i) Front and back vowels both tonic and
atonic (spisa, pirchi, pirsUna, spissu, coma, quarchiduno, vabbeni).
It is an adjunct treatment option that was approved in 1997 by the Food and Drug Administration (FDA9) and since then has been accepted in clinical practice to decrease the frequency and severity of generalized seizures, especially
atonic seizures, although its efficacy in the treatment of other types has also been recognized (10).
By this we mean that Puerto Rican patients with a diagnosis of PNES presented a behavioral repertoire (e.g., pelvic trusting, desynchronized limb movements,
atonic behavior) that is comparable with that documented in other countries.
[18]
Atonic postpartum hemorrhage contributed to only 12% of the indications in this study.
These patients included postpartum hemorrhage due to
atonic uterus, ruptured uterus, genital tract tears and morbidly adherent placenta.
GlobalData's clinical trial report, "
Atonic Neurogenic Bladder Global Clinical Trials Review, H2, 2015" provides an overview of
Atonic Neurogenic Bladder clinical trials scenario.
With the help of video presentation she described the different seizures like absence seizure,
atonic seizure, psychogenic seizures temporal lobe epilepsy.
Lennox-Gastaut syndrome "
Atonic" seizures [right arrow] vagal nerve stimulation, RFN CBZ: carbarnazepine; OXC: oxcarbazepine; PTH: phenytoin; VGB: vigabatrin; GBP: gabapentin; PGB: pregabalin; BZD: benzodiazepine; PB: phenobarbital; ESM: ethosuxirnide; ZNS: zonisarnide; LEV: levetiracetarn; RFN: rufinarnide
Atonic postpartum hemorrhage was the indication for EOH in 14 cases.
Fresh blood was noted intra-abdominally and the uterus was markedly
atonic. Ergometrine 500mcg and carboprost trimethamine 250mcg were administered intramuscularly, as well as, misoprostol 800mg vaginally.
At the conclusion of the study period, 1 (7%) patient continued to have total incontinence; 3 (20%) patients lived with improved incontinence (<1 pad per day); 3 (20%) patients self-catheterized and dilated (1 due to an
atonic bladder and 2 for recurrent structuring); 1 (7%) patient reported voiding well; 3 (20%) patients underwent cystectomy with ileo-conduits; 2 (13%) patients had chronic hematuria; and 2 (13%) passed away (1 from comorbid medical disease and 1 from a pulmonary embolus a week before the scheduled cystectomy).
Health Ministry hospital affairs assistant under-secretary Dr Waleed Al Manea, who has pledged to look into the complaint, said it could have been a case of
atonic uterus in which the organ fails to contract after delivery, but did not want to make an assessment until the probe was completed.
