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Clinical Neuroscience - 1997;50(07-08)
Content
Clinical Neuroscience
JULY 20, 1997
[Experiences of surgically treated temporal epileptic patients - multicentre study ]
[Our experiences on surgically treated temporal lobe epileptic patients are presented. Involved in the disease are the process of preoperative investigations, clinical data, types of operation and their indications, and the postoperative controls. Pre- and postoperative data of 36 surgically treated, intractable temporal lobe epileptic patients were analysed. A postoperative follow-up of longer than two years was carried out on 24 patients. The experiences of these patients on postoperative seizure frequency were evaluated using Engel's classification. Among these 24 temporal lobe epileptic patients 19 are seizure free (Engel I.), the seizure frequency significantly decreased in 3 of them (Engel II.), in the case of 2 patients the number of seizures was reduced (Engel III.). Our experiences show that neurosurgical investigation seems to be an increasingly useful, alternative way for treating intractable temporal lobe epileptic patients.]
Clinical Neuroscience
JULY 20, 1997
[Patient characteristics at the stroke unit of a clinical department of neurology during a 12-month period - methods of database management, demographic characteristics and inhospital mortality]
[Hungary is among the countries with the highest rates of stroke mortality. Accuracy of data in international statistical reports have been crlticized by several authors. The aim of the present study was to give a methodological description of the database, to report basic patient characteristics and to discuss causes of discrepancies between national and hospital stroke morbidity and mortality data. Data from a stroke unit with a catchment area of 210 000 inhabitants were used to create a database from about 100 parameters per patient discharged from the stroke unit during a 12-month period. During this period 505 patients with acute stroke were treated at the stroke unit. Of the patients admitted 15% did not have stroke. Fatality among inpatients with acute stroke was 18.6% (n=94). Assuming that all stroke patients of the catchment area were treated at the stroke unit and that stroke mortality in the catchment area equals that of the national value, 410 deaths should have occurred at the unit. The discrepancy between the number of the expected and detected stroke fatality cases might imply that either a large number of stroke patients from the catchment area do not reach the stroke unit, or actual stroke mortality is lower in our region than the national average. To examine these hypotheses, a population based prospective study should be performed. ]
Clinical Neuroscience
JULY 20, 1997
[Lumbar pseudoradicular pain part 1: anatomical principles]
[Most low back and leg pain, caused by degenerative disorders of the lumbar spine can be classified as referred (projected) pain. One of the types of referred pain is pseudoradicular pain originating from the characteristics of innervation of the spinal motion segment. Ventral parts of the spinal motion segment are supplied by the sinuvertebral nerve and the sympathetic nervous system, while the dorsal compartment is innervated by dorsal rami of the spinal nerves and both systems show considerable segmental overlap]
Clinical Neuroscience
JULY 20, 1997
[Gasoline caused hexacarbon polyneuropathy - description of five cases]
[Based on five cases a description is given n-hexane induced polyneuropathy caused by laundry cleaning gasoline, a kind of exposition that has not been published up till now. The symptoms (subacute sensomotor polyneuropathy) and the peculiar course (further deterioration after the exposition has ceased) of hexacarbon polyneuropathy caused by gasoline were similar to that of other cases induced by other n-hexane containing materials such as diluting agents, glues, lacquers etc.]
Clinical Neuroscience
JULY 20, 1997
[Short- term video EEG analysis in a useful tool in the diagnosis of epileptic phenomena]
[Short-term (30–120 min) video- EEG recording and split-screen analysis is a very useful tool in investigating short- lasting epileptic or non- epileptic phenomena. The authors use this technique in different clinical situations as follows: frequent seizure- like episodes of suspected or proven epileptic etiology, with special reference to absence like and myoclonus- like episodes; motor manifestations, paroxysmal psychic phenomena, and fits induced by visual stimulation. Further indications were as follows: long-lasting pathological stupor states of suspected epileptic origin, long-lasting EEG discharges with unclear clinical correlations, precise analysis of partial epileptic seizures. The results show that, depending on patient selection, video- EEG analysis significantly contributed to precise diagnosis of epileptic seizures as well as to differentiation between epileptic and nonepileptic fits. In a few cases, rare, unsuspected epileptic conditions could only be identified by means of video- EEG analysis. The paper has been completed with a few brief illustrative case reports.]
Clinical Neuroscience
JULY 20, 1997
[Phrenic nerve pacemaker- the first implantation in Hungary]
[As a result of a traffic accident on July 15, 1994 a 20 years-old girl immediately became tetraplegic at the C2 level. She had no spontaneous respiration and she needed a respirator. The neurological status has not changed, the total spinal cord lesion has not improved. Her general condition was satisfactory after the treatment of complications (some pneumonia, decubitus, etc.). She underwent an operation on May 31, 1995 and she was given a phrenic pacemaker. The equipment has been working without any problem for fifteen months. Although phrenic nerve pacing is not new for experts, our case is worth presenting since she was the first in Hungary who survived the high cervical spine injury. She lives at home without a respirator, restrained but yet tolerably. ]
Clinical Neuroscience
JULY 20, 1997
[Hypophosphataemia, myopathy, diabetes mellitus: case history]
[The case history of a 47-year-old woman is reported. From her puberty, diffuse muscle pains and cramps appeared in her musclers after physical activities, with no complaints during rest. She was submitted to scalenotomy because of pains in her right arm, without any influence of her condition. Myopathy was detected by electromyography and muscle biopsy. Later, hypophosphataemia and diabetes mellitus were found by repeated laboratory investigations. Detailed internal medical, endocrinological and biochemical investigations were not able to demonstrate any other abnormalities. The ultrastructure of the muscle exhibited vacuolar degeneration. Phosphate supplementation resulted in clinical improvement and normalization of the laboratory findings. Our results demonstrate the pathogenetic background of muscle damage and correlations between the phosphate metabolism, diabetes mellitus, myopathy, and tubulopathy.]
Clinical Neuroscience
JULY 20, 1997
[Posterior atlanto-axial transarticular screw fixation]
[Instability of the craniocervical junction is potentially life threatening. The most common form is the atlanto-axial instability. It can be caused by several different pathological conditions (e.g. post-traumatic, tumour, inflammatory, or degenerative). The authors describe in detail one of the latest operative methods to deal with this condition. They review the current literature and provide an illustrative example of a patient with rheumatoid arthritis. They consider the posterior atlanto-axial transarticular screw fixation an efficient, relatively safe technique.]
Clinical Neuroscience
JULY 20, 1997
[Hungarian Society of Neurologists and Mental Physicians SZOTE neurological round table]
[Diagnosis and drug therapy of stroke: 1997. Ischemic penumbra. Cerebral edema in stroke. Use of salicylate and ticlopidine (Ticlid) in stroke therapy. Care of cerebrovascular patients in the Department of Neurology of Makó Hospital. Rare cases of subarachnoid hemorrhage. Effects of vinpocetine and piracetam in the treatment of cerebrovascular disease. The place of nadroparin (Fraxiparine) in stroke therapy. Acenocumarol (Syncumar) in stroke therapy. Thrombolysis in stroke. Stroke in thrombolysis. The Neuropathology Section of the Hungarian Society of Neurologists and Mental Doctors became an independent company.]
Clinical Neuroscience
JULY 20, 1997
[Hungarian Society of Pediatric Neurology, Neurosurgery, Child and Adolescent Psychiatry]
[This year's congress was held in Debrecen between 15 and 17 May. The venue was chosen because it was 25 years ago, in 1972, that paediatric neurology started at the DOTE Children's Hospital. The main topics of the Psychiatry Section were childhood anxiety and organisational issues in child psychiatry. The scientific programme of the Neurology and Neurosurgery Section will be presented in more detail. ]
Clinical Neuroscience
JULY 20, 1997
[Hungarian Society of Neuroradiology]
[The Hungarian Society of Neuroradiology will hold its annual congress in Győr, Hungary, between 16-18 October 1997. The congress will be chaired by Dr. Miklós Kéki. ]
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