Aktualnosci Neurologiczne最新文献_第6页

Kleine–Levin syndrome – a diagnostic challenge? Case report 克莱恩-莱文综合症——诊断上的挑战?病例报告

Aktualnosci Neurologiczne Pub Date : 2020-12-31 DOI: 10.15557/an.2020.0023

M. Sankowska, Vi rok studiów Warszawa Polska Wydział Lekarski Warszawskiego Uniwersytetu Medycz, Justyna Janicka, Maria Jolanta Stanosz-Sankowska, Samodzielny Publiczny Zakład Opieki Zdrowotnej MSWiA Koszalin Poradnia Neurologiczna

引用次数: 0

Selected sociodemographic and clinic alpredictors of the clock drawing test performance in Polish community dwelling seniors 波兰社区老年人时钟绘制测试表现的社会人口学和临床预测因素

Aktualnosci Neurologiczne Pub Date : 2020-12-31 DOI: 10.15557/an.2020.0018

Paula Chibowska, K. Nowicka-Sauer, E. Sitek

{"title":"Selected sociodemographic and clinic alpredictors of the clock drawing test performance in Polish community dwelling seniors","authors":"Paula Chibowska, K. Nowicka-Sauer, E. Sitek","doi":"10.15557/an.2020.0018","DOIUrl":"https://doi.org/10.15557/an.2020.0018","url":null,"abstract":"Objectives: The clock drawing test (CDT) is a commonly used cognitive screening test. The purpose of this study was to investigate the effect of selected sociodemographic, clinical and lifestyle factors on the CDT performance in the Polish elderly population. Methods: CDT performance was assessed in 399 elderly subjects randomly selected out of all participants of a nationwide study on aging, PolSenior2, who met the inclusion criteria. CDT was scored using the Manos–Wu method. The short version of the Geriatric Depression Scale (15-item GDS) was used as a mood measuring tool. Results: Our study revealed a significant relationship between CDT performance and age. Multivariate regression analysis demonstrated also that interactions between reading newspapers and gender and between playing games and GDS score were independent predictors of an incorrect CDT. Of note, even though years of education were related to the CDT score (0–10) in the correlation analysis, education did not predict the global CDT score in the regression analysis. Conclusions: Advanced age was related to incorrect CDT performance. Engagement in some leisure activities may predict the CDT score, while global CDT performance, as assessed by the Manos–Wu method, is relatively unaffected by education.","PeriodicalId":41161,"journal":{"name":"Aktualnosci Neurologiczne","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67583693","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

Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) – a case report and a review of the latest scientific reports 慢性淋巴细胞炎症伴脑桥血管周围增强对类固醇反应(CLIPPERS) -一个病例报告和最新科学报告的回顾

Aktualnosci Neurologiczne Pub Date : 2020-12-31 DOI: 10.15557/an.2020.0022

Dariusz Dziubek, Mateusz Rajchel, Barbara Stańko-Kałamarz, M. Dziki

引用次数: 0

Body mass index, waist-to-hip ratio, and body surface area in patients with acute ischaemic stroke in north-eastern Poland 波兰东北部急性缺血性脑卒中患者的体重指数、腰臀比和体表面积

Aktualnosci Neurologiczne Pub Date : 2020-11-30 DOI: 10.15557/AN.2020.0013

A. Czarnowska, P. Werel, D. Stępień, Jacek Sajdak, Justyna Stelmaszek, Olga Zajkowska, K. Kapica-Topczewska, A. Kułakowska

{"title":"Body mass index, waist-to-hip ratio, and body surface area in patients with acute ischaemic stroke in north-eastern Poland","authors":"A. Czarnowska, P. Werel, D. Stępień, Jacek Sajdak, Justyna Stelmaszek, Olga Zajkowska, K. Kapica-Topczewska, A. Kułakowska","doi":"10.15557/AN.2020.0013","DOIUrl":"https://doi.org/10.15557/AN.2020.0013","url":null,"abstract":"Aim of the study: The aim of our study was to analyse the obesity indicators [body mass index (BMI), waist-to-hip ratio (WHR), waist circumference (WC), and the less-known body adiposity index (BAI)] to assess their influence on the severity and short-term outcome in both females and males after ischaemic stroke admitted over a period of 9 successive months to the Department of Neurology at the Medical University of Bialystok, Poland. Materials and methods: Based on the BMI, we divided the patients into the following groups: underweight, normal weight, overweight, and obese. The severity of stroke was evaluated by the National Institute of Health Stroke Scale (NIHSS). STATA 15 software (StataCorp, 2017) was used for statistical analysis. Results: The results demonstrated that there was no association between the BMI and changes in patient condition during hospitalisation in the stroke unit. The BAI had no clear correlation with the short-term outcome. However, a comparison of accuracy revealed that the BAI was a more precise indicator, and could better predict NIHSS improvement over treatment than the BMI. Among the analysed indicators, only the WC correlated with the difference between the NIHSS scores on admission and at hospital discharge. Conclusions: The BMI, used in clinical practice for decades, is far from a precise predictor of functional outcome after ischaemic stroke. This is the first study that takes into account the obesity indicator BAI in patients after acute ischaemic stroke. According to our results, in the future we should focus more attention on abdominal adiposity indicators such as the BAI or WC.","PeriodicalId":41161,"journal":{"name":"Aktualnosci Neurologiczne","volume":"20 1","pages":"103-108"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67582936","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

Could neurosurgical patients benefit from psychotherapy? A few words on the use of cognitive-behavioural therapy in brain injured patients 神经外科病人能从心理治疗中获益吗?简单介绍认知行为疗法在脑损伤患者中的应用

Aktualnosci Neurologiczne Pub Date : 2020-11-30 DOI: 10.15557/AN.2020.0014

A. Pawełczyk, M. Błaszczyk, T. Pawełczyk, M. Radek

{"title":"Could neurosurgical patients benefit from psychotherapy? A few words on the use of cognitive-behavioural therapy in brain injured patients","authors":"A. Pawełczyk, M. Błaszczyk, T. Pawełczyk, M. Radek","doi":"10.15557/AN.2020.0014","DOIUrl":"https://doi.org/10.15557/AN.2020.0014","url":null,"abstract":"Numerous studies have shown the effectiveness of cognitive-behavioural therapy in the treatment of various mental disorders. The present study reviews the available literature on the use and effectiveness of this therapy, both its classic form and more recent approaches (the so called “third wave”), among patients with brain injuries and those treated with surgical methods. We present a number of studies describing the use of cognitive-behavioural therapy in the treatment of patients with craniocerebral injuries, brain tumours, intracranial bleeding and vascular malformations. The obtained results are promising for the treatment of depression and anxiety disorders, post-traumatic stress disorder as well as sleep disorders, impulsivity and aggressive behaviour. The findings suggest that cognitive-behavioural therapy techniques may be effective in both these groups of patients and their families or caregivers. Currently, due to the small number of randomised controlled trials, high heterogeneity of study groups and a variety of research protocols, these findings do not allow for drawing final conclusions and proposing recommendations. Nevertheless, they demonstrate that the strategy offers promise when treating patients with brain damage. It is suggested that psychotherapy should be initiated after the end of the acute phase of the disease as it requires a certain level of self-awareness and an ability to test hypotheses, so it may be inadequate for patients with profound cognitive impairment. It requires the cooperation of a multidisciplinary team: doctors, physiotherapist, neuropsychologist and psychotherapist who, in addition to therapeutic skills, should have knowledge of the brain–behaviour relationship.","PeriodicalId":41161,"journal":{"name":"Aktualnosci Neurologiczne","volume":"20 1","pages":"109-118"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67582782","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

Reading epilepsy – a case report 阅读癫痫——一例报告

Aktualnosci Neurologiczne Pub Date : 2020-11-30 DOI: 10.15557/AN.2020.0017

Maria Jolanta Stanosz-Sankowska, Samodzielny Publiczny Zakład Opieki Zdrowotnej MSWiA Koszalin Poradnia Neurologiczna, M. Sankowska

引用次数: 0

Cannabinoids in the treatment of children with autism spectrum disorder 大麻素治疗儿童自闭症谱系障碍

Aktualnosci Neurologiczne Pub Date : 2020-11-30 DOI: 10.15557/AN.2020.0015

M. Stachoń, Uniwersytet Medyczny w Poznaniu Poznań Polska Neurorozwojowe Studenckie Koło Naukowe, Milena Sierocka, P. Poniewierski, A. Kostiukow, W. Samborski

{"title":"Cannabinoids in the treatment of children with autism spectrum disorder","authors":"M. Stachoń, Uniwersytet Medyczny w Poznaniu Poznań Polska Neurorozwojowe Studenckie Koło Naukowe, Milena Sierocka, P. Poniewierski, A. Kostiukow, W. Samborski","doi":"10.15557/AN.2020.0015","DOIUrl":"https://doi.org/10.15557/AN.2020.0015","url":null,"abstract":"Introduction: Isolation of two compounds, tetrahydrocannabinol (THC) and cannabidiol (CBD), contributed to an increased interest in the use of marijuana for medicinal purposes. It was then that research on the effects of marijuana on the course of different diseases began. Aim: The aim of this paper was to analyse the use of cannabinoids in the treatment of children with autism spectrum disorder. Results: There are different methods for cannabinoid administration. Researchers use various preparations with doses ranging between 0.04 mg to 900 mg. Preliminary studies are conducted on animal models, usually in genetically modified mice. Cannabinoids have been found to have a positive effect on social and emotional behaviours of children, as well as to show anxiolytic and antipsychotic effects. Cannabidiol plays an important role in the secretion of vasopressin and oxytocin. Some patients experience adverse effects. Antidepressant and anticonvulsant effects have been observed in patients with neurological and mental disorders. Conclusions: Cannabinoid therapy is not the standard of care in children with autism spectrum disorders, and the doses used vary significantly. There is evidence for the positive effects of cannabinoids in patients with comorbidities. It is possible that cannabinoids have an anxiolytic effect and allow for a reduced use of antipsychotics in the analysed group of patients. Antidepressant and anticonvulsant effects have also been observed. Furthermore, it was shown that CBDs administered in mice with Dravet syndrome improve social behaviour, dysfunction of which is one of the central symptoms of autism spectrum disorder.","PeriodicalId":41161,"journal":{"name":"Aktualnosci Neurologiczne","volume":"20 1","pages":"119-124"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67582949","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

Progression of language and cognitive impairment in patients with the logopenic variant of primary progressive aphasia – case series 原发性进行性失语症患者语言和认知障碍的进展-病例系列

Aktualnosci Neurologiczne Pub Date : 2020-11-30 DOI: 10.15557/AN.2020.0016

Klaudia Kluj-Kozłowska, Wydział Filologiczny Uniwersytet Gdański Gdańsk Polska Instytut Logopedii, E. Sitek, Agnieszka Skrzypkowska, E. Narożańska, B. Brockhuis, J. Sławek, A. Domagała, S. Milewski, Gdańsk Polska Centrum Diagnozy i Terapii Neurologopedycznej

{"title":"Progression of language and cognitive impairment in patients with the logopenic variant of primary progressive aphasia – case series","authors":"Klaudia Kluj-Kozłowska, Wydział Filologiczny Uniwersytet Gdański Gdańsk Polska Instytut Logopedii, E. Sitek, Agnieszka Skrzypkowska, E. Narożańska, B. Brockhuis, J. Sławek, A. Domagała, S. Milewski, Gdańsk Polska Centrum Diagnozy i Terapii Neurologopedycznej","doi":"10.15557/AN.2020.0016","DOIUrl":"https://doi.org/10.15557/AN.2020.0016","url":null,"abstract":"Aim: The paper presents longitudinal observation of four patients diagnosed with the logopenic variant of primary progressive aphasia (lvPPA). Materials and methods: The results of 3–4 language and cognitive assessments were available for four individuals (three women, one man) with lvPPA. The length of the observation period was 2–4 years. Language evaluation was comprehensive and addressed narrative speech, naming, word and sentence comprehension, repetition, reading and writing. Neuropsychological examination, whenever feasible, assessed visuospatial function, praxis, memory and executive functions. Results: Anomia was not an isolated symptom at the time of lvPPA diagnosis. Rapid deterioration of both spoken and written communication was observed. Reading aloud single words and high-frequency word comprehension were preserved longer than other linguistic competences. The narrative speech was progressively impoverished in terms of idea density, manifested by a reduced use of nouns and verbs in particular and an increased use of pronouns. At the advanced stage of the disease, the idea density was very low. There was marked deterioration of visuospatial functions, praxis and episodic memory in all patients. Progression to full-blown dementia was observed in all patients. Conclusions: The progression of linguistic and cognitive symptoms in lvPPA, albeit slightly heterogeneous, is relatively fast. The patients usually reach dementia stage within 1–2 years of the diagnosis and sometimes even earlier than 2 years of the declared symptom onset. When planning long-term management of lvPPA cases, rapid deterioration and progression to full-blown dementia within a relatively short time should be considered.","PeriodicalId":41161,"journal":{"name":"Aktualnosci Neurologiczne","volume":"20 1","pages":"125-135"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67583451","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

Seizures in alcohol withdrawal syndrome 酒精戒断综合症引起的癫痫发作

Aktualnosci Neurologiczne Pub Date : 2020-10-30 DOI: 10.15557/an.2020.0008

Magdalena Lasocka, Instytut Psychiatrii i Neurologii Warszawa Polska I Klinika Neurologiczna, M. Konopko, Anna Basińska-Szafrańska, A. Rogowski, H. Sienkiewicz-Jarosz, Instytut Matki i Dziecka Warszawa Polska Klinika Położnictwa i Ginekologii

{"title":"Seizures in alcohol withdrawal syndrome","authors":"Magdalena Lasocka, Instytut Psychiatrii i Neurologii Warszawa Polska I Klinika Neurologiczna, M. Konopko, Anna Basińska-Szafrańska, A. Rogowski, H. Sienkiewicz-Jarosz, Instytut Matki i Dziecka Warszawa Polska Klinika Położnictwa i Ginekologii","doi":"10.15557/an.2020.0008","DOIUrl":"https://doi.org/10.15557/an.2020.0008","url":null,"abstract":"Alcohol withdrawal syndrome develops in individuals with alcohol dependence who discontinue or reduce alcohol intake after long-term or binge drinking. Withdrawal symptoms usually occur 6–8 hours after the last alcohol consumption and peak between 24–72 hours. Typical manifestations include tremor, nausea, vomiting, insomnia, agitation, and excess sweating. Complicated withdrawal syndrome may manifest with seizures (including cluster seizures), status epilepticus, acute psychosis and delirium, when hallucinations are accompanied by disorientation in time, place and situation. About 10–15% of patients develop complicated withdrawal syndrome. The seizures in alcohol withdrawal syndrome are triggered in the brain stem and have a mechanism other than that of classic epileptic seizures. Benzodiazepines, which are more effective than other classes of anticonvulsants (they primarily reduce the frequency of convulsions in the first two days after alcohol discontinuation and significantly reduce the risk of death), are the gold standard for the treatment of alcohol withdrawal syndrome. The Clinical Institute of Withdrawal Assessment for Alcohol Scale (CIWA-Ar) is a helpful tool for making decisions on treatment initiation or discontinuation. It should be noted that chronic use of benzodiazepines in the secondary prevention of alcohol withdrawal seizures is not recommended due to the addictive potential of these agents and a more severe course of alcohol withdrawal seizures with benzodiazepine co-dependence.","PeriodicalId":41161,"journal":{"name":"Aktualnosci Neurologiczne","volume":"20 1","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"2020-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67582905","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: 2

Wake-up stroke – diagnosis, management and treatment 醒脑——诊断、管理和治疗

Aktualnosci Neurologiczne Pub Date : 2020-10-30 DOI: 10.15557/an.2020.0009

Agnieszka Damiza-Detmer, Izabela Damiza, M. Pawełczyk

引用次数: 0