ]

13. MOGENSEN, E. F. — Painful shoulder: aetiologieal and pathogenetic problems. Acta Med. Scand. Fascículo, 3:195-203, 1956.         [ Links ]

14. MOGENSEN, E. F. — Painful shoulder: the prognosis in 282 followup cases. Acta Med. Scand. Fascículo, 1:15-24, 1956.         [ Links ]

15. RAVAULT, P. P. & BOUVIER, M. — Les algodystrophies. Rev. Practicien 18:2529-2545, 1966.         [ Links ]

16. ROSEN, P. S. & GRAHAM, W. — The shoulder-hand syndrome: historical review with observations on seventy-three patients. Canad. Med. Ass. J. 77: 86-91, 1963.         [ Links ]

17. ROSEN, P. S. & GRAHAM, W. — Shoulder-hand syndrome in coronary disease. Geriatrics 7:525-532, 1963.         [ Links ]

18. RUSSEK, H. I. — Shoulder-hand syndrome following myocardial infarction. Med. Clin. North Amer. 1555-1566, 1958.         [ Links ]

19. RUSSEK, H. I.; RUSSEK, A. S.; DOERNERN, A. A. & ZOHMAN, B. L. — Cortisone treatment of shoulder-hand syndrome following acute myocardial infarction. Arch. Int. Med. 4:487-492, 1953.         [ Links ]

20. SALOMON, A. & BLOCH-MICHEL, H. — Utilisation de la griséofulvine en rhumatologie et en particulier au cours des algodystrophies reflexes. Presse Med. 33:1987, 1964.         [ Links ]

21. STEINBROCKER, O. — The shoulder-hand syndrome. Amer. J. Med. 4:402-407, 1947.         [ Links ]

22. STEINBROCKER, O. — Arthritis and Allied Conditions. Lea & Febiger, Philadelphia, 1966.         [ Links ]

23. STEINBROCKER, O. & AGYROS, T. G. — The shoulder-hand syndrome: present status as a diagnostic and treatment entity. Med. Clin. North Amer. 1533-1554, 1958.         [ Links ]

24. STEINBROCKER, O.; SPITZER, N. & FRIEDMAN, H. H. — The shoulder-hand syndrome in reflex dystrophy of the upper extremity. Ann. Int. Med. 1:22-52, 1948.         [ Links ]

25. SWAN, D. M. — Shoulder-hand syndrome following hemiplegia. Neurology 4:480-482, 1954.         [ Links ]

26. TAKATS, G. — Sympathetic reflex dystrophy. Med. Clin. North Amer. 1:117-129, 1965.         [ Links ]

27. TRIDON, P.; WEBET, N. & TOUSSAIN, P. — Efficacité de la griséofulvine au cours de syndrome douloureux neuro-rhumatologiques. Ann. Med. Nancy 1:65-68, 1966.         [ Links ]

 

 

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