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Reviews in neurological diseases最新文献

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Re: Multiple brain infarcts after orbital inflammation. Re:眼眶炎症后多发脑梗死。
Pub Date : 2009-01-01
Katie Luneau, Beau B Bruce, Nancy J Newman, Valérie Biousse
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引用次数: 0
The neurofibromatoses. Part 2: NF2 and schwannomatosis. neurofibromatoses。第二部分:NF2和神经鞘瘤病。
Pub Date : 2009-01-01
Christine Lu-Emerson, Scott R Plotkin

The neurofibromatoses, including neurofibromatosis 1 (NF1), neurofibromatosis 2 (NF2), and schwannomatosis, comprise a group of genetically distinct disorders of the nervous system that are unified by the predisposition to nerve sheath tumors. All 3 types of NF have tumor manifestations (consistent with tumor-suppressor status) and nontumor manifestations. In the second part of this 2-part series, the manifestations of NF2 and schwannomatosis are reviewed. NF2 is characterized by bilateral vestibular schwannomas, meningiomas, ependymomas, cataracts, and epiretinal membranes. The combination of complete hearing loss from vestibular schwannomas and blindness from bifacial weakness is a devastating potential outcome of NF2. Schwannomatosis is characterized by multiple nonvestibular, nonintradermal schwannomas and chronic pain. Recently, germline alterations in the SMARCB1/INI1 gene have been implicated in both familial and sporadic forms of this disorder. Neurologists play an important role in the diagnosis and management of the neurofibromatoses.

神经纤维瘤病,包括1型神经纤维瘤病(NF1)、2型神经纤维瘤病(NF2)和神经鞘瘤病,由一组遗传上不同的神经系统疾病组成,这些疾病通过易患神经鞘肿瘤而统一起来。3种类型的NF均有肿瘤表现(与肿瘤抑制状态一致)和非肿瘤表现。在这个2部分系列的第二部分,NF2和神经鞘瘤病的表现进行了回顾。NF2以双侧前庭神经鞘瘤、脑膜瘤、室管膜瘤、白内障和视网膜前膜为特征。前庭神经鞘瘤引起的完全听力丧失和面部虚弱引起的失明是NF2的潜在破坏性后果。神经鞘瘤病以多发非前庭神经鞘瘤、非皮内神经鞘瘤和慢性疼痛为特征。最近,SMARCB1/INI1基因的种系改变与家族性和散发性这种疾病有关。神经科医生在神经纤维瘤病的诊断和治疗中起着重要的作用。
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引用次数: 0
The use of optical coherence tomography in neurology. 光学相干断层扫描在神经学中的应用。
Pub Date : 2009-01-01
Cédric Lamirel, Nancy Newman, Valéerie Biousse

Optical coherence tomography (OCT) is a noninvasive imaging technique routinely used in ophthalmology to visualize and quantify the layers of the retina. OCT allows direct visualization and measurement of the topography of the optic nerve head and retinal nerve fiber layer thickness in the peripapillary and macular regions with micron-scale resolution. These measurements are of particular interest in optic neuropathies and in numerous neurologic disorders in which there is axonal loss, such as multiple sclerosis. This article provides a detailed overview of OCT and its potential applications in neurology.

光学相干断层扫描(OCT)是一种非侵入性成像技术,通常用于眼科,以可视化和量化视网膜层。OCT可以以微米级分辨率直接可视化和测量视神经头的形貌和乳头周围和黄斑区域的视网膜神经纤维层厚度。这些测量对视神经病变和许多轴突丧失的神经系统疾病(如多发性硬化症)特别有意义。本文详细介绍了OCT及其在神经病学中的潜在应用。
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引用次数: 0
Neuroimaging advances. Highlights from the 32nd Annual Meeting of the American Society of Neuroimaging, January 22-25, 2009, Orlando, FL. 神经影像学的进步。2009年1月22日至25日在佛罗里达州奥兰多举行的第32届美国神经影像学学会年会的亮点。
Pub Date : 2009-01-01
Rohit Bakshi
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引用次数: 0
Nervous system lyme disease: diagnosis and treatment. 神经系统莱姆病:诊断和治疗。
Pub Date : 2009-01-01
John J Halperin

Lyme disease, the multisystem infectious disease caused by the tickborne spirochete Borrelia burgdorferi, frequently affects the peripheral and central nervous systems. The earliest indication of Lyme disease infection is usually erythema migrans. This large, typically macular erythema, often with a target-like pattern of concentric pale and red circles, gradually enlarges day by day, potentially reaching many centimeters in diameter. In a significant proportion of infected individuals, an acute disseminated phase leads to seeding elsewhere in the body. Up to 5% of patients develop cardiac involvement. In about 10% to 15% of patients, the nervous system becomes symptomatically involved. Current serologic diagnostic tools are quite useful, and standard treatment regimens are highly effective. Oral antimicrobials have been shown to be effective in European neuroborreliosis and presumably are equally potent in North American patients. Long-term antibiotic treatment does not provide any additional lasting improvement, but it is frequently associated with significant morbidity.

莱姆病是由蜱传螺旋体伯氏疏螺旋体引起的多系统传染病,经常影响周围和中枢神经系统。莱姆病感染的最早症状通常是移行性红斑。这种大的典型黄斑红斑,通常呈靶状同心苍白和红色圆圈,逐渐扩大,可能达到许多厘米的直径。在很大比例的感染者中,急性播散期导致在身体其他部位播种。高达5%的患者发生心脏受累。在大约10%到15%的患者中,神经系统会出现症状。目前的血清学诊断工具非常有用,标准治疗方案也非常有效。口服抗菌剂已被证明对欧洲神经螺旋体病有效,估计对北美患者也同样有效。长期抗生素治疗不能提供任何额外的持久改善,但它经常与显著的发病率相关。
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引用次数: 0
Neuromuscular and electrodiagnostic medicine. 神经肌肉和电诊断医学。
Pub Date : 2009-01-01
John J Kelly
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引用次数: 0
A patient with epilepsy and new onset of nocturnal symptoms. 癫痫患者,新发夜间症状。
Pub Date : 2009-01-01
Ross F Liebman, Alcibáades J Rodriguez
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引用次数: 0
Headaches, rapidly progressive visual loss, and bilateral disc edema. 头痛,快速进行性视力丧失,双侧椎间盘水肿。
Pub Date : 2009-01-01
Carrie R Muh, Jacques Dion, Nancy J Newman, Valérie Biousse

The diagnosis and management of a 28-year-old obese woman who presented with neck pain, headache, and rapidly progressive visual loss is discussed here. Results of her initial general examination were normal. Thorough medical follow-up resulted in a rare diagnosis.

本文讨论一位28岁肥胖女性的诊断和治疗,她表现为颈部疼痛、头痛和快速进行性视力丧失。初步全身检查结果正常。彻底的医疗随访导致了罕见的诊断。
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引用次数: 0
Multiple brain infarcts after orbital inflammation. 眼眶炎症后多发脑梗死。
Pub Date : 2009-01-01
Katie Luneau, Beau B Bruce, Nancy J Newman, Valérie Biousse

A 75-year-old woman developed trigeminal varicella-zoster virus infection complicated by ophthalmoplegia, and visual loss followed by recurrent cerebral infarctions involving small and large intracranial arteries. Medical therapy improved her ophthalmoplegia, but she developed a right hemiparesis and aphasia.

一名75岁妇女因三叉神经水痘带状疱疹病毒感染并发眼麻痹,视力丧失,随后复发性脑梗死累及小动脉和大动脉。药物治疗改善了她的眼麻痹,但她出现了右半瘫和失语。
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引用次数: 0
Best of the 2009 annual meeting of the american academy of neurology. 2009年美国神经学会年会最佳人选。
Pub Date : 2009-01-01
John J Kelly
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引用次数: 0
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Reviews in neurological diseases
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