{"title":"[Benign paroxysmal vertigo in children].","authors":"N Kirincić, M Kriz, E Paucić-Kirincić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Based on our examination of 176 patients, we first selected, according to the general standards of diagnosing benign paroxysmal vertigo of childhood (children aged up to ten years, paroxysmal vertigo, ataxia) a group of 78 patients. Using multidisciplinary approach we have thus performed in these children the following examinations: an exhaustive anamnesis, laboratory examinations, clinical ORL (ENT), ophthalmological, neuropediatric examinations, x-ray of the cranium and the temporal bone, audiometric, vestibulogenic and EEG examinations. In the following stage we have, on the basis of the obtained data, selected 22 patients who met the restrictive standards for the diagnosis of a benign paroxysmal vertigo of childhood (typical clinical picture, isolated vestibular symptomatology, exclusion of the etiological factors, benign course of the disease). In our material the age range was between the second and the sixth year. After the sixth year of age we have not had any case of benign paroxysmal vertigo. We have not arrived at any significant fact which would indicate an etiological factor. There is no significant difference in the frequency of the disease between the two sexes, but we may assert that small girls slightly prevail. Normal psychomotoric development, normal intellectual faculties, absence of risk factors (only a twin had lower birth weight), absence of neurological abnormalities, regular EEG findings, pathological findings of the vestibular excitability together with absence of cochlear symptomatology, and evident clinical symptoms obviously indicate the right diagnosis. The evolution of the disease is exceptionally favorable.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":76210,"journal":{"name":"Neurologija","volume":"38 2","pages":"111-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13842210","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":"[Report on changes in some elements of respiration during exacerbation of schizophrenic psychosis].","authors":"E Zampera","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Disturbances of respiration occurring in the exacerbation of schizophrenic psychosis with predominant anxiety were examined in a group of 30 schizophrenic patients. In the experimental group were included patients before the application of therapy with derivants of phenotiazinic group, and in the control group the patients who were given this therapy in the period of 25 days. The psychotic intensity was determined by Rogina's Grading Scale of Psychotic Behavior, and the severity of anxiety by psychological techniques (Rorschach's Psychodiagnostic Test and Spilberg's Inquiry for Anxiety), as well as by polygraphic technique of respiration recording. This investigation has shown that the use of polygraphic-neurophysiological methods in the investigation of anxiety in schizophrenia is justified. The conclusion was that hyperventilation is a consequence of anxiety. The shortening of inspiratory phase of the respiration cycle and the prolongation of expiration, particularly occurring in the phase of spontaneous fluctuation of psychogalvanic reflex were registered, what is an indication of anxiety.</p>","PeriodicalId":76210,"journal":{"name":"Neurologija","volume":"38 2","pages":"147-60"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13842213","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":"Lesch-Nyhan syndrome: the differential diagnosis and actual aspects.","authors":"D Vranjesević, A Dukić, I Drndarski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The paper presents a case of a nine-year-old boy with Lesch-Nyhan syndrome whose disease was characterized by: a) clinical presentation (psychomotor retardation, involuntary movements, self-mutilatory behavior) b) biochemical features (increased levels of uric acid in serum and urine, index uric acid/creatinine) c) typical diagnostic ommision that lasted up to the terminal stage of the disease In order to provide the possibility of better diagnosis (which includes possibilities of genetic consulting, antenatal diagnosis and treatment of the disorder which is extremely unpleasant both to the patient and to his family) the most common diagnostic errors are discussed. Since the biochemical deficit is the only one which produces the occurrence of Lesch-Nyhan syndrome, the disease is commonly used as a model for investigations of the biochemical basis of human behavior.</p>","PeriodicalId":76210,"journal":{"name":"Neurologija","volume":"38 4","pages":"359-66"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13843660","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":"[The terminal latency quotient in patients with compressive syndromes].","authors":"B Bedenić, A Jusić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In our investigation 119 patients suffering from carpal tunnel syndrome, and 45 suffering from cubital tunnel syndrome have been analyzed. The above mentioned syndromes belong to compressive mononeuropathies and are the result of the narrowing of the anatomical channel, through which the nerve passes, causing direct or indirect pressure on the nerve and difficulties in the flow of particles and nerve impulses towards the periphery. The aim of our work was to study the influence of the compressive lesion, primarily on the distal motor and sensory latencies. To achieve a better precision, the distal motor latency is expressed as a quotient of terminal latency. It is obtained by dividing the distance between the stimulation and the recording point in centimeters with the latency of response expressed in miliseconds. Sensory latencies are obtained by orthodromic stimulation of the finger and the detection of the neural potential at the wrist. According to our results, the proximal pathological process, besides causing the localized slowing down of conduction velocity, affects the conduction velocity of the distal sensory fibers in a higher degree than of the distal motor fibers. In any case the distal motor latencies are in a higher percentage prolonged by the distal lesion, such as carpal channel syndrome, in comparison with the proximal lesion (cubital tunnel syndrome). The less pronounced prolongation of the distal latencies, especially of sensory ones, must not be proclaimed as a consequence of a local compression without additional plurisegmental analysis.</p>","PeriodicalId":76210,"journal":{"name":"Neurologija","volume":"38 3","pages":"231-43"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13842943","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":"Muscle pain in neuromuscular disorders and primary fibromyalgia.","authors":"K G Henriksson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Muscle fiber degeneration and regeneration, inflammation in the intramuscular connective tissue and hypoxia in resting muscle are not necessarily associated with pain. However, when sustained or dynamic muscle contractions are performed in an ischaemic muscle, severe pain develops. In the chronic muscle pain syndrome called fibromyalgia (or fibrositis) the most likely cause of the pain is a combination of muscle tension and muscle hypoxia. This conclusion is supported by the finding of a pathological distribution of tissue oxygen pressure in painful muscles and a subjective feeling of muscle tension and muscle stiffness in the majority of patients. A decrease of high energy phosphates is found in biopsies from painful muscle. The most characteristic morphological finding is the so-called ragged red fiber, a finding that can be seen in mitochondrial disorders. The morphological and chemical findings are possibly a consequence of a long standing hypoxia. The possibility that sympathetic nerve activity is important for the development of chronic muscle pain is discussed.</p>","PeriodicalId":76210,"journal":{"name":"Neurologija","volume":"38 3","pages":"213-21"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13842941","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":"Ataxic hemiparesis with one and half syndrome.","authors":"S K Bansal, J S Chopra, S Harminder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a case in whom clinical entity of ataxic hemiparesis (AH) is associated with one and half syndrome. The later finding favours a lesion in the dorsal pons while a lesion in the ventral pons will cause AH. Computerised axial tomography (CT) showed a pontine infarction over right side. The patient recovered within two weeks of onset in spite of diffuse (ventral and dorsal) pontine involvement.</p>","PeriodicalId":76210,"journal":{"name":"Neurologija","volume":"38 2","pages":"91-4"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13842215","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}
V Demarin, T Rundek, N Thaller, M Lovrencić, M Bosnjak
{"title":"Duplex scanner versus conventional arteriography for carotid artery disease evaluation.","authors":"V Demarin, T Rundek, N Thaller, M Lovrencić, M Bosnjak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In order to evaluate extracranial circulation, Duplex scanning and conventional angiography were performed. The group of 41 patients (mean age 53.8 +/- 11.8, 71% male) were examined. Results were analyzed for extracranial disease presence such as presence of vessel stenosis (mild, moderate, severe), occlusion and presence of plaques. Data from Duplex scanning and carotid arteriography were correlated within the patients in the term of sensitivity and specificity of the methods used. The sensitivity of Duplex scanning for disease presence was 93% and specificity was 83%. For the presence of stenosis, sensitivity was 79% and specificity was 62%. For mild and moderate stenosis (less than 50% of lumen narrowing) sensitivity was 63%, whereas for severe, high-grade stenosis (greater than 50%) and occlusion the sensitivity was 100%. For the plaque presence the sensitivity was 52% and specificity was 73%. A good accordance of plaque findings with both methods was found only in 24% of patients. By Duplex scanner the plaques were discovered in 92% of patients while by arteriography they were found only in 32%. Duplex scanning and conventional arteriography are both accurate methods for determination of the reduction in diameter of carotid arteries (especially in stenosis greater than 50%), whereas Duplex scanning is more accurate for plaque detection and plaque characterisation.</p>","PeriodicalId":76210,"journal":{"name":"Neurologija","volume":"38 4","pages":"285-93"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13842946","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":"Somatosensory dysfunction in chronic neurogenic pain.","authors":"A Berić, M R Dimitrijević, T S Prevec","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76210,"journal":{"name":"Neurologija","volume":"37 3-4","pages":"51-7"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14378411","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":"Disturbances of cerebral blood flow in interictal phase of complicated migraine.","authors":"I Nikolić, J Mihaljev-Martinov","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76210,"journal":{"name":"Neurologija","volume":"37 3-4","pages":"41-9"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14378410","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}