Postepy psychiatrii neurologii最新文献

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Pharmacological and psychological treatment of depression and anxiety among hemodialyzed patients - a review. 血液透析患者抑郁和焦虑的药物和心理治疗 - 综述。
Postepy psychiatrii neurologii Pub Date : 2024-06-01 Epub Date: 2024-07-10 DOI: 10.5114/ppn.2024.141377
Aleksandra Ćwiek
{"title":"Pharmacological and psychological treatment of depression and anxiety among hemodialyzed patients - a review.","authors":"Aleksandra Ćwiek","doi":"10.5114/ppn.2024.141377","DOIUrl":"10.5114/ppn.2024.141377","url":null,"abstract":"<p><strong>Purpose: </strong>An overview of the current pharmacological treatment and psychosocial interventions, such as cognitive-behavioral therapy and breathing exercises, for depression and anxiety among hemodialyzed patients (HD).</p><p><strong>Views: </strong>Depression and anxiety are common problems among HD patients, influencing their mortality and morbidity; however, they are often under-recognized and under-treated. Even though the topic is attracting more scientific attention there are still only few studies about methods of treatment for those disorders. Moreover, there are no clear guidelines on pharmacological therapy, which may prove to be difficult among patients with decreased renal function. Psychological interventions such as cognitive-behavioral therapy may be useful in treatment of these mental disorders among HD patients, though reports on the effects of such interventions are scarce.</p><p><strong>Conclusions: </strong>This review outlines some of the current approaches to the treatment of mental disorders among HD patients that use both antidepressants and therapeutic methods. There is an urgent need for randomized clinical trials of both psychosocial and pharmacological interventions in treatment of depressive and anxiety disorders. Currently, both methods seem to be useful; however, they should be implemented with caution until clear guidelines are developed.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"33 2","pages":"98-102"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908859","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
Paraneoplastic neurological syndromes of small cell lung cancer. 小细胞肺癌的副肿瘤性神经综合征。
Postepy psychiatrii neurologii Pub Date : 2024-06-01 Epub Date: 2024-07-11 DOI: 10.5114/ppn.2024.141157
Maedeh Barahman, Gholamreza Shamsaei, Davood Kashipazha, Mohammad Bahadoram, Esma'il Akade
{"title":"Paraneoplastic neurological syndromes of small cell lung cancer.","authors":"Maedeh Barahman, Gholamreza Shamsaei, Davood Kashipazha, Mohammad Bahadoram, Esma'il Akade","doi":"10.5114/ppn.2024.141157","DOIUrl":"10.5114/ppn.2024.141157","url":null,"abstract":"<p><strong>Purpose: </strong>This article reviews the relevant literature on paraneoplastic neurological syndromes of small cell lung cancer and discusses the clinical presentation, pathophysiology, and diagnosis of these syndromes. It also includes a summary of the current treatment options for the management of them.</p><p><strong>Views: </strong>Paraneoplastic syndromes are a group of signs and symptoms that develop due to cancer in a remote site, mainly triggered by an autoantibody produced by the tissues involved or lymphocytes during anti-cancer defense. Among the cancers associated with paraneoplastic syndromes, lung cancers are the most common type, with small cell lung cancer being the most common subtype. The most common antibody associated with paraneoplastic syndromes is anti-Hu. Neurological and neuroendocrine syndromes comprise the majority of small cell lung cancer-related paraneoplastic syndromes. Classical paraneoplastic neurological syndromes include inappropriate antidiuretic hormone secretion, Cushing's syndrome, myasthenia gravis, Lambert-Eaton myasthenic syndrome, limbic encephalitis, paraneoplastic cerebellar degeneration, opsoclonus myoclonus ataxia, sensory neuropathy, and chorea.</p><p><strong>Conclusions: </strong>Antibodies mediate paraneoplastic syndromes, and antibody detection is a crucial part of diagnosing these entities. Managing the underlying tumor is the best treatment approach for most paraneoplastic syndromes. Therefore, early diagnosis of small cell lung cancer may significantly improve the prognosis of paraneoplastic syndromes associated with it.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"33 2","pages":"80-92"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908586","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 sexual functions of male patients suffering from affective disorders. 情感障碍男性患者的性功能。
Postepy psychiatrii neurologii Pub Date : 2024-06-01 Epub Date: 2024-07-10 DOI: 10.5114/ppn.2024.141052
Robert Kowalczyk, Tomasz Krystyan, Marek Krzystanek, Katarzyna Piekarska-Bugiel, Katarzyna Waszyńska, Artur Daren, Jacek Kurpisz, Krzysztof Nowosielski, Zbigniew Lew-Starowicz, Weronika Klon
{"title":"The sexual functions of male patients suffering from affective disorders.","authors":"Robert Kowalczyk, Tomasz Krystyan, Marek Krzystanek, Katarzyna Piekarska-Bugiel, Katarzyna Waszyńska, Artur Daren, Jacek Kurpisz, Krzysztof Nowosielski, Zbigniew Lew-Starowicz, Weronika Klon","doi":"10.5114/ppn.2024.141052","DOIUrl":"10.5114/ppn.2024.141052","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to outline the picture of the sexual functions of male patients with affective disorders as an important part of their lives.</p><p><strong>Methods: </strong>The sample consisted of 57 male patients diagnosed with mood disorders in remission. They were interviewed for demographic and clinical data, asked to fill in number of self-descriptive questionnaires' Sexual Function of Man (SFM/K), the Montgomery-Åsberg Depression Scale (MADRS) and Young Mania Scale (YMRS), and the Alcohol Use Disorders Identification Test (AUDIT).</p><p><strong>Results: </strong>Lower levels of sexual functioning were experienced by patients who had suffered from affective disorder for a longer time, and who had a diagnosis of recurrent depressive disorder (F33), in comparison with patients with bipolar disorder (F31). The most common sexual dysfunction was premature ejaculation, while the rarest was erectile dysfunction. An occurrence of any sexual disorder at least once in the past was reported by 66% of all patients. Participants did not have problems with alcohol usage.</p><p><strong>Conclusions: </strong>A worse quality of sexual functioning was associated with a longer history of affective disorder. Sexual dysfunction can be affected by even the most minor depressive and manic-depressive components. The tools used excluded non-heterosexual patients. Further research based on bigger samples is required.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"33 2","pages":"54-58"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908860","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
A crisis of exhaustion in the game of escalation: a qualitative exploration of the consequences of occupational burnout among addiction therapists. 升级游戏中的疲惫危机:对成瘾治疗师职业倦怠后果的定性探索。
Postepy psychiatrii neurologii Pub Date : 2024-03-01 Epub Date: 2024-02-12 DOI: 10.5114/ppn.2023.135054
Justyna I Klingemann, Łukasz Wieczorek
{"title":"A crisis of exhaustion in the game of escalation: a qualitative exploration of the consequences of occupational burnout among addiction therapists.","authors":"Justyna I Klingemann, Łukasz Wieczorek","doi":"10.5114/ppn.2023.135054","DOIUrl":"10.5114/ppn.2023.135054","url":null,"abstract":"<p><strong>Purpose: </strong>Research shows that occupational burnout can affect health, the quality of personal relationships, and levels of job satisfaction and engagement. At the same time, the impact of individual burnout at the group and organisational levels has tended to be neglected. We aim to provide theoretical insights into the multidimensionality of burnout consequences at the individual, interpersonal and societal levels.</p><p><strong>Methods: </strong>A theory-driven, computer-assisted qualitative data analysis was conducted, comprising a thematic analysis of 40 semi- structured telephone interviews with therapists working in alcohol treatment facilities in Poland. Maximum variation sampling was used to ensure the representation of participants with different characteristics.</p><p><strong>Results: </strong>To theorise the implications of the collected data, the different viewpoints of addiction therapists on burnout and its consequences were interpreted through the lens of Rosa's resonance theory. Four interrelated sets of consequences were identified in the data: they related to (a) the therapists themselves, (b) their patients and the therapeutic process, and - in a broader sense - (c) the therapeutic team and (d) the treatment facility.</p><p><strong>Conclusions: </strong>Occupational burnout in individual therapists has serious implications for their patients and colleagues. It can also lead to a reduction in the quality and ultimately the effectiveness of the treatment of alcohol use disorders leading to a negative social image of the treatment facility and thus creating a further barrier to treatment for people with alcohol-related problems. Furthermore, the complexity of the individual experience of occupational burnout and a cause-and-effect chain forms a loop, deepening the severity of its consequences.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"33 1","pages":"18-25"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473217","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
Comparison of risk of recidivism among sexual offenders with and without sexual preference disorders using the STATIC-99R instrument. 使用 STATIC-99R 工具比较有性偏好障碍和无性偏好障碍的性犯罪者的再犯风险。
Postepy psychiatrii neurologii Pub Date : 2024-03-01 Epub Date: 2024-02-12 DOI: 10.5114/ppn.2024.135261
Wojciech Oronowicz-Jaśkowiak, Michał Lew-Starowicz, Leszek Markuszewski
{"title":"Comparison of risk of recidivism among sexual offenders with and without sexual preference disorders using the STATIC-99R instrument.","authors":"Wojciech Oronowicz-Jaśkowiak, Michał Lew-Starowicz, Leszek Markuszewski","doi":"10.5114/ppn.2024.135261","DOIUrl":"10.5114/ppn.2024.135261","url":null,"abstract":"<p><strong>Purpose: </strong>The STATIC-99 instrument is one of the tools used for the assessment of the risk of recidivism, in line with the actuarial approach. One of the risk factors indicated by the scientific literature as having the greatest significance is sexual preference disorder. The aim of the study was to verify whether sexual offenders diagnosed with sexual preference disorders have a higher risk of recidivism. The study also aimed to present, for the first time in Poland, a quantitative scoring of individual risk factors in STATIC-99R and their prevalence, allowing for the verification of the theoretical validity of the STATIC-99R instrument in the analysis of the population of sexual offenders in Poland.</p><p><strong>Methods: </strong>The study material consisted of 100 court and penitentiary files of perpetrators of crimes against sexual freedom from 11 Polish penal institutions and remand centers. We used the STATIC-99R to evaluate each case.</p><p><strong>Results: </strong>The distribution of the individual STATIC-99R risk factors in the population of the Polish sexual offenders is presented. The diagnosis of sexual preference disorders had no influence on the total STATIC-99R score but was associated with its individual factors.</p><p><strong>Conclusions: </strong>It can be concluded that the theoretical validity of the STATIC-99R tool is also relevant to the Polish study population and may be used in clinical practice.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"33 1","pages":"9-17"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473220","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
Adjunctive electroconvulsive therapy in the treatment of a patient with comorbid major depressive disorder, posttraumatic stress disorder, and anorexia nervosa - a case report. 辅助电休克疗法治疗合并重度抑郁障碍、创伤后应激障碍和神经性厌食症的患者--病例报告。
Postepy psychiatrii neurologii Pub Date : 2024-03-01 Epub Date: 2024-03-14 DOI: 10.5114/ppn.2024.135531
Agnieszka Kuc, Albert Stachura, Piotr Jażdżyk, Joanna Grzelińska, Łukasz Święcicki
{"title":"Adjunctive electroconvulsive therapy in the treatment of a patient with comorbid major depressive disorder, posttraumatic stress disorder, and anorexia nervosa - a case report.","authors":"Agnieszka Kuc, Albert Stachura, Piotr Jażdżyk, Joanna Grzelińska, Łukasz Święcicki","doi":"10.5114/ppn.2024.135531","DOIUrl":"10.5114/ppn.2024.135531","url":null,"abstract":"<p><strong>Purpose: </strong>Posttraumatic stress disorder (PTSD) is still-underdiagnosed and often accompanied by other psychiatric disorders affecting treatment and outcomes.</p><p><strong>Case description: </strong>Here we present a case report of a 28-year-old female patient with comorbid PTSD, major depressive disorder (MDD), and anorexia nervosa (AN). The patient had been treated with various medications and attended trauma-focused psychotherapy. Because none of these treatments yielded satisfying improvement, the patient was referred for electroconvulsive therapy (ECT). We had to overcome challenges such as the patient's false assumptions about ECT, the simultaneous use of benzodiazepines and the management of the side effects of ECT. The symptoms of MDD and PTSD improved after 12 treatment sessions.</p><p><strong>Comment: </strong>Our report suggests that ECT may be a safe and effective method for treating patients with PTSD and comorbid MDD and AN.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"33 1","pages":"43-48"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473218","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
Localised scleroderma and ischemic stroke: case report. 局部硬皮病与缺血性中风:病例报告。
Postepy psychiatrii neurologii Pub Date : 2024-03-01 Epub Date: 2024-01-18 DOI: 10.5114/ppn.2023.134450
Bünyamin Tosunoğlu, Hafize Nalan Güneş, Burcu Gökçe Çokal, Selda Keskin Güler
{"title":"Localised scleroderma and ischemic stroke: case report.","authors":"Bünyamin Tosunoğlu, Hafize Nalan Güneş, Burcu Gökçe Çokal, Selda Keskin Güler","doi":"10.5114/ppn.2023.134450","DOIUrl":"10.5114/ppn.2023.134450","url":null,"abstract":"<p><strong>Purpose: </strong>Scleroderma is a multisystemic disorder characterised by inflammatory and vascular anomalies, and excess fibrosis. Progressive systemic sclerosis (PSS) mainly progresses with skin, joint, lung, heart, and kidney involvement. Involvement of cerebral vessels is rare in both localised scleroderma and PSS. Transient ischemic attack and stroke are rare complications of scleroderma.</p><p><strong>Case description: </strong>We present a 60-year-old stroke patient with localised scleroderma presenting with impaired speech, forgetting words, and occasional temporary memory loss.</p><p><strong>Comment: </strong>In the case we present, no pathology was found in the clinical and laboratory tests performed in terms of ischemic risk factors. Skin findings included contracture, skin biopsy results, and antibody positivity related to scleroderma. Given the current pathogenesis of scleroderma, the patient was suspected of having a stroke.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"33 1","pages":"35-38"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473221","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
Tolosa-Hunt syndrome: a review of diagnostic criteria based on a case series. 托洛萨-亨特综合征:基于系列病例的诊断标准回顾。
Postepy psychiatrii neurologii Pub Date : 2024-03-01 Epub Date: 2024-02-12 DOI: 10.5114/ppn.2023.135176
Piotr R Chądzyński, Katarzyna Stopińska, Izabela Domitrz
{"title":"Tolosa-Hunt syndrome: a review of diagnostic criteria based on a case series.","authors":"Piotr R Chądzyński, Katarzyna Stopińska, Izabela Domitrz","doi":"10.5114/ppn.2023.135176","DOIUrl":"10.5114/ppn.2023.135176","url":null,"abstract":"<p><strong>Purpose: </strong>Tolosa-Hunt syndrome (THS) is a rare cause of painful ophtalmoplegia with different clinical manifestations. It is described as a unilateral periorbital headache with concomitant dysfunction of at least one out of the IIIrd, IVth and VIth cranial nerves due to the granulomatous inflammation of periorbital structures, but no underlying cause has been established.</p><p><strong>Case description: </strong>We present six patients referred to the Neurology Department due to a unilateral headache with ipsilateral paresis of at least one cranial nerve responsible for eye movements. The THS diagnostic criteria of the International Headache Disorders Classification (ICHD-3) were applied and analysed. Few patients had atypical clinical manifestations according to these criteria.</p><p><strong>Comment: </strong>Diagnosing THS may prove very challenging. There is a lack of specific markers for the disorder, whereas diagnostic criteria leave a wide area for misdiagnosis. The diagnostic approach should be focused on the exclusion of other pathologies because typical steroid therapy may prove fatal in otherwise benign cases.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"33 1","pages":"26-34"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473222","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
Validation of the Polish version of the Boston Carpal Tunnel Questionnaire, and the influence of treatment for disordered sleep and daytime sleepiness in carpal tunnel syndrome. 波士顿腕管问卷波兰语版本的验证,以及治疗腕管综合征患者睡眠紊乱和白天嗜睡的影响。
Postepy psychiatrii neurologii Pub Date : 2024-03-01 Epub Date: 2024-03-15 DOI: 10.5114/ppn.2024.136429
Agnieszka Fryźlewicz, Kinga Budnicka, Michał Dusza, Aleksander Kania, Gabriela Rusin, Jadwiga Kosowska, Jakub M Antczak
{"title":"Validation of the Polish version of the Boston Carpal Tunnel Questionnaire, and the influence of treatment for disordered sleep and daytime sleepiness in carpal tunnel syndrome.","authors":"Agnieszka Fryźlewicz, Kinga Budnicka, Michał Dusza, Aleksander Kania, Gabriela Rusin, Jadwiga Kosowska, Jakub M Antczak","doi":"10.5114/ppn.2024.136429","DOIUrl":"10.5114/ppn.2024.136429","url":null,"abstract":"<p><strong>Purpose: </strong>Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, with paresthesias and pain in the hand and wrist. CTS is also associated with insomnia and excessive daytime sleepiness (EDS) resulting from the nocturnal exacerbation of symptoms. The Boston Carpal Tunnel Questionnaire (BCTQ) was developed for the assessment of therapeutic outcomes. It consists of two subscales: the Symptom Severity Scale (SSS) and the Functional Status Scale (FSS). The aim of this study was to perform an adaptation and validation of the Polish language version of BCTQ (pBCTQ). A second aim was to investigate the influence of treatment of CTS on insomnia and EDS.</p><p><strong>Methods: </strong>The validation of the pBCTQ followed the widely accepted recommendations. In our consecutive sampling survey 130 patients with CTS filled out the pBCTQ, EQ-5D-5L quality of life questionnaire, the Athens Insomnia Scale (AIS) and the Epworth Sleepiness Scale (ESS). 26 of them filled out pBCTQ once again, two weeks later, and 35 filled out the pBCTQ and other items after therapy.</p><p><strong>Results: </strong>The pBCTQ showed good internal consistency: 0.91 for SSS and 0.93 for FSS (Cronbach's α). The test-retest reliability showed an intraclass coefficient of 0.69 for SSS and 0.55 for FSS. Both subscales correlated also with nerve conduction studies (NCS) as well as with the EQ-5D-5L, AIS, and ESS. After therapy, both subscales and AIS significantly decreased. Improvement was also seen in the NCS and EQ-5D-5L, but not in the ESS.</p><p><strong>Conclusions: </strong>The pBCTQ is a reliable, valid, and responsive tool for measuring the outcome of CTS. Therapy for CTS leads to the improvement of concurrent insomnia but may not change daytime sleepiness.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"33 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473223","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
Coexistence of multiple sclerosis and systemic lupus erythematosus - a case report. 多发性硬化症与系统性红斑狼疮并存--病例报告。
Postepy psychiatrii neurologii Pub Date : 2024-03-01 Epub Date: 2024-01-17 DOI: 10.5114/ppn.2023.134444
Maciej Dubaj, Aleksandra Dembowska, Karol Bigosiński, Ewa Belniak, Konrad Rejdak
{"title":"Coexistence of multiple sclerosis and systemic lupus erythematosus - a case report.","authors":"Maciej Dubaj, Aleksandra Dembowska, Karol Bigosiński, Ewa Belniak, Konrad Rejdak","doi":"10.5114/ppn.2023.134444","DOIUrl":"10.5114/ppn.2023.134444","url":null,"abstract":"<p><strong>Purpose: </strong>Multiple sclerosis (MS) and systemic lupus erythematosus (SLE) are two autoimmune diseases that are relatively common, especially in women. However, it is extremely rare for them to coexist in a single patient (only 18 cases have been recorded worldwide). Both affect the nervous system and may manifest in identical ways. This creates significant difficulties, both in terms of diagnosis and choice of appropriate therapy.</p><p><strong>Case description: </strong>A 54-year-old female patient with quadriparesis, superficial sensory disturbance and gait and balance disorders was diagnosed with primary progressive MS according to McDonald's criteria. The magnetic resonance images were typical for MS. Previously, in 2013, she was diagnosed with SLE, treated successfully, and is currently in remission. After excluding neuropsychiatric lupus, ocrelizumab treatment was administered, with good clinical results.</p><p><strong>Comment: </strong>Adequate differentiation (magnetic resonance imaging, analysis of cerebrospinal fluid, clinical observation) as to whether the patient's symptoms are related to MS or to SLE nervous system involvement is the basis for proper diagnosis and treatment.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"33 1","pages":"39-42"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473219","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
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