Neurology India最新文献_第2页

Dynamic Changes in Intracerebral Hemorrhage during Computed Tomography Scanning after Stent Implantation of Middle Cerebral Artery. 大脑中动脉支架植入术后计算机断层扫描中脑内出血的动态变化

IF 0.9 3区医学

Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI: 10.4103/neurol-india.Neurol-India-D-23-00625

Rui Li, Shuo Feng, Yuyou Zhu

引用次数: 0

Enlightening a 'Dark Brain': Essential Insights for Every Stroke Specialist. 启迪 "黑暗大脑"：每位脑卒中专家的基本见解。

IF 0.9 3区医学

Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI: 10.4103/neurol-india.Neurol-India-D-24-00307

M M Samim, Tumulu Seetam Kumar, R S Harishma, Girish Baburao Kulkarni

引用次数: 0

Neutrophil-to-Lymphocyte Ratio, ESR, and CRP Have No Roles as Markers for Disease Severity and Prognosis in Patients with RRMS. 中性粒细胞与淋巴细胞比值、血沉和 CRP 不能作为 RRMS 患者疾病严重程度和预后的标志。

IF 0.9 3区医学

Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI: 10.4103/neurol-india.NI_579_20

Alireza Nikseresht, Zahra Bahrami

{"title":"Neutrophil-to-Lymphocyte Ratio, ESR, and CRP Have No Roles as Markers for Disease Severity and Prognosis in Patients with RRMS.","authors":"Alireza Nikseresht, Zahra Bahrami","doi":"10.4103/neurol-india.NI_579_20","DOIUrl":"10.4103/neurol-india.NI_579_20","url":null,"abstract":"Background: Up to now, there is no definitive prognostic factor for patients with multiple sclerosis.Objective: This study aimed to evaluate the neutrophil-to-lymphocyte ratio (N/L ratio) as a cheap, available, and noninvasive marker for disease activity and prognosis.Material and methods: A total of 112 patients, who were diagnosed with relapsing-remitting multiple sclerosis (RRMS), and 61 healthy controls were considered. We evaluated N/L ratio, ESR, CRP in the control, and patients in the first attack of the onset of the disease, 1 month and 6 months later during remission. All patients received interferon or Glatiramer acetate as disease-modifying therapies. The correlation of parameters with Expanded Disability Scale Score (EDSS) and Functional System (FS) involvement was evaluated.Results: The N/L ratio was increased significantly in patients with MS in the relapse phase (mean: 2.44 ± 0.68) compared to the healthy controls (mean: 1.84 ± 0.67) (P = 0.04). Also, we found a significant increase in CRP among the aforementioned groups (P = 0.028). A significant correlation was not found between NLR, ESR, or CRP and patient's EDSS during 6 months of follow-up. For ESR and the type of functional system, a significant difference was found between favorable and unfavorable categories, while the median (IQR) of ESR in the favorable group was 7.7 (4-12) and among unfavorable ones was 13.8 (6-17.75) (P = 0.008).Conclusions: The results showed the effect of the innate immune system and inflammation during MS attacks. We considered that neutrophils, ESR, and CRP cannot predict disease severity or prognosis at least without a combination of other biomarkers.","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facial Nerve Preserving Subtotal Excision for Large Vestibular Schwannoma: An Institution-Based Functional Outcome Study. 保留面神经的大前庭施万瘤次全切除术：基于机构的功能结果研究。

IF 0.9 3区医学

Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI: 10.4103/neurol-india.NI_951_20

Santhosh K S Annayappa, A R Prabhuraj, A Arivazhagan, Dhananjaya I Bhat, Dhaval Shukla, Dwarkanath Srinivas, K V L N Rao, V Vikas, Indira B Devi

{"title":"Facial Nerve Preserving Subtotal Excision for Large Vestibular Schwannoma: An Institution-Based Functional Outcome Study.","authors":"Santhosh K S Annayappa, A R Prabhuraj, A Arivazhagan, Dhananjaya I Bhat, Dhaval Shukla, Dwarkanath Srinivas, K V L N Rao, V Vikas, Indira B Devi","doi":"10.4103/neurol-india.NI_951_20","DOIUrl":"https://doi.org/10.4103/neurol-india.NI_951_20","url":null,"abstract":"Background: The ideal goal of treatment for medium to large vestibular schwannoma is complete tumor removal with preservation of all cranial nerves. However, despite the advancements in microsurgery and intraoperative monitoring, the risk of facial nerve dysfunction following total resection varies between 31% and 57%. Currently, the goal of treatment for large tumors is shifting from total excision to facial nerve preservation.Objective: To evaluate the facial nerve outcome in patients who underwent subtotal excision with or without subsequent gamma knife radiosurgery for large vestibular schwannomas in our institute.Methods and material: All patients who underwent primary surgery for large vestibular schwannomas between January 2012 and December 2016 were analyzed retrospectively. Cases where total excision was not done and a residue was left behind to prevent facial nerve injury during surgery were included in the study.Results: A total of 52 patients who met the inclusion criteria were analyzed. At final follow-up, 70% of patients had good facial nerve function (H-B grade 1 and 2). In patients with normal facial nerve function preoperatively, 81% (25/31) of them had good facial nerve outcomes (H-B grade 1 and 2), whereas in patients with preexisting facial nerve deficits, nearly 62% (13/21) of them either maintained or had improvement in their facial nerve grades.Conclusion: Good facial nerve outcomes and tumor control rate is obtained by subtotal excision of VS followed by upfront or delayed GKRS; however, there is a need for long-term follow-up to detect recurrences in these slow-growing tumors.","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Montreal Cognitive Assessment (MoCA): Normative Data for the State of Kerala, South India. 蒙特利尔认知评估 (MoCA)：南印度喀拉拉邦的标准数据。

IF 0.9 3区医学

Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI: 10.4103/neurol-india.NI_294_20

Thomas Iype, Sreelakshmi P Raghunath, Stella M Paddick, Lijimol A Sudha, Vijayakumar Krishnapilla, Sanjeev Nair, Louise Robinson

{"title":"Montreal Cognitive Assessment (MoCA): Normative Data for the State of Kerala, South India.","authors":"Thomas Iype, Sreelakshmi P Raghunath, Stella M Paddick, Lijimol A Sudha, Vijayakumar Krishnapilla, Sanjeev Nair, Louise Robinson","doi":"10.4103/neurol-india.NI_294_20","DOIUrl":"https://doi.org/10.4103/neurol-india.NI_294_20","url":null,"abstract":"Background: Montreal cognitive assessment (MoCA) is a tool that is widely accepted across the world to measure mild cognitive impairment (MCI). The original cut-off score of MoCA falsely screens a large population of Indians as having MCI.Objective: The aim of this study was to develop the normative data for MoCA for the older population of Kerala, South India.Material and methods: We conducted the study among 959 cognitively normal older individuals of Kalliyoor village of Thiruvananthapuram district, Kerala. The validated Malayalam version of MoCA [MoCA-M] was administered by trained volunteers. The mean, median, and 10th percentile of the scores [domain-specific and total] were calculated in various age and educational groups.Results: The mean (SD) MoCA score was 19.4 (7.3). The 10th percentile for the total MoCA score was 9. The 10th percentile for all domains was zero, except for orientation. As age advanced, MoCA scores significantly reduced. The mean total MoCA scores dropped from 20.1 (7) [for ages between 65 and 75 years] to 7.4 (1.6) [for ages above 85 years]. We also obtained a significant improvement in scores among subjects with higher educational standards.Conclusion: The study throws light into the performance of MoCA among the Indian population. This study defines the norms for the Indian population and suggests redefining the threshold for positively screening for MCI using MoCA-M.","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship Between Asymmetry of Transverse Sinus and Difference in Intraocular Pressure. 横窦不对称与眼压差异之间的关系

IF 0.9 3区医学

Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI: 10.4103/neurol-india.NI_446_20

Dan Zhu, Weiguang Zhang, Dong Qiu, Dongtai Zhang, Yuanyuan Li, Jinping Li

{"title":"Relationship Between Asymmetry of Transverse Sinus and Difference in Intraocular Pressure.","authors":"Dan Zhu, Weiguang Zhang, Dong Qiu, Dongtai Zhang, Yuanyuan Li, Jinping Li","doi":"10.4103/neurol-india.NI_446_20","DOIUrl":"https://doi.org/10.4103/neurol-india.NI_446_20","url":null,"abstract":"Background and objective: This study used two-dimensional time-of-flight magnetic resonance venography (2D TOF MRV) to show the shape of the transverse sinus and to determine whether there is a correlation between the asymmetry of the transverse sinus morphology and the intraocular pressure (IOP) of the two eyes.Methods: In this study, 63 male and 42 female volunteers were included. Those with obvious neurological diseases and eye diseases were excluded. According to the morphology of the transverse sinus scanned with 2D TOF MRV, subjects were divided into five groups. The IOP of the volunteers was measured separately.Results: The difference between group I and group V is statistically significant (Z = 6.78, P < 0.01). Statistically, significant differences also existed among the IOP of each group, including the mean values of both eyes and the difference between the right eye and the left eye. The asymmetry of the transverse sinus maintained a negative correlation with the right IOP (r = 0.51, P < 0.01) and the difference between the right eye and the left eye (r = 0.79, P < 0.01). The asymmetry and the left IOP had no statistical correlation.Conclusion: The preliminary conclusion of this study is that if one side of the transverse sinus is thicker, the drainage-related ocular veins are relatively coarser, and the IOP is relatively lower. The 2D TOF MRV examination can be used as an examination to show the shape of the transverse sinus. It is a display method to provide a feasible means of inspection for a reasonable interpretation.","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transpars Microsurgical Approach for Lumbar Cranially Migrated Disc Herniation in the Hidden Zone. 经椎间盘显微外科手术治疗腰椎隐匿区颅内移位的椎间盘突出症。

IF 0.9 3区医学

Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI: 10.4103/neurol-india.Neurol-India-D-24-00156

Ryo Kanematsu, Mariko Toyoda, Toshiyuki Takahashi

引用次数: 0

Prolonged Magnesium Sulphate Infusion in the Management of Super-Refractory Status Epilepticus in a Probable Anti-GABA-B Autoimmune Encephalitis. 长时间输注硫酸镁治疗可能患有抗GABA-B自身免疫性脑炎的超难治性癫痫状态。

IF 0.9 3区医学

Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI: 10.4103/neurol-india.NI_1131_20

Somdattaa Ray, P R Srijithesh, Girish Baburao Kulkarni, Suvarna Alladi

引用次数: 0

A Terrible Cascade of Events in a Simple ICA Bifurcation Aneurysm. 简单 ICA 分叉动脉瘤的可怕连锁反应

IF 0.9 3区医学

Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI: 10.4103/neurol-india.Neurol-India-D-23-00578

Batuk Diyora, Kavin Devani, Anup Purandare, Ravi Wankhade, Prakash Palave

引用次数: 0

Bilateral Transarterial Simple Coiling of Direct Carotid-Cavernous Fistula: Not So Simple! 颈动脉-颈静脉直接瘘的双侧经动脉简单套扎：没那么简单！

IF 0.9 3区医学

Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI: 10.4103/neurol-india.Neurol-India-D-23-00703

Naveen Chidanandaswamy, Chirag Kamal Ahuja, Bharat Hosur

引用次数: 0