Difference between revisions of "3° Clinical case: Meningioma"

← Older edit

3° Clinical case: Meningioma (view source)

Revision as of 18:00, 19 October 2024

549 bytes added , 6 months ago

no edit summary

Editor, Editors, USER, admin, Bureaucrats, Check users, dev, editor, founder, Interface administrators, member, oversight, Suppressors, Administrators, translator

11,490

edits

@@ Line 1: / Line 1: @@
 {{main menu}}
-== Abstract ==
-[[File:Meningioma 4 by Gianni Frisardi.jpeg|left|300x300px]]
-This summary examines the shift from traditional deterministic diagnostic models to a quantum-like approach in understanding neuromotor responses related to occlusal and postural disorders, as discussed in the Masticationpedia. This approach acknowledges the probabilistic nature of medical diagnoses, emphasizing the complex interactions between biophysical effects and neuromotor responses.
-Highlighting the limitations of deterministic models, the narrative advocates for a probabilistic perspective that better captures the nuances of patient symptoms in cases of occlusal and postural disorders. The text illustrates this with the case of "Balancer," a patient with postural disturbances following prosthetic rehabilitation, demonstrating how traditional diagnostic methods might lead to oversimplified treatments or misdiagnoses.
-Furthermore, the discussion critiques conventional tools like stabilization splints and explores the Centric Relationship concept, advocating for a dynamic, patient-specific approach in dental diagnostics that considers the broader neuromuscular system. It calls for a more integrative, patient-centered approach in neuromuscular dentistry, emphasizing the need for diagnostic innovation that accommodates the inherent complexities of treating neuromuscular and postural disorders. This narrative serves as a practical and theoretical guide for clinicians seeking to adopt more precise and holistic approaches in patient care.
 {{ArtBy|
@@ Line 13: / Line 5: @@
 | autore2 = Flavio Frisardi
 }}
+'''Abstract:'''This clinical case, referred to as Balancer, involves a 60-year-old male patient experiencing postural and gait disturbances following prosthetic rehabilitation. The case will be analyzed using the same diagnostic framework applied in previous cases like Mary Poppins and Bruxer. The analysis focuses on correlations between temporomandibular disorders (TMD), posture, and occlusal balance, with particular emphasis on Centric Relationship and its influence on both occlusal stability and posture.
+Recent studies, including those by Minervini et al., suggest a relationship between TMD and postural problems, positing that TMD affects neuromuscular balance, influencing body posture. Despite this, many clinicians remain skeptical about these connections. The case of Balancer raises concerns about the correlation between Centric Relationship and postural stability, presenting a situation where traditional manual centric positioning (used in orthognathic surgery) conflicted with Neuro Evoked Centric Relationship obtained via trigeminal root stimulation, revealing spatial misalignment.
+Further exploration of neuromuscular balance and symmetry through electromyographic procedures highlighted significant discrepancies between the asymmetry detected in the EMG patterns and the neurological findings. The case underscores the importance of integrating both dental and neurological contexts to reach an accurate diagnosis, particularly when interpreting terms like "asymmetry." This case demonstrates that a seemingly trivial postural asymmetry could signify more severe neurological damage.
+The clinical findings suggest that while there may be minor EMG asymmetry due to prosthetic imbalance, the neurological symptoms, including an absent jaw jerk and latency asymmetry in the Silent Period, indicate a deeper neurological issue rather than a simple dental malocclusion. The diagnostic model applied here aims to decrypt the central nervous system's machine language code to distinguish between functional postural disturbances and structural neurological damage.
 ==Introduction==