Nervenarzt最新文献_第4页

[Fatigue and sensorimotor instability : Neurologically controlled conversion of post-COVID-19 patients]. [疲劳和感觉运动不稳定：COVID-19 后患者的神经控制转换]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-12-01 Epub Date: 2024-09-18 DOI: 10.1007/s00115-024-01732-3

Thomas Urban, Fritjof Reinhardt, Peter Lohse, Stefan G Spitzer, Luise Rasche, Heinz Reichmann

{"title":"[Fatigue and sensorimotor instability : Neurologically controlled conversion of post-COVID-19 patients].","authors":"Thomas Urban, Fritjof Reinhardt, Peter Lohse, Stefan G Spitzer, Luise Rasche, Heinz Reichmann","doi":"10.1007/s00115-024-01732-3","DOIUrl":"10.1007/s00115-024-01732-3","url":null,"abstract":"Background: For the treatment of the symptoms of post-COVID-19 syndrome, no causal therapy is currently widely recommended according to evidence-based criteria. The overarching goal of the intervention study over a 3-year period (Q1-2021-Q4-2023) was to evaluate the changes in the key symptoms of fatigue and sensorimotor instability through individualized stress-controlled training therapy and through intensified cognitive behavioral therapy.Material and methods: In the 3‑year period 407 vaccinated nucleocapsid positive patients were treated at the Post-COVID-19 Center Lausitz (Senftenberg). In 78 (around 19%) fatigue/immunometabolic depression and sensorimotor instability were identified as the leading syndromes. The evaluation of the individualized stress-controlled training therapy was based on the specific post-COVID-19 syndrome and motor fatigue parameters. The secondary psychosomatic syndrome was assessed using cognitive fatigue parameters and cognitive behavioral therapy instruments. The investigation of -parameters influencing behavior took place in Q2-2023-Q4-2023 with a guide-supported qualitative interview among the participants.Results: The post-COVID-19 key symptoms \"fatigue,\" \"sensorimotor instability,\" \"neuropsychiatric symptoms,\" \"cardiac/autonomic dysfunction,\" and \"pain\" improved significantly in the overall cohort and in the gender-specific analysis. A deterioration occurred in \"secondary psychosomatic symptoms\". A therapeutic effect was demonstrated for all motor fatigue parameters for the entire cohort using the Cohen's d value. An intensification of cognitive behavioral therapy achieved positive effects through an increasing development of the patients' own activity and their self-control using persuasion and gamification.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"1104-1115"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11611937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Guideline-recommended standardized instruments in multiple sclerosis : A comparative content analysis based on the International Classification of Functioning, Disability and Health (ICF)]. [多发性硬化症指南推荐标准化工具：基于国际功能、残疾和健康分类（ICF）的内容比较分析]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-12-01 Epub Date: 2024-10-29 DOI: 10.1007/s00115-024-01752-z

Jasmin Bolte, Elise-Marie Dilger, Anna Levke Brütt

{"title":"[Guideline-recommended standardized instruments in multiple sclerosis : A comparative content analysis based on the International Classification of Functioning, Disability and Health (ICF)].","authors":"Jasmin Bolte, Elise-Marie Dilger, Anna Levke Brütt","doi":"10.1007/s00115-024-01752-z","DOIUrl":"10.1007/s00115-024-01752-z","url":null,"abstract":"Background: Guidelines serve as practice-based decision support and recommend the use of standardized instruments to measure functional capacity in individuals with multiple sclerosis (MS). However, the extent to which a person's functioning is captured by these instruments is unclear.Objectives: The aim of this study is to link the content of the MS disease guideline with the International Classification of Functioning, Disability and Health (ICF) in order to capture the distribution of the content on the functional domains and contextual factors and to uncover existing gaps.Materials and methods: Instruments of the S2k guideline \"Diagnosis and therapy of multiple sclerosis, neuromyelitis optica spectrum diseases and MOG-IgG-associated diseases\", which were available free of charge in German or English and designed for adult people, were included. The instruments were classified into their meaningful concepts (meaningful concepts = MCs) and subsequently coded using standardized ICF rules by two raters.Results: The 23 included instruments contained 351 items and 718 MCs. Of these, 663 MCs could be linked to the ICF according to the coding rules. Of these, 51% (340 MCs) related to body functions, 44% (291 MCs) to the activity and participation component, and 5% (32 MCs) to environmental factors. The most frequently coded chapter was mobility (d4) with 201 MCs. Interrater agreement was k = 0.79.Discussion: The linking of the guideline-recommended instruments to the ICF shows that the instruments cover different themes. The area of environmental factors is underrepresented. The ICF linkage reveals a broad spectrum of functioning covered by the guideline-recommended instruments and facilitates the selection of appropriate instruments for the affected persons.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"1116-1123"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11611974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Good bye, Neurology]. [再见，神经病学]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI: 10.1007/s00115-024-01757-8

Hans J Markowitsch

引用次数: 0

[Goodbye-Valued members of the German Society for Neurology]. [再见--德国神经病学学会的宝贵成员]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-12-01 Epub Date: 2024-11-25 DOI: 10.1007/s00115-024-01783-6

Jürgen M Meyer Zu Tittingdorf, Martin Grond

引用次数: 0

Mitteilungen der DGN. DGN通讯。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-12-01 DOI: 10.1007/s00115-024-01782-7

引用次数: 0

[Characterization of a German cohort with visual snow syndrome]. [德国一组视觉雪综合症患者的特征]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-12-01 Epub Date: 2024-11-12 DOI: 10.1007/s00115-024-01768-5

Felix Fay, Andreas Straube, Ruth Ruscheweyh, Ozan Emre Eren

{"title":"[Characterization of a German cohort with visual snow syndrome].","authors":"Felix Fay, Andreas Straube, Ruth Ruscheweyh, Ozan Emre Eren","doi":"10.1007/s00115-024-01768-5","DOIUrl":"10.1007/s00115-024-01768-5","url":null,"abstract":"Background: Visual snow is a disorder of visual perception that is manifested as a constant flickering or \"TV-like\" noise in the entire visual field. Visual snow syndrome (VSS) describes a combination with other additional visual symptoms, such as sensitivity to light, afterimages, night blindness and entoptic phenomena. Cases of VS have been described in the literature using a wide variety of terms, often misunderstood as persistent migraine aura. Established diagnostic criteria have existed for more than 10 years now; however, the pathophysiology is still incompletely understood. The exact prevalence also remains unknown and high numbers of unreported cases are suspected. This is the first detailed description of a cohort of VSS patients from Germany.Methods: Patients with VSS from several studies conducted at our center were pooled and retrospectively evaluated with respect to demographic, epidemiological and clinical data.Results: In this study 66 patients with VSS were included (age 31.3 ± 8.3 years, 30 women). The most commonly associated visual symptoms were photophobia (67%) and afterimages (65%). Of the patients 36 (54%) had comorbid migraine of whom 25 (70%) had migraine with aura, 26 (39%) reported depressive symptoms and 32 (48%) symptoms of an anxiety disorder. Tinnitus was reported by 32 (48%) patients.Conclusion: The characteristics of the German cohort described here are similar to other international descriptions. Due to the frequent psychological comorbidity there is still a risk of psychosomatic stigmatization.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"1124-1130"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Erratum zu: Periphere neuroimmunologische Erkrankungen – neuropathologische Einsichten und klinische Perspektiven. 外周神经免疫疾病--神经病理学见解和临床视角》勘误。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-12-01 DOI: 10.1007/s00115-024-01761-y

Sarah Hoffmann, Marie-Therese Holzer, Corinna Preuße, Tobias Ruck, Nikolas Ruffer, Frauke Stascheit, Werner Stenzel

引用次数: 0

[Parenthood and mental diseases]. [为人父母与精神疾病]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-26 DOI: 10.1007/s00115-024-01781-8

Anne Koopmann, Andreas Hoell, Andreas Meyer-Lindenberg, Falk Kiefer, Tobias Banaschewski, Alexander Haege, Sabine C Herpertz, Corinne Neukel, Louise Poustka, Tobias Link, Jutta Kammerer-Ciernioch, Matthias C Michel, Birgit Karl, Iris Graeff Calliess, Martin Holzke, Anna Kaiser, Isabel Ardern, Nina Christmann, Leonie Scharmann, Yvonne Grimmer

引用次数: 0

[Cognitive impairments associated with schizophrenic psychoses : Diagnostics, course and therapy]. [与精神分裂症精神病相关的认知障碍：诊断、病程和治疗]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-26 DOI: 10.1007/s00115-024-01773-8

Lana Kambeitz-Ilankovic, Wolfgang Strube, Bernhard T Baune, Peter Falkai, Lukas Röll, Stefan Leucht

{"title":"[Cognitive impairments associated with schizophrenic psychoses : Diagnostics, course and therapy].","authors":"Lana Kambeitz-Ilankovic, Wolfgang Strube, Bernhard T Baune, Peter Falkai, Lukas Röll, Stefan Leucht","doi":"10.1007/s00115-024-01773-8","DOIUrl":"https://doi.org/10.1007/s00115-024-01773-8","url":null,"abstract":"Background: Longitudinal outcome studies confirm that the majority of patients with schizophrenic psychoses develop cognitive impairments associated with schizophrenia (CIAS).Objective: To provide an overview of the epidemiology, diagnostics and evidence for various treatment options for CIAS.Material and methods: Literature review of the current level of evidence regarding the efficacy of different treatment strategies for CIAS.Results: Up to 85% of patients with schizophrenic psychoses exhibit CIAS, in some cases even before the development of positive or negative symptoms. The CIAS are associated with extensive individual burden due to impairments in many areas of cognitive and psychosocial functioning relevant to daily life. Various test instruments are available for clinical assessment with the Mental Health's Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) consensus cognitive battery (MCCB) as an established standard for clinical trials and special clinical issues. The treatment of CIAS warrants a multimodal approach with non-drug strategies (e.g., cognitive remediation, exercise) currently providing the best level of evidence. Noninvasive neurostimulation procedures and dopaminergic antipsychotic drugs of the first and second generations have demonstrated low effectiveness on cognitive function disorders in schizophrenic psychoses.Conclusion: The CIAS is a frequent disease-immanent symptom in schizophrenic psychoses that should be considered in the clinical routine as it substantially impairs those affected in the functional level and quality of life. Current treatment options are limited but innovative psychosocial interventions show low to moderate effects. In addition, new medications developed based on current neurobiological findings and combinations with psychosocial and neurostimulation procedures could open up new perspectives.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

[Emergency intervention plans for treatment of suicidal patients: a narrative literature review]. [治疗有自杀倾向病人的紧急干预计划：叙事性文献综述]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-17 DOI: 10.1007/s00115-024-01763-w

Tobias Teismann, Peter Brieger, Hermann Spießl, Lena Marie Hensel, Johannes Hamann

引用次数: 0