Clinical Neuroscience

[The role of the limbic lobe in incentive production]

FENYVESI Tamás1

APRIL 01, 1967

Clinical Neuroscience - 1967;20(04)

[Two cases of a midline tumour destroying limbic structures were described. In both cases, the clinical picture was characterized by a high degree of inducibility loss, which was already evident at the onset. We evaluate our cases as recent data on the role of limbic structures in the maintenance of incentin production. ]

AFFILIATIONS

  1. XIII. ker. Tanács Róbert Károly Körúti Kórház Női Elmeosztálya

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Clinical Neuroscience

Die ventrale Fusion im Bereich der Halswirbelsäule bei Bandscheibenschäden

W. Grote, P. Röttgen

Das so genannte Zervikalsyndrom, dessen häufigste Erscheinungsformen Schulter- und Armschmerzen, Nacken- und Kopfschmerzen, zervikale Migräne, vertebraler Schwindel und zervikale Myelopathie sind, ist wesentlich schwieriger zu diagnostizieren als das Lumbalsyndrom. Bei Vorliegen eines Zervikalsyndroms wurden folgende Operationen durchgeführt: La-Minektomie oder Hemilaminektomie mit oder ohne Entfernung der vorgefallenen Bandscheibe, Radikotomie nach Jackson oder Frykholn. 1962 führten Cloward (Honolulu) und Dereymaeker und Mulier (Belgien) die Operation ein, bei der die vorgefallene Bandscheibe durch ventrale Penetration entfernt und eine knöcherne Fusion zwischen den Wirbelkörpern hergestellt wurde. Nach Lindblom wird die chirurgische Indikation durch eine Diskographie mit 60 % Urographie ergänzt. Seit 1962 wurden 84 Patienten operiert (Tabelle 5). Die Myelographie wurde in 33 Fällen durchgeführt. Bei 37 Patienten wurde eine einzelne und bei 42 Patienten eine multiple Diskusläsion festgestellt. 28 Patienten wurden nicht fusioniert. Bei der Mehrzahl der Patienten wurde die Knochenfusion bei 8 Patienten mit autoplastischem Knochen, bei 42 Patienten mit homoplastischem Knochen und bei 6 Patienten mit heteroplastischem Knochen durchgeführt. Postoperative Ergebnisse (Tabelle 17): Von 29 Brachialgien zeigten 15 eine deutliche Besserung (wg), 10 eine deutliche Besserung (g), 4 hatten unveränderte Beschwerden (u). 17 Brachialgie und Zephalalgie postoperative Ergebnisse Verteilung: 11, 3 und 3. 8 Zephalalgie (C34): 5, 2 und 1. 30 Myelopathie: 7, 7 und 16. Wenige chirurgische Komplikationen: ein Fall von Ösophagusverletzung, ein Fall von Hämatom mit Atemnot, zwei Fälle von Abrutschen des Knochensplitters. Manchmal kann auf eine Knochenversteifung verzichtet werden, aber im Falle einer Versteifung ist das Operationsergebnis besser. Bei Myelopathie ist der Verzicht auf eine Indikation gerechtfertigt, aber auch in diesem Bereich können hervorragende Ergebnisse erzielt werden; ein Patient mit Tetraplegie war nach der Operation arbeitsfähig.

Clinical Neuroscience

[Ehlers-Danlos syndrome associated with neurological symptoms]

KOMÁR József, KRÁNITZ Géza

[The authors diagnosed a 43-year-old woman and her 8-year-old son with classic Ehlers-Danlos syndrome. In the mother, the underlying disease was accompanied by muscular atrophy and symptoms suggestive of spinal cord dorsal cord injury. The authors associate the onset of neurological symptoms with the underlying disease and attribute it to dysplastic vasculature.]

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[Eozinofil granulocytak a liquorban]

PÉTER Ágnes, KOVÁCS Ferenc

[Eosinophilic cells were detected in a small percentage of CSF in both bacterial and non-bacterial infections. Intense CSF eosinophilia was found only in bacterial processes. In these cases, an allergic pathomechanism was hypothesized. Unique in the literature, liquoreosinophilia accompanied by a leukocytic reaction was observed in our 1 case of meningitis in the setting of collagenosis and in our 3 cases of granulomatous menongoencephalitis. This specific CSF cytological reaction was highlighted in the group of diseases of the nervous system with immune-allergic syndrome. Immuno-allergic CSF syndromes with eosinophilic cell proliferation were divided into three groups according to the involvement of plasma cells. The factors determining the type of reaction response remain to be elucidated. Our patient with periarteritis nodosa with 26% eosinophils in his meningogram complements literature data. Of particular interest is our case No 4, who developed cerebroesinophilia after myelography.]

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[Data on the psychiatric use of chlormethiazole (Heminevrin)]

KARDOS György

[Author reviews the literature on the pharmacological and clinical effects, side effects and complications of Heminevrin. He reports on 77 cases he has observed and treated. He confirms the excellent efficacy of Heminevrin in delirium tremens, where in 31 patients Heminevrin therapy led to recovery in a few days without mortality and without complications. He has used the drug praeventively in 27 cases of praedelirosus withdrawal syndrome, which he considers to be a beneficial combination for the treatment of endogenous and reactive psychogenic depressions (based on 13 cases). ]

Clinical Neuroscience

[Analysis of symptoms and polygraphic data of Elysion psyches]

ZSADÁNYI O., HALÁSZ P., KARÁCSONY A.

[Elysione (phenylcyclohexylpiperidine monohydrochloride) has gained widespread use in anaesthesiology due to its sensory blocking effect. Transient psychotic symptoms after surgery have been described and analysed by several authors as a side effect of the drug. The psychotic picture that develops may also be considered a schizophrenomimetic agent because of certain characteristics.]

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[Correlations Between Burnout and Socio-demographic and Workplace Related Factors Among Health-care Workers During The Covid-19 Pandemics]

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