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Neurofeedback Training to Increase of Cognitive Skills in Patient with Traumatic Brain Injury (TBI) 神经反馈训练提高创伤性脑损伤患者认知能力
Pub Date : 2018-01-05 DOI: 10.15406/jnsk.2018.08.00270
Manuel Riaño-Garzón, Edgar Alexis Díaz Camargo
TBI was defined as damage to the brain by external mechanical forces, an injury that may be accompanied by physical, cognitive, behavioral and emotional alterations [1]. According to the National Administrative Department of Statistics DANE, of the total number of deaths in Colombia, Trauma occupies the first place with 40.4% of the total distributed as follows: homicides 69%, traffic accident 15.9%, other accidents 7.6%, suicides 3.4%, and other traumas 3.3% [2].
TBI被定义为外部机械力对大脑的损伤,这种损伤可能伴有身体、认知、行为和情绪的改变[1]。根据哥伦比亚国家统计行政部门DANE的数据,在哥伦比亚的死亡总数中,创伤占40.4%,居首位,分布如下:他杀69%,交通事故15.9%,其他事故7.6%,自杀3.4%,其他创伤3.3%[2]。
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引用次数: 5
Anaxagoras on Mind 阿那萨哥拉的思想
Pub Date : 2018-01-04 DOI: 10.15406/JNSK.2017.08.00269
Stavros J. Baloyannis
Among the theories on Mind of Pre-Socratic philosophers, the originality of Anaxagoras’ concepts is particularly impressive. The compact, strong, precise Anaxagoras’ thought,the uniqueness of his ontology, plenty of new scientific horizons and further perspectives, attempting to link the real world with metaphysics, the substance with the energy, the Mind (nous) with the human existence and the universe, the man with the cosmos, place Anaxagoras in an exceptional high level in the pantheon of Greek philosophers. According to Anaxagoras, the Mind (nous) is infinite and self-powered. Mind is the supreme principle, the greatest power, that is mixed with nothing but it exists alone itself by itself, whereas all other entities include a portion of everything.Mind is the purest of all entities, with a unique authenticity. It rules over all entities that have life, both greater and less, as the superb creative power, which controls the function and the activity of everything and puts all things in order, setting them in a continuous motion. Anaxagoras claimed that the rotation of the things causes them to be more distinct and active. In addition he had the idea, that the material elements may be divided endlessly. Therefor neither is there a least but there is always a less, even invisible in its unlimited smallness. Subsequently each substance or thing may be both small and great. It is reasonable to conceive that “being” is not “non being or non existing”, and all things include a portion of every type of basic substance, being basically “homoiomerous”. Nothing comes into being nor decays totally. Every type of substance can also emerge from every type of substance. Only mind (Nous) is always the same, self-existent, timeless (achronon), eternal, unchangeable, perfect. Concerning cosmology, Anaxagoras thought that the Mind (Nous) provoked * Professor Emeritus rotation of the primordial chaos and ordered the redistribution of diffusely existing elements, which started to being separated. Ultimately, the continuous rotation induced the creation of cosmos, the structure of the celestial world, the emerge of the universe. Prior to creation of the universe by the Mind, everything was in undifferentiated condition, in a chaotic state, until the continuous rotation in the form of a vortex (perichoresis), caused the formation of the world by the fusion of the various visible material masses. Anaxagoras’philosophy, associating the theoretical elevation with the scientific pragmatism is an important precursor to modern scientific theories, including the theory of relativity and the generation of the universe. Moreover, Anaxagoras’ concept of the omnipotent Mind is a significant milestone in the field Neurophilosophy.
在前苏格拉底哲学家的心智理论中,阿那克萨哥拉概念的独创性尤其令人印象深刻。阿那克萨哥拉的思想紧凑、有力、精确,他的本体论的独特性,大量新的科学视野和进一步的观点,试图将现实世界与形而上学,物质与能量,精神(nous)与人类存在和宇宙,人与宇宙联系起来,使阿那克萨哥拉在希腊哲学家的万神殿中处于一个异常高的水平。根据阿那克萨哥拉斯的说法,心灵(nous)是无限的和自我驱动的。心灵是至高无上的原则,是最伟大的力量,它不与任何东西混合,而是独自存在,而所有其他实体都包括一切的一部分。心灵是所有实体中最纯净的,具有独特的真实性。它统治着所有有生命的实体,无论大小,作为一种卓越的创造力,它控制着一切事物的功能和活动,并使所有事物井然有序,使它们处于持续的运动中。阿那克萨哥拉斯声称,物体的旋转使它们更加明显和活跃。此外,他还认为物质元素可以不断地分裂。因此,没有最小的,而总是有最小的,甚至在无限的小中是看不见的。因此,每一种物质或事物可能既小又大。我们有理由认为,“有”并非“无”或“不存在”,一切事物都包含了每一类基本物质的一部分,基本上是“同质的”。没有什么是完全产生的,也没有什么是完全衰亡的。每一种物质也可以从每一种物质中产生。唯心(Nous)永远是相同的,自我存在的,无时间性的(achronon),永恒的,不变的,完美的。关于宇宙学,阿那克萨哥拉斯认为精神(Nous)激起了原始混沌的旋转,并命令分散存在的元素重新分配,这些元素开始分离。最终,连续的旋转导致了宇宙的创造,天体世界的结构,宇宙的出现。在心灵创造宇宙之前,一切都处于无差别的状态,处于混沌状态,直到以漩涡的形式持续旋转(perichoresis),导致各种可见物质质量的融合形成了世界。阿那萨哥拉的哲学将理论升华与科学实用主义联系在一起,是现代科学理论的重要先驱,包括相对论和宇宙生成论。此外,阿那萨哥拉的全能心灵概念是神经哲学领域的一个重要里程碑。
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引用次数: 2
Hydrocephalus Treated with Embolization of a Tentorial Dural Fistula 脑幕硬膜瘘栓塞治疗脑积水
Pub Date : 2017-12-30 DOI: 10.15406/JNSK.2016.05.00187
K. Lagios, T. Mpazinas, S. Veranis, Sphikas Sp, A. Kapetanakis, G. Koutsoumpelis
We present a case of a 73 years old, caucasian male patient who presented two years ago with progressive dementia, frequent falls, unsteady gait and somnolence. He suffered from diabetes type 2 and mild chronic renal insufficiency. He was diagnosed with obstructive hydrocephalus and tentorial dural fistula (Cognard type IV). He underwent brain angiography and embolization of the fistula. His symptoms improved remarkably postembolisation and he remains stable after two years of follow up
我们提出一个病例73岁,白人男性患者谁提出了两年前进行性痴呆,频繁跌倒,步态不稳和嗜睡。他患有2型糖尿病和轻度慢性肾功能不全。他被诊断为梗阻性脑积水和脑幕硬膜瘘(Cognard IV型)。他接受了脑血管造影和栓塞瘘。栓塞后症状明显改善,随访2年后病情稳定
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引用次数: 0
EMG - Supported Biofeedback Training in a Person with Multiple Sclerosis - A Case Study 肌电图支持的生物反馈训练在多发性硬化症患者中的应用——一个案例研究
Pub Date : 2017-12-21 DOI: 10.15406/JNSK.2017.07.00268
Stephanie Kersten, B. Fuchs, M. Liebherr
Multiple Sclerosis (MS) is defined as a “chronic, inflammatory, demyelinating disease of the central nervous system (CNS) with additionally differently pronounced loss of axons and reactive gliosis” [1]. Although etiological and pathogenetic processes are still unclear, it is assumed that MS can be assigned to autoimmune diseases, in which body tissue is attacked by the immune system [1,2]. Due to their different inflammatory origin, persons with MS still differ in the manifestation of individual symptoms. The most common symptoms comprise sensory disturbances (approx. 40% of the patients), motor impairments (ca. 39% of the patients), pain syndrome (ca. 15% of the patients), and cognitive impairments (ca. 10% of the patients) [3]. Therefore, MS must be seen as a complex and inter-individually strong varying neurodegenerative disease. On a symptomatic level, limitations can occur in neuropsychological functions (e.g. cognition, fatigue, depression), vegetative functions (e.g. bladder, dysentery, and sexuality disorders), as well as in deficits associated with the cerebral nerves (e.g. eye movement disorders, dysarthria, dysphagia) and pain phenomena [1,4]. Sustained motor impairments are caused by spasticity, muscle weakness, gait and balance disorders [1,4]. Significant differences in people with MS (pwMS) base on the fact that the course of the disease pattern is unpredictable. Until this day and age, pharmacological treatments are considered as gold standard in MS therapy. Thereby, pharmacological as well as nonpharmacological interventions must be seen as symptom-based treatment. Until now, the etiology of MS has not been clarified; in consequence it is absolutely necessary to further develop existing rehabilitation programs in order to maintain physical, sensory, psychological and social functions. In this context, first investigations pointed out the possibilities of using bioand neurofeedback as a therapeutical intervention in this group of patients. In biofeedback (BF) therapy, body signals are reported to the patients in real-time, so that the person can learn to influence these body functions [5]. The aim of biofeedback treatment is the perception and influence of physical processes, which are important in the maintenance of mental, psychosomatic and physical diseases. Biofeedback can be used as a specific intervention, without already known side effects [5]. For example, Jensen et al. [6] used Neurofeedback (EEG-Biofeedback) to treat chronic pain in people with MS (pwMS). The authors reported a positive influence of the additional use of neurofeedback on self-hypnosis in chronic pain of pwMS. Choobforousshazadeh et al. [7] investigated the effects of neurofeed back training on depressive symptoms and fatigue in pwMS. Furthermore, Lucio & colleagues [8] found an improved control of pelvic floor muscles in pwMS who suffer from sexual dysfunctions, after EMGsupported biofeedback training and additional neuromuscular electrostimulation. Pro
多发性硬化症(Multiple Sclerosis, MS)被定义为“中枢神经系统(central nervous system, CNS)的一种慢性炎症性脱髓鞘疾病,并伴有不同程度的轴突丧失和反应性胶质增生”[1]。虽然病因和发病过程尚不清楚,但人们认为MS可能与自身免疫性疾病有关,机体组织受到免疫系统的攻击[1,2]。由于炎症来源不同,多发性硬化症患者在个体症状表现上仍存在差异。最常见的症状包括感觉障碍(约。40%的患者)、运动障碍(约39%的患者)、疼痛综合征(约15%的患者)和认知障碍(约10%的患者)[3]。因此,MS必须被视为一种复杂的、个体间强烈变化的神经退行性疾病。在症状层面上,限制可能发生在神经心理功能(如认知、疲劳、抑郁)、植物功能(如膀胱、痢疾和性功能障碍)以及与脑神经相关的缺陷(如眼动障碍、构音障碍、吞咽困难)和疼痛现象[1,4]。持续性运动障碍是由痉挛、肌肉无力、步态和平衡障碍引起的[1,4]。多发性硬化症(pwMS)患者的显著差异基于疾病模式不可预测的过程。直到今天,药物治疗被认为是MS治疗的金标准。因此,药物和非药物干预必须被视为基于症状的治疗。到目前为止,多发性硬化症的病因尚未明确;因此,为了保持身体、感官、心理和社会功能,进一步发展现有的康复计划是绝对必要的。在此背景下,首次调查指出了在这组患者中使用生物和神经反馈作为治疗干预的可能性。在生物反馈(BF)疗法中,身体信号被实时报告给患者,这样患者就可以学会影响这些身体功能[5]。生物反馈治疗的目的是感知和影响物理过程,这在维持精神、心身和身体疾病中很重要。生物反馈可以作为一种特定的干预,没有已知的副作用[5]。例如,Jensen等[6]使用神经反馈(EEG-Biofeedback)治疗多发性硬化症(pwMS)患者的慢性疼痛。作者报告了额外使用神经反馈对pwMS慢性疼痛自我催眠的积极影响。Choobforousshazadeh等[7]研究了神经反馈训练对pwMS抑郁症状和疲劳的影响。此外,Lucio及其同事[8]发现,在肌电支持的生物反馈训练和额外的神经肌肉电刺激后,患有性功能障碍的pwMS患者的盆底肌肉控制得到改善。Prosperini等人[9]关注视觉感知生物反馈训练(BFT)对pwMS中姿势控制和跌倒风险的影响。患者被要求阅读2017年第7期第7卷
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引用次数: 1
Reactive Astrogliosis in Epilepsy -Passive Bystanders no more 癫痫的反应性星形胶质细胞增生-不再是被动旁观者
Pub Date : 2017-12-20 DOI: 10.15406/jnsk.2016.05.00186
Sloka S. Iyengar
Submit Manuscript | http://medcraveonline.com potential proand anti-epileptogenic effects [1,2]. Given that epilepsy can be associated with neurodegeneration, mossy fiber sprouting and changes in receptor and neurotransmitter function, examining the specific role of reactive astrogliosis in epilepsy has been fraught with difficulties. Previously, a transgenic mouse line was generated [3] where deletion of β1-integrin preferentially in radial glia caused reactive astrogliosis marked by hypertrophy and upregulation of astrocyte-specific markers. Using this transgenic mouse line, in the current Journal of Neuroscience study [4], the authors examined whether reactive astrogliosis by itself was sufficient to cause epilepsy, and what the underlying mechanisms would be.
提交稿件| http://medcraveonline.com潜在的抗癫痫作用[1,2]。鉴于癫痫可能与神经变性、苔藓纤维发芽以及受体和神经递质功能的变化有关,因此检查反应性星形胶质细胞在癫痫中的具体作用一直充满困难。在此之前,我们培育了一种转基因小鼠系[3],其中在放射状胶质细胞中优先缺失β1-整合素导致反应性星形胶质细胞增生,其特征是星形胶质细胞特异性标记物的肥大和上调。在最新一期的《神经科学杂志》研究[4]中,作者使用这种转基因小鼠系,研究了反应性星形胶质细胞增生本身是否足以引起癫痫,以及潜在的机制是什么。
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引用次数: 0
Postherpetic Abdominal Pseudohernia 带状疱疹后腹部假疝
Pub Date : 2017-12-19 DOI: 10.15406/jnsk.2017.07.00267
K. Takizawa, J. R. Almeida, J. Brooks, Daniela Cechi, D. Polito
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引用次数: 2
Clinical Significance and Pathogenesis of Visual Impairment in Parkinson's Disease 帕金森病视力损害的临床意义及发病机制
Pub Date : 2017-11-29 DOI: 10.15406/JNSK.2017.07.00266
Alenicova Oa, Likhachev Sa, Davidova Oi
Visual impairments are not the core symptoms in PD, but gain in significance when accompanied by exacerbation of the primary symptoms, since visual impairments reduce compensation and adaptation the patient to motor disturbances. Most frequent complaints include fuzzy vision, photophobia, asthenopia (with eye fatigue, often accompanied by headache and blurred vision). Patients with PD often find it difficult to read and to orientate themselves in the dusk or a scarcely lit room [1,2]. However, when patients seek for ophthalmological help, routine examinations often do not reveal any eye disorder, while neurologists do not pay needful attention to such complaints, because they are not familiar enough with Parkinsonian visual disturbances.
视觉障碍不是帕金森病的核心症状,但当伴有原发性症状加重时,其重要性就会增加,因为视觉障碍降低了患者对运动障碍的代偿和适应。最常见的主诉包括视力模糊、畏光、视弱视(伴眼疲劳,常伴有头痛和视力模糊)。PD患者经常发现在黄昏或光线不足的房间里很难阅读和定位自己[1,2]。然而,当患者寻求眼科帮助时,常规检查往往没有发现任何眼部疾病,而神经科医生也不会对此类投诉给予必要的关注,因为他们对帕金森视力障碍不够熟悉。
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引用次数: 4
Early Anticoagulation for Recurrent Ischemic Stroke despite the Presence of Ventricular Bleeding 早期抗凝治疗复发性缺血性卒中,尽管存在心室出血
Pub Date : 2017-11-27 DOI: 10.15406/jnsk.2017.07.00265
C. Gentile, Aless, R. Adami
Ischemic stroke due to atrial fibrillation (AF) is associated with a high risk of recurrence, which may occur early after the index event [1]. Oral anticoagulant therapy (OAT) is effective in preventing stroke recurrence and should be initiated as soon as possible [2]. However, the choice of the best timing to start OAT remains controversial and requires an accurate evaluation of the patient clinical conditions, to limit the risk of symptomatic hemorrhagic transformation (sHT).
房颤(AF)所致缺血性脑卒中具有较高的复发风险,可能发生在指数事件后的早期[1]。口服抗凝治疗(OAT)对预防卒中复发有效,应尽早开始治疗[2]。然而,开始OAT的最佳时机的选择仍然存在争议,需要准确评估患者的临床状况,以限制症状性出血转化(sHT)的风险。
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引用次数: 0
Alzheimer DNA Vaccine and Relativistic Time Dilation 阿尔茨海默病DNA疫苗和相对论时间膨胀
Pub Date : 2017-11-22 DOI: 10.15406/jnsk.2017.07.00263
M. Ruggiero
In a very recent paper published in November 2017 in the peer-reviewed scientific journal Bio Accent Open Access HIV, I describe a novel procedure designed to improve efficacy of DNA vaccines in areas as diverse as Alzheimer’s disease, HIV infection and cancer [1]. This procedure is based on non-covalent binding of highly charged molecules to DNA; positively charged polyL-lysine is first bound to plasmid DNA. This step is followed by binding of negatively charged chondroitin sulfate to the [polyL-lysine/DNA] complex in a very precise ratio. The third step consists in encasing the resulting [chondroitin sulfate/poly-Llysine/DNA] complexes in a shell of phosphatidylcholine with the formation of a structure similar to liposomes or micelles. This structure reminds the physiological assembly of phospholipids and glycosaminoglycans in human plasma as well as the primeval multi-molecular structures responsible for the origin of life on earth [2]. The implications deriving from the development of this procedure are significant for all those diseases where immunotherapy through DNA vaccination may prove useful. In the field of neurodegenerative diseases, current approaches to immunotherapy of Alzheimer’s disease, although promising, still show a number of limitations and it is anticipated that “More effective and sophisticated vaccines such as DNA vaccine and recombinant viral vaccines will be utilized in future” [3]. The procedure described in Ruggiero [1] may effectively overcome current limitations and increase efficacy of DNA vaccination in Alzheimer’s disease by providing a tool that enhances bioavailability of DNA vaccines and improves immune responses.
在2017年11月发表在同行评审科学期刊《Bio Accent Open Access HIV》上的一篇最新论文中,我描述了一种新的程序,旨在提高DNA疫苗在阿尔茨海默病、艾滋病毒感染和癌症等多种领域的疗效[1]。这一过程是基于高电荷分子与DNA的非共价结合;带正电的聚赖氨酸首先与质粒DNA结合。这一步之后,带负电荷的硫酸软骨素以非常精确的比例与[聚赖氨酸/DNA]复合物结合。第三步是将生成的[硫酸软骨素/聚赖氨酸/DNA]复合物包裹在磷脂酰胆碱的外壳中,形成类似脂质体或胶束的结构。这种结构让人联想到人类血浆中磷脂和糖胺聚糖的生理组装,以及地球上生命起源的原始多分子结构[2]。这一程序的发展对所有那些通过DNA疫苗免疫治疗可能证明有用的疾病具有重要意义。在神经退行性疾病领域,目前阿尔茨海默病的免疫治疗方法虽然很有前景,但仍存在一些局限性,预计“未来将使用更有效、更复杂的疫苗,如DNA疫苗和重组病毒疫苗”[3]。Ruggiero[1]所描述的程序可以通过提供一种提高DNA疫苗的生物利用度和改善免疫反应的工具,有效地克服目前的局限性,提高DNA疫苗接种在阿尔茨海默病中的疗效。
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引用次数: 3
Unusual Stroke Mimic 不寻常的中风模仿
Pub Date : 2017-11-21 DOI: 10.15406/JNSK.2017.07.00262
Khurram A Siddiqui, R. Radhakrishanan, Ali R Dehdashtian, Irfan Elahi, Shahzad Maqbool
Submit Manuscript | http://medcraveonline.com presented as such and was within therapeutic window and was given IV Fibrinolytic therapy as per hospital stroke guideline and within few hours she developed left sided weakness and continued to have neck pain which was thought initially on presentation to be related to possible cervical dissection and her development of new symptoms and signs lead to investigations of the cervical spine that yielded the diagnosis of a extradural spinal mass. This case highlights proper neurologic examination and reexamination of the patient can lead to diagnosis and management.
提交稿件| http://medcraveonline.com根据医院卒中指南,患者在治疗窗口内接受静脉溶栓治疗,几小时内,患者出现左侧无力,颈部持续疼痛,最初被认为可能与颈椎夹层有关,新症状和体征的出现导致颈椎检查,诊断为硬脊膜外肿块。本病例强调适当的神经系统检查和患者复查可导致诊断和治疗。
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引用次数: 1
期刊
Journal of Neurology and Stroke
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