Clinical Neuroscience - 1985;38(09)

Clinical Neuroscience

SEPTEMBER 01, 1985

[Vascular morphology of small (miliary) ischaemic foci in the human cerebral cortex*]

DR. MÉREI F. Tibor, DR. GALLYAS Ferenc

[Based on a comparison of the morphological features of the cerebral vasculature, the authors believe that the most common small cortical ischaemic clots in their patients with bilateral internal carotid artery occlusion at different ages were due to spatial and temporal asymmetry of blood flow caused by disturbances in local circulatory control, rather than to embolic, inflammatory or other origins of the cortical arteries, as previously reported in similar cases. It has also been suggested that a significant reduction in the diameter of the capillaries within the arteries may play a role in the development of such foci.]

Clinical Neuroscience

SEPTEMBER 01, 1985

[Preoperative and postoperative outcomes in patients with multiple sclerosis undergoing porcine brain transplantation]

DR. PÁLFFY György

[The author reports the results of neurological examination of 5 patients with clinically definite MS before and after pig brain implantation and presents histological findings of some types of fresh foci of MS in 2 patients who died during postoperative exacerbation. No objective improvement in the neurological status of either patient was observed after this intervention. In hindsight, it highlights the danger of surgery. The analysis of the course of his patients' disease supports a consistent autoimmune pathogenesis of leukoencephalitis.]

Clinical Neuroscience

SEPTEMBER 01, 1985

[The role of parental attitudes in the socialisation of families at risk]

RÁTAY Csaba, TUSNÁDY Gábor

[Indeed, the groups according to the degree of vulnerability show significant differences in the warmth of the parent's parenting attitudes and the openness of communication within the family. We consider our results to be a partially valid starting point for answering questions of practical family therapy. These can be summarized on three levels: a) understanding the social background and social situation of the family (Cseh-Szombathy, [4]); b) exploring the developmental cycles of family life (Weeks, Wright, [17]), specific family traditions and myths (Byng-Hall, [3]); c) highlighting current dysfunctional behavior patterns (Weakland, Fisch, Watzlawick and Bodin, [15]). While the outlines of family therapy work the relevant theoretical work can be obtained from abroad, while the practical, therapeutic work cannot be carried out without knowledge of the domestic conditions can be carried out effectively.]

Clinical Neuroscience

SEPTEMBER 01, 1985

[Myasthenia gravis: Preventing drug-induced cholinergic symptoms with dexetimidum]

DR. SZOBOR Albert

[The author uses dexetimidum (Tremblex, KGy), which has a strong anticholinergic effect, to prevent and reduce cholinergic symptoms that are unpleasant and even dangerous to breathe, in the treatment of myasthenic patients. Over a three-year period, 56 patients were observed to have an effect of the drug on side effects only. Routine use mainly in crisis or praecrisis, and in cases with cholinergic side effects.]

Clinical Neuroscience

SEPTEMBER 01, 1985

Penetration of anticonvulsant drugs into the cerebrospinal fluid in epileptic patients

D. ROSCISZEWSKA I. , GUZ. S. Kasperek

ln 32 adult patients with epilepsy DPH and phenobarbital levels were determined in serum and CSF. ln 10 patients B-0-B permeability was evaluated by measurement of bilirubin in CSF. Major individual differences in DPH and phenobarbital levels in serum and CSF have been noticed. Percentage of DPH penetration into CSF ranged from 1-59%, and phenobarbital from 40-69%. ln cases with increased permeability of blood-CSF barrier drugs penetration into CSF was higher.

Clinical Neuroscience

SEPTEMBER 01, 1985

[Co-occurrence of cerebellar aneurysm and trigeminal artery primitiva]

DR. VETŐ Ferenc, DR. KÖVÉR Ferenc

[The authors report an artery aneurysm associated with arteria communicans anterior trigemina primitiva are described. They review the literature and discuss the clinical significance of PrTA.]