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Basilar Artery Ischemic Syndromes- A Brief Discussion of Current Concepts 基底动脉缺血综合征-当前概念的简要讨论
Pub Date : 2017-11-10 DOI: 10.15406/JNSK.2017.07.00261
S. Ray
Submit Manuscript | http://medcraveonline.com findings affecting the visual, behavioral and oculomotor abnormalities without prominent motor dysfunction [1]. Segarra coined the term ‘mesencephalic artery syndrome’ and used the term ‘somnolent mutism’ to describe it [2]. Overall, occlusion of the basilar artery comprises 1% to 4% of all ischemic strokes [3]. But symptoms of top of basilar are a distinct subdivision of the former and need to be properly categorized.
投稿| http://medcraveonline.com无明显运动功能障碍的影响视觉、行为和动眼肌异常的发现[1]。Segarra创造了术语“中脑动脉综合征”,并使用术语“嗜睡性缄默症”来描述它[2]。总的来说,基底动脉闭塞占所有缺血性中风的1% - 4%[3]。但基底动脉顶部的症状是前者的一个明显的细分,需要适当分类。
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引用次数: 0
Extensive Cervical Epidural Abscess: Case Report 广泛的宫颈硬膜外脓肿1例
Pub Date : 2017-11-07 DOI: 10.15406/jnsk.2017.07.00260
M. Elsebaey, M. Elgohary
56 year old male from Rosetta complained of acute onset of neck pain for about 2 months with progressive course of upper limbs weakness with no sphincter affection. No previous dental nor neck nor back surgery nor acupuncture. History of renal impairment and on medical treatment for about 4 years. Body temperature was about 38.2 C. Physical examination showed marked mid neck tenderness, no palpable masses were felt, no lymph nodes were felt. Neurological examination revealed grade 3 paraparesis in the upper limbs while grade zero in both lower limbs on Medical Research Council (MRC) scale. Preservation of the deep sensation while loss of the superficial sensation, positive Hoffman sign and positive planter reflex. Magnetic Resonance imaging of the cervical spine showing ventral cervical spinal cord compression by an epidural abscess extending from the apex of dens to the level of C5. Decreased spinal canal diameter and mild spinal cord compression were present (Figure 1).
来自Rosetta的56岁男性主诉急性颈部疼痛约2个月,进行性上肢无力,无括约肌病变。没有牙科,颈部,背部手术,也没有针灸。有肾脏损害病史,已接受医学治疗约4年。体温约38.2℃,体格检查颈部中部明显压痛,未摸到肿块,未摸到淋巴结。神经学检查显示上肢截瘫3级,而双下肢MRC评分为0级。深层感觉保留,浅表感觉丧失,霍夫曼征阳性,种植反射阳性。颈椎的磁共振成像显示硬膜外脓肿压迫颈脊髓腹侧,从齿状突顶点延伸至C5水平。椎管直径减小,脊髓轻度受压(图1)。
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引用次数: 0
Review of 48 Cases of Motor Neuron Disease seen at Groote Schuur Hospital: A Pilot Study 格罗特舒尔医院48例运动神经元病的初步研究
Pub Date : 2017-10-30 DOI: 10.15406/JNSK.2017.07.00259
Amina Daude, S. Chowdhury
Motor neuron disease (MND) is a group of neurodegenerative disorders related to selective degeneration of motor neurons in the brain and spinal cord. Studies of the incidence, prevalence and demographic characteristics of patients with MND have mostly been done in the industrialized countries. We know petite about the disease in Africa in general and southern Africa in particular. Our anecdotal evidence from the neurology and geriatric medicine clinics suggests that the disease is not uncommonly seen in younger patients.
运动神经元病(MND)是一组与脑和脊髓运动神经元选择性变性有关的神经退行性疾病。对MND患者的发病率、流行率和人口特征的研究大多是在工业化国家进行的。我们对整个非洲,特别是南部非洲的这种疾病知之甚少。我们从神经病学和老年医学诊所获得的轶事证据表明,这种疾病在年轻患者中并不罕见。
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引用次数: 0
Franz Gerstenbrand (1924-2017) The world ambassador of Neurosciences In Memoriam Aeternam 弗朗茨·格斯滕布兰德(1924-2017)世界神经科学纪念大使
Pub Date : 2017-10-28 DOI: 10.15406/JNSK.2017.07.00258
Stavros J. Baloyannis
Franz Gerstenbrand graduated from Vienna University, “Cum Laude”, in 1950, and immediately, he started postgraduate training in Neurology and Psychiatry at the same University, under the directorship of Prof. Hans Hoff. In 1976, he was elected Professor of Neurology and appointed head of the University Department of Neurology at Innsbruck University, where he stayed til his retirement in 1994. Under his directorship the department of Neurology became one of the best organized and functioned university departments in Europe.
1950年,Franz Gerstenbrand以优等成绩毕业于维也纳大学,并立即在同一所大学的Hans Hoff教授指导下开始神经病学和精神病学研究生培训。1976年,他被选为神经学教授,并被任命为因斯布鲁克大学(Innsbruck University)神经学系主任,在那里一直呆到1994年退休。在他的领导下,神经病学部门成为欧洲组织和功能最好的大学部门之一。
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引用次数: 0
A Case of West Nile Meningitis Complicated by Pontine Stroke 西尼罗脑膜炎并发脑卒中1例
Pub Date : 2017-10-25 DOI: 10.15406/JNSK.2017.07.00257
Ikram Asad, Berti Aldo, Calder Christopher, A. QuadriSyed, Zafar Atif
Submit Manuscript | http://medcraveonline.com stroke due to vasculitis of cerebral blood vessels [2]. At least three cases of stroke in the setting of WNE have been reported: a young girl with MCA stroke, elderly women with cerebellar stroke, and an elderly man with a nonspecific periventricular stroke [2-4]. We report the first case of West Nile Meningitis/Encephalitis complicated by Pontine Stroke.
投稿稿件| http://medcraveonline.com脑血管炎所致脑卒中[2]。据报道,至少有3例WNE卒中病例:1例年轻女孩MCA卒中,1例老年女性小脑卒中,1例老年男性非特异性心室周围卒中[2-4]。我们报告第一例西尼罗脑膜炎/脑炎并发脑桥中风。
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引用次数: 0
Penetrating Intracranial Injury by a Nail: Case Report 钉子穿透颅内损伤1例报告
Pub Date : 2017-10-23 DOI: 10.15406/jnsk.2017.07.00256
Bah Ab, S. I. Sory, B. Daniel, K. Béavogui
Submit Manuscript | http://medcraveonline.com been described in the literature [2]. A nail is rarely used as a weapon and can forcefully penetrate the skull bone and cause intracerebral lesions due to the rigid structure and narrow tip of the object. Penetrating intracranial injuries by a nail with infectious complications followed by positive recovery as the present case have not yet been reported in the literature.
提交稿件| http://medcraveonline.com在文献[2]中有描述。钉子很少被用作武器,由于其坚硬的结构和狭窄的尖端,它可以有力地穿透颅骨并引起脑内病变。穿透颅内损伤的指甲感染并发症后,积极恢复为本病例尚未在文献报道。
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引用次数: 1
Alpha Lipoic Acid (Ala) Combining with Corticosteroid Hormone Improves the Outcome of Infectious Diseases in Spinal Cord (10 Cases Study) α硫辛酸联合皮质类固醇激素改善脊髓感染性疾病预后(附10例研究)
Pub Date : 2017-10-23 DOI: 10.15406/jnsk.2017.07.00255
Xin Wang, A. Hubbard, G. Tan
Myelitis, Neuromylitis Optica (NMO) and Multiple Sclerosis (MS) are clinic common infectious diseases in spinal cord that are costly, progressive and often cause life-time disabilities. Methylprednisolone Sodium Succinate, a corticosteroid hormone, is a routine effective therapeutic drug for center nerve system (CNS) inflammation, especially applied for MS attacks [1]. However, long term and/or high dose use of corticosteroid hormone has serious side effects such as osteonecrosis of femoral head, cerebral hemorrhage, unstable blood pressure and blood sugar, disorder of kidney [2]. Therefore, corticosteroid hormone therapy is limited on clinical application.
脊髓炎,视神经脊髓炎(NMO)和多发性硬化症(MS)是临床上常见的脊髓感染性疾病,费用昂贵,进行性且常导致终身残疾。甲泼尼龙琥珀酸钠是一种皮质类固醇激素,是治疗中枢神经系统炎症的常规有效药物,尤其适用于多发性硬化症发作[1]。然而,长期和/或大剂量使用皮质类固醇激素会产生严重的副作用,如股骨头坏死、脑出血、血压和血糖不稳定、肾脏紊乱等[2]。因此,皮质类固醇激素治疗在临床应用上受到限制。
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引用次数: 0
A Rare Case of Ossification of Ligamentum Flavum presenting as Dorsal Myelopathy in Achondroplasia 软骨发育不全的黄韧带骨化表现为背侧脊髓病的罕见病例
Pub Date : 2017-10-12 DOI: 10.15406/JNSK.2017.07.00254
Tamajit Chakraborty, D. Sharma, A. Goyal, V. Madan
Ossification of the ligamentum flavum (OLF) was discovered by Polgar and further described by Yamaguchi and Isuruni [1]. Among the thoracic myelopathies, its incidence is less than that of ossification of the posterior longitudinal ligament (OPLL) and higher than that of herniated nucleus pulposus (HNP) [1]. It is mostly prevalent in Japan and other East Asian countries such as Korea and China [2]. Achondroplasia is a genetic disorder of bone growth with congenital spinal stenosis being a well known complication [3]. Degenerative changes of the spine, such as disc herniation, degenerative spondylosis and arthrosis result in worsening of stenosis [4]. However, symptomatic spinal stenosis due by ossification of the ligamentum flavum (OLF) in achondroplasia is extremely rare [5,6]. We present a rare case of spinal stenosis due to ossified ligamentum flavum in a 30 year old Indian female of achondroplasia presenting as dorsal myelopathy.
黄韧带骨化(OLF)由Polgar发现,并由Yamaguchi和Isuruni进一步描述[1]。在胸椎脊髓病中,其发病率低于后纵韧带骨化症(OPLL),高于髓核突出症(HNP)[1]。它主要流行于日本和其他东亚国家,如韩国和中国[2]。软骨发育不全是一种骨骼生长的遗传性疾病,先天性椎管狭窄是一种众所周知的并发症[3]。脊柱退行性改变,如椎间盘突出、退行性颈椎病和关节病,可导致狭窄加重[4]。然而,软骨发育不全患者因黄韧带骨化而出现症状性椎管狭窄的情况极为罕见[5,6]。我们提出一个罕见的病例椎管狭窄由于骨化的黄韧带在30岁的印度女性软骨发育不全表现为背脊髓病。
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引用次数: 4
Pain Threshold in Migraine and Tension-Type Headache by Pressure Algometry in Craniocervical Muscles and Peripheral Nerves in Both Genders 用颅颈肌和周围神经压力测量法测定男女偏头痛和紧张性头痛的痛阈
Pub Date : 2017-10-11 DOI: 10.15406/JNSK.2017.07.00252
S. N. Bernardino, Fern, O. H. M. Souza, R. Silva-Néto, H. A. Martins, Luiz Ataíde Júnior, R. Martins, Isabel Nery Bernardino de Souza, Regina Nery Bernardino de Souza
There is a technique to measure the physiology of the nociceptive system, known as pressure algometry. It has a direct action on the responsive peripheral nociceptors to the pressure stimuli, making possible the study of the nociceptive integrity in normal individuals or with different pain syndromes [6]. Our aim was to determine the pain threshold in migraine and tensiontype headache patients by pressure algometry in craniocervical muscles as in nerves peripheral in both genders. Patients and Methods
有一种技术可以测量伤害感觉系统的生理机能,称为压力测量法。它直接作用于外周痛觉感受器对压力刺激的反应,使得研究正常人或不同疼痛综合征患者的痛觉完整性成为可能[6]。我们的目的是通过颅颈肌和周围神经的压力测量来确定偏头痛和紧张性头痛患者的疼痛阈值。患者及方法
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引用次数: 0
Nitrogen Oxides Induced Neurodegeneration as Examined by Nuclear Magnetic Resonance 核磁共振检测氮氧化物诱导神经退行性变
Pub Date : 2017-10-11 DOI: 10.15406/JNSK.2017.07.00253
Tseng Ky
Air pollutant gases include ground-level ozone, carbon monoxide, sulfur dioxides and nitrogen oxides, particulate matter, organic compounds, including polycyclic aromatic hydrocarbons and endotoxins, and metals [1]. Nitrogen is released during fuel combustion and combines with oxygen atoms in the atmosphere to produce nitric oxide and other nitrogen oxides, which can be inhaled by the upper respiratoy tract. Nitrogen oxides are a source of neurotoxin; thus, minimizing exposure and detecting its levels in the brain is pertinent. Nitrogen oxides have been shown to be associated with dementia, such as Alzheimer’s disease (AD) and Parkinson’s disease (PD). NO2 inhalation by C57BL/6J mice with amyloid precursor protein and presenilin 1 mutations aggravated β-amyloid accumulation, caused deterioration of spatial learning and memory and induced pathological abnormalities and cognitive defects related to AD compared to naïve control mice [2]. Furthermore, nitrogen oxides were associated with increased dementia risk in two clinical cohort studies [3]. One was a 15-year study of 1806 healthy men and women in Sweden [4], and another was a 10-year study of nearly 30,000 individuals in Taiwan [5].
大气污染气体包括地面臭氧、一氧化碳、二氧化硫和氮氧化物、颗粒物、有机化合物(包括多环芳烃和内毒素)和金属[1]。氮在燃料燃烧过程中释放出来,与大气中的氧原子结合产生一氧化氮和其他氮氧化物,可被上呼吸道吸入。氮氧化物是神经毒素的来源;因此,减少暴露并检测其在大脑中的水平是相关的。氮氧化物已被证明与老年痴呆症(如阿尔茨海默病(AD)和帕金森病(PD))有关。淀粉样蛋白前体蛋白和早老素1突变的C57BL/6J小鼠吸入NO2与naïve对照小鼠相比,加重了β-淀粉样蛋白的积累,导致空间学习和记忆的恶化,并诱发AD相关的病理异常和认知缺陷[2]。此外,在两项临床队列研究中,氮氧化物与痴呆风险增加有关[3]。一项是对瑞典1806名健康男女进行的为期15年的研究[4],另一项是对台湾近3万人进行的为期10年的研究[5]。
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引用次数: 2
期刊
Journal of Neurology and Stroke
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