Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti最新文献_第9页

Functional Magnetic Stimulation of the Pelvis and Urinary Incontinence after Radical Prostatectomy 功能性磁刺激对前列腺根治术后骨盆和尿失禁的影响

Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti Pub Date : 1900-01-01 DOI: 10.21857/ydkx2code9

T. Hudolin, I. Jurić, Jerko Anđelić, H. Kolar Mitrovic, T. Kuliš, L. Penezić, Mirko Bakula, T. Zekulić, P. Perić, Z. Kastelan

引用次数: 0

A rare case of multiple unruptured intracerebral aneurysms 脑内多发未破裂动脉瘤一例

Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti Pub Date : 1900-01-01 DOI: 10.21857/mnlqgcrk8y

Matea Prenc, Ivana Vidović Vujačić, Lorena Radolović Prenc, Mihail Poduje

引用次数: 0

Ischemic stroke in a patient with giant fusiform aneurysm of dolichoectatic basilar artery and Covid-19 infection 基底动脉膨胀性巨大梭状动脉瘤合并Covid-19感染的缺血性卒中1例

Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti Pub Date : 1900-01-01 DOI: 10.21857/9e31lhvknm

Stela Rutović, D. Sporiš, N. Radović, B. Malojčić

{"title":"Ischemic stroke in a patient with giant fusiform aneurysm of dolichoectatic basilar artery and Covid-19 infection","authors":"Stela Rutović, D. Sporiš, N. Radović, B. Malojčić","doi":"10.21857/9e31lhvknm","DOIUrl":"https://doi.org/10.21857/9e31lhvknm","url":null,"abstract":": Coronavirus disease (Covid-19) can manifest with numerous neurological disorders. We present a case of stroke in a patient with acute intraluminal thrombus in giant basilar tip fusiform aneurysm. A 71- year-old woman with past medical history of arterial hypertension and dilated cardiomyopathy was hospitalized in intensive care unit (ICU) because of decreased consciousness (GCS 6) and a right- sided hemiplegia which occurred twelve hours before admission. Five days earlier she was tested positive for Covid-19. ECG revealed new-onset atrial fibrillation (AF). She was intubated and mechanically ventilated. Brain CT and CT angiography of the head and neck vessels revealed dolichoectatic BA with giant fusiform aneurysm of the tip of BA. BA lumen was partially filled with hyperdense, acute thrombus. Hypodensity of superior cerebellar artery (SCA) irrigation was consistent with acute ischemic stroke. She was treated with low molecular weight heparin, acetylsalicylic acid and corticosteroid therapy. During hospitalization her respiratory function deteriorated, and she died. To our knowledge this is the first case of stroke caused by acute thrombus in a giant tip of the BA aneurysm in patient with Covid-19 infection. It is important to increase prehospital stroke awareness since stroke in patients with Covid-19 is related to worse outcomes, and in appropriate time window can be treated with acute recanalization techniques.","PeriodicalId":195938,"journal":{"name":"Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127600359","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}

引用次数: 1

Dystonia and deep brain stimulation: correlation between genetic mutation and clinical outcome 肌张力障碍和深部脑刺激:基因突变与临床结果的相关性

Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti Pub Date : 1900-01-01 DOI: 10.21857/mnlqgcr6dy

G. Rožmarić, M. Hero, V. Rački, E. Papić, V. Vuletić

引用次数: 0

Conventional TESE technique: A short review and a single-centre experience in 9 years 传统TESE技术:9年单中心经验回顾

Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti Pub Date : 1900-01-01 DOI: 10.21857/9xn31cojjy

D. Hauptman, T. Hudolin, Z. Zimak, T. Kuliš, D. Ježek, Z. Kastelan

{"title":"Conventional TESE technique: A short review and a single-centre experience in 9 years","authors":"D. Hauptman, T. Hudolin, Z. Zimak, T. Kuliš, D. Ježek, Z. Kastelan","doi":"10.21857/9xn31cojjy","DOIUrl":"https://doi.org/10.21857/9xn31cojjy","url":null,"abstract":": Infertility is defined as the inability of a sexually active, non-contraceptive couple to achieve spontane-ous pregnancy within one year (Word Health Organisation). It is estimated that there are 15-20% of infertile couples, and this number is increasing, making infertility a major socio-demographic global problem. In the past, female factors were thought to be the main causes, but today we know that male infertility accounts for about 50% of cases. Therefore, simultaneous treatment of both sexes is recommended. The most severe condition of male infertility is azoospermia, which occurs in the general population in 1%, while in infertile male populations it occurs in 10-20% of cases. Azoospermia can be obstructive (OA) and non-obstructive (NOA). Among various treatment options for azoospermia, testicular biopsy (TESE) provides the best chance of sperm retrieval. TESE can be done by classical (conventional, open) approach or using an operating microscope, microsurgical TESE (mTESE). mTESE is reserved for the most complex patients with genetic disorders or previously sperm retrieval failure during conventional TESE procedure.","PeriodicalId":195938,"journal":{"name":"Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130048663","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}

引用次数: 1

Dissecting lesions of common carotid artery after carotid surgery: a case report 颈动脉手术后颈总动脉夹层病变1例

Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti Pub Date : 1900-01-01 DOI: 10.21857/mjrl3uglr9

H. Budinčević, A. Ivkošić, V. Vidjak, P. Pavić

引用次数: 0

Recovery of Recurrent Transient Neurogenic Stuttering due to Functional Neuroplasticity 功能性神经可塑性对复发性短暂性神经源性口吃的恢复作用

Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti Pub Date : 1900-01-01 DOI: 10.21857/yvjrdcvjjy

Marina Roje Bedeković, Lara Pilepić

引用次数: 0

Posterior circulation ischaemic stroke - A retrospective analysis from a General Hospital 后循环缺血性脑卒中——一家综合医院的回顾性分析

Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti Pub Date : 1900-01-01 DOI: 10.21857/90836cz5wy

F. Silconi, Marijana Radić, I. Jovanovic, Dolores Janko-Labinac, N. Novak, P. Cukon

{"title":"Posterior circulation ischaemic stroke - A retrospective analysis from a General Hospital","authors":"F. Silconi, Marijana Radić, I. Jovanovic, Dolores Janko-Labinac, N. Novak, P. Cukon","doi":"10.21857/90836cz5wy","DOIUrl":"https://doi.org/10.21857/90836cz5wy","url":null,"abstract":": Even though ischemic stroke represents a majority of strokes in general, only a smaller portion originate from posterior circulation. Because of different origin and particular territory involvement, this represents a difficult clinical task. We compared relevant clinical data from literature with results of our patients affected by the posterior circulation stroke (PCS). We analyzed stroke patients admitted from 2018. to 2022. in General Hospital Pula, a touristic oriented county hospital in Croatia on the Adriatic Coast. In that five-year period we admitted 1795 patients with ischemic stroke. 246 or 13,6% of those originated from the posterior circulation, which is significantly less than data from similar reports. Majority of those patients were male, 64%. Comparing the outcome, we found that the PCS had significantly better outcome. Mortality rate was similar in both,14% for PCS versus 16% in the anterior circulation strokes (ACS). We analyzed the outcome by infarct region or etiology, as well as clinical particularities related to the territory of PCS involvement. We also selected patients having PCS as a result of dissection. According to our results the patients with PCS had better outcome in comparison to ACS. The most frequent site of stroke was cerebellar, followed by pontine stroke. The highest mortality was observed in patients with multiple posterior circulation strokes. Initial NIHSS score was lower in posterior circulation strokes then in anterior circulation strokes, with an important impact on reperfusion therapy rates. Therefore, it is crucial to perform comprehensive clinical evaluation of patients with posterior circulation ischemic strokes.","PeriodicalId":195938,"journal":{"name":"Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132442875","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}

引用次数: 0

Incidence of epilepsy in multiple sclerosis patients 多发性硬化症患者癫痫的发病率

Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti Pub Date : 1900-01-01 DOI: 10.21857/m16wjcexo9

I. Zavoreo, M. Jurašić, Lucija Zadro Matovina, V. B. Kes

引用次数: 0

Diagnosing Functional Neurological Disorder in Croatia. What can be changed? 诊断功能性神经障碍在克罗地亚。什么是可以改变的?

Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti Pub Date : 1900-01-01 DOI: 10.21857/ypn4ocdr79

Slaven Lasić, F. Đerke, J. Badžak, Petra Bago Rožanković

{"title":"Diagnosing Functional Neurological Disorder in Croatia. What can be changed?","authors":"Slaven Lasić, F. Đerke, J. Badžak, Petra Bago Rožanković","doi":"10.21857/ypn4ocdr79","DOIUrl":"https://doi.org/10.21857/ypn4ocdr79","url":null,"abstract":"Functional neurological disorders abbreviated “FND” (ICD -10 F44, F45) are defined as various neurological symptoms such as limb weakness, unexplained sensory symptoms, cognitive disorders, gait difficulty, movement disorders, or paroxysmal episodes which are inconsistent and incompatible with current knowledge of known organic neurological diseases (1). The prevalence of FND is estimated to be 50 per 100 000 population per year with an incidence of 4 to 12 per 100 000 population per year (2). Total costs of ED visits and inpatient care of adult FND in the USA are above $1.2 billion annually (1) comparable to hardest-to-treat neurological diseases. Current understanding of FND has advanced with neurobiological data of altered neuronal networks, and the exclusion of necessary stressor agents advancing its understanding from previous definitions such as psychogenic, conversive, or medically unexplained neurological disorders. Combining detailed medical history, and clearly defined positive signs in neurological examination demonstrating inconsistency allows this to be a safe diagnosis with the frequency of misdiagnosis being 4%, and with a rate of reversal of diagnosis being only 0.4% (2). Neurologists› role is paramount in treating FND starting with an adequate explanation of diagnosis, arranging a multidisciplinary treatment plan (physiotherapy, cognitive behavioral therapy by psychologists, and non-pharmacological methods), and follow-up of patients. Early diagnosis, honest follow-up, and discourse show promising results in treating this disorder (3).","PeriodicalId":195938,"journal":{"name":"Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134320807","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}

引用次数: 0