Clinical Neuroscience

Die Bedeutung der Kinderneuropsychiatrie für die Kindererziehung

GERHARD Göllnitz1

FEBRUARY 01, 1967

Clinical Neuroscience - 1967;20(02)

Nach einem Überblick über die neuropsychiatrischen Probleme von Kindern mit verschiedenen genetischen Ursprüngen und Bildungsdefiziten hebt der Autor die besondere Bedeutung der Früherkennung hervor. Neben der Prophylaxe sind die frühzeitige Erkennung von Entwicklungsstörungen und eine frühzeitige Therapie die einzige Möglichkeit, eine wirksame medizinische Intervention zu gewährleisten. Der Autor stellt ein in Rostock entwickeltes Verfahren zur Früherkennung vor. Diese Regelung sollte auf Kinder im Alter von 6, 15 Monaten und 3 Jahren angewendet werden.

AFFILIATIONS

  1. Universitäts-Nervenklinik Rostock, Abteilung für Kinderneuropsychiatrie

COMMENTS

0 comments

Further articles in this publication

Clinical Neuroscience

[Sarcoidosis of the skeletal muscle ]

HORÁNYI Béla, MOLNÁR Sándor, STIPULA Magda

[From the material of our clinic, 2 cases of muscle sarcoidosis confirmed by muscle biopsy are described, the first of which can be classified as a typical, so-called myopathic form, the second as an asymptomatic form (found as a sub-symptom of general sarcoidosis). We have discussed the clinical, laboratory, electromyographic and pathological aspects of muscular sarcoidosis.]

Clinical Neuroscience

[Alcoholism as a social psychiatric and health policy problem]

JUHÁSZ Pál

[Alcohol consumption is also on the rise in Hungary, with wine consumption up by 3% and beer and spirits by 30% in the last four years. The village's consumption of pálinka is higher than the national average, at 3.8 litres per capita per year instead of 5.9 litres per capita per year, due to insufficient supplies of wine and beer. Alcoholism is not the same as alcohol consumption. The social origins of alcoholism are: liberal attitudes towards excessive alcohol consumption, insufficient health education, frequent neurotic conditions, cynical - nihilistic world view and the social 'sub-depression' that goes with it, and shortcomings in child-rearing. The study points out, by discussing certain aspects, that only a broadly organised health policy can be effective in the fight against alcoholism. ]

Clinical Neuroscience

[Angiospasm and hypothalamic laesio associated with rupture and surgery of cerebral aneurysms]

OROSZ Éva, PÁSZTOR Emil, JUHÁSZ János

[Our work is based on the observations of 190 patients with verified carotid aneurysms. The aim of our study was to investigate angiospasm and hypothalamic damage associated with aneurysmal rupture. Clinical data and angiograms of 144 patients were processed for angiospasm. We found that the vasospasm associated with aneurysm rupture is not always accompanied by rupture, decreases proportionally with time since the haemorrhage and usually the degree of spasm, although not always, parallels the clinical picture. The spasm detected on angiography is in the majority of cases not only proximal to the aneurysm, but also circumscribed, if not often more extensive, and even detected in the contralateral vessels. The presence of spasm may be perceived as an aggravating factor for operability. Analysing the deaths of patients with aneurysms who died with or without surgery in our institute, we found that in 23 cases the cause of death was hypothalamic damage. We analyse in detail the specific clinical picture, which we call acute hypothalamic lesion, which differs from the symptoms of chronic hypothalamic laesio known from the literature. We support our clinical observations with pathological material (not detailed in this communication). The clinical picture of acute hypothalamic lacrosis after aneurysm rupture, associated with spasm on angiography, almost invariably implies a lethal prognosis, whether the patient is operated or treated conservatively.]

All articles in the issue

Related contents

Clinical Neuroscience

[The connection between the socioeconomic status and stroke in Budapest]

VASTAGH Ildikó, SZŐCS Ildikó, OBERFRANK Ferenc, AJTAY András, BERECZKI Dániel

[The well-known gap bet­ween stroke mortality of Eastern and Western Euro­pean countries may reflect the effect of socioeconomic diffe­rences. Such a gap may be present between neighborhoods of different wealth within one city. We set forth to compare age distribution, incidence, case fatality, mortality, and risk factor profile of stroke patients of the poorest (District 8) and wealthiest (District 12) districts of Budapest. We synthesize the results of our former comparative epidemiological investigations focusing on the association of socioeconomic background and features of stroke in two districts of the capital city of Hungary. The “Budapest District 8–12 project” pointed out the younger age of stroke patients of the poorer district, and established that the prevalence of smoking, alcohol-consumption, and untreated hypertension is also higher in District 8. The “Six Years in Two Districts” project involving 4779 patients with a 10-year follow-up revealed higher incidence, case fatality and mortality of stroke in the less wealthy district. The younger patients of the poorer region show higher risk-factor prevalence, die younger and their fatality grows faster during long-term follow-up. The higher prevalence of risk factors and the higher fatality of the younger age groups in the socioeconomically deprived district reflect the higher vulnerability of the population in District 8. The missing link between poverty and stroke outcome seems to be lifestyle risk-factors and lack of adherence to primary preventive efforts. Public health campaigns on stroke prevention should focus on the young generation of socioeconomi­cally deprived neighborhoods. ]

Clinical Neuroscience

[Effective therapy in highly active pediatric multiple sclerosis ]

MERÔ Gabriella, MÓSER Judit, LIPTAI Zoltán, DIÓSZEGHY Péter, BESSENYEI Mónika, CSÉPÁNY Tünde

[Multiple sclerosis (MS) is typically a disease of young adults. Childhood MS can be defined in patients under 18 years of age, although some authors set the limit un­der the age of 16 formerly known as “early-onset multiple sclerosis” or “juvenile multiple sclerosis”, seen in 3-5% of all MS patients. Nowadays, owing to ever-evolving, better diagnostic tools and well-traced, strictly defined diagnostic criteria, childhood MS is showing an increasing incidence worldwide (0.05-2.85/100 000). MS is characterized by recurrent episodes of the central nervous system with demyelination separated in space and time. In childhood almost exclusively the relapsing-remitting (RR) type of MS occurs. Based on experience in adults, the goal in the pediatric population is also the early diagnosis, to initiate adequate DMT as soon as possible and to achieve symptom relief and good quality of life. Based on efficacy and safety studies in the adult population, inter­feron β-1a and glatiramer acetate were first approved by the FDA and EMA for the treatment of childhood MS also. The increased relapse rate and rapid progression of childhood MS and unfavorable therapeutic response to nearly 45% of the first DMT necessitated the testing of more effective and second-line drugs in the population under 18 years of age (PARADIGMS, CONNECT). Although natalizumab was reported to be effective and well-tolerated in highly active RRMS in childhood, evidence based studies were not yet available when our patients’ treatment started. In this article, we report on the successful treatment of three active RRMS patients with individually authorized off-label use of natalizumab.]

Hypertension and nephrology

[Cerebrovascular diseases in patients with chronic kidney disease]

KISS István, NAGY Judit

[The reason of the unfavourable life expectancy of patients with chronic kidney disease (CKD) is not only the development of end-stage renal failure but the frequent appearance of cardiovascular diseases (CVD). Chronic kidney damage itself is a cardiovascular risk state and the occurrence of CVD/associated diseases is significantly higher in chronic kidney failure. Beside risk stratification and valid treatment of CVD (hypertension, diabetes mellitus, ischemic heart disease e.g.) we and the international nephrological community have left the cerebrovascular diseases of CKD patients out of consideration. However, up to 50% of patients suffering a stroke will die immediately, only 10% of stroke survivors can continue his/her profession, but the others will be permanently disabled. High blood pressure is a strong predictor of stroke and of other CVD in most of the patients. In stroke risk reduction it is particularly important to reach the target blood pressure values. The main object of the “Live under 140/90 mmHg” programme of the Hungarian Society of Hypertension is to familiarize with target blood pressure itself and how to reach target blood pressure. In 2010, prevention, early diagnosis and management of stroke are the most important challenges of this programme (The Brain Control Programme). We think it is advisable to prepare and publish a clinical practice guideline in collaboration with stroke societies which is similar to the guidelines of international societies and of the Hungarian Society of Stroke but specific for CKD patients. This guideline would help to give a uniform, up-to-date treatment for the cerebrovascular diseases of CKD patients.]

Lege Artis Medicinae

[Mephistopheles of the human faced psychiatry. Klára Muhi – András Dér: The crazy circles of freedom]

BENKE Attila

Journal of Nursing Theory and Practice

[The endometriosis in the focus]

KOVÁCS Zsuzsanna, VÁRADYNÉ HORVÁTH Ágnes, KOZMANN Krisztina, FERENCZY Mónika, PAKAI Annamária

[Aim of the research was to investigate the deeply infiltrating endometriosis disease perioperative changes impact on the quality of life and on the sexuality. Research and sampling methods: A retrospective, partly longitudinal research, following surgery document analysis (n = 61) and we made a processing of the individually structured questionnaire with standard elements. We used 15D to measure the quality of life and MFSQ standard questionnaire to measure the sexuality (n=44). We calculated relative and absolute frequency, mean, standard deviation, paired t-test, χ2- test, correlation and one way analysis of variance (p<0,05) with the help of the SPSS 22. program. Results: 73.8% of the patients had at least 3 organ with endometriosis involvement and 82,5% were removed by laparoscopic surgery. The length of stay showed an upward turn tendency in the context of the complications (p <0.001). The sample vitality and sexual relations 40,9% were characterized by no complaint and between sexual partners and satisfaction (r = 0.442, p = 0.003) and between orgasm and sexual partners (r = 0.518, p = <0.001) medium correlation were detected. Conclusions: The surgery was efficient in the treatment of the DIE, but there are no detectable correlation the positive perception of sexual satisfaction. ]