The Internet Journal of Neurology最新文献

{"title":"Unsual Clinical Features Of Miller-Fisher Syndrome: Case Report","authors":"Punatar Sb, Jogi Vm, Malasana Vr","doi":"10.5580/3c","DOIUrl":"https://doi.org/10.5580/3c","url":null,"abstract":"Miller Fisher Syndrome is an uncommon clinical variant of Guillain-Barre syndrome and has rarer variants. The classic triad is opthalmoplegia, ataxia and areflexia. But rarer clinical features have been described. Here we describe a case in which all ocular muscles were not involved simultaneously and pupils were involved right from the beginning. We also describe the clinical course of the disease.","PeriodicalId":232166,"journal":{"name":"The Internet Journal of Neurology","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132966025","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":"Search for Human Herpesvirus-6 in Mesial Temporal Lobe Epilepsy Surgical Brain Resections","authors":"M. K. Hole, S. Rider, Paul Kwon, R. Worth, Liang Cheng, E. Hattab, Tina Y. Fodrie, V. Salanova, D. Sokol","doi":"10.5580/15b6","DOIUrl":"https://doi.org/10.5580/15b6","url":null,"abstract":"Human Herpesvirus-6 (HHV-6) causes roseola infantum and has been associated with multiple sclerosis, seizures, meningitis, and meningoencephalitis. A 2003 study isolated HHV-6 DNA in astrocyte-resembling cells of temporal lobe surgical brain tissue resections in four of eight patients with mesial temporal lobe epilepsy (MTLE). This suggests that the initial infection or reactivation of HHV-6 in astrocytes plays a role in the development of MTLE. We sought to replicate this finding in 18 patients undergoing lobectomy for medically refractory seizures with history of roseola and MTLE. We found no evidence of HHV-6 DNA in temporal lobe specimens of 18 patients with MTLE.","PeriodicalId":232166,"journal":{"name":"The Internet Journal of Neurology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131534905","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":"Record review of patients with Brain Abscess and Empyema at Chris Hani Baragwanath Hospital.","authors":"Katherine Gradidge, D. Franzsen","doi":"10.5580/21dc","DOIUrl":"https://doi.org/10.5580/21dc","url":null,"abstract":"Studies on brain abscess (BA) and Empyema are not routinely focused on the role of occupational therapy (OT) with these patients. There is a paucity of literature on deficits resulting from BA and Empyema other than hemiplegia. This study used a retrospective record review to determine the relationship between BA, Empyema, and resultant physical and psychosocial dysfunction. Patients with BA generally had more significant deficits than those with Empyema for both physical and psychosocial performance components. Hemiplegia was the most common physical deficit found with the most common psychosocial deficit being body concept. Remediation of these deficits falls within the scope of OT which is recommended for this patient population.","PeriodicalId":232166,"journal":{"name":"The Internet Journal of Neurology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126040196","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":"Age Related Changes Of Corpus Callosum By MRI In Females","authors":"Ekta Gupta, R. Lalwani, C. Babu, S. Aneja","doi":"10.5580/18a1","DOIUrl":"https://doi.org/10.5580/18a1","url":null,"abstract":"The morphologic characteristics of brain in humans appear to be sensitive to the effects of both age and sex, and data suggest that these 2 variables may interact over the life span to influence brain size. These morphometrical data can provide a useful context to interpret changes in regional brain structure associated with aging. The corpus callosum is the largest commissure of the brain. It is seen as thick, curved white band on medial surface of sagittaly bisected brain. It is 10 cm long and consist of the rostrum, genu, trunk and splenium. The present study was carried out on 120 females, between the age group of 20-85 years who visited the OPD of Department of radio-diagnosis of SVBP Hospital and NMC Sky Imaging Centre, LLRM Medical College, Meerut. They were studied for various parameters of corpus callosum in mid-sagittal plane by Magnetic Resonance Imaging .Different parts of corpus callosum were compared in adult and senile age groups. Progressive chronological decrease was found with age especially in the region of genu and rostrum, also the maximum width of corpus callosum significantly decreased with increasing age.","PeriodicalId":232166,"journal":{"name":"The Internet Journal of Neurology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130110636","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":"Awareness Might Be Assessed By Quatitive Electric Tomoggraphy In Persistent Vegetative State And Minimally Conscious State","authors":"C. Machado, H. Foyaca-Sibat","doi":"10.5580/e47","DOIUrl":"https://doi.org/10.5580/e47","url":null,"abstract":"Monti et al. published interesting results using fMRI for assessing willful responses in PVS and MCS. We studied an 8-year-old boy diagnosed as PVS after repeated clinical examinations. We investigated whether there was brain activation in response to hearing his mother’s voice, compared with the voices of unknown women, using quantitative electric tomography (QEEGt). We found functional activation for EEG frequencies from 14-58 Hz, with a peak at 33.2 Hz (gamma band). QEEGt maps showed brain activation localized in the lateral and posterior regions of the left cerebral hemisphere (Figure 1). No brain activation was found in the patient hearing the voices of unknown women. Figure 1 Figure 1. Axial QEEGt maps illustrate patient’s brain activation in response to hearing his mother’s voice, localized in the left lateral and posterior region of the left cerebral hemisphere Our results suggested recognition of the mother’s voice in a PVS. QEEGt directly reflects immediate neuronal activation, because this technique entails a higher time resolution, compared with other neuroimaging techniques depending of CBF changes. 2-4 Therefore, in some patients bedside clinical assessments may not reveal awareness, regardless of how methodically they are applied. 1,2 These findings launch new ethical and practical implications for the management of these patients. 1,2,5 References 1. Monti MM, Vanhaudenhuyse A, Coleman MR et al. Willful Modulation of Brain Activity in Disorders of Consciousness. N Engl J Med 2010; 2. Machado C, Korein J, Aubert E et al. Recognizing a mother's voice in the persistent vegetative state. Clinical EEG and Neuroscience 2007; 38:124-26. 3. Machado C, Cuspineda E, Valdes P et al. Assessing acute middle cerebral artery ischemic stroke by quantitative electric tomography. Clin EEG Neurosci 2004; 35:116-24. 4. Li M, Lu BL. Emotion classification based on gamma- band EEG. Conf Proc IEEE Eng Med Biol Soc 2009;1:1223-26. 5. Owen AM, Coleman MR. Detecting awareness in the vegetative state. Ann N Y Acad Sci. 2008; 1129:130-38. Awareness Might Be Assessed By Quatitive Electric Tomoggraphy In Persistent Vegetative State And Minimally Conscious State 2 of 2 Author Information Calixto Machado Institute of Neurology and Neurosurgery, Havana, Cuba Humberto Foyaca-Sibat Walter Sisulu University, Mthatha, South Africa","PeriodicalId":232166,"journal":{"name":"The Internet Journal of Neurology","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132689319","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":"Disseminated Cryptococcosis: Case report","authors":"G. Ocaña, JC Ortiz Sablon, I. O. Tamayo","doi":"10.5580/1ac6","DOIUrl":"https://doi.org/10.5580/1ac6","url":null,"abstract":"Life-threatening infections caused by the Cryptococcus neoformans have been increasing steadily over the past 20 years because of the onset of AIDS and the expanded use of immunosuppressive drugs. The incidence of Cryptococcal infection is higher among patients living with AIDS in Africa and Southeast Asia. After the lungs and CNS infection, the next most commonly involved organs in disseminated cryptococcosis are the skin, prostate and medullary cavity of the bones. The diagnosis is established by the isolation of organism in culture, histopathology, or detection of its polysaccharide capsular antigen. The acute mortality rate for HIV infected patients is 10-25%; most deaths are attributable to cryptococcal meningitis.","PeriodicalId":232166,"journal":{"name":"The Internet Journal of Neurology","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116442222","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":"Application of Greek Stroke Score in Ethiopia. A validation study","authors":"T. Berhe, G. Zenebe, Y. Melkamu","doi":"10.5580/2653","DOIUrl":"https://doi.org/10.5580/2653","url":null,"abstract":"Objective: To assess the applicability of Greek stroke score in Addis Abeba, Ethiopia. Method: Using a cross sectional study design, acute stroke patients who had CT scan done were evaluated with Greek stroke score. Sensitivity, specificity, positive & negative predictive values were tested.Result: Out of 91 patients enrolled in the study 42 patients had cerebral infarction and 49 patients had intracerebral hemorrhage by CT scan. The Greek score was uncertain (equivocal) in 36 (39.6%) patients. The sensitivity, specificity, positive & negative predictive values were 0.778 (95% CI, 0.5730.906), 0.893 (95% CI, 0.706-0.972), 0.875 (95% CI, 0.665-0.967), 0.806 (955 CI, 0.619-0.919), respectively. Its overall accuracy was 83.6%.Conclusion: The Greek stroke score has good specificity for diagnosis of intracerebral hemorrhage, but has high percentage of uncertain cases hence could not be recommended to guide physicians in the management of stroke.","PeriodicalId":232166,"journal":{"name":"The Internet Journal of Neurology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129235274","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 very rare case report of late presentation of Moya moya syndrome in a child with history of tubercular meningitis. A case report","authors":"K. Umesh, K. Shilpa","doi":"10.5580/289b","DOIUrl":"https://doi.org/10.5580/289b","url":null,"abstract":"Moya Moya is a rare idiopathic progressive vaso-occlusive disease characterized by irreversible occlusion of main blood vessels to the brain as they enter into the skull. The occlusive process stimulates the development of an extensive network of enlarged basal, transcortical and transdural collateral vessels. The blockage tends to cause strokes or seizures. The process of narrowing of cerebral vessels seems to be a reaction of brain blood vessels to a wide variety of external stimuli, injuries or genetic defects. We present a case of progressive vasculopathy in a 10 year old girl with history of tuberculous meningitis (TBM) in the infancy and which is being rarely described in pediatric population in which tubercular meningitis is still very much common in this part of world.","PeriodicalId":232166,"journal":{"name":"The Internet Journal of Neurology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131949861","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 Comparative Clinical Trial of Rose Petal (Gul Gulaab), Rose Hydrosol Diluted (Arq Gulaab), and Rose Hydrosol (Ruh Gulaab) in Insomnia.","authors":"U. Jahangir, S. Urooj, A. Shah, M. Ishaaq, A. Habib","doi":"10.5580/22ec","DOIUrl":"https://doi.org/10.5580/22ec","url":null,"abstract":"Insomnia or lack of sleep is a sleeping disorder that is taking the form of an epidemic worldwide with competitive life replacing the traditional lifestyles. Therefore a lot is in turmoil including sleep. The National Sleep Foundation estimates 47 million American adults to be at risk of injury and physical and emotional difficulty because they do not get enough sleep. Presently no specific treatment is available for this ailment. The sleeping pills and other sedatives available in the market cause psychological and physical dependence besides they are also reported to cause some memory and conginitive disturbances. As such a study was conducted to evaluate the response of gul gulaab (powdered rose petals), arq gulaab (rose distillate diluted) and ruh gulaab (rose distillate) given through oral route in 36 cases.The present article deals with the response of these patients to the three different types of rose mediated medications.","PeriodicalId":232166,"journal":{"name":"The Internet Journal of Neurology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131600149","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":"Variables Affecting Memory Deficits in Relapsing-Remitting Multiple Sclerosis","authors":"T. Panou, P. Simos, V. Mastorodemos, Ch Fassaraki, A. Plaitakis","doi":"10.5580/fb9","DOIUrl":"https://doi.org/10.5580/fb9","url":null,"abstract":"Memory impairment features prominently among the cognitive problems caused by Multiple Sclerosis (MS). In the present study 33 patients diagnosed with the relapsing-remitting form of MS and 30 controls matched on age, education, gender, and IQ were tested on measures of verbal learning (immediate and delayed recall of word lists and short stories), and lexical retrieval from long term memory (verbal fluency tests). MS patients demonstrated significant deficits in both immediate and delayed recall ability as well as in verbal fluency. Group differences in delayed verbal recall depended upon initial encoding ability of the same material, with the exception of delayed recall of the Wechsler Memory Scale Logical Memory story B. This finding may have been due to greater susceptibility of MS patients to the effects of proactive interference. Verbal fluency deficits appeared to depend upon a general impairment in the speed of information processing.","PeriodicalId":232166,"journal":{"name":"The Internet Journal of Neurology","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117241237","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}