Journal of Neurology and Stroke最新文献

{"title":"Diagnosis and Treatment of Carotid Artery Stenosis","authors":"B. Radić","doi":"10.15406/JNSK.2017.07.00238","DOIUrl":"https://doi.org/10.15406/JNSK.2017.07.00238","url":null,"abstract":"","PeriodicalId":106839,"journal":{"name":"Journal of Neurology and Stroke","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131409743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How do we Handle Traumatic Pediatric Carotid Artery Dissection","authors":"D. B. Hazer, Övünç Erdem Çorapçi, Gökmen Reyhani","doi":"10.15406/jnsk.2017.07.00239","DOIUrl":"https://doi.org/10.15406/jnsk.2017.07.00239","url":null,"abstract":"Head and neck trauma in pediatric population differs from adult cases due to the immature cranio-cervical stability resulting from the weak neck musculature and large head to neck proportion. These cases also have drawn attention due to concomitant severe damage to the regional vascular structures such as carotid artery [1,2]. In some cases, especially with skull base fractures and cervical vertebral column trauma; carotid artery dissections at the cervical segment can occur [3,4]. The goal of our study is to draw attention to the radiodiagnostics and management of the traumatic pediatric cervical carotid artery dissection with the aid of a case of traumatic cervical carotid artery dissection (CAD).","PeriodicalId":106839,"journal":{"name":"Journal of Neurology and Stroke","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130870238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ventriculoperitoneal Shunt Disconnection Associated with Loss of Consciousness in a Child Patient: A Case Report and Review of Intra-Abdominal Complications of Vp Shunts","authors":"Kaveh Haddadi, H. Qazvini, M. Sahebi","doi":"10.15406/JNSK.2017.07.00237","DOIUrl":"https://doi.org/10.15406/JNSK.2017.07.00237","url":null,"abstract":"Case report: An 8-year-old boy with a right VP shunt was referred to our center because of progressive loss of consciousness in the morning. A CT scan of the head established moderate hydrocephalus. A shunt series presented a disconnection of the distal tube of the shunt as the distal part was free in the abdominal cavity. The patient experienced a complete shunt revision. The abdominal incision was revived and the tube removed from the abdominal cavity gently. The patient was discharged 72 h later.","PeriodicalId":106839,"journal":{"name":"Journal of Neurology and Stroke","volume":"30 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129399020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Instruments of Active Search and Assessment of Memory Complaint. A Systematic Review","authors":"E. Ribeiro, M. Terassi, E. S. Rossetti, F. Vale","doi":"10.15406/JNSK.2017.07.00236","DOIUrl":"https://doi.org/10.15406/JNSK.2017.07.00236","url":null,"abstract":"","PeriodicalId":106839,"journal":{"name":"Journal of Neurology and Stroke","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132532589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Intracranial Tumor Appeared Two Months after the Operation of Bladder Cancer: Metastatic or Primary?","authors":"Congyan Wu, Yao-dong Zhao","doi":"10.15406/jnsk.2017.07.00235","DOIUrl":"https://doi.org/10.15406/jnsk.2017.07.00235","url":null,"abstract":"It is common for an intracranial mass to occur after another malignancy, which is usually metastasis. There are also reports that intracranial tumors have appeared years after another carcinoma had been previously treated with radiotherapy or chemotherapy. In the latter case, the intracranial tumor is usually attributed to metastasis or a secondary primary malignancy. There are also some hereditary or familial syndromes that present with multiple tumors, e.g., Li Fraumeni, Lynch, and Turcot syndrome. For these syndromes, the proband cancer generally occurs in children and young adults with a definitive familial aggregation. However, we found no previous reports of the appearance of a primary glioma only 2 months after a bladder cancer carcinectomy in an old patient without a typical family history. Here, we report the case of a 59-year-old female who complained of a constant headache for one week at the time of admission. Only 2 months before, she had undergone a bladder cancer carcinectomy. Upon admission, a cranial MRI scan revealed right temporal lobe lesions, and the post-operative pathological diagnosis was anaplastic astrocytoma. Cases such as these are easily misdiagnosed, and the opportunity for surgical treatment can be lost. Moreover, the appearance of two concurrent cancers or the occurrence of one after another within a very short interval in different body parts has rarely been reported. Therefore, this case may provide neurosurgeons with knowledge of an uncommon clinical experience that could reduce misdiagnosis and mistreatment.","PeriodicalId":106839,"journal":{"name":"Journal of Neurology and Stroke","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131617615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opium Overdose: “A Black Sheep in Acute Stroke Management”","authors":"S. Mansoor, Shoab Saadat, Salman Assad, Abhishak, S. Qadir, W. Malik, R. Shoaib, Khwaja Junaid Mustafa","doi":"10.15406/JNSK.2017.07.00234","DOIUrl":"https://doi.org/10.15406/JNSK.2017.07.00234","url":null,"abstract":"Submit Manuscript | http://medcraveonline.com unconsciousness while he was having his breakfast. A stroke code was announced and neurology was consulted. In his medical history he was Diabetic type 2 for 25 years and hypertensive for 20 years. He was taking oral hypoglycemics (Metformin, Gliclazide) and antihypertensives (Zestril) with adequate compliance. In his personal history he was also an oral opium addict for last 40 years. On examination he was a thin old gentleman not oriented in time, place and person. His Glasgow Comma Scale (GCS) for conscious status was E2M5V1=8/15. Vital signs were a blood pressure of 160/90mmHg, heart rate was 90/minute, and temperature of 98.6 Fahrenheit. Neurological exam revealed central gaze, doll’s eye and corneal reflexes were intact. Pupils were 2mm in size which were sluggish to direct and indirect light and nystagmus was not observed. Facial sensation to pain was intact assessed by grimace with a preserved facial symmetry. His tongue was central without any fasciculation. Uvula was central and gag reflex was present. Motor exam showed normal bulk and tone. Power in his limbs to painful stimulus was 3/5 in both upper limbs and 2/5 in both lower limbs approximately. Deep tendon reflexes were 2+ in upper limbs and 1+ in both lower limbs with bilateral flexor plantar responses. Sensory examination to pain was grossly adequate in all limbs. Neck was supple with no signs of meningeal irritation. Systemic examination was normal with no heart murmurs, abnormal breath sounds or visceromegaly. Laboratory workup is shown in Table 1. Computed tomography (CT-scan) of the brain acquired 1 hour 30 minutes into his symptoms showed mild cortical atrophy, normal sized ventricles and no intracranial bleed. He was being considered for intravenous thrombolysis for possibility of posterior circulation ischemic stroke. Other differential included opium overdose due to his chronic addiction. He was given 0.4mg of intravenous naloxone to which he responded within 1 minute and regained his consciousness. GCS improved to 15/15. Stroke code was called off. He was admitted for 24 hours during which he had restlessness and irritability. He was discharged after 2 days in stable condition with regular follow-ups in psychiatry and medicine clinics for long term rehabilitation for his chronic addiction.","PeriodicalId":106839,"journal":{"name":"Journal of Neurology and Stroke","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115959257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Cavernous Sinus Syndrome in a Patient with TuberculousMeningitis","authors":"N. Arifin, K. A. Latif, Joyce Pauline Jospeh","doi":"10.15406/jnsk.2017.07.00232","DOIUrl":"https://doi.org/10.15406/jnsk.2017.07.00232","url":null,"abstract":"The incident of Tuberculosis (TB) in Malaysia is estimated 81.4 per 100,000 population [1]. In 2011, the number of extra pulmonary TB reported was 2888 cases [1]. Reported cases of extra pulmonary TB in Malaysia noted to be increasing in trend over the years based on statistic from 2005 to 2011 [1]. Although the prevalence of TB meningitis is low, it has high mortality and morbidity if inadequately treated. Presentation of TB meningitis varies from chronic headache, neurological abnormalities to behavioural changes. As TB is endemic in Malaysia, TB meningitis is one of differentials in patient who presents with signs and symptoms of CSF infection. CSF in TB meningitis have the characteristic finding of elevated CSF protein with low CSF sugar. CSF direct smear for acid fast bacilli may not yield any findings. As CSF Mycobacterium Tuberculosis (MTB) has sensitivity of 40 to 60 percent [2] and newer method namely CSF for TB PCR has sensitivity of 44.5 percent and specificity of 92.0 percent [1], the definitive diagnosis of TB meningitis could prove to be challenging at times. The diagnosis of TB meningitis highly relies on high index of suspicion based on presentation and clinical findings, aided with characteristic of CSF findings and radio imaging [3]. Treatment needed to be commenced early despite pending CSF culture in order to reduce mortality and morbidity. We report a rare case of TB meningitis presenting with bilateral cavernous sinus syndrome.","PeriodicalId":106839,"journal":{"name":"Journal of Neurology and Stroke","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131205704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laser Interstitial Thermal Therapy for Radiation Necrosis / Adverse Inflammatory Responses to SRS - Case Report and Literature Review","authors":"Vadim Tsvankin, E. Howell, P. Fecci","doi":"10.15406/jnsk.2017.07.00233","DOIUrl":"https://doi.org/10.15406/jnsk.2017.07.00233","url":null,"abstract":"Brain metastases are the most common type of intracranial tumor [1-4], and confer a dismal prognosis; despite aggressive secondary and even tertiary resections, stereotactic radiosurgery, high-dose external beam radiotherapy, and multi-mechanistic chemotherapy delivered at toxic doses, median survival ranges from 2 to 25 months [5]. The morbidity of intracranial tumors is substantial, and arises not only from neurological deficits associated with direct brain compression or invasion, but also secondary to systemic and local treatment modalities. In particular, radiation necrosis, a common sequelae of stereotactic radiosurgery (SRS), results in difficult-to-control mass effect and perilesional edema, severely limiting a patient’s ability to function and reducing quality of life [6-8]. Truly, “radiation necrosis” is a misnomer, as the process is more accurately an adverse inflammatory response post-stereotactic radiotherapy (AIRS). The mainstay of treatment is high-dose corticosteroids, which themselves generate a litany of poorly-tolerated symptoms, including hyperglycemia, elevated infection risk, impaired wound healing, osteopenia and suppressed adrenal function [9]. Alternative strategies such as therapeutic anticoagulation, bevacizumab [10], hyperbaric oxygen [11], and even resection [7] have been attempted with limited success, and AIRS remains a substantial therapeutic challenge.","PeriodicalId":106839,"journal":{"name":"Journal of Neurology and Stroke","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115635762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Evidence-based Review on Religiosity in Psychiatry","authors":"R. Bonelli","doi":"10.15406/jnsk.2017.07.00231","DOIUrl":"https://doi.org/10.15406/jnsk.2017.07.00231","url":null,"abstract":"Objective: Religiosity and/or spirituality (R/S) has a deep impact on human psyche. This review describes the evidence on R/S on mental health. 72.1% if the studies find a positive relationship between R/S and better mental health, 18.6% find mixed (positive and negative) results, and 4.7% reported a negative association. All studies on dementia, suicide and stress-related disorders found a positive association, as well as 79% and 67% of the papers on depression and substance abuse, respectively. There is growing evidence today that R/S is correlated with better mental health in the areas of depression, substance abuse, and suicide; insufficient evidence in neurosis and dementia; poor evidence in bipolar disorder and schizophrenia, and no evidence in many other mental disorders.","PeriodicalId":106839,"journal":{"name":"Journal of Neurology and Stroke","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126879798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple Sclerosis in a Patient with Psudopseudohypoparathyroidism","authors":"S. Altas, A. T. Sag, B. Cavdarli, N. Oztekin","doi":"10.15406/JNSK.2017.07.00229","DOIUrl":"https://doi.org/10.15406/JNSK.2017.07.00229","url":null,"abstract":"A 30-year old woman admitted to the emergency department with a complaint of sudden weakness in her right arm and right leg. She had right hemihypoesthesis and 4/5 (MRC scale) right motor deficit on neurological examination. While there was no pathological sign in the initial brain CT scan, a hypodense area that was interpreted as an infarct was seen in the right posterior periventricular white matter in the control CT scan. Detailed studies were started for the etiology of stroke in a young patient. There was a 40 % stenosis in the left internal carotid artery in CT angiography. Cardiological studies (transthorasic echocardiography, holter test), lipid profile, homocysteine level, procoagulant factors and serological biomarkers of vasculitis were all in normal ranges.","PeriodicalId":106839,"journal":{"name":"Journal of Neurology and Stroke","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129871672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}