Endocrinology

Clinical Neuroscience

SEPTEMBER 30, 2024

The effect of body position, leg dominance, and automatic releasing mechanism on quadriceps muscle tone assessed by Pendulum Test in able-bodied persons

MAYER Petra , BODOR András , SZABÓ Dorottya , LACZKÓ József , ZENTAI Norbert

Quadriceps femoris muscle spasticity is commonly measured by the Wartenberg pendulum test. It is generally assumed that lower values of the number of swings of the leg and lower relaxation indexes are associated with higher muscle tone and more spasticity. Still, there is incoherence regarding the test’s applications with various body positions and starting mechanisms. This study aims to investigate the influence of body position, leg dominance, and automatic leg-releasing mechanism on muscle tone measured by pendulum test in healthy population whose muscle tone is often compared to the spastic muscle tone of patients with neurologic disorders.

ENG 2024;77(9-10)

Lege Artis Medicinae

SEPTEMBER 06, 2024

[Epilepsy in women – Part 2 ]

JUHOS Vera, KELEMEN Anna

[60-70% of people with epilepsy live seizure free life – with drug therapy –, therefore family planning, childbearing has become an important aspect of everyday care. As half of the pregnancies are unplanned, preparing a woman with epilepsy for child­bearing in time is a very important task. During the preparation the possible fertility problems are concerned based on a gynaecological examination firstly, then the appropriate antiepileptic drug therapy (AE) is selected, preferably in monotherapy, in the lowest dose to achieve adequate seizure control and the individual vitamin supplementation is determined. Valproate has consistently been associated with the highest percentage of severe congenital anomalies – which can be screened by special ultrasound – and a slight decrease in foetal IQ. Neither epilepsy nor the use of anti-epileptic drugs is usually an indication for caesarean section. For most antiepileptic drugs, antiepileptic levels should be monitored several times. For women whose antiepileptic drug dose has been increased during pregnancy, a reduction plan should be made for the first weeks for the 1-3 weeks of postpartum period. The postpartum dose may be slightly higher than before pregnancy. Breastfeeding is safe for most women taking antiepileptic drugs.]

HUN 2024;34(7-8)

Clinical Neuroscience

JULY 30, 2024

An update on approved and emerging drugs for the treatment of postpartum depression

ELIF Asena ÇULCU, ŞENIZ DEMİRYÜREK, ABDULLAH Tuncay DEMİRYÜREK

Depression, anxiety and psychotic disorders are common perinatal mental health disorders in the postpartum period. Depressive symptoms that occur postpartum are also present in the prenatal period in 50% of patients. Risk factors for the development of postpartum depression include poor relationship with the partner, lack of social support, mother’s low socioeconomic status and multiparity.

ENG 2024;77(7-8)

Clinical Neuroscience

JULY 30, 2024

Risk factors of posterior reversible encephalopathy syndrome in patients with preeclampsia or eclampsia: A retrospective review

DEMIR Gesoglu Tulin , CEKIC Murat , AGIRCAN Dilek , ETHEMOGLU Ozlem , SAK Sibel

Posterior reversible encephalopathy syndrome (PRES) is characterized by vasogenic edema, usually reversible, with the prominent involvement of the parietal and occipital lobes. The exact etiopathogenesis leading to PRES is unknown. Because signs of eclampsia and preeclampsia in neuroimaging often overlap and manifest as PRES, we aimed to evaluate whether demographic, clinical, and laboratory parameters predict PRES in patients with preeclampsia or eclampsia.

ENG 2024;77(7-8)

Clinical Neuroscience

JULY 30, 2024

Effect of surgical mask and N95 respirator mask use on cerebrovascular reactivity

ASLI YAMAN KULA, SULTAN MEŞE, VILDAN GÜZEL, AYŞEGÜL YABACI TAK, MEHMET YİĞİT, SERDAR BALSAK, TALIP ASİL

Face masks are crucial parts of personal protective equipment (PPE) to reduce the risk of respiratory infections. The COVID-19 outbreak has increased healthcare workers’ use of face masks. This study aimed to evaluate changes in cerebrovascular response among healthcare workers using surgical and N95 respirator masks.  90 healthcare workers: 30 wearing surgical masks, 30 wearing N95 respirators, and 30 without masks were included.

ENG 2024;77(7-8)

Hypertension and nephrology

JUNE 25, 2024

[Changes/new developments in pediatric nephrology III.]

MÁTTYUS István

[Hydronephrosis is an expansion of the renal cavity system, it is clearly visible with ultrasound. The large, urine-filled kidney is anechoic, so it is easy to see in utero with an ultrasound. Milder dilatation is common and can be observed in 4-5% of fetuses.]

HUN 2024;28(3)