Archives of Psychiatry Research最新文献_第5页

Archives of Psychiatry Research Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.09

Marijana Lisak, Bruno Špiljak, Hanna Pašić

{"title":"Autoimmune Encephalitis","authors":"Marijana Lisak, Bruno Špiljak, Hanna Pašić","doi":"10.20471/may.2023.59.01.09","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.09","url":null,"abstract":"The purpose of this paper is to provide a comprehensive review of recent literature data for autoimmune encephalitis (AIE). AIE refers to inflammatory, non-infectious, immune-mediated encephalitis characterised by neuroinflammation, synthesis of neuronal autoantibodies (NAAs), directed against surface, synaptic and intracellular antigens, with subsequent neuronal dysfunction. It is characterised by heterogeneous anatomic-clinical syndromes and prominent neuropsychiatric symptoms. Due to overlapping of different clinical and diagnostic biomarkers, AIE is often considered diagnosis of exclusion and requires an extensive work-up. Systematic search of the term «autoimmune encephalitis» in the PubMed database was performed, with limitation set for systematic review in papers English, published from 2004- 2022. Further analysis was performed by the search of the author’s reference list and Autoimmune Encephalitis Alliance (AEA) website. The analysis was conducted according to PRISMA (The Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Outcomes that were sought included: AIE classification and presentation; diagnostic processing; treatment. Preset search of published systematic reviews in PubMed database, derived eighty six papers. Further screening of derived data, author’s reference list and AEA website was performed, according to previously defined out- comes. Finally, sixteen papers were independently selected and thoroughly analysed, with relevant conclusions present- ed in this paper. AIE is a severe inflammatory central nervous system (CNS) disorder with a complex differential diagnosis that often remains unrecognised. AIE research has established a wide range of new autoimmune antibodies syndromes, clinical and diagnostic biomarkers, which have improved diagnostic approach and treatment. Initial application of immunotherapy improves the outcome of disease.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44013058","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

Stroke in Pregnancy and Puerperium - Current Knowledge, Questions and Controversies 妊娠期和产褥期中风——当前的知识、问题和争议

Archives of Psychiatry Research Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.12

A. Pavlovic

{"title":"Stroke in Pregnancy and Puerperium - Current Knowledge, Questions and Controversies","authors":"A. Pavlovic","doi":"10.20471/may.2023.59.01.12","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.12","url":null,"abstract":"Stroke associated with pregnancy and the postpartum period (SiPP) is not common but its consequences can be devastating both for the mother and the child. Pregnancy confers a substantially increased risk of stroke, especially during the third trimester and until 6 weeks postpartum. SiPP is heterogeneous both in aetiology and presentation as it includes both ischemic and haemorrhagic events as well as cerebral venous thrombosis. Specific risk factors for SiPP have been identified and well described, such as hypertensive disorders of pregnancy and a prothrombotic state. However, it is still a controversial issue if pregnancy should be considered a risk factor for stroke, although pregnancy and postpartum period clearly increase the stroke risk compared to non-pregnant time. Recent European Stroke Organization [ESO] guidelines addressed the management of acute SiPP while other issues, particularly primary and secondary prevention are still under investigated. There is also a lack of research and knowledge regarding long-term mother and foetus/child outcomes post-SiPP. This paper addresses current knowledge on SiPP management and prognosis and discusses new challenging clinical scenarios including the relationship between COVID-19 infection and SiPP.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598829","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

Intracranial Fibromuscular Dysplasia in a Male Child Presented by Middle Cerebral Artery Dissection and Stroke 一例男性儿童颅内纤维肌发育不良伴大脑中动脉夹层和脑卒中

Archives of Psychiatry Research Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.20

Rafaela Vukasović, Melanija Pintarić, V. Đuranović, A. Lovrenčić‐Huzjan

{"title":"Intracranial Fibromuscular Dysplasia in a Male Child Presented by Middle Cerebral Artery Dissection and Stroke","authors":"Rafaela Vukasović, Melanija Pintarić, V. Đuranović, A. Lovrenčić‐Huzjan","doi":"10.20471/may.2023.59.01.20","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.20","url":null,"abstract":"Fibromuscular dysplasia (FMD) is a group of nonatherosclerotic, noninflammatory arterial diseases that most commonly involve the renal and carotid arteries it typically occurs in women aged between 30 and 50 years. FMD in children is rare and its most common site of involvement are renal arteries. Stroke in children is generally uncommon and due to FMD is even rarer, which is why it is often unrecognized. We present a case of a boy, with an inconspicuous previous anamnesis and orderly development, who woke up at the age of 9 with weakness of the left side of the body and speech disorders. MR showed an ischemic lesion in the irrigation area of the right middle cerebral artery (arteria cerebri media- ACM). In neurological status mild dysarthria with left central facial nerve lesion was noted as well as mild paresis of the left extremities. Neurosonological testing showed segmental extensions and narrowing of the right ACM with underlying dissection, which speaks in favour of fibromuscular dysplasia. Therapy with acetylsalicylic acid 50 mg was initiated, and with further follow-up of the patient, complete regression of symptoms and normal neurological status were recorded.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48530979","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

Psychiatric Symptoms in Women with Focal Cervical Dystonia - Exploring New Pathophysiological Pathways 局灶性宫颈肌张力障碍女性的精神症状-探索新的病理生理途径

Archives of Psychiatry Research Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.03

Tihana Gilman Kurić, Z. Popovic, S. Tomic, Jagoda Kragujevic, Tea Mirošević Zubonja, T. Pučić, A. Petek Erić, Igor Kuric

引用次数: 0

A Review of Awareness of Pregnancy-Related Issues Among Reproductive-Aged Croatian Women with Epilepsy 克罗地亚育龄癫痫妇女对妊娠相关问题的认识综述

Archives of Psychiatry Research Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.13

Ana Sruk, Zurap Raifi, Fabijan Đumbir, L. Friedrich

{"title":"A Review of Awareness of Pregnancy-Related Issues Among Reproductive-Aged Croatian Women with Epilepsy","authors":"Ana Sruk, Zurap Raifi, Fabijan Đumbir, L. Friedrich","doi":"10.20471/may.2023.59.01.13","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.13","url":null,"abstract":"Pregnancy-related epilepsy issues (PREIs) are crucial in managing women with epilepsy (WWE). The main PREIs are reduced compliance and self-discontinuation of antiseizure medications (ASMs), pharmacokinetic alterations during pregnancy, and the teratogenic potential of particular ASMs. According to a recent study, knowledge of PREIs among reproductive-aged WWE in Croatia is unsatisfactory, as are neurologist consultations about PREIs. Two hundred WWE were polled on their knowledge, sources, and needs for information about PREIs and their current ASMs usage. Prior consultation with a neurologist and increased use of books/brochures were the main predictors of knowledge. Forty-five percent of participants had a prior neurologist consultation on PREIs. Most women (61 %) chose their neurologist as their favourite future source of information, and 13 % favoured Internet. The most usually prescribed ASM was levetiracetam (34.5 %). Valproate was utilized by 26 % of respondents, among which 59 % claimed no prior PREIs consultation with a neurologist. A new campaign called Epilepsy and Pregnancy was launched by the International Bureau for Epilepsy in 2021. In February 2021, a poll of nearly 900 women was conducted across Europe as the first stage in this significant project, including 94 respondents from Croatia. Forty-two percent of Croatian WWE were given no information on pregnancy-related risks. In contrast with the aforementioned study, neurologists provided 82 percent of information about the risks of ASMs. Seventy percent reported they were not given contraception information. Providing clear, accurate and timely information on PREIs should become the norm for all neurologists caring for WWE.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44636144","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

Brain Infarction in the Artery of Percheron Supply Area due to Reversible Cerebral Vasoconstriction Syndrome 可逆性脑血管收缩综合征引起的Percheron供血区动脉脑梗死

Archives of Psychiatry Research Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.15

Andrija Meštrović, Zurap Raifi, Ana Sruk, M. Budišić, V. Kalousek, Marina Roje Bedeković, H. Budinčević

{"title":"Brain Infarction in the Artery of Percheron Supply Area due to Reversible Cerebral Vasoconstriction Syndrome","authors":"Andrija Meštrović, Zurap Raifi, Ana Sruk, M. Budišić, V. Kalousek, Marina Roje Bedeković, H. Budinčević","doi":"10.20471/may.2023.59.01.15","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.15","url":null,"abstract":"An ischemic stroke caused by the occlusion of the artery of Percheron encompasses both posterior thalami, and the resulting clinical presentation can mask the clinical presentation of a stroke. We present the case report of a 62-year-old female patient who was admitted to our emergency department in a soporous state after initial headache and dizziness. A neurological exam found left-sided spasticity and a flexor response to pain. Systemic thrombolysis was administered after an urgent computerized tomography (CT) of the brain with angiography. The interventional radiologist proposed a digital subtraction angiography which found a vasospasm in the right medial cerebral artery from the M2 seg- ment reaching distally, and a balloon dilation was done. Following the endovascular procedure, a CT scan showed ischemia in both posterior thalami. Additionally, the patient’s neurological impairment improved at that moment showing Parinaud syndrome, drowsiness, and left-sided palsy. The patient experienced a possible reversible cerebral vasoconstriction syndrome, the cause of which is still unknown, which resulted in an ischemic stroke. The typical clinical presentation of that syndrome was lacking, probably due to the presence of the artery of Percheron ipsilateral to the vasospasm. Our goal in presenting this case study is to draw attention to the artery of Percheron syndrome as a potential clinical sign of an acute ischemic stroke that can easily lead us to be misled.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42713825","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

Sex Differences in Periodontology as a Risk Factor for Cerebrovascular Diseases 牙周病作为脑血管疾病危险因素的性别差异

Archives of Psychiatry Research Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.23

Ivan Puhar

引用次数: 0

Less Help-Seeking Behaviour in Female Patients Exhibiting Stroke or TIA - Related Symptoms 出现脑卒中或短暂性脑缺血发作相关症状的女性患者求助行为减少

Archives of Psychiatry Research Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.16

Tea Mikula, A. Lovrenčić‐Huzjan

引用次数: 0

Headache as a Symptom of Carotid Web 头痛是颈动脉网的症状

Archives of Psychiatry Research Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.19

Rafaela Vukasović, Melanija Pintarić, A. Lovrenčić‐Huzjan

引用次数: 0

Fibromuscular Dysplasia – Underrecognized Vasculopathy with Female Preponderance 纤维肌发育不良——女性优势血管病认识不足

Archives of Psychiatry Research Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.07

A. Lovrenčić‐Huzjan

{"title":"Fibromuscular Dysplasia – Underrecognized Vasculopathy with Female Preponderance","authors":"A. Lovrenčić‐Huzjan","doi":"10.20471/may.2023.59.01.07","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.07","url":null,"abstract":"Fibromuscular dysplasia (FMD) is a non-atherosclerotic, non-inflammatory vascular disease with strong female preponderance. However the diagnosis of the disease is low. FMD affects medium-sized muscular arteries, predominantly renal arteries, but equally carotid and vertebral arteries. It leads to artery stenosis, occlusion, aneurysm or dissection. The clinical picture depends on the affected blood vessels. It is most commonly recognized as a cause of hypertension in young female patients. In the case of involvement of cranial and cervical arteries, the clinical picture is mostly nonspecific, with headache, migraine and tinnitus. In registries, females had more frequent classical symptoms of cerebrovascular FMD like pulsatile tinnitus, cervical bruit and neck pain, and males have more frequently visceral affection (abdominal pain, renal impairment and renal infarction). Also, man had more frequently more sever clinical presentation like arterial dissection or arterial aneurysm. At the age of diagnosis males are younger compared to females. Large cohort studies showed the association of FMD with female sex, migraine, and intracranial aneurysm. FMD is an under-recognized vascular disease, more prevalent in females, but exhibiting more sever clinical presentation in males.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43336477","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