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High muscle tone in various muscle groups is typical in Scheuermann's disease, and secondary fibromyalgia often occurs in young adults after this condition. There are clinical observations of emotional-psychological disturbances in adolescents with Scheuermann's osteochondritis. For these reasons it was of interest to determine whether any particular personality traits were manifested in adolescents with Scheuermann's disease, that - in addition to the spinal pathology – would contribute to the high muscle tone. Using four personality diagnostics tests (Brengelmann's questionnaire, Taylor's anxiety scale, Neurosis Scale, Lüscher's 8-colour test) we investigated the emotional life of 52 adolescents with Scheuermann's osteochondritis and that of 52 matched healthy controls. Test results of the two groups were statistically evaluated using chi square tests, with a significance limit of p < 0.05. The most striking difference between the two groups was that the patient's volitional and diffuse psychic tensions were increased (c = 1.00 and p < 0.0005) and, at the same time, were accompanied by a significant deficiency of the means to discharge them ( c = 1.00 and p < 0.0005). The results indicate that Scheuermann-patients do not answer to the stresses of everyday life in the usual way but by an increase in muscle tone. Their muscles act as their stress organ. This - in addition to the spinal pathology - may contribute to the tightness of their muscles and might be considered as a possible predisposing factor to later secondary fibromyalgia. Therapy should seek to interrupt this vicious circle by complementing regular exercise with relaxation techniques.
Optimum management of the acute odontoid fracture has always been extensively discussed. Nowadays, with the availability of new operative techniques such as anterior odontoid screw fixation and the posterior C1-C2 transarticular screw fixation the management policy has to be reevaluated. The authors review 115 cases of type II and type III acute odontoid fractures admitted to the National Institute of Traumatology in Budapest between 1980 and 1990. For study purposes a modified Anderson-D'Alonzo classification was introduced allowing a more detailed description of the fracture components and thus enabling to find more clear guidelines for treatment planning. The patients were treated with: a. various types of non-Halo external fixation in 27 cases; b. Halo immobilization in 13 cases; c. various surgical procedures resulting in a loss of atlantoaxial joint function in 22 cases; d. anterior odontoid screw fixation in 53 cases. Modern therapy should be focused on preserving the function of the atlanto-axial joint whenever possible. This can be sufficiently achieved using anterior odontoid screw fixation. However, the main determining factor in the choice of the appropriate treatment - providing the ligaments are intact - is the direction and course of the fracture line. If the fracture line runs horizontal or oblique posterior anterior screw fixation is the most favourable treatment. On the other hand if the fracture line runs oblique anterior Halo immobilization or C1-C2 posterior fixation is the method of choice.
[Radiosurgery has in recent years been used with promising results in the treatment of cerebral metastases. Between July 1991 and January 1993 we treated 23 patients harbouring brain metastases (39 lesions) with our Linear accelerator based radiosurgery system. The median tumor size was 1.9 cm (1.0-3.0 cm) and the median delivered dose was 18.7 Gy (13–25Gy). Follow up CT scans at 4 months showed a complete remission or greater than 50% tumor volume reduction in 19 patients (82%). No change was noted in 2 patients (9%), and after a transitory decrease an increase in tumor size was seen in 2 patients (9%). Follow up time was minimum 6 month (or till death), and maximum 26 months. We have lost 13 patients during the study, and the cause of death was neurologic in only 2 cases. Our experience supports the cumulating evidence that radiosurgery is an effective treatment for metastatic brain tumors, is well tolerated by the patients, and can be applied also in cases where open surgery can not be performed.]
[In three hydrocephalic and one fetus with intra- and periventricular hemorrhage real time imaging was used to identify cerebral changes. Color flow imaging was used to identify the fetal middle cerebral and umbilical artery for subsequent pulsed Doppler sonographic studies. Cerebral blood flow patterns of hydrocephalik fetuses seem to differ individually from case to case presenting normal, increased and decreased velocity waveform indices. The resistance index and pulsatility index of the middle cerebral artery in case of cerebral hemorrhage increased with advancing worsening of the fetal state of health. Loss of diastolic cerebral or umbilical flow followed by retrograde flow during diastole antenatally could be a bad sign prognostically. ]
[B-mode ultrasound images were recorded and densitometrically evaluated from the cervical segment of the carotid arteries of moribund patients. After the death of the patients the bifurcations of the carotis arteries were removed. Water and calcium content of the normal vessel wall, the thrombi and the plaques were determined with tissue drying and with X-ray spectroscopy. Water and calcium content of the pathological lesions were compared to optical density values of the identical location on B-mode images. Calcium content of the plaques were 10 times higher (mean+SD: 35176+44756 ppm.) than that of normal vessel wall (mean+SD: 2728+2660 ppm.). Water content in plaques was 10% lower than in the normal vessel wall. Inverse relationship was found between water- and Ca-content in the normal vessel wall, thrombi and plaques. The autors suggest, that the inverse relationship between water and Ca-content in the thrombi can be explained by the maturation of the thrombi. Densitometric measurements revealed higher optical density (echogenity) in plaques than in thrombi. No correlation was found between Ca- and water content and optical density of plaques. The authors recommend further measurements as calcium content is assumed to correlate with echogenity in plaques with homogenous echostructure.]
[Decree No 13/1992 (VI. 26.) NM of the Minister of National Welfare establishing the medical fitness of road drivers. II. Assessment and opinion on the fitness test.]
[On 14 April 1994, the College of Neurology repeatedly discussed and unanimously adopted the new regulations for the training of neurology specialists. Open letter by Prof. Dr. Lóránt Leel-Őssy. On the treatment of multiple sclerosis with methylprednisolone.]
[Summary of the clinicopathology conference of the Department of Neurology and II. Institute of Pathology of Semmelweis University of Medical Sciences]
[Themes for the Congress of the European Federation of Neurological Societies (EFNS), 24-26 November 1994.]
[The annual congress of the Society was held in Zalaegerszeg between 7-9 April 1994. The local organizers were Ágnes Gombos, paediatric neurologist, and István Rubecz, paediatrician. We thank them for the smooth running of the scientific programme, as well as for organising the great organ concert and the excursion to Göcsej.]
[In July 1993, the European Advisory Board of the International League Against Epilepsy (NEL) delegated 5 experts to Oslo to form the NEL Commission on European Affairs. This body met for the first time in London on 25 February 1994.]
[Scientific Programme of the Hungarian Spine Association for 1994 and 1995.]
[Pre-stimulus microstate-dependent differences in the spatial distribution of the visual evoked response. Topographic and dimensional analysis of the event-related evoked potential component P3. Investigation of mismatch negativity (MMN) in cats. The initial (?) pitfalls or how to perform electrophysiological studies accurately and rapidly in neonatal, infant and childhood. Scalp topographic analysis of acoustic P300 evoked potential in temporal lobe disease. Cognitive evoked response abnormalities in psychiatric patients. Auditory evoked response testing of patients complaining of vertigo. Auditory evoked response testing of albinos. BAEP--Otoneurologic Auditory Auditory Brainstem Dysfunction. "DSEP dermatomal somatosensory evoked potential". Investigation of the effect of sensory response to median nerve stimulation on cerebral blood flow by SPECT. Electroretinography: a complementary study to VEP. An electrophysiological eye on brainstem death. Poster journal. Topographic analysis of sphenoid spines. Topographic analysis of occipital spines by amplitude mapping. Amplitude mapping analysis of generalized spike patterns (absence seizures) in the lctalis. EEG changes during Sabril (vigabatrin) treatment. Prevalence of photosensitive epilepsy in our patients. Neurometric studies in cases of cerebrovascular brain atrophy. History of a family with epilepsy: clinical and EEG findings. A poorly known simple EEG test in the differentiation of benign centrotemporal and central focal symptomatic epilepsies. Comparative EEG and CT scans in chronic alcoholics with GM seizures. Migraine: psychological symptoms and EEG abnormalities. Investigation of non-sleep-dependent epilepsy provoking factors in sleep deprivation. Selective poradox sleep deprivation after MPTP treatment. Experience with magnetic stimulation studies in children. EMG studies in poramyotonia congenita. Complex electrophysiological analysis of muscles in healthy humans, reproducibility of results. Long-loop reflex tests in patients with multiple sclerosis. Studies of peripheral motor reinnervation in rabbits after surgical laceration of the sciatic nerve plexus. Long-loop reflex studies in tension-type headache. Correlation of clinical and electrophysiological data in lumbar disc disease. Electrophysiological studies in hyperkalaemic periodic paralysis. The significance of SFEMG in the diagnosis of myasthenia gravis. Magnetic motor evoked potential, intraoperative monitoring.]
[Pathomechanisms and clinical implications of diabetic and alcoholic neuropathy. Diagnosis and therapy of diabetic neuropathy. Recent data for the therapy of alcoholic and diabetic polyneuropathy. Pathomorphological basis of peripheral nerve damage and regeneration.]
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Clinical Neuroscience
[Headache registry in Szeged: Experiences regarding to migraine patients]2.
Clinical Neuroscience
[The new target population of stroke awareness campaign: Kindergarten students ]3.
Clinical Neuroscience
Is there any difference in mortality rates of atrial fibrillation detected before or after ischemic stroke?4.
Clinical Neuroscience
Factors influencing the level of stigma in Parkinson’s disease in western Turkey5.
Clinical Neuroscience
[The effects of demographic and clinical factors on the severity of poststroke aphasia]1.
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