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Search for the word below: Sjögren’s syndrome
Number of hits: 64
SEPTEMBER 30, 2018
Sjögren’s syndrome (SS) is an autoimmune disease with mononuclear cell infiltration and destruction of the lacrimal gland and salivary glands, which cause dryness of the eyes and mouth. The most common neurological condition seen in SS is peripheral neuropathy. Initial manifestation of SS as an acute fulminant peripheral neuropathy is extremely rare. We report a 42-year-old patient presenting with acute motor sensory-axonal neuropathy in the presence of SS. She showed partial response to intravenous immunoglobulin but favourable clinical improvement was seen after initiation of corticosteroid treatment.
Lege Artis Medicinae
OCTOBER 01, 2000
[Since abdominal type obesity, diabetes mellitus and the metabolic syndrome were classified as primary coronary risk factors beside hypercholesterolaemia and smoking, five out of six of the most significant risk factors are regarded of metabolic origin. Simultaneous occurrence of these factors are far more frequent in the population. The composition and background of this syndrome were subject of numerous analyses and classification from syndrome-X to metabolic syndrome. Reaven finds insulin resistance and compensatory hyperinsulinism as the primary cause, while Matsuzava et al regards visceral type obesity (visceral fat syndrome), and Björntrop views the increase in sympathetic tone (civilization syndrome) as fundamental. In the diagnostics and therapy of the metabolic syndrome we should consider all factors mentioned above. We have to establish the presence of three or more classic risk factors for a firm diagnosis. In the therapy, decreasing the body weight with diet and exercise is crucial, with adjuvant drug therapy of antidiabetics, insulinsensitizers, lipid lowering agents and antihypertensives, as needed. ]
JULY 30, 2019
[Introduction - Complex regional pain syndrome is a distressing neuropathic pain condition without known etiology and evidence based treatment. Case presentation - Here a posttraumatic severe case of complex regional pain syndrome is presented, successfully treated by amitriptyline monotherapy. Amitriptyline is one of the most effective evidence based treatments of peripheral diabetic neuropathic pain and other neuropathic pain syndromes. Discussion - Amitriptyline seems to be effective to decrease pain, autonomic and motor symptoms in chronic regional pain syndrome. Conclusion - Controlled trials may be warranted to test the effectiveness of amitriptyline in complex regional pain syndrome.]
JULY 30, 2021
To investigate the quality of sleep and the presence of Restless Legs Syndrome (RLS) in the Turkish population with β-thalassemia major (TM). The second aim was to assess the risk factors of RLS in TM adults. The study sample comprised of 121 patients at least 18 years old with TM. The patients’ socio-demographic information, body mass indexes (BMI), current medications, laboratory data were recorded. The patients were asked if they had a history of chronic kidney disease, diabetes mellitus (DM), and polyneuropathy. Restless legs syndrome was diagnosed according to the International Restless Legs Syndrome Study Group criteria. The sleep quality of the patients was assessed using the Pittsburgh Sleep Quality Index (PSQI) scale. The Epworth Sleepiness Scale (ESS) was used to assess excessive daytime sleepiness in the patients. The median age of the patients was 25 years (range 18-52). The mean BMI was 21.49±2.5 (R 14-26.5) for all patients. The prevalence of RLS was 5% in TM adult patients. The TM patients with RLS had no major complications of TM. The median PSQI global score of all patients was 3. Twenty-two (18.1%) patients had poor sleep quality. The reason for poor sleep quality was RLS symptoms in four patients (18%). There was no significant association between PSQI total score and blood parameters of the patients. Twelve (9.9%) patients had ESS scores greater than 10, which indicates excessive daytime sleepiness. The prevalence of RLS in TM patients was similar to that of the general Turkish adult population. These results indicate that RLS may occur in patients with TM, although they had a high level of serum ferritin.
Journal of Nursing Theory and Practice
FEBRUARY 28, 2020
[In our research we compared whether pregnant women with polycystic ovary syndrome or the mothers who were healthy through pregnancy has a higher risk to develop high BMI, metabolic syndrome, preeclampsia, polyhydramnion and macrosomia. Our research is a retrospective, cross-sectional study. In the random sampling within the target group, the target group was diagnosed with PCOS (n=50) and the control group was mothers who had undergone uninterrupted pregnancy (n=50). The exclusion criterion is the coexistence of other endocrine disease that may affect the parameters under consideration, in addition to the control group the diagnosis of PCOS. With IBM SPSS for Windows 22.0, we applied two-sample T-test and Khi2 test (p<0.05). The BMI values measured in the PCOS study group are higher than in the control group (p<0,05). Pregnant women with PCOS has a higher risk of developing high blood pressure, and high cholesterol (p<0,05). The difference between the two groups can not be considered significant for the development of proteinuria and oedema. Emphasis should be placed on PCOS gravid care, early detection of metabolic disturbances, accurate documentation, and elimination of complications and illnesses associated with the disease.]
MAY 30, 2020
After carpal tunnel surgery, some patients report complaints such as edema, pain, and numbness. Purpose – The aim of this study was to evaluate autonomic nervous system function in patients with a history of carpal tunnel surgery using sympathetic skin response (SSR). Thirty three patients (55 ±10 years old) with a history of unilateral operation for carpal tunnel syndrome were included in the study. The SSR test was performed for both hands. Both upper extremities median and ulnar nerve conduction results were recorded. A reduced amplitude (p=0.006) and delayed latency (p<0.0001) were detected in the SSR test on the operated side compared to contralateral side. There was no correlation between SSR and carpal tunnel syndrome severity. Although complex regional pain syndrome does not develop in patients after carpal tunnel surgery, some of the complaints may be caused by effects on the autonomic nervous system.
MARCH 30, 2020
The syndrome of headache with neurologic deficits and cerebrospinal fluid lymphocytosis (HaNDL) is a rare entity. This disease has been related to migrainous headaches. It is a benign, self-limited disorder, which is characterized by fluctuating neurological symptoms and cerebrospinal fluid lymphocytosis. We describe a case of a 47 years old man with acute onset of headache and aphasia. Cerebrospinal fluid analysis revealed a lymphocytic pleocytosis (25 cells/μl, 100% lymphocytes). Electroencephalogram showed moderate slow rhythm in the left hemisphere, with temporoparietal predominance, and without epileptiform activity. His blood tests as well as magnetic resonance imaging (MRI) results were normal. With the diagnosis of HaNDL syndrome the patient was accepted in the Department of Neurology and discharged with full recovery.
JULY 30, 2019
Morvan syndrome is a rare disease characterized by peripheral nerve hyperexcitability, encephalopathy, dysautonomia and significant insomnia. The patient, who was included in the present study, was followed-up at our clinics for confusion, myokymia, hyperhidrosis, epileptic seizures, tachycardia, agitation, hypokalemia, and hyponatremia. The cranial MRI of the patient demonstrated hyperintensities at the T2 and FLAIR sections of the medial temporal lobe and insular lobes. Electromyography and neurotransmission examination results were concordant with peripheral nerve hyperreactivity. Contactin-associated protein-like 2 antibodies and leucine-rich glioma inactivated protein 1 antibodies were detected as positive. The patient was diagnosed with Morvan syndrome; intravenous immunoglobulin and corticosteroid treatment was started. Almost full remission was achieved. This very rare syndrome implies challenges in diagnosis and treatment; however, remission can be achieved during the follow-up. In addition, caution is needed in the long-term follow-up of these patients regarding the development of malignancies.
SEPTEMBER 17, 1952
[Five cases were a syndrome of disc herniation associated with multiple sclerosis, and 2 cases were a syndrome that started with disc herniation and progressed to multiple sclerosis. Hypothesis: Multiple sclerosis may create a readiness for the treatment of disc herniation by altering the vegetative tone, and its importance in the pathogenesis of the latter disease should be considered.]
Lege Artis Medicinae
APRIL 01, 2000
[The authors overview the recent data on the psychiatric relations of irritable bowel syndrome. The characteristic personality factors (mostly depressive and anxiety traits) must be emphasized as well as comorbidity between certain psychiatric disorders and irritable bowel syndrome, with the role of sexual abuse and stress explained. From the field of psychotherapy, the effectiveness of the cognitive-behavioural methods is analyzed most commonly. Data are available supporting the advantages of other therapeutical methods, too. ]
Clinical NeuroscienceCases of inborn errors of metabolism diagnosed in children with autism
Clinical NeuroscienceLate carcinomatous meningitis as vertigo
Clinical Neuroscience[The role of sleep in the relational memory processes ]
Clinical NeuroscienceEvaluation of the effectiveness of transforaminal epidural steroid injection in far lateral lumbar disc herniations
Clinical NeuroscienceElectrophysiological investigation for autonomic dysfunction in patients with myasthenia gravis: A prospective study
Clinical Neuroscience[On the treatment and origin of acute life-threatening mental disorders (so-called acute fatal catatonia)]
Clinical Neuroscience[Foreign Language Summaries]
Clinical Neuroscience[Pregnancy vomiting in the light of Pavlovian reflexology]
Clinical Neuroscience[Prevention and treatment of amentiformis images resulting from stacked electroshock treatment]
Clinical Neuroscience[The mechanism of formation of electrical activity in nerve tissue and its significance for cognition of function]