Clinical Neuroscience

[Alcoholism issues in a village life]


SEPTEMBER 01, 1963

Clinical Neuroscience - 1963;16(09)

[In 1961, a village of 629 inhabitants consumed 500 000 HUF worth of alcoholic beverages. One individual spent more than 2 HUF per day for the total population and more than 6 HUF per day for the adult male population, which represents 12 and 36% of the total income per person respectively. 17 chronic alcoholics are from the better-off and more culturally demanding population of the village. The fight against alcoholism can be tackled by expanding cultural leisure activities, by creating a tax-efficient culture and by certain practical measures. ]


  1. Debreceni Orvostudományi Egyetem Ideg-Elmeklinikája



Further articles in this publication

Clinical Neuroscience

[Electroencephalographic studies in children with congenital vitium ]

RÁKOS György

[Electroencephalography was performed in 80 children with congenital vitium. Among 40 non-cyanotic, cardiac-compensated, clinically intact children with a clinically intact nervous system, only one with coarctation of the aortae was found to have an abnormality. Of 40 children with cyanotic congenital vitium, 13 were found to have cerebral lesions with eeg. No correlation was found between haematological data and eeg abnormality. A higher than average number of children with severe mental retardation and dyspnoea with sudden onset of hypoxia and cyanotic seizures with cyanotic seizures differed from the average. ]

Clinical Neuroscience

[About the neurological causes of difficulty passing urine]


[Some authors recognise a disease in which neither a neurological cause nor a local cause (inflammation of the sphincter or bladder neck or mechanical obstruction to urine emptying) can be identified, but urine emptying is probably obstructed by an overweight of the orifice intimal muscles. This is suggested by the recognition that these conditions can also be resolved by resection of the bladder neck.]

Clinical Neuroscience

[Quantitative electromyography]


[It can be concluded that the operator of quantitative electromyography must have considerable neurological experience, must be able to determine in which cases electromyography is necessary and which muscles should be examined in a given case. However, there is no doubt that the objective diagnostic value of the quantitative method of electromyography is also greater, albeit more costly and more work than the older, non-quantitative routine method that is more commonly used. ]

Clinical Neuroscience

[Cerebrospinal fluid hypotension associated with vaso-anoxic cerebral damage]


[The authors present the case of a 47-year-old male patient who developed aliquorrhoea and severe apallium syndrome in the setting of fever (presumably influenza); the disease was cured without residual symptoms after antibiotic treatment and intrathecal and parenteral fluid therapy. Based on analysis of the clinical data, it is considered likely that both the aliquorrhoea and the neurological symptoms were the consequence of a disturbance of the intracranial circulation. In their case, the authors put forward their hypothesis that the pathomechanism of CSF hypotensive syndromes is due to circulatory dysfunction and secondary reflexes induced by a decrease in CSF pressure, which feed back to the cerebral and plexus circulation.]

All articles in the issue

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[The role of sleep in the relational memory processes ]

CSÁBI Eszter, ZÁMBÓ Ágnes, PROKECZ Lídia

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[What happens to vertiginous population after emission from the Emergency Department?]

MAIHOUB Stefani, MOLNÁR András, CSIKÓS András, KANIZSAI Péter, TAMÁS László, SZIRMAI Ágnes

[Background – Dizziness is one of the most frequent complaints when a patient is searching for medical care and resolution. This can be a problematic presentation in the emergency department, both from a diagnostic and a management standpoint. Purpose – The aim of our study is to clarify what happens to patients after leaving the emergency department. Methods – 879 patients were examined at the Semmel­weis University Emergency Department with vertigo and dizziness. We sent a questionnaire to these patients and we had 308 completed papers back (110 male, 198 female patients, mean age 61.8 ± 12.31 SD), which we further analyzed. Results – Based on the emergency department diagnosis we had the following results: central vestibular lesion (n = 71), dizziness or giddiness (n = 64) and BPPV (n = 51) were among the most frequent diagnosis. Clarification of the final post-examination diagnosis took several days (28.8%), and weeks (24.2%). It was also noticed that 24.02% of this population never received a proper diagnosis. Among the population only 80 patients (25.8%) got proper diagnosis of their complaints, which was supported by qualitative statistical analysis (Cohen Kappa test) result (κ = 0.560). Discussion – The correlation between our emergency department diagnosis and final diagnosis given to patients is low, a phenomenon that is also observable in other countries. Therefore, patient follow-up is an important issue, including the importance of neurotology and possibly neurological examination. Conclusion – Emergency diagnosis of vertigo is a great challenge, but despite of difficulties the targeted and quick case history and exact examination can evaluate the central or peripheral cause of the balance disorder. Therefore, to prevent declination of the quality of life the importance of further investigation is high.]

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