Clinical Neuroscience

[Foreign Language Summaries]

MARCH 28, 1952

Clinical Neuroscience - 1952;5(01)

[A summary of the articles published in the issue in Russian and German]

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Clinical Neuroscience

[Clinical significance of abdominal-reflex dissociation]

LEHOCZKY Tibor, FODOR Tamás

[1. The behaviour of the abdominal skin reflex and abdominal muscle reflex was investigated in 500 subjects. Seven pathologies were found to have complete or true abdominal reflex dissociation: myelopathy 86.6%, multiple sclerosis 77%, syringomyelia 75%, tumor spinalis 53.3%, hemiplegia 28.8%, tabes 11.5%, neurolues 9.2%. Partial dissociation was observed in parkinsonism (5%) and neurasthenia (2%), the significance of which is debatable. The number of cases of syringomyelia is too small to draw conclusions. 2. Dissociation is most frequent in the 3 pathologies whose clinical differentiation is particularly difficult (multiple sclerosis, myelopathy, spinal cord tumour). Within these, the percentages for multiple sclerosis and myelopathy are almost identical. 3. Complete or true abdominal reflex dissociation is most often seen in multifocal spinal diseases. It has no pathognomonic value, but it can be evaluated with a 77 and 86.6% probability in clinical symptomatology in multiple sclerosis and myelopathy, respectively. 4. The examination of the abdominal muscle reflex and thus the search for abdominal reflex dissociation is a valuable and important data in organic neurology.]

Clinical Neuroscience

[Brain chamber sutures]

ZOLTÁN László

[The author performed stitching of a brain chamber opened during meningocerebral scar excision in six cases. Five patients suffered from post-traumatic epilepsy. Of these, 4 were virtually asymptomatic. The condition of the fifth, whose suture proved inadequate, did not improve. One patient had an abscess at the site of the ventricular suture that did not travel with the ventricle after surgery. Besides the novelty of the surgical technique, for which no equivalent or similar surgical procedure has been found in the literature, the author considers the significance of the method to be that the ventricular suture may play a role in normalising the cerebrospinal fluid balance, in addition to preventing possible postoperative ventricular haemorrhage.]

Clinical Neuroscience

[Posttraumatic intracerebral pneumocele]

STEPIEN Lucjan

[The intracerebral pneumothorax (IP) was first described by Chiari in 1884 (1), and then detected by Luckett (2) in 1913 with rtg. as air trapped in the brain ventricle after a skull fracture. Since that time, numerous publications have discussed the aetiology, symptomatology and treatment of IP; in the Polish literature Chorobski and Tyczka (3), Zawadowski (4), Herman and Spiro (5). There are about 120 publications on the same subject in the literature.]

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Clinical Neuroscience

[The Comprehensive Aphasia Test in Hungarian]

ZAKARIÁS Lilla, RÓZSA Sándor, LUKÁCS Ágnes

[In this paper we present the Comprehensive Aphasia Test-Hungarian (CAT-H; Zakariás and Lukács, in preparation), an assessment tool newly adapted to Hungarian, currently under standardisation. The test is suitable for the assessment of an acquired language disorder, post-stroke aphasia. The aims of this paper are to present 1) the main characteristics of the test, its areas of application, and the process of the Hungarian adaptation and standardisation, 2) the first results from a sample of Hungarian people with aphasia and healthy controls. Ninety-nine people with aphasia, mostly with unilateral, left hemisphere stroke, and 19 neurologically intact control participants were administered the CAT-H. In addition, we developed a questionnaire assessing demographic and clinical information. The CAT-H consists of two parts, a Cognitive Screening Test and a Language Test. People with aphasia performed significantly worse than the control group in all language and almost all cognitive subtests of the CAT-H. Consistent with our expectations, the control group performed close to ceiling in all subtests, whereas people with aphasia exhibited great individual variability both in the language and the cognitive subtests. In addition, we found that age, time post-onset, and type of stroke were associated with cognitive and linguistic abilities measured by the CAT-H. Our results and our experiences clearly show that the CAT-H provides a comprehensive profile of a person’s impaired and intact language abilities and can be used to monitor language recovery as well as to screen for basic cognitive deficits in aphasia. We hope that the CAT-H will be a unique resource for rehabilitation professionals and aphasia researchers in aphasia assessment and diagnostics in Hungary. ]

Lege Artis Medicinae

[Focus on Lege Artis Medicinae (LAM)]

VASAS Lívia, GEGES József

[Three decades ago, LAM was launched with the goal of providing scientific information about medicine and its frontiers. From the very beginning, LAM has also concerned a special subject area while connecting medicine with the world of art. In the palette of medical articles, it remained a special feature to this day. The analysis of the history of LAM to date was performed using internationally accepted publication guidelines and scientific databases as a pledge of objectivity. We examined the practice of LAM if it meets the main criteria, the professional expectations of our days, when publishing contents of the traditional printed edition and its electronic version. We explored the visibility of articles in the largest bibliographic and scientific metric databases, and reviewed the LAM's place among the Hun­ga­rian professional journals. Our results show that in recent years LAM has gained international reputation des­pite publishing in Hungarian spoken by a few people. This is due to articles with foreign co-authors as well as references to LAM in articles written exclusively by foreign researchers. The journal is of course full readable in the Hungarian bibliographic databases, and its popularity is among the leading ones. The great virtue of the journal is the wide spectrum of the authors' affiliation, with which they cover almost completely the Hungarian health care institutional sys­tem. The special feature of its columns is enhanced by the publication of writings on art, which may increase Hungarian and foreign interest like that of medical articles.]

Clinical Neuroscience

Neuroscience highlights: The mirror inside our brain

KRABÓTH Zoltán, KÁLMÁN Bernadette

Over the second half of the 19th century, numerous theories arose concerning mechanisms involved in understanding of action, imitative learning, language development and theory of mind. These explorations gained new momentum with the discovery of the so called “mirror neurons”. Rizzolatti’s work inspired large groups of scientists seeking explanation in a new and hitherto unexplored area of how we perceive and understand the actions and intentions of others, how we learn through imitation to help our own survival, and what mechanisms have helped us to develop a unique human trait, language. Numerous studies have addressed these questions over the years, gathering information about mirror neurons themselves, their subtypes, the different brain areas involved in the mirror neuron system, their role in the above mentioned mechanisms, and the varying consequences of their dysfunction in human life. In this short review, we summarize the most important theories and discoveries that argue for the existence of the mirror neuron system, and its essential function in normal human life or some pathological conditions.

Journal of Nursing Theory and Practice

[Nursing Difficulties during the Treatment of Patients from different Cultures]

ČERVENÝ Martin, KILÍKOVÁ Mária

[Introduction: Inspecting the difficulties of Hungarian nurses during the treatment of patients from different cultures. Materials and methods: Anonymous online questionnaire for the subjective examination of nursing difficulties. Results: The research model consists of 122 responder. Specific questions were answered by applicable 111 responders only. It was discovered that communication is a significant difficulty for 56.76% of the respondents (63 people). Furthermore the patients from different cultures show significant distrust towards the nursing staff. Conclusion: The numbers of lessons in foreign languages need to be increased for Hungarian nurses, researches and presentations are needed in the area of multicultural patient care, communicational instructions and further trainings are required for nurses working in practice.]

Clinical Neuroscience

[MR imaging of acute disseminated encephalomyelitis and multiple sclerosis in children. A review (in English language)]

PATAY Zoltán

[Inflammatory diseases of the central nervous system (CNS) are relatively rare in children, but their relevance to public health is considerable due to frequent and significant long term morbidity and even mortality. As in adults, acute disseminated encephalomyelitis (ADEM) and multiple sclerosis (MS) and their variants are the most common entities in this group of pathologies in the pediatric patient population. Recent efforts have focused on establishing standardized diagnostic criteria schemes to facilitate the diagnosis and differential diagnosis of these diseases, however especially with multiple sclerosis those have not been fully validated yet for disease occurring in children. In recent decades the role of MRI has been constantly increasing in the diagnostic work-up of suspected inflammatory diseases of the CNS as well as in the follow-up of patients with confirmed disease. Currently, MRI is the first-line diagnostic imaging modality in ADEM and MS and is fully integrated in the most widely used diagnostic criteria schemes, but it has a key role in clinical therapeutic research trials as well. This paper provides an update on the current concepts and strategies of MRI in inflammatory diseases of the CNS, as well as a review of the imaging semiology of the various disease entities and variants with emphasis on clinical and imaging particularities relevant to the pediatric patient population.]