Current Journal of Neurology最新文献

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The association between body mass index, demographic and clinical characteristics with cognitive performance in patients with neuromyelitis optica spectrum disorder. 视神经脊髓炎谱系障碍患者的体重指数、人口统计学和临床特征与认知能力的关系
IF 0.7
Current Journal of Neurology Pub Date : 2022-04-04 DOI: 10.18502/cjn.v21i2.10490
Nasim Rezaeimanesh, Roghayyeh Saeedi, Mohammad Ali Sahraian, Fereshteh Ghadiri, Abdorreza Naser Moghadasi
{"title":"The association between body mass index, demographic and clinical characteristics with cognitive performance in patients with neuromyelitis optica spectrum disorder.","authors":"Nasim Rezaeimanesh, Roghayyeh Saeedi, Mohammad Ali Sahraian, Fereshteh Ghadiri, Abdorreza Naser Moghadasi","doi":"10.18502/cjn.v21i2.10490","DOIUrl":"10.18502/cjn.v21i2.10490","url":null,"abstract":"<p><p><b>Background:</b> Cognitive dysfunction is one of the problems that patients with neuromyelitis optica spectrum disorder (NMOSD) suffer from. We aimed to assess the association between demographic and clinical features as well as body mass index (BMI) and cognitive function in patients with NMOSD. <b>Methods:</b> A cross-sectional study was performed on 41 patients with definite diagnosis of NMOSD. Serum status of neuromyelitis optica immunoglobulin G (NMO-IgG) was determined using enzyme-linked immunosorbent assay (ELISA) method. Cognitive function was assessed by Minimal Assessment of Cognitive Function in Multiple Sclerosis (MACFIMS) battery which is validated for Persian people before and North American Adult Reading Test (NAART). <b>Results:</b> The mean score of NAART test was higher in participants with normal weight compared with overweight patients (40.47 ± 3.51 vs. 36.00 ± 5.74, P = 0.02). Current age was negatively correlated with Delis-Kaplan Executive Function System (D-KEFS)-Sorting (P = 0.05, r = -0.30). The correlation of duration of disease and cognitive performance was not significant (P > 0.05). Higher physical disability based on Expanded Disability Status Scale (EDSS) was correlated with lower results in Brief Visuospatial Memory Test-Revised (BVMT-R) (P < 0.01, r = -0.50), California Verbal Learning Test-second edition (CVLT-II)-Delayed Recall (P = 0.02, r = -0.35), and Symbol Digit Modalities Test (SDMT) (P = 0.03, r = -0.33) subtests of MACFIMS. Annual relapse rate was indirectly correlated with CVLT-II (P = 0.03, r = -0.34) and CVLT-II-Delayed Recall (P = 0.01, r = -0.38). Male participants obtained better scores in Paced Auditory Serial Addition Test (PASAT) subtest (P = 0.05). NMO-IgG seropositive patients had poorer performance in terms of CVLT-II-Delayed Recall, Controlled Oral Word Association Test (COWAT), and D-KEFS-Descriptive (P < 0.05). Participants with bachelor and master education degrees showed significantly better results compared to those with high school degree (P < 0.05). <b>Conclusion:</b> Investigating the clinical and demographic factors affecting cognitive impairment can increase the awareness of health care providers for early diagnosis of cognitive impairment in patients with NMOSD and increase the quality of health services.</p>","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42354588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of pyridostigmine on post-stroke dysphagia: A randomized clinical trial. 吡哆斯的明对脑卒中后吞咽困难的影响:一项随机临床试验
IF 0.7
Current Journal of Neurology Pub Date : 2022-04-04 DOI: 10.18502/cjn.v21i2.10493
Abbas Rahimi-Jaberi, Yadollah Askari, Khojasteh Rahimi-Jaberi, Mohammad Moghadam
{"title":"The effect of pyridostigmine on post-stroke dysphagia: A randomized clinical trial.","authors":"Abbas Rahimi-Jaberi, Yadollah Askari, Khojasteh Rahimi-Jaberi, Mohammad Moghadam","doi":"10.18502/cjn.v21i2.10493","DOIUrl":"10.18502/cjn.v21i2.10493","url":null,"abstract":"<p><p><b>Background:</b> Swallowing is one of the most complex functions of the central nervous system (CNS), which is controlled by different parts of the brain. Oropharyngeal dysphagia (OD) is one of the most common complications after stroke. Despite a variety of behavioral, compensatory, and rehabilitative methods, many stroke patients still suffer from swallowing disorders that adversely affect their quality of life (QOL). The aim of this study was to evaluate the effect of pyridostigmine on patients with post-stroke dysphagia. <b>Methods:</b> A randomized, double-blind, placebo-controlled clinical trial was carried out on 40 patients suffering from post-stroke dysphagia. Patients were assigned randomly into two groups: intervention and control groups (20 in each group). The intervention group was treated with pyridostigmine (60 mg, three times a day, 30 minutes before each meal for three weeks), and the control group received placebo treatment in the same way. All patients (intervention and control) were evaluated according to National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), and Functional Communication Measures (FCM)<i>/</i>American Speech-Language-Hearing Association (ASHA) criteria at baseline and after three weeks of intervention. Values of P < 0.05 were considered statistically significant. <b>Results:</b> In the intervention group, the mean values of NIHSS, mRS, and ASHA/FCM were significantly reduced following three weeks of treatment with pyridostigmine (P = 0.002, P = 0.003, and P < 0.001, respectively), but no significant differences were found in the mean NIHSS, mRS, and ASHA/FCM in the placebo group. <b>Conclusion:</b> Although pyridogestamine is somewhat effective in post-stroke dysphagia, it has not been shown to be more important in preventing aspiration pneumonia and length of hospital stay.</p>","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41569143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sleep status in multiple sclerosis: Role of vitamin D and body mass index. 多发性硬化症患者的睡眠状况:维生素D和体重指数的作用
IF 0.7
Current Journal of Neurology Pub Date : 2022-04-04 DOI: 10.18502/cjn.v21i2.10489
Mohammad Yazdchi, Ramin Khanalizadeh, Ehsan Nasiri, Amirreza Naseri, Maliheh Talebi, Mahnaz Talebi
{"title":"Sleep status in multiple sclerosis: Role of vitamin D and body mass index.","authors":"Mohammad Yazdchi, Ramin Khanalizadeh, Ehsan Nasiri, Amirreza Naseri, Maliheh Talebi, Mahnaz Talebi","doi":"10.18502/cjn.v21i2.10489","DOIUrl":"10.18502/cjn.v21i2.10489","url":null,"abstract":"Background: Sleep disorders are major but neglected symptoms in patients with multiple sclerosis (MS). This study aimed to describe the sleep status in patients with MS. Methods: We selected mildly-disabled [Expanded Disability Status Scale (EDSS) score < 4] patients with relapsing-remitting MS (RRMS). After determining the level of vitamin D in a blood sample of the patients, the validated Persian versions of Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), and snoring, tiredness, observed apnea, high blood pressure, body mass index (BMI), age, neck circumference, and gender (STOP-Bang) questionnaires were filled and the sleep condition was described. Besides, the impact of age, sex, disease duration, and EDSS on sleep status was determined. Results: 37.87% of 103 included patients with MS had poor sleep quality. 21.35% rate of subthreshold, 10.67% rate of moderate, and 1.94% rate of severe insomnia were also observed. Only 1.94% of patients had a high risk of obstructive sleep apnea (OSA). There was a significant relation between Beck Depression Inventory (BDI) score with ISI (r = 0.45, P < 0.01), PSQI (r = 0.53, P < 0.01), and STOP (r = 0.20, P = 0.03). A significant correlation between STOP with BMI (r = 0.24, P = 0.01) and age (r = 0.21, P = 0.03) was also observed. Sleep status was not significantly different in groups of the patients based on vitamin D, overweight, or sex. Conclusion: Poor sleep quality is a common finding among mildly-disabled patients with MS. There is also a 33.99% rate of subthreshold or clinical insomnia in different severities. Quality of sleep and insomnia is not significantly correlated to BMI, level of vitamin D, and sex in patients with MS.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42820512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The effect of energy conservation strategies on fatigue, function, and quality of life in adults with motor neuron disease: Randomized controlled trial. 节能策略对运动神经元疾病成年人疲劳、功能和生活质量的影响:随机对照试验
IF 0.7
Current Journal of Neurology Pub Date : 2022-04-04 DOI: 10.18502/cjn.v21i2.10491
Hamid Reza Fateh, Reihaneh Askary-Kachoosangy, Niloofar Shirzad, Alireza Akbarzadeh-Baghban, Farzad Fatehi
{"title":"The effect of energy conservation strategies on fatigue, function, and quality of life in adults with motor neuron disease: Randomized controlled trial.","authors":"Hamid Reza Fateh, Reihaneh Askary-Kachoosangy, Niloofar Shirzad, Alireza Akbarzadeh-Baghban, Farzad Fatehi","doi":"10.18502/cjn.v21i2.10491","DOIUrl":"10.18502/cjn.v21i2.10491","url":null,"abstract":"<p><p><b>Background:</b> Fatigue is one of the most frequent complaints in patients with motor neuron diseases (MNDs), with a significant impact on the quality of life (QOL). There is lack of enough evidence for current pharmacological or non-pharmacological treatments of fatigue in this population to be applied in clinical setting. Energy conservation strategies are one of the key interventions for fatigue management in chronic diseases. We aimed to investigate the effect of applying these techniques in the fatigue management of patients with MND. <b>Methods:</b> This randomized controlled trial (RCT) study was carried out on 28 patients with MND. Participants were randomly assigned to either the intervention or control group. In addition to routine treatment, patients in the intervention group participated in 3 weekly 1-hour energy conservation programs provided by an experienced occupational therapist. The Fatigue Severity Scale (FSS) score, 36-Item Short Form Survey (SF-36), and Canadian Occupational Performance Measure (COPM) were measured at baseline, immediately after the last intervention session, and one month later. <b>Results:</b> FSS and COPM significantly changed after the course in the intervention group (P < 0.001 and P = 0.001, respectively). Both FSS and COPM improved significantly toward the final assessment only in the intervention group. The SF-36 changes were not significant in each of the groups. <b>Conclusion:</b> According to the findings of the present study, using energy conservation strategies could lead to better mid-term fatigue management and occupational performance improvement, but it did not improve QOL in patients with MND.</p>","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47287735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Diffuse leptomeningeal glioneuronal tumor (DLGNT) with hydrocephalus as an initial symptom mimicking tuberculous meningitis: A case report. 弥漫性软脑膜胶质神经元瘤(DLGNT)以脑积水作为模拟结核性脑膜炎的初始症状:一例报告
IF 0.7
Current Journal of Neurology Pub Date : 2022-04-04 DOI: 10.18502/cjn.v21i2.10498
Nazila Malekian, Ali Asghar Okhovat, Farzad Fatehi, Siamak Abdi, Farnaz Sinaei, Hajir Sikaroodi, Hiva Saffar, Mohamadreza Hajiabadi, Askar Ghorbani
{"title":"Diffuse leptomeningeal glioneuronal tumor (DLGNT) with hydrocephalus as an initial symptom mimicking tuberculous meningitis: A case report.","authors":"Nazila Malekian, Ali Asghar Okhovat, Farzad Fatehi, Siamak Abdi, Farnaz Sinaei, Hajir Sikaroodi, Hiva Saffar, Mohamadreza Hajiabadi, Askar Ghorbani","doi":"10.18502/cjn.v21i2.10498","DOIUrl":"10.18502/cjn.v21i2.10498","url":null,"abstract":"The Article Abstract is not available.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48684506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety and efficacy of remote ischemic preconditioning in patients with severe carotid artery stenosis before carotid artery stenting: A proof-of-concept, randomized controlled trial. 颈动脉支架植入术前对严重颈动脉狭窄患者进行远程缺血预处理的安全性和有效性:一项概念验证、随机对照试验
IF 0.7
Current Journal of Neurology Pub Date : 2022-04-04
Maedeh Asadi, Etrat Hooshmandi, Fatemeh Emaminia, Hanieh Mardani, Ali Mohammad Keshtvarz-Hesamabadi, Mojtaba Rismanchi, Abbas Rahimi-Jaberi, Vahid Reza Ostovan, Nima Fadakar, Afshin Borhani-Haghighi
{"title":"Safety and efficacy of remote ischemic preconditioning in patients with severe carotid artery stenosis before carotid artery stenting: A proof-of-concept, randomized controlled trial.","authors":"Maedeh Asadi, Etrat Hooshmandi, Fatemeh Emaminia, Hanieh Mardani, Ali Mohammad Keshtvarz-Hesamabadi, Mojtaba Rismanchi, Abbas Rahimi-Jaberi, Vahid Reza Ostovan, Nima Fadakar, Afshin Borhani-Haghighi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Background:</b> Remote ischemic preconditioning (RIPC) has been proposed as a possible potential treatment for ischemic stroke. This study aimed to investigate the frequency of micro-embolic brain infarcts after RIPC in patients with stroke who underwent elective carotid artery stenting (CAS) treatment. <b>Methods:</b> This study was managed at Shiraz University of Medical Sciences in southwest Iran. Patients undergoing CAS were randomly allocated into RIPC and control groups. Patients in the RIPC group received three intermittent cycles of 5-minute arm ischemia followed by reperfusion using manual blood cuff inflation/deflation less than 30 minutes before CAS treatment. Afterward, stenting surgery was conducted. Magnetic resonance imaging (MRI), including diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC), was acquired within the first 24 hours after CAS. <b>Results:</b> Seventy-four patients were recruited (79.7% men, age: 72.30 ± 8.57). Both groups of RIPC and control had no significant difference in baseline parameters (P > 0.05). Fifteen patients (40.5%) in the RIPC group and 19 (54.1%) patients in the control group developed restricted lesions in DWI MRI. In DWI+ patients, there were no significant differences according to the number of lesions, lesion surface area, largest lesion diameter, cortical infarcts percent, and ipsilateral and bilateral infarcts between the two groups. <b>Conclusion:</b> Although RIPC is a safe and non-invasive modality before CAS to decrease infarcts, this study did not show the advantage of RIPC in the prevention of infarcts following CAS. It may be because of the small sample size.</p>","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety and efficacy of remote ischemic preconditioning in patients with severe carotid artery stenosis before carotid artery stenting: A proof-of-concept, randomized controlled trial 颈动脉支架植入术前对严重颈动脉狭窄患者进行远程缺血预处理的安全性和有效性:一项概念验证、随机对照试验
IF 0.7
Current Journal of Neurology Pub Date : 2022-04-04 DOI: 10.18502/cjn.v21i2.10495
Maedeh Asadi, Etrat Hooshmandi, Fatemeh Emaminia, Hanieh Mardani, Ali Mohammad Keshtvarz-Hesamabadi, M. Rismanchi, Abbas Rahimi-Jaberi, V. Ostovan, Nima Fadakar, A. Borhani-Haghighi
{"title":"Safety and efficacy of remote ischemic preconditioning in patients with severe carotid artery stenosis before carotid artery stenting: A proof-of-concept, randomized controlled trial","authors":"Maedeh Asadi, Etrat Hooshmandi, Fatemeh Emaminia, Hanieh Mardani, Ali Mohammad Keshtvarz-Hesamabadi, M. Rismanchi, Abbas Rahimi-Jaberi, V. Ostovan, Nima Fadakar, A. Borhani-Haghighi","doi":"10.18502/cjn.v21i2.10495","DOIUrl":"https://doi.org/10.18502/cjn.v21i2.10495","url":null,"abstract":"Background: Remote ischemic preconditioning (RIPC) has been proposed as a possible potential treatment for ischemic stroke. This study aimed to investigate the frequency of micro-embolic brain infarcts after RIPC in patients with stroke who underwent elective carotid artery stenting (CAS) treatment. Methods: This study was managed at Shiraz University of Medical Sciences in southwest Iran. Patients undergoing CAS were randomly allocated into RIPC and control groups. Patients in the RIPC group received three intermittent cycles of 5-minute arm ischemia followed by reperfusion using manual blood cuff inflation/deflation less than 30 minutes before CAS treatment. Afterward, stenting surgery was conducted. Magnetic resonance imaging (MRI), including diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC), was acquired within the first 24 hours after CAS. Results: Seventy-four patients were recruited (79.7% men, age: 72.30 ± 8.57). Both groups of RIPC and control had no significant difference in baseline parameters (P > 0.05). Fifteen patients (40.5%) in the RIPC group and 19 (54.1%) patients in the control group developed restricted lesions in DWI MRI. In DWI+ patients, there were no significant differences according to the number of lesions, lesion surface area, largest lesion diameter, cortical infarcts percent, and ipsilateral and bilateral infarcts between the two groups. Conclusion: Although RIPC is a safe and non-invasive modality before CAS to decrease infarcts, this study did not show the advantage of RIPC in the prevention of infarcts following CAS. It may be because of the small sample size.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42764007","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
B vitamins and their combination could reduce migraine headaches: A randomized double-blind controlled trial. B族维生素及其组合可以减轻偏头痛:一项随机双盲对照试验
IF 0.7
Current Journal of Neurology Pub Date : 2022-04-04 DOI: 10.18502/cjn.v21i2.10494
Shiva Nematgorgani, Soodeh Razeghi-Jahromi, Elham Jafari, Mansoureh Togha, Pegah Rafiee, Zeinab Ghorbani, Zeynab Sadat Ahmadi, Vali Baigi
{"title":"B vitamins and their combination could reduce migraine headaches: A randomized double-blind controlled trial.","authors":"Shiva Nematgorgani, Soodeh Razeghi-Jahromi, Elham Jafari, Mansoureh Togha, Pegah Rafiee, Zeinab Ghorbani, Zeynab Sadat Ahmadi, Vali Baigi","doi":"10.18502/cjn.v21i2.10494","DOIUrl":"10.18502/cjn.v21i2.10494","url":null,"abstract":"<p><p><b>Background:</b> The B vitamins can potentially help prevent migraine. This study was designed to examine the effects of supplementation with thiamine (B1), pyridoxine (B6), cobalamin (B12), folic acid (B9), and a combination of these vitamins on women with episodic migraine (EM). <b>Methods:</b> This study was a double-blind, placebo-controlled, randomized, clinical trial conducted on 120 women with EM. The participants were divided into the 6 groups of B1 (n = 20), B6 (n = 20), B12 (n = 20), B9 (n = 20), vitamin B complex (n = 20), and placebo (n = 20). Subjects received 1 capsule daily for 12 weeks. As part of the baseline and post-intervention phases, paper-based headache diaries were used to record the number of abortive drugs consumed and the frequency of headache attacks, and the Migraine Disability Assessment Questionnaire (MIDAS) was used to assess migraine disability. <b>Results:</b> A 16-week study on women with EM revealed that the mean changes in the frequency of headache attacks decreased significantly in all vitamin groups in comparison with the placebo group (P < 0.001). In contrast to the placebo, there was also a significant improvement in the migraine disability score in each vitamin group (P < 0.001). The 12-week supplementation with vitamins B9, B1, B6, B12, and B complex also brought on a significant decrease in the use of abortive drugs compared to the placebo group (P = 0.032). <b>Conclusion:</b> The results of this study showed that B1, B6, B12, and B9, and a combination of these vitamins could be effective as an adjuvant in treatment and prophylaxis of EM. Further large trials with long-term follow-ups will be required to confirm our results.</p>","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42655556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The effect of prehospital notification by emergency medical service on outcomes in patients receiving recombinant tissue-type plasminogen activator (r-tPA). 急诊医疗服务院前通知对接受重组组织型纤溶酶原激活剂(r-tPA)治疗患者预后的影响
IF 0.7
Current Journal of Neurology Pub Date : 2022-04-04 DOI: 10.18502/cjn.v21i2.10497
Shahram Rafie, Narges Mofrad-Booshehri, Davood Shalil-Ahmadi, Elham Maraghi
{"title":"The effect of prehospital notification by emergency medical service on outcomes in patients receiving recombinant tissue-type plasminogen activator (r-tPA).","authors":"Shahram Rafie, Narges Mofrad-Booshehri, Davood Shalil-Ahmadi, Elham Maraghi","doi":"10.18502/cjn.v21i2.10497","DOIUrl":"10.18502/cjn.v21i2.10497","url":null,"abstract":"<p><p><b>Background:</b> According to the American Heart Association and American Stroke Association (AHA/ASA) guidelines, in acute stroke, the door-to-computed tomography (CT) scan (DTC) time should be less than 25 minutes, and time to injection of recombinant tissue-type plasminogen activator (r-tPA) [door-to-needle (DTN) time] should be less than 60 minutes. <b>Methods:</b> We had a tendency to prospectively collect the clinical and time information of patients who received r-tPA during one year after the initiation of prehospital notification (PN). Patients were divided into three groups, covering patients transferred by Emergency Medical Service (EMS) with and without PN, and non-EMS. We then contrasted the impact of EMS with PN and EMS use on onset-to-needle time (ONT), and the neurological outcome. Good outcome was determined as Modified Rankin Scale (MRS) ≤ 2 at 3-month follow-up. <b>Results:</b> Among 102 studied patients, 64% were transferred by EMS, of whom 53.9% entered PN. Compared with non-PN groups, EMS with PN group showed significantly shorter DTN and DTC time, as well as ONT. <b>Conclusion:</b> Our study showed that EMS with PN, rather than EMS, significantly improved stroke outcome by shortening of ONT.</p>","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46845837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of therapeutic effects of wearable robotic gloves on improving hand function in stroke patients: A systematic review. 可穿戴机器人手套改善脑卒中患者手功能的疗效研究:系统综述
IF 0.7
Current Journal of Neurology Pub Date : 2022-04-04 DOI: 10.18502/cjn.v21i2.10496
Shima Fardipour, Mohammad Hadadi
{"title":"Investigation of therapeutic effects of wearable robotic gloves on improving hand function in stroke patients: A systematic review.","authors":"Shima Fardipour, Mohammad Hadadi","doi":"10.18502/cjn.v21i2.10496","DOIUrl":"10.18502/cjn.v21i2.10496","url":null,"abstract":"<p><p><b>Background:</b> Over the past decades, wearable robotic gloves due to their positive features are used by clinicians to improve motor function in the upper extremity. This systematic review aims to evaluate the studies that investigated the therapeutic effects of wearable robotic gloves to improve hand function in stroke patients. <b>Methods:</b> The most related databases including MEDLINE (PubMed), ISI Web of Knowledge, Scopus, IEEE, and Google Scholar were systematically searched and studies were collected up to September 2021. The methodological quality assessment was done using an adapted version of the Downs and Black checklist. <b>Results:</b> Of the 2674 articles searched, 5 studies were recognized as being relevant in this systematic review. The methodological quality of all included studies was between 7 to 10 points of adapted 12-point score of Downs and Black checklist. All studies concluded that the introduced robotic device had a good therapeutic effect on investigated patients' hand function. The studies had limitations in terms of the level of evidence, sample size, stroke patient groups, and therapeutic process. <b>Conclusion:</b> There is no standard approach with definite intervention timing to evaluate the effect of such devices. Therefore, more comprehensive studies are needed to confirm the therapeutic effects of wearable robotic gloves on improving hand function after a stroke.</p>","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47356932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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