首页 > 最新文献

Pakistan Journal of Neurological Sciences最新文献

英文 中文
SARS-CoV-2 infection with polymyositis- a case report SARS-CoV-2感染伴多发性肌炎1例报告
Pub Date : 2023-02-16 DOI: 10.56310/pjns.v17i04.170
Muhammad Hassan, Fatima Mustafa, N. Khan, Taimoor Hassan, Mansoor Iqbal Chaudhry, M. Badshah
Among the most prevalent and least addressed symptoms of SARS-CoV-2 infection are myalgia, muscle weakness, and body aches. Only a few studies have reported polymyositis in patients with Covid-19 infection. At least one-third of patients with Covid-19 syndrome had elevated CPK levels. The cause of elevated CPK can be a cytokine storm or viral infection of the muscles. We present a case in which our patient developed features of myositis following the resolution of an acute viral prodrome caused by SARS-CoV-2. Our patient had both radiological and biopsy-proven neuromuscular manifestations of SARS-CoV-2 associated with polymyositis. Proximal muscle weakness began shortly after the resolution of the initial infection and progressed gradually over weeks or months, resulting in immobility. In the aftermath of investigations, the patient was diagnosed with polymyositis, appropriate treatment was started, and he showed signs of improvement.
SARS-CoV-2感染最普遍和最不受关注的症状是肌痛、肌肉无力和身体疼痛。只有少数研究报道了Covid-19感染患者的多发性肌炎。至少三分之一的Covid-19综合征患者CPK水平升高。CPK升高的原因可能是细胞因子风暴或肌肉病毒感染。我们报告了一例患者在SARS-CoV-2引起的急性病毒前体症状消退后出现肌炎特征的病例。我们的患者具有与多发性肌炎相关的SARS-CoV-2的放射学和活检证实的神经肌肉表现。最初感染消退后不久,近端肌肉无力开始,并在数周或数月内逐渐恶化,导致行动不便。在调查之后,患者被诊断为多发性肌炎,并开始适当的治疗,他显示出改善的迹象。
{"title":"SARS-CoV-2 infection with polymyositis- a case report","authors":"Muhammad Hassan, Fatima Mustafa, N. Khan, Taimoor Hassan, Mansoor Iqbal Chaudhry, M. Badshah","doi":"10.56310/pjns.v17i04.170","DOIUrl":"https://doi.org/10.56310/pjns.v17i04.170","url":null,"abstract":"Among the most prevalent and least addressed symptoms of SARS-CoV-2 infection are myalgia, muscle weakness, and body aches. Only a few studies have reported polymyositis in patients with Covid-19 infection. At least one-third of patients with Covid-19 syndrome had elevated CPK levels. The cause of elevated CPK can be a cytokine storm or viral infection of the muscles. We present a case in which our patient developed features of myositis following the resolution of an acute viral prodrome caused by SARS-CoV-2. Our patient had both radiological and biopsy-proven neuromuscular manifestations of SARS-CoV-2 associated with polymyositis. Proximal muscle weakness began shortly after the resolution of the initial infection and progressed gradually over weeks or months, resulting in immobility. In the aftermath of investigations, the patient was diagnosed with polymyositis, appropriate treatment was started, and he showed signs of improvement.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85147177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
48 hours Holter monitoring in detecting occult atrial fibrillation in young patients with possible cardioembolic stroke 48小时动态心电图监测对可能发生心栓塞性卒中的年轻患者隐匿性心房颤动的诊断价值
Pub Date : 2023-02-16 DOI: 10.56310/pjns.v17i04.199
Bushra Khalid, Soban Khan, M. Tariq, Sajid Ali, Ijaz Ali, Zaid Waqar
Background and objective: Atrial fibrillation (AF) is a common cause of ischemic stroke. AF is usually paroxysmal and could escape detection via single lead electrocardiogram ECG recorder. Holter monitoring is useful in this scenario. The objective of this study was to assess the role of 48 hours Holter monitoring in identifying clinically inapparent AF in young patients with ischemic stroke  Methods: A retrospective cross-sectional study was conducted with patient data from November 2019 to February 2021. It was conducted in Neurology department of Pakistan Institute of Medical Sciences, Islamabad, Pakistan. Study contained medical records of 60 patients which were admitted in this time period. Forty-eight hours Holter monitoring was carried out for all the patients. Patient medical records were examined according to predetermined risk factors and criteria. Statistical analysis was done on SPSS version 25.0. Results: Ten out of 60 cases had positive results for AF during Holter’s monitoring. Fifty cases had negative results for AF during Holter monitoring.  While the p value of the data obtained remained non-significant, results depict efficacy of Holter’s monitoring in detection of AF to some extent. Conclusion: Holter monitoring can identify AF, providing aid in prevention of secondary ischemic stroke. However, instead of 48 hours monitoring, a through 72 hours or extended monitoring will increase the effectiveness of this monitoring. In future, a study could be conducted where a large number of cases should be included so that statistical significance of data could be increased.
背景与目的:房颤(AF)是缺血性脑卒中的常见病因。房颤通常是阵发性的,可通过单导联心电图仪检测不到。动态心电图监测在这种情况下很有用。本研究的目的是评估48小时动态心电图监测在鉴别年轻缺血性卒中患者临床不明显房颤中的作用。方法:对2019年11月至2021年2月的患者数据进行回顾性横断面研究。研究在巴基斯坦伊斯兰堡巴基斯坦医学科学研究所神经内科进行。研究包含了这段时间内入院的60名患者的医疗记录。所有患者均进行48小时动态心电图监测。根据预先确定的危险因素和标准检查患者的医疗记录。采用SPSS 25.0版本进行统计分析。结果:60例患者中有10例在霍尔特监测期间房颤阳性。50例在动态心电图监测中AF阴性。虽然所得数据的p值仍然不显著,但结果在一定程度上说明了霍尔特监测对房颤的检测效果。结论:动态心电图监测可识别房颤,有助于预防继发性缺血性脑卒中。然而,与48小时监测不同,72小时或更长时间的监测将提高监测的有效性。今后可以进行大量案例的研究,增加数据的统计意义。
{"title":"48 hours Holter monitoring in detecting occult atrial fibrillation in young patients with possible cardioembolic stroke","authors":"Bushra Khalid, Soban Khan, M. Tariq, Sajid Ali, Ijaz Ali, Zaid Waqar","doi":"10.56310/pjns.v17i04.199","DOIUrl":"https://doi.org/10.56310/pjns.v17i04.199","url":null,"abstract":"Background and objective: \u0000Atrial fibrillation (AF) is a common cause of ischemic stroke. AF is usually paroxysmal and could escape detection via single lead electrocardiogram ECG recorder. Holter monitoring is useful in this scenario. The objective of this study was to assess the role of 48 hours Holter monitoring in identifying clinically inapparent AF in young patients with ischemic stroke \u0000 Methods: \u0000A retrospective cross-sectional study was conducted with patient data from November 2019 to February 2021. It was conducted in Neurology department of Pakistan Institute of Medical Sciences, Islamabad, Pakistan. Study contained medical records of 60 patients which were admitted in this time period. Forty-eight hours Holter monitoring was carried out for all the patients. Patient medical records were examined according to predetermined risk factors and criteria. Statistical analysis was done on SPSS version 25.0. \u0000Results: \u0000Ten out of 60 cases had positive results for AF during Holter’s monitoring. Fifty cases had negative results for AF during Holter monitoring.  While the p value of the data obtained remained non-significant, results depict efficacy of Holter’s monitoring in detection of AF to some extent. \u0000Conclusion: \u0000Holter monitoring can identify AF, providing aid in prevention of secondary ischemic stroke. However, instead of 48 hours monitoring, a through 72 hours or extended monitoring will increase the effectiveness of this monitoring. In future, a study could be conducted where a large number of cases should be included so that statistical significance of data could be increased.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86015474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychiatric manifestations of dengue fever- a case report from Pakistan 登革热的精神病学表现——巴基斯坦一例报告
Pub Date : 2023-02-16 DOI: 10.56310/pjns.v17i04.209
Ifrah Hambal, Samrah Nasir, Tania Nadeem
A 29-year-old male presented to Aga Khan University Hospital with complaints of fever, body-aches, vomiting and one episode of gum bleeding. A Dengue antigen test done prior to presentation was positive. He was admitted for medical management. During hospital stay, the patient developed manic symptoms including over-talkativeness, expansive mood, disinhibited behavior, excessive planning, paranoia and aggression. He remained oriented to time, place and person and neurological examination was unremarkable. He was managed with anti-psychotics and benzodiazepines, and his psychiatric symptoms improved with improvement in his medical condition. This case highlights the possibility of psychiatric manifestations occurring in context of a dengue infection.
一名29岁男性到阿迦汗大学医院就诊,主诉发烧、身体疼痛、呕吐和一次牙龈出血。就诊前的登革热抗原检测呈阳性。他被送进医院接受治疗。住院期间,患者出现躁狂症状,包括过度健谈、情绪膨胀、行为失控、计划过多、偏执和攻击性。他仍然对时间、地点和人有方向感,神经学检查也没有什么异常。他接受了抗精神病药物和苯二氮卓类药物治疗,他的精神症状随着医疗状况的改善而改善。该病例强调了登革热感染背景下出现精神病学表现的可能性。
{"title":"Psychiatric manifestations of dengue fever- a case report from Pakistan","authors":"Ifrah Hambal, Samrah Nasir, Tania Nadeem","doi":"10.56310/pjns.v17i04.209","DOIUrl":"https://doi.org/10.56310/pjns.v17i04.209","url":null,"abstract":"A 29-year-old male presented to Aga Khan University Hospital with complaints of fever, body-aches, vomiting and one episode of gum bleeding. A Dengue antigen test done prior to presentation was positive. He was admitted for medical management. During hospital stay, the patient developed manic symptoms including over-talkativeness, expansive mood, disinhibited behavior, excessive planning, paranoia and aggression. He remained oriented to time, place and person and neurological examination was unremarkable. He was managed with anti-psychotics and benzodiazepines, and his psychiatric symptoms improved with improvement in his medical condition. This case highlights the possibility of psychiatric manifestations occurring in context of a dengue infection.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"74 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73022610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impairment-based multidisciplinary rehabilitation management in multiple sclerosis in Pakistan 巴基斯坦多发性硬化症中基于损伤的多学科康复管理
Pub Date : 2023-02-16 DOI: 10.56310/pjns.v17i04.221
Sarah Razaq, F. Anwar, Wasim Wali
{"title":"Impairment-based multidisciplinary rehabilitation management in multiple sclerosis in Pakistan","authors":"Sarah Razaq, F. Anwar, Wasim Wali","doi":"10.56310/pjns.v17i04.221","DOIUrl":"https://doi.org/10.56310/pjns.v17i04.221","url":null,"abstract":"","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86789999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Temporal lobe epilepsy with hippocampus sclerosis: prevalence, etiology, and treatment options with herbal medicines 颞叶癫痫伴海马体硬化:患病率,病因学和草药治疗选择
Pub Date : 2023-02-15 DOI: 10.56310/pjns.v17i03.187
Muhammad Wasim, Mehr Musani, H. S. Siddiqi, Saara Muddasir, Bushra K. Amin, Fazal Arain
Background and objectives: Epilepsy is a neurological disorder in which the patient suffers with two or more unprovoked seizures. It is one of the most common neurological disorders worldwide, affecting more than 70 million people. Currently various modes of effective treatments are available, but still there are many cases that remain drug resistant. Hence, there is a need to explore herbal medications for the treatment of drug resistant epilepsy. Methods: Recent reviews and research articles (2000-2022) from PubMed and Google Scholar have been explored. Review: Based on etiology, there are six categories of epilepsy: Genetic, structural, metabolic, immune, infectious, and unknown epilepsy. Temporal lobe epilepsy with hippocampus sclerosis (TLE-HS) is one of the most common forms of structural epilepsy. Even though several new anti-epileptic drugs (AEDs) have been discovered, but the treatment of some cases especially TLE-HS remains resistant to them. Surgery is one of the most effective options for TLE-HS; however, this usually results in memory deficits, and occasionally, intracranial hematoma, delayed hydrocephalus, subdural empyema, and visual field defects in patients. Conclusion: Hence, to overcome drug resistance, new pharmacological and herbal therapies are required. Animal trials are first step in the development of new drugs, to study toxicity and efficacy of proposed drugs. Many herbs have anticonvulsant activity but remain an under-explored treatment option for epilepsy. Further research on herbal extracts as a possible treatment for epilepsy needs to be conducted.
背景和目的:癫痫是一种神经系统疾病,患者遭受两次或两次以上无端发作。它是世界上最常见的神经系统疾病之一,影响着7000多万人。目前有各种有效的治疗方法,但仍有许多病例仍然具有耐药性。因此,有必要探索草药治疗耐药癫痫。方法:从PubMed和Google Scholar检索最近的综述和研究文章(2000-2022)。综述:根据病因,癫痫分为六类:遗传性癫痫、结构性癫痫、代谢性癫痫、免疫性癫痫、感染性癫痫和未知癫痫。颞叶癫痫伴海马硬化(TLE-HS)是结构性癫痫最常见的形式之一。尽管已经发现了几种新的抗癫痫药物(aed),但某些病例的治疗仍然对它们具有耐药性,尤其是TLE-HS。手术是治疗TLE-HS最有效的方法之一;然而,这通常会导致记忆缺陷,偶尔会出现颅内血肿、迟发性脑积水、硬膜下脓肿和视野缺损。结论:克服耐药需要新的药物和草药治疗。动物试验是开发新药的第一步,目的是研究拟议药物的毒性和功效。许多草药具有抗惊厥活性,但仍然是一种未开发的治疗癫痫的选择。草药提取物作为一种可能的癫痫治疗方法需要进行进一步的研究。
{"title":"Temporal lobe epilepsy with hippocampus sclerosis: prevalence, etiology, and treatment options with herbal medicines","authors":"Muhammad Wasim, Mehr Musani, H. S. Siddiqi, Saara Muddasir, Bushra K. Amin, Fazal Arain","doi":"10.56310/pjns.v17i03.187","DOIUrl":"https://doi.org/10.56310/pjns.v17i03.187","url":null,"abstract":"Background and objectives: \u0000Epilepsy is a neurological disorder in which the patient suffers with two or more unprovoked seizures. It is one of the most common neurological disorders worldwide, affecting more than 70 million people. Currently various modes of effective treatments are available, but still there are many cases that remain drug resistant. Hence, there is a need to explore herbal medications for the treatment of drug resistant epilepsy. \u0000Methods: \u0000Recent reviews and research articles (2000-2022) from PubMed and Google Scholar have been explored. \u0000Review: \u0000Based on etiology, there are six categories of epilepsy: Genetic, structural, metabolic, immune, infectious, and unknown epilepsy. Temporal lobe epilepsy with hippocampus sclerosis (TLE-HS) is one of the most common forms of structural epilepsy. Even though several new anti-epileptic drugs (AEDs) have been discovered, but the treatment of some cases especially TLE-HS remains resistant to them. Surgery is one of the most effective options for TLE-HS; however, this usually results in memory deficits, and occasionally, intracranial hematoma, delayed hydrocephalus, subdural empyema, and visual field defects in patients. \u0000Conclusion: \u0000Hence, to overcome drug resistance, new pharmacological and herbal therapies are required. Animal trials are first step in the development of new drugs, to study toxicity and efficacy of proposed drugs. Many herbs have anticonvulsant activity but remain an under-explored treatment option for epilepsy. Further research on herbal extracts as a possible treatment for epilepsy needs to be conducted.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76398933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical spectrum, risk factors and electrophysiologic aspect of radial nerve injury 桡神经损伤的临床特征、危险因素及电生理特征
Pub Date : 2023-02-13 DOI: 10.56310/pjns.v17i03.218
Arfah Kanwal, Safia Bano, Ubaid Ullah, Ahsan Numan
Background and objective: Radial nerve is injured due to a variety of reasons. The objective of this study was to determine the clinical spectrum, risk factors and electrophysiologic aspect of radial nerve injury presenting to a tertiary care hospital in Lahore. Methods: This descriptive prospective cross-sectional study was conducted at department of Neurology, Mayo hospital Lahore from July 2022 to December 2022 and comprised patients with isolated radial nerve injury on the basis of history and clinical examination regardless of their gender, above 15 years of age. NCS/EMG was done on a Japanese machine Nihon Kohden by an expert as per recommended protocol for electrodiagnostic evaluation of a suspected radial nerve injury and interpreted by consultant neurologist. Results: Of 75 patients, 52(69.3%) were males and 23(30.7%) were females. The most common etiology turned out to be misplaced intramuscular injection in 45(60%) of the patients. The site of lesion in most cases was in the spiral groove in 36 (40%) of the patient. Most of the patients i.e. 71(94.7%) had a wrist drop. Evidence of reinnervation was present in 30(40%) of patients. Conclusion: Most cases of radial nerve injury presented with a wrist drop in which the commonest etiology was misplaced intramuscular injection. The site of lesion in most cases turned out to at the level of spiral groove, and the nature of lesion was primarily axonal loss followed by secondary demyelination.
背景与目的:桡神经损伤是由多种原因引起的。本研究的目的是确定临床谱,危险因素和电生理方面的桡神经损伤呈现在拉合尔三级护理医院。方法:这项描述性前瞻性横断面研究于2022年7月至2022年12月在拉合尔梅奥医院神经内科进行,根据病史和临床检查纳入孤立性桡神经损伤患者,不分性别,年龄在15岁以上。NCS/EMG由专家按照疑似桡神经损伤的电诊断评估推荐方案在日本机器Nihon Kohden上完成,并由神经科顾问医生解释。结果:75例患者中,男性52例(69.3%),女性23例(30.7%)。在45%(60%)的患者中,最常见的病因是错位的肌肉注射。36例(40%)患者病变部位位于螺旋槽内。71例(94.7%)患者腕部下垂。30例(40%)患者存在神经再生的证据。结论:桡神经损伤多表现为手腕下垂,最常见的病因是肌内注射错位。多数病例病变部位位于螺旋槽水平,病变性质以轴突丢失为主,继发性脱髓鞘。
{"title":"Clinical spectrum, risk factors and electrophysiologic aspect of radial nerve injury","authors":"Arfah Kanwal, Safia Bano, Ubaid Ullah, Ahsan Numan","doi":"10.56310/pjns.v17i03.218","DOIUrl":"https://doi.org/10.56310/pjns.v17i03.218","url":null,"abstract":"Background and objective: \u0000Radial nerve is injured due to a variety of reasons. The objective of this study was to determine the clinical spectrum, risk factors and electrophysiologic aspect of radial nerve injury presenting to a tertiary care hospital in Lahore. \u0000Methods: \u0000This descriptive prospective cross-sectional study was conducted at department of Neurology, Mayo hospital Lahore from July 2022 to December 2022 and comprised patients with isolated radial nerve injury on the basis of history and clinical examination regardless of their gender, above 15 years of age. NCS/EMG was done on a Japanese machine Nihon Kohden by an expert as per recommended protocol for electrodiagnostic evaluation of a suspected radial nerve injury and interpreted by consultant neurologist. \u0000Results: \u0000Of 75 patients, 52(69.3%) were males and 23(30.7%) were females. The most common etiology turned out to be misplaced intramuscular injection in 45(60%) of the patients. The site of lesion in most cases was in the spiral groove in 36 (40%) of the patient. Most of the patients i.e. 71(94.7%) had a wrist drop. Evidence of reinnervation was present in 30(40%) of patients. \u0000Conclusion: \u0000Most cases of radial nerve injury presented with a wrist drop in which the commonest etiology was misplaced intramuscular injection. The site of lesion in most cases turned out to at the level of spiral groove, and the nature of lesion was primarily axonal loss followed by secondary demyelination.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87047479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retraction Notice 撤销通知
Pub Date : 2023-02-12 DOI: 10.56310/pjns.v17i03.226
None Editorial Team
Retraction Notice Khan MI, Khan JI, Ahmed SI, Ali S. The epidemiology of stroke in a developing country (Pakistan). Pak J Neurol Sci. 2018;13(3):30-44. A reader brought to our attention that the article titled “The epidemiology of stroke in a developing country (Pakistan)”, published in Volume 13, Issue 3, of Pakistan Journal of Neurological Sciences (PJNS) was a redundant (duplicate) publication. We investigated this complaint and found out that prior to its submission to PJNS on February 11 2018, this article had already been published almost verbatim in Journal of Neurology & Stroke on January 23, 2018. Reference of the prior publication: Khan MI, Khan JI, Ahmed SI, Haq U. The epidemiology of stroke in a developing country (Pakistan). J Neurol Stroke 2018;8(1):32-40. DOI: https://doi.org/10.15406/jnsk.2018.08.00275 The authors were contacted multiple times for their input prior to this retraction, but they did not offer any possible justification for their action. The editorial team of PJNS has, therefore, retracted this article. We are thankful to the reader who brought this matter to our attention and apologize for the oversight that resulted in publication of this article in PJNS. We regret any inconvenience caused by the publication and retraction of this article. The retracted article link: https://ecommons.aku.edu/pjns/vol13/iss3/9/
撤销通知# x0D;Khan MI, Khan JI, Ahmed SI, Ali S.发展中国家(巴基斯坦)中风的流行病学。中华神经科学杂志,2018;13(3):30-44. & # x0D;一位读者提请我们注意,《巴基斯坦神经科学杂志》(PJNS)第13卷第3期发表的题为“发展中国家(巴基斯坦)中风流行病学”的文章是一篇重复出版物。我们调查了这一投诉,发现在2018年2月11日提交给PJNS之前,这篇文章已经在Journal of Neurology上几乎一字不差地发表了。2018年1月23日笔划 & # x0D;先前出版物的参考文献: Khan MI, Khan JI, Ahmed SI, Haq U.发展中国家(巴基斯坦)中风的流行病学。中华脑卒中杂志,2018;8(1):32-40。DOI: https://doi.org/10.15406/jnsk.2018.08.00275& x0D;& # x0D;在此次撤稿之前,我们曾多次联系作者征求他们的意见,但他们没有为自己的行为提供任何可能的理由。因此,PJNS编辑团队撤回了这篇文章。我们感谢让我们注意到这件事的读者,并为导致这篇文章发表在PJNS上的疏忽道歉。对于这篇文章的发表和撤回给您带来的不便,我们深表歉意。 & # x0D;撤稿链接:https://ecommons.aku.edu/pjns/vol13/iss3/9/
{"title":"Retraction Notice","authors":"None Editorial Team","doi":"10.56310/pjns.v17i03.226","DOIUrl":"https://doi.org/10.56310/pjns.v17i03.226","url":null,"abstract":"Retraction Notice
 Khan MI, Khan JI, Ahmed SI, Ali S. The epidemiology of stroke in a developing country (Pakistan). Pak J Neurol Sci. 2018;13(3):30-44.
 
 A reader brought to our attention that the article titled “The epidemiology of stroke in a developing country (Pakistan)”, published in Volume 13, Issue 3, of Pakistan Journal of Neurological Sciences (PJNS) was a redundant (duplicate) publication. We investigated this complaint and found out that prior to its submission to PJNS on February 11 2018, this article had already been published almost verbatim in Journal of Neurology & Stroke on January 23, 2018.
 
 Reference of the prior publication:
 Khan MI, Khan JI, Ahmed SI, Haq U. The epidemiology of stroke in a developing country (Pakistan). J Neurol Stroke 2018;8(1):32-40. DOI: https://doi.org/10.15406/jnsk.2018.08.00275
 
 The authors were contacted multiple times for their input prior to this retraction, but they did not offer any possible justification for their action. The editorial team of PJNS has, therefore, retracted this article. We are thankful to the reader who brought this matter to our attention and apologize for the oversight that resulted in publication of this article in PJNS. We regret any inconvenience caused by the publication and retraction of this article.
 
 The retracted article link: https://ecommons.aku.edu/pjns/vol13/iss3/9/","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tele-stroke care in Pakistan 巴基斯坦的远程中风护理
Pub Date : 2023-02-05 DOI: 10.56310/pjns.v17i03.203
Nurose Karim
{"title":"Tele-stroke care in Pakistan","authors":"Nurose Karim","doi":"10.56310/pjns.v17i03.203","DOIUrl":"https://doi.org/10.56310/pjns.v17i03.203","url":null,"abstract":"","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"284 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76854913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multiple Sclerosis in Pakistan: Collaborative working to Improve Care 巴基斯坦多发性硬化症:合作改善护理
Pub Date : 2023-02-05 DOI: 10.56310/pjns.v17i03.207
Sarah Razaq, Fahim Anwar
{"title":"Multiple Sclerosis in Pakistan: Collaborative working to Improve Care","authors":"Sarah Razaq, Fahim Anwar","doi":"10.56310/pjns.v17i03.207","DOIUrl":"https://doi.org/10.56310/pjns.v17i03.207","url":null,"abstract":"","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82702029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hypodensities within hematoma predict outcome after spontaneous intracerebral hemorrhage 血肿内低密度预测自发性脑出血后的预后
Pub Date : 2023-02-05 DOI: 10.56310/pjns.v17i03.206
Maryam Khalil, Sumaira Nabi, Amjad Mehmood Khan, Zeeshan Munawar, Samar Naik, Zaid Waqar, Malik Muhammad Adil, Mazhar Badshah
Background and objective: Not much is known about the prevalence and significance of hypodensities within hematoma after spontaneous intracerebral hemorrhage (ICH). The objective of this study was to determine the prevalence of hypodensities within hematoma after spontaneous ICH and their significance to predict poor outcome after ICH. Methods: This observational cross sectional study was conducted in the Department of Neurology, Pakistan Institute of Medical Sciences, Islamabad, from October 2021 to June 2022. Total 140 patients of acute stroke were included. Inclusion criteria was any patient of >20 years of age with confirmed diagnosis of ICH on imaging, non-traumatic, who presented within 24 hours after onset of symptoms. Data was analyzed by SPSS ver.23.0. Results: Total 150 patients were included in the study. The mean age of patients was 52.28 ± 1.29 years. There were 100 (71.4%) males and 40 (28.6%) females. Hypertension was the most common comorbid present in 87 patients (62.1%).55% of patients had on presentation National Institute of Health Stroke Scale (NIHSS) and modified Rankin Scale score of moderate severity. The mean ICH score on presentation was 2.64 +1.26. Hematoma expansion was present in 55(39.3%) patients while interventricular extension was seen in 100(71.4%) patients. Hypodensities were seen in 125(89.3%) patients( p value 0.001). When hematoma volume were compared in both groups it was also significant (p value 0.002). Conclusion: We conclude that hypodensities within hematoma are a reliable marker of hematoma expansion after spontaneous ICH. Such reliable marker can be easily employed in resource-poor countries where CT angiography is not available everywhere. The higher NIHSS score and low GCS are significantly associated with hypodensities within hematoma.
背景与目的:自发性脑出血(ICH)后血肿内低密度的患病率和意义尚不清楚。本研究的目的是确定自发性脑出血后血肿内低密度的患病率及其对预测脑出血后不良预后的意义。方法:本观察性横断面研究于2021年10月至2022年6月在伊斯兰堡巴基斯坦医学科学研究所神经内科进行。共纳入140例急性脑卒中患者。纳入标准为任何年龄在bb0 ~ 20岁,影像学确诊为脑出血的非创伤性患者,并在症状出现后24小时内出现。数据采用SPSS ver.23.0进行分析。结果:共纳入150例患者。患者平均年龄52.28±1.29岁。男性100例(71.4%),女性40例(28.6%)。高血压是最常见的合并症,87例(62.1%)。55%的患者具有美国国立卫生研究院卒中量表(NIHSS)和改良Rankin量表的中度严重程度评分。首发时ICH平均评分为2.64 +1.26。55例(39.3%)患者出现血肿扩张,100例(71.4%)患者出现室间扩张。125例(89.3%)患者出现低密度(p值0.001)。两组血肿量比较也有显著性差异(p值0.002)。结论:血肿内的低密度是自发性脑出血后血肿扩张的可靠标志。这种可靠的标记可以很容易地应用于资源贫乏的国家,而CT血管造影并不是无处不在。较高的NIHSS评分和较低的GCS与血肿内的低密度显著相关。
{"title":"Hypodensities within hematoma predict outcome after spontaneous intracerebral hemorrhage","authors":"Maryam Khalil, Sumaira Nabi, Amjad Mehmood Khan, Zeeshan Munawar, Samar Naik, Zaid Waqar, Malik Muhammad Adil, Mazhar Badshah","doi":"10.56310/pjns.v17i03.206","DOIUrl":"https://doi.org/10.56310/pjns.v17i03.206","url":null,"abstract":"Background and objective: \u0000Not much is known about the prevalence and significance of hypodensities within hematoma after spontaneous intracerebral hemorrhage (ICH). The objective of this study was to determine the prevalence of hypodensities within hematoma after spontaneous ICH and their significance to predict poor outcome after ICH. \u0000Methods: \u0000This observational cross sectional study was conducted in the Department of Neurology, Pakistan Institute of Medical Sciences, Islamabad, from October 2021 to June 2022. Total 140 patients of acute stroke were included. Inclusion criteria was any patient of >20 years of age with confirmed diagnosis of ICH on imaging, non-traumatic, who presented within 24 hours after onset of symptoms. Data was analyzed by SPSS ver.23.0. \u0000Results: \u0000Total 150 patients were included in the study. The mean age of patients was 52.28 ± 1.29 years. There were 100 (71.4%) males and 40 (28.6%) females. Hypertension was the most common comorbid present in 87 patients (62.1%).55% of patients had on presentation National Institute of Health Stroke Scale (NIHSS) and modified Rankin Scale score of moderate severity. The mean ICH score on presentation was 2.64 +1.26. Hematoma expansion was present in 55(39.3%) patients while interventricular extension was seen in 100(71.4%) patients. Hypodensities were seen in 125(89.3%) patients( p value 0.001). When hematoma volume were compared in both groups it was also significant (p value 0.002). \u0000Conclusion: \u0000We conclude that hypodensities within hematoma are a reliable marker of hematoma expansion after spontaneous ICH. Such reliable marker can be easily employed in resource-poor countries where CT angiography is not available everywhere. The higher NIHSS score and low GCS are significantly associated with hypodensities within hematoma.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81544065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Pakistan Journal of Neurological Sciences
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1