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Difference between revisions of "3° Clinical case: Meningioma"
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'''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== | ==Introduction== | ||