Clinical Neuroscience - 1985;38(04)

Clinical Neuroscience

APRIL 01, 1985

[On model theories of endogenous psychoses]

SIMKÓ Alfréd

[The author presents variations in the interpretation of so-called "endogenous" psychoses, from the vague notion of "heredodegeneration" to the nosological and axial-syndromic principle and methodologies based on the progression picture, pointing to the increasing importance of the dominant role of biological, psychopathological and social perspectives. In the models, the author sees relatively valid hypothesis constructs intended to bring together the larger body of knowledge on a topic. Their disadvantage is that their categorical validity is determined solely by their own systematising principle: therefore, models that are too closed are in danger of becoming rigid and dogmatic. Without claiming to be exhaustive, the author only sketches out the brain topological, constitutive and character typological, descriptive-phenomenological, form-phenomenological, psychoanalytic, existential-anthropological, genetic, cybernetic, and broader biological and sociogenetic models of endogenous psychoses. It highlights the importance of their flexibility, resolvability and synthesizability, without which their clinical usefulness, especially in the context of endogenous psychoses, becomes questionable. ]

HUN 1985;38(04)

Clinical Neuroscience

APRIL 01, 1985

[Indications for transoral neurosurgery]

PÁSZTOR Emil, VAJDA János, PIFFKÓ Pál, GÁDOR Ildikó

[The microscopic surgical technique has made it possible to operate relatively safely on pathological lesions located in the ventral part of the craniocervical transition, often causing severe bulbar symptoms. The indications for this operation are discussed based on the experience of 11 patients operated on with transoral surgery. ]

HUN 1985;38(04)

Clinical Neuroscience

APRIL 01, 1985

[Differential diagnostic approach to paranoid syndromes and schizophrenia paranoid from the clinician's perspective]

BOHÁCS Elemér

[The author discusses the differential diagnostic problems of schizophrenia paranoids and paranoid syndromes from the clinician's perspective and provides a diagnostic workup of a 5-year discharge from the hospital. ]

HUN 1985;38(04)

Clinical Neuroscience

APRIL 01, 1985

[The pathogenetic role of the "stump" of the occluded internal carotid artery - the external carotid artery in the context of surgery for stenosis]

BODOSI Mihály, MÉREI Tibor

[After occlusion of the internal carotid artery, focal ischemic symptoms persist in a quarter of patients. This may be due to an ulcerated surface of the stump of the internal carotid artery or to clots filling the inlet of the occluded artery, and emboli from this may enter the intracranial vessels via the internal carotid artery anastomoses. Further evidence for this hypothesis is provided by presenting the material of 10 patients in whom endarterectomy was justified in preparation for extra-intracranial anastomosis surgery to narrow the external carotid artery inlet. In this way, the carotid fork can be studied. The findings emphasize the pathogenetic role of the carotid stump and suggest its excision when endarterectomy of the external carotid artery is warranted anyway. However, it is also considered to be an option when the ulcerated entrance of the carotid stump is at risk of further embolization. Surgical management is described. ]

HUN 1985;38(04)

Clinical Neuroscience

APRIL 01, 1985

[Cerebral tumor detection by brain scintigraphy ]

TÓTH Gábor, SZÉPLAKI Zoltán, ANTÓNY Miklós

[The authors report on brain scintigraphy of 71 patients with brain tumors. They analyze their results according to localization and histological type. They highlight that hemangiomas, meningiomas, and supra tentorial gliomas are well visualized, cerebral metastases to a lesser extent. ]

HUN 1985;38(04)

Clinical Neuroscience

APRIL 01, 1985

[Micro-tumour mimicking symptoms of cervical disc herniation in the coccygeal fossa (Problems of clinical and histopathological diagnosis)]

GALLYAS Ferenc, GEDEON László, MAJERSZKI Klára, MÉREI F. Tibor

[The clinical and pathological issues of the C6 root mycrotum of the b.o. mimicking the symptoms of a herniated disc are analysed. literature on the histopathology of neurinomas and neurofibromas is summarised. ]

HUN 1985;38(04)