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Basilar Heart-Shaped Aneurysm: Case Illustration 基底动脉心形动脉瘤:病例说明
IF 2.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-12-30 DOI: 10.33425/2692-7918.1038
José Renan Miranda Cavalcante-Filho, Bruno Gonzales Miniello, J. M. de Almeida Silva, Andre Luiz Resende, Marcus Alexandre Cavalcanti Rotta
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引用次数: 0
Syphylitical Myelopathies: Study of 8 observations at National Hospital Ignace Deen, University of Conakry 在科纳克里大学国立医院Ignace Deen进行的8项观察研究
IF 2.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-09-30 DOI: 10.33425/2692-7918.1037
Touré Ml, Carlos Othon G, Baldé Th, Diallo Sm, Ballo BKJB,, A. Djibo Hamani, F. Sakadi, A. Sakho, DF Kassa, FA Cissé, A. Cissé
Introduction: Myelopathies occurring in the context of neurosyphilis have been poorly studied clinically, radiologically and in tropical settings. The diagnostic certainty of the syphilitic etiology of myelopathy is difficult to establish because of the multiplicity of causes of spinal cord damage. Patients and Methods: We carried out a retrospective study of 269 patients hospitalized for spinal cord disorders between January 2015 and December 2021, among whom 8 (eight) patients were identified for progressive syphilitic myelopathy diagnosed by the positivity of VDRL-TPHA serological reactions in the blood and cerebrospinal fluid and radiological data. Magnetic resonance imaging was performed in all patients. Results: The neurological signs were limited to the existence of a sensory-motor spinal semiology in particular, paraparesis with sphincter disorders, especially moderate urinary disorders, without an obvious infectious syndrome in a context of positive serological reactions VDRL-TPHA in the blood and cerebrovascular fluid. spinal. Lumbar puncture shows hypercellularity with lymphocyte predominance on average 65% and hyperproteinorachia varying from 0.98 to 1.36 g/l. magnetic resonance imaging performed in all patients contributed to the diagnosis by showing hypersignals in T2, expression of more or less extensive lesions on several segments.
在临床、放射学和热带环境中,神经梅毒背景下发生的脊髓病研究很少。由于脊髓损伤的病因多种多样,脊髓病的梅毒病因诊断的确定性很难确定。患者和方法:我们对2015年1月至2021年12月期间因脊髓疾病住院的269例患者进行了回顾性研究,其中8(8)例患者通过血液和脑脊液中VDRL-TPHA血清学反应阳性和放射学资料诊断为进行性梅毒性脊髓病。所有患者均行磁共振成像检查。结果:神经学症状仅限于感觉-运动脊柱符会学,特别是括约肌疾病,特别是中度泌尿系统疾病,在血液和脑血管液中VDRL-TPHA血清学反应阳性的情况下,没有明显的感染综合征。脊髓。腰椎穿刺显示淋巴细胞增多,平均65%为淋巴细胞为主,高蛋白血症为0.98 ~ 1.36 g/l。所有患者的磁共振成像均显示T2高信号,多个节段或多或少有广泛病变的表达,有助于诊断。
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引用次数: 0
EEG -guided Characterization, Monitoring, and Therapy for Neurological and Neurocognitive Sequelae of COVID‐19 and Long COVID 脑电图引导下对COVID - 19和长COVID的神经和神经认知后遗症的表征、监测和治疗
IF 2.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-09-30 DOI: 10.33425/2692-7918.1034
S. Danev, Tori R Lakey, J. Lakey, Jonathan Lakeya
The long-term effect of the newly emerged COVID-19 (SARS-CoV-2) virus has not been fully understood. It has been reported that several patients experienced neurological and neurocognitive problems after getting infected by the COVID-19 virus. This paper will review how the COVID-19 virus has impacted the brain, will aim to detect the location of COVID-19 in the brain, and will determine if the neurological complications are a result of “direct” or “indirect” effects of the virus on brain cells. Additionally, we will focus on the neurocognitive impact of COVID‐19 and the potential of digital electroencephalography (EEG), quantitative EEG (QEEG) and standardized low resolution brain electromagnetic tomography (sLORETA) to be able to capture, assess, monitor, characterize and facilitate the treatment of both neurological and neurocognitive sequelae seen in COVID‐19 and long COVID.
新出现的COVID-19 (SARS-CoV-2)病毒的长期影响尚未完全了解。据报道,几名患者在感染新冠病毒后出现了神经和神经认知问题。本文将回顾COVID-19病毒如何影响大脑,旨在检测COVID-19在大脑中的位置,并确定神经系统并发症是病毒对脑细胞的“直接”或“间接”影响的结果。此外,我们将重点关注COVID - 19的神经认知影响,以及数字脑电图(EEG)、定量脑电图(QEEG)和标准化低分辨率脑电磁断层扫描(sLORETA)的潜力,以便能够捕获、评估、监测、表征和促进COVID - 19和长期COVID中出现的神经和神经认知后遗症的治疗。
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引用次数: 0
Outcomes in Four Children with Persistent, Recurrent, and Progressive Gangliogliomas Treated in Phase II Studies with Antineoplastons A10 and AS2-1 抗瘤素A10和AS2-1治疗4例持续性、复发性和进行性神经节胶质瘤儿童的II期研究结果
IF 2.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-09-30 DOI: 10.33425/2692-7918.1036
Burzynski Stanislaw, Burzynski Gregory, Janicki Tomasz, Beenken Samuel
Rationale: Gangliogliomas are generally benign tumors and are classified by the World Health Organization (WHO) as grade I or II tumors. However, in 1-5% of cases, gangliogliomas can behave more aggressively (WHO grade III) and have a worse prognosis. Four children with a ganglioglioma are presented to detail and discuss the efficacy of Antineoplastons A10 (Atengenal) and AS2-1 (Astugenal) in the treatment of gangliogliomas. Objectives: The children were treated with Antineoplastons A10 and AS2-1 (ANP therapy) at the Burzynski Clinic (BC) according to the phase II Protocols, BT-10 and BT-11. ANP therapy was delivered via subclavian catheter and infusion pump. During ANP therapy, tumor response was determined by comparison of sequential magnetic resonance imaging (MRI) of the brain with a baseline brain MRI. Findings: Of the four children treated for gangliogliomas, all had prior surgery but none had radiation therapy (RT) or chemotherapy. Two had recurrent, and progressive tumors with possible high-grade transformation (thalamo-mesencephalic region; temporal lobe with leptomeningeal spread) while two had tumors of the brain stem (persistent multicentric ganglioglioma; persistent and progressive ganglioglioma of the inferior medulla and superior cervical spinal cord), which are more difficult to treat and have a worse prognosis. Physical findings corresponded with the location of each child’s tumor. IV ANP therapy continued for 6.4 to 24.8 months. The two children with possible high-grade transformation achieved a partial response (PR) while the two children with brain stem tumors maintained stable disease (SD). Overall survival for these four children ranged from 10.3 to 22.4 years. Conclusions: The utilization of ANP therapy in children with gangliogliomas is presented. We conclude that ANP therapy is an attractive therapeutic option for children with gangliogliomas who are ineligible for or refuse surgical resection and/or demonstrate persistent, recurrent, or progressive disease with or without high-grade transformation following surgical resection..
理由:神经节胶质瘤一般为良性肿瘤,被世界卫生组织(WHO)列为I级或II级肿瘤。然而,在1-5%的病例中,神经节胶质瘤的表现更具侵略性(WHO分级III),预后更差。本文详细介绍了4例神经节胶质瘤患儿,并讨论了抗瘤质体A10 (Atengenal)和AS2-1 (Astugenal)治疗神经节胶质瘤的疗效。目的:根据II期方案BT-10和BT-11,在博金斯基诊所(BC)接受抗瘤素A10和AS2-1 (ANP疗法)治疗。ANP治疗通过锁骨下导管和输液泵输送。在ANP治疗期间,通过脑序列磁共振成像(MRI)与基线脑MRI的比较来确定肿瘤反应。结果:四名接受神经节胶质瘤治疗的儿童中,所有人都接受过手术治疗,但没有人接受过放疗或化疗。2例肿瘤复发和进展,可能发生高级别转化(丘脑-中脑区;2例脑干肿瘤(持续性多中心神经节神经胶质瘤;神经节神经胶质瘤(神经节神经胶质瘤,发生于下髓及颈上脊髓),较难治疗,预后较差。体格检查结果与每个孩子的肿瘤位置相符。静脉ANP治疗持续6.4 ~ 24.8个月。两名可能发生高级别转化的儿童获得了部分缓解(PR),而两名患有脑干肿瘤的儿童保持了稳定的疾病(SD)。这4名儿童的总生存期从10.3年到22.4年不等。结论:介绍了ANP治疗小儿神经节胶质瘤的应用情况。我们的结论是,ANP治疗是神经节胶质瘤儿童的一个有吸引力的治疗选择,这些儿童不适合或拒绝手术切除和/或表现出持续、复发或进展的疾病,在手术切除后伴有或不伴有高级别转化。
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引用次数: 1
Pituitary adenomas and COVID-19 related disease in pandemic time: Clinical, pathological, immunohistochemical, and ultrastructure analysis 大流行时期垂体腺瘤与COVID-19相关疾病:临床、病理、免疫组织化学和超微结构分析
IF 2.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-09-30 DOI: 10.33425/2692-7918.1033
M. Tena Suck, Daniel Rocandio Hernández, Alma Ortiz Plata, S. Moreno-Jimenez, Jose Sandoval, M. Castillejos-López, J. Flores
Introduction: Methods: 47 patients were emergency operated on due to pituitary apoplexy during the pandemic time. The patients were divided into two groups according to PCR COVID-19 positive vs negative test. Histopathology all cases showed varying degrees of necrosis, microthrombi formation secondary to inflammation, and endothelial cells injuries in association with TNFa, TNFk, FVIII, DPGF, HIF1a, Il6, Il10, Il17, DPGF, CD3, CD4, CD8, CD20, CD68, CD163, ACE2, and antiCOV immunoexpression. Results: 24 women and 23 men, age ranges from 21 to 76 years (mean 42.25±13.38), 14 (36%) presented positive COVID19 tests, and 30 (64%) were covid negative. 15 were already recurrences, 4 recurrences in the same year, and 4 died during the pandemic time. 9 (30%) showed histological data of stroke, of which necrosis around <25% were 8 (47%), 25-50% were 2 (12%) and >50% were 8 (45%). Weak vascular changes in 4 (24%), moderate in 7 (65%) and severe in 1, moderate, and intense in 1 (6%) were observed. Conclusions: Apoplexy in a previously diagnosed macro-PAD in the setting of a recent COVID-19 infection. The patients who presented with histological features of pituitary tumor infarction alone had less severe clinical features on presentation, a longer course before presentation, and a better outcome than those presenting with hemorrhagic infarction or frank hemorrhage. Hyperactivated and dysregulated immune cells pose a substantial danger for exacerbated tissue damage. COVID-19 may increase the risk of pituitary apoplexy, and we should be vigilant for signs of this. A more insidious pathological link between COVID-19 and apoplexy may exist in addition to severe inflammatory response.
方法:对大流行期间47例垂体卒中患者进行急诊手术治疗。根据PCR阳性和阴性结果将患者分为两组。所有病例的组织病理学均显示不同程度的坏死,继发于炎症的微血栓形成,内皮细胞损伤与TNFa、TNFk、FVIII、DPGF、HIF1a、Il6、Il10、Il17、DPGF、CD3、CD4、CD8、CD20、CD68、CD163、ACE2和抗冠状病毒免疫表达有关。结果:女性24例,男性23例,年龄21 ~ 76岁,平均42.25±13.38岁,阳性14例(36%),阴性30例(64%)。15例已经复发,4例同年复发,4例在大流行期间死亡。9例(30%)有脑卒中组织学资料,其中坏死约50%,8例(45%)。轻度血管改变4例(24%),中度血管改变7例(65%),重度血管改变1例,中度血管改变1例,重度血管改变1例(6%)。结论:在最近感染COVID-19的情况下,先前诊断的宏观pad发生卒中。单纯表现为垂体肿瘤梗死的患者在发病时的临床特征较轻,发病前病程较长,预后较出血性梗死或直接出血的患者好。过度激活和失调的免疫细胞对加剧的组织损伤构成实质性的危险。COVID-19可能会增加脑垂体中风的风险,我们应该警惕这种迹象。除了严重的炎症反应外,COVID-19与中风之间可能存在更隐蔽的病理联系。
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引用次数: 0
Therapeutic interventions of Amyotrophic Lateral Sclerosis (ALS) 肌萎缩侧索硬化(ALS)的治疗干预措施
IF 2.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-08-01 DOI: 10.33425/2692-7918.1032
A. Chakraborty, Anil Diwan
Amyotrophic lateral sclerosis (ALS) is a non-demyelinating neurodegenerative disease mostly found in adults between 40 to 60 years old. This disease is usually prevalent in males, however it’s irrespective to the different genders. ALS is progressive and within 2-5 years of diagnosis ulimately ends with death. The majority of ALS cases is sporadic (90%) and is recorded without any defined aetiology. The other 10-12% of cases is recognized from mutations in more than 20 genes. The genes reported to cause ALS are Superoxide Dismutase 1 (SOD1), TAR DNA Binding Protein (TDP), Fused in Sarcoma, (FUS), Chromosome 9 Open Reading Frame 72 (c9orf72) and Vesicle-Associated Membrane-ProteinAssociated Protein B (VAPB). Furthermore, abnormal lipid metabolism with higher LDL/HDL ratio was reported in ALS patients. The aetiology of ALS is shown in the schematic diagram below (Figure 1) Due to the multi-nature of ALS causative factors and symptoms, there is no specific therapy for ALS today. However, this paper will touch on potential therapies that are in practice or may come up in the future. The goal is to maintain and improve the function of motor neuron, the well-being and quality of life for ALS patients. Until then, we have to rely on the symptomatic treatment and rehabilitative measures to support the patient’s quality of life.
肌萎缩性侧索硬化症(ALS)是一种非脱髓鞘性神经退行性疾病,常见于40至60岁的成年人。这种疾病通常在男性中流行,但与不同性别无关。ALS是一种进行性疾病,在诊断后2-5年内最终以死亡告终。大多数ALS病例是散发的(90%),没有任何明确的病因。另外10-12%的病例是由20多种基因突变引起的。据报道,导致ALS的基因有超氧化物歧化酶1 (SOD1)、TAR DNA结合蛋白(TDP)、肉瘤融合(FUS)、9号染色体开放阅读框72 (c9orf72)和囊泡相关膜蛋白相关蛋白B (VAPB)。此外,ALS患者的脂质代谢异常,LDL/HDL比值较高。ALS的病因如下图所示(图1)。由于ALS的致病因素和症状具有多重性质,目前还没有针对ALS的特异性治疗方法。然而,本文将触及潜在的治疗方法,在实践中或可能出现在未来。目标是维持和改善运动神经元的功能,改善ALS患者的健康和生活质量。在此之前,我们必须依靠对症治疗和康复措施来支持患者的生活质量。
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引用次数: 0
Conundrum of Cavum Septum Pellucidum in Expert Witness Testimony, Police Evidence And Neurobehavioural Consequence: Affecting Legal Practice And Criminal Justice? 专家证人证词、警方证据和神经行为后果中的透明隔隙难题:影响法律实践和刑事司法?
IF 2.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-08-01 DOI: 10.33425/2692-7918.1029
S. Thompson
Cavum septum pellucidum (CSP) is a rare condition when the septum pellucidum remains open to the inner ventricles within the brain. In many cases, CSP and the associated anatomical structure cavum vergae is thought to lead to anti-social and psychotic behaviour which poses a problem to those working in legal services. Controversy surrounds the possibility of congenital versus acquired conditions when CSP is found in those with repeated traumatic brain injuries such as professional athletes, American pro-footballers and professional and amateur boxers. Collecting police evidence and presenting expert testimony in the Courts is problematical when there is confusion over the acquisition of CSP. Treatment is compounded by differing presentations often involving psychosis which makes it a challenge to correctly place individuals within health service provision and penal institutions as well as offering appropriate treatment and criminal justice.
透明隔腔(CSP)是一种罕见的情况下,当透明隔保持开放的内脑室在大脑。在许多情况下,CSP和相关的性腺腔解剖结构被认为会导致反社会和精神病行为,这对那些从事法律服务的人来说是一个问题。当CSP出现在那些反复遭受创伤性脑损伤的人身上时,比如职业运动员、美国职业足球运动员、职业和业余拳击手,围绕着先天性还是后天的可能性存在争议。当对CSP的获取存在混淆时,收集警方证据和在法庭上提出专家证词是有问题的。治疗的复杂之处在于,不同的表现往往涉及精神病,这使得正确地将个人安置在保健服务机构和刑罚机构以及提供适当的治疗和刑事司法成为一项挑战。
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引用次数: 0
Hip Fracture As A Potential Contributor To Cognitive Decline And Dementia 髋部骨折是认知能力下降和痴呆的潜在诱因
IF 2.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-08-01 DOI: 10.33425/2692-7918.1030
S. Thompson
This paper reviews the possible link between hip fracture and cognitive decline and dementia. There is a growing body of clinical research literature that indicates that cognitive decline is associated with the presence of delirium and that delirium is a predictor of dementia. Hip fracture is thought to be an independent factor that may lead to cognitive decline and dementia. It is suggested that cost implications should not become an obstacle to determining the best course of rehabilitation when delirium signals the need for preventive measures to protect the welfare of patients with hip fracture.
本文综述了髋部骨折与认知能力下降和痴呆之间的可能联系。越来越多的临床研究文献表明,认知能力下降与谵妄的出现有关,而谵妄是痴呆的前兆。髋部骨折被认为是可能导致认知能力下降和痴呆的一个独立因素。当谵妄表明需要采取预防措施以保护髋部骨折患者的福利时,成本影响不应成为确定最佳康复方案的障碍。
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引用次数: 0
The patient-centered care for patients with acute myocardial infarction: what can be improved the disease management 以患者为中心的急性心肌梗死患者护理:哪些可以改善疾病管理
IF 2.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-08-01 DOI: 10.33425/2692-7918.1028
Cláudia Amaro dos Santos, Telmo Pequito, A. Fonseca
Introduction: Cardiovascular diseases are presented as a set of diseases that affect the cardiovascular system because of inappropriate lifestyles or unhealthy, they are consistent in risk might be modifiable through a proper disease management factor. Aim: Assess the perceptions of patients with acute myocardial infarction about this heart disease and risk factors associated. Also, identify the risk factors that can be improved to manage the disease. Design: Observational and prospective study. Methods: The survey was conducted in a Cardiac Intensive Care Unit of a Central Hospital, with inclusion of all patients admitted on a period of two months. Nineteen patients were studied with a clinical diagnosis of Acute Myocardial Infarction. Results: The analysis of the questionnaires showed that, approach the subject has a justified and reasoned relevance. The high prevalence of risk factors that can be modified highlighted the need for intervention in patients with non-modifiable risk factors. Conclusion: Patients with acute myocardial infarction do not have a correct perception of the disease and associated factors. Many of the risk factors present in patients with acute myocardial infarction are likely to be modified by an appropriate disease management, with a patient-centred care.
导论:心血管疾病是由于不适当的生活方式或不健康的生活方式而影响心血管系统的一组疾病,它们的危险性是一致的,可以通过适当的疾病管理因素加以改变。目的:评价急性心肌梗死患者对该心脏病及其相关危险因素的认识。此外,确定可以改善以控制疾病的风险因素。设计:观察性和前瞻性研究。方法:调查在某中心医院的心脏重症监护病房进行,纳入所有住院两个月的患者。本文对19例临床诊断为急性心肌梗死的患者进行了研究。结果:对问卷的分析表明,方法的主题具有合理和合理的相关性。可改变的危险因素的高流行率突出了对不可改变的危险因素患者进行干预的必要性。结论:急性心肌梗死患者对疾病及相关因素缺乏正确认识。急性心肌梗死患者中存在的许多危险因素可能通过适当的疾病管理和以患者为中心的护理来改变。
{"title":"The patient-centered care for patients with acute myocardial infarction: what can be improved the disease management","authors":"Cláudia Amaro dos Santos, Telmo Pequito, A. Fonseca","doi":"10.33425/2692-7918.1028","DOIUrl":"https://doi.org/10.33425/2692-7918.1028","url":null,"abstract":"Introduction: Cardiovascular diseases are presented as a set of diseases that affect the cardiovascular system because of inappropriate lifestyles or unhealthy, they are consistent in risk might be modifiable through a proper disease management factor. Aim: Assess the perceptions of patients with acute myocardial infarction about this heart disease and risk factors associated. Also, identify the risk factors that can be improved to manage the disease. Design: Observational and prospective study. Methods: The survey was conducted in a Cardiac Intensive Care Unit of a Central Hospital, with inclusion of all patients admitted on a period of two months. Nineteen patients were studied with a clinical diagnosis of Acute Myocardial Infarction. Results: The analysis of the questionnaires showed that, approach the subject has a justified and reasoned relevance. The high prevalence of risk factors that can be modified highlighted the need for intervention in patients with non-modifiable risk factors. Conclusion: Patients with acute myocardial infarction do not have a correct perception of the disease and associated factors. Many of the risk factors present in patients with acute myocardial infarction are likely to be modified by an appropriate disease management, with a patient-centred care.","PeriodicalId":21130,"journal":{"name":"Restorative neurology and neuroscience","volume":"51 3","pages":""},"PeriodicalIF":2.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72489076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Carbon monoxide poisoning: Recommendations for neuropsychological assessment 一氧化碳中毒:神经心理学评估的建议
IF 2.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-08-01 DOI: 10.33425/2692-7918.1031
S. Thompson
Carbon monoxide poisoning is potentially significant in terms of mortality rates, and survivors can have serious deleterious neurological consequences. Diagnosis may be hampered because of symptoms that are similar to other benign conditions. Neuropsychological assessment is complicated due to the need to assess potentially global brain dysfunction. Assessment recommendations are presented and discussed together with an overview of treatment options.
一氧化碳中毒在死亡率方面具有潜在的重大意义,幸存者可能会产生严重的有害神经后果。由于症状与其他良性疾病相似,诊断可能会受到阻碍。由于需要评估潜在的全局性脑功能障碍,神经心理学评估是复杂的。评估建议和治疗方案的概述一起提出和讨论。
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引用次数: 0
期刊
Restorative neurology and neuroscience
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