首页 > 最新文献

Current Journal of Neurology最新文献

英文 中文
Neuro-mucormycosis: Lessons from COVID-19-associated cases 神经粘液瘤病:从 COVID-19 相关病例中汲取的教训
IF 0.7 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-26 DOI: 10.18502/cjn.v22i4.14531
N. Sedaghat, M. Etemadifar, Pouria Ghasemi, Mohammad Naghizadeh, Yousef Mokari, M. Salari, Bahar Golastani
Background: Scarce data are available on the neurological presentations of coronavirus disease 2019 (COVID-19)-associated mucormycosis (CAM) and COVID-19-unrelated rhino-orbito-cerebral mucormycosis (ROCM). This study aimed to compare the neurological presentations and their associated outcomes in patients with CAM and COVID-19-unrelated ROCM. Methods: In December 2021, a case-control analysis was conducted on the CAM (case group) and COVID-19-unrelated ROCM (control group) referrals of one center in Isfahan, Iran. Confirmed CAM patients from January 2020 to December 2021 constituted the case group, and patients with COVID-19-unrelated ROCM from 2016-2019 constituted the control group. Their data were then analyzed using proper (non) parametric tests and generalized linear models (GLM), therein P-value below 0.05 was considered as the criterion of statistical significance, and the SPSS software was used. Results: After retrieving data on 177 patients with mucormycosis, 78 patients with CAM were included as the case group and 72 patients with COVID-19-unrelated ROCM were included as the control group. Neurological presentations suggestive of second, third, and eighth cranial nerve involvement were more prevalent in the CAM group (all with P < 0.05). The mortality rate in the CAM group was 1.9 times that of the controls (P = 0.01), being explained by higher extent of corticosteroid administration among them. Higher age and presentation with gait ataxia, ptosis, and mydriasis were considered to be predictive of poor prognosis in patients with CAM (all with P < 0.05). Conclusion: The neurological manifestations of CAM differ from COVID-19-unrelated ROCM based on the presented results, some of which are associated with poor prognosis. Further replication is warranted to confirm our retrospective analyses.
背景:关于冠状病毒病2019(COVID-19)相关粘液瘤病(CAM)和与COVID-19无关的鼻-眶-脑粘液瘤病(ROCM)的神经系统表现的数据很少。本研究旨在比较 CAM 和 COVID-19 非相关 ROCM 患者的神经系统表现及其相关预后。 研究方法2021 年 12 月,对伊朗伊斯法罕一家中心转诊的 CAM(病例组)和 COVID-19 非相关 ROCM(对照组)患者进行了病例对照分析。2020 年 1 月至 2021 年 12 月期间确诊的 CAM 患者构成病例组,2016-2019 年期间与 COVID-19 无关的 ROCM 患者构成对照组。然后使用适当的(非)参数检验和广义线性模型(GLM)对其数据进行分析,其中 P 值低于 0.05 为统计学意义标准,并使用 SPSS 软件。 结果在检索了 177 例粘孢子菌病患者的数据后,将 78 例患有 CAM 的患者列为病例组,将 72 例患有与 COVID-19 无关的 ROCM 的患者列为对照组。提示第二、第三和第八颅神经受累的神经系统表现在 CAM 组中更为常见(P 均<0.05)。CAM组的死亡率是对照组的1.9倍(P = 0.01),这是因为CAM组使用皮质类固醇的比例更高。CAM患者的年龄较大,并伴有步态共济失调、眼睑下垂和瞳孔散大,因此预后较差(P均<0.05)。 结论根据上述结果,CAM 的神经系统表现与 COVID-19 无关的 ROCM 不同,其中一些表现与预后不良有关。为了证实我们的回顾性分析,有必要进行进一步的重复研究。
{"title":"Neuro-mucormycosis: Lessons from COVID-19-associated cases","authors":"N. Sedaghat, M. Etemadifar, Pouria Ghasemi, Mohammad Naghizadeh, Yousef Mokari, M. Salari, Bahar Golastani","doi":"10.18502/cjn.v22i4.14531","DOIUrl":"https://doi.org/10.18502/cjn.v22i4.14531","url":null,"abstract":"Background: Scarce data are available on the neurological presentations of coronavirus disease 2019 (COVID-19)-associated mucormycosis (CAM) and COVID-19-unrelated rhino-orbito-cerebral mucormycosis (ROCM). This study aimed to compare the neurological presentations and their associated outcomes in patients with CAM and COVID-19-unrelated ROCM. Methods: In December 2021, a case-control analysis was conducted on the CAM (case group) and COVID-19-unrelated ROCM (control group) referrals of one center in Isfahan, Iran. Confirmed CAM patients from January 2020 to December 2021 constituted the case group, and patients with COVID-19-unrelated ROCM from 2016-2019 constituted the control group. Their data were then analyzed using proper (non) parametric tests and generalized linear models (GLM), therein P-value below 0.05 was considered as the criterion of statistical significance, and the SPSS software was used. Results: After retrieving data on 177 patients with mucormycosis, 78 patients with CAM were included as the case group and 72 patients with COVID-19-unrelated ROCM were included as the control group. Neurological presentations suggestive of second, third, and eighth cranial nerve involvement were more prevalent in the CAM group (all with P < 0.05). The mortality rate in the CAM group was 1.9 times that of the controls (P = 0.01), being explained by higher extent of corticosteroid administration among them. Higher age and presentation with gait ataxia, ptosis, and mydriasis were considered to be predictive of poor prognosis in patients with CAM (all with P < 0.05). Conclusion: The neurological manifestations of CAM differ from COVID-19-unrelated ROCM based on the presented results, some of which are associated with poor prognosis. Further replication is warranted to confirm our retrospective analyses.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":"6 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139155307","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
Social support and anxiety correlation with resilience in patients with multiple sclerosis during COVID-19 pandemic 多发性硬化症患者在 COVID-19 大流行期间的社会支持和焦虑与复原力的相关性
IF 0.7 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-26 DOI: 10.18502/cjn.v22i4.14525
V. Shaygannejad, O. Mirmosayyeb, Aysa Shaygannejad, S. Vaheb, Sara Bagherieh, Mozhdeh Askari, M. Ghajarzadeh
Background: Social support and anxiety are essential for patients with chronic diseases such as multiple sclerosis (MS). During coronavirus disease 2019 (COVID-19) pandemic, the psychological well-being of subjects with MS was an important issue, and we designed this study to assess anxiety, resilience, and social support in these patients during COVID-19 pandemic stage. Methods: We used convenience sampling for this study. Inclusion criteria were definite diagnosis of MS based on McDonald criteria and age more than 18 years. Two hundred patients with MS were enrolled. Subjects were asked to fill out valid and reliable Persian versions of Connor-Davidson Resilience Scale (CD-RISC), Beck Anxiety Inventory (BAI), and Perceived Social Support Scale. We also collected demographic data (age, sex, marital status, and occupation), disease duration, and disability level [Expanded Disability Status Scale (EDSS)]. Continuous variables were presented as mean ± standard deviation (SD) (except for EDSS, as its distribution was not normal), and categorical variables were presented as frequencies. Correlation coefficients were calculated. We did a subgroup analysis and compared patients with BAI less than 30 and more than 30 (severe anxiety). A P-value less than 0.05 was considered significant. Results: Mean age and mean duration of the disease were 36.5 ± 9.3 and 6.2 ± 5.4 years, respectively. Mean BAI, social support, and resilience scores were 33.8 ± 11.4, 65.7 ± 16.7, and 62.5 ± 19.4, respectively. resilience and social support scales (r = 0.44, P < 0.001), and also a significant negative correlation between resilience and BAI (r = -0.31, P < 0.001). Patients with severe anxiety (BAI > 30) had lower social support scores and resilience (social support: 70.3 ± 13.1 vs. 61.5 ± 18.6, P < 0.001; resilience: 57.3 ± 17.0 vs. 68.2 ± 19.6, P < 0.001) compared to patients with BAI ≤ 30. By considering resilience score as the dependent variable and other variables as independent variables, we found that BAI and social support scores were independent predictors. Conclusion: Social support and anxiety are independent predictors of resilience during COVID-19 pandemic in patients with MS.
背景:社会支持和焦虑对多发性硬化症(MS)等慢性病患者至关重要。在冠状病毒病 2019(COVID-19)大流行期间,多发性硬化症患者的心理健康是一个重要问题,我们设计了这项研究来评估这些患者在 COVID-19 大流行阶段的焦虑、复原力和社会支持。 研究方法本研究采用便利抽样法。纳入标准为根据麦克唐纳标准确诊为多发性硬化症且年龄大于 18 岁。共招募了 200 名多发性硬化症患者。受试者被要求填写有效可靠的波斯语版康纳-戴维森复原力量表(CD-RISC)、贝克焦虑量表(BAI)和感知社会支持量表。我们还收集了人口统计学数据(年龄、性别、婚姻状况和职业)、病程和残疾程度[扩展残疾状况量表(EDSS)]。连续变量以均数 ± 标准差 (SD) 表示(EDSS 除外,因为其分布不符合正态分布),分类变量以频率表示。计算相关系数。我们对 BAI 小于 30 和大于 30(严重焦虑)的患者进行了分组分析和比较。P 值小于 0.05 即为显著。 结果平均年龄(36.5±9.3)岁,平均病程(6.2±5.4)年。BAI、社会支持和抗逆力的平均得分分别为(33.8 ± 11.4)、(65.7 ± 16.7)和(62.5 ± 19.4),抗逆力与社会支持量表之间存在显著负相关(r = 0.44,P < 0.001),抗逆力与 BAI 之间也存在显著负相关(r = -0.31,P < 0.001)。严重焦虑患者(BAI > 30)的社会支持得分和恢复力均较低(社会支持:70.3 ± 13.1 vs BAI > 30):70.3 ± 13.1 vs. 61.5 ± 18.6,P < 0.001;复原力:57.3 ± 17.0 vs. 61.5 ± 18.6,P < 0.001:57.3 ± 17.0 vs. 68.2 ± 19.6,P < 0.001)。通过将复原力得分作为因变量,其他变量作为自变量,我们发现 BAI 和社会支持得分是独立的预测因子。 结论:社会支持和焦虑是独立的预测因素:在 COVID-19 大流行期间,社会支持和焦虑是多发性硬化症患者复原力的独立预测因素。
{"title":"Social support and anxiety correlation with resilience in patients with multiple sclerosis during COVID-19 pandemic","authors":"V. Shaygannejad, O. Mirmosayyeb, Aysa Shaygannejad, S. Vaheb, Sara Bagherieh, Mozhdeh Askari, M. Ghajarzadeh","doi":"10.18502/cjn.v22i4.14525","DOIUrl":"https://doi.org/10.18502/cjn.v22i4.14525","url":null,"abstract":"Background: Social support and anxiety are essential for patients with chronic diseases such as multiple sclerosis (MS). During coronavirus disease 2019 (COVID-19) pandemic, the psychological well-being of subjects with MS was an important issue, and we designed this study to assess anxiety, resilience, and social support in these patients during COVID-19 pandemic stage. Methods: We used convenience sampling for this study. Inclusion criteria were definite diagnosis of MS based on McDonald criteria and age more than 18 years. Two hundred patients with MS were enrolled. Subjects were asked to fill out valid and reliable Persian versions of Connor-Davidson Resilience Scale (CD-RISC), Beck Anxiety Inventory (BAI), and Perceived Social Support Scale. We also collected demographic data (age, sex, marital status, and occupation), disease duration, and disability level [Expanded Disability Status Scale (EDSS)]. Continuous variables were presented as mean ± standard deviation (SD) (except for EDSS, as its distribution was not normal), and categorical variables were presented as frequencies. Correlation coefficients were calculated. We did a subgroup analysis and compared patients with BAI less than 30 and more than 30 (severe anxiety). A P-value less than 0.05 was considered significant. Results: Mean age and mean duration of the disease were 36.5 ± 9.3 and 6.2 ± 5.4 years, respectively. Mean BAI, social support, and resilience scores were 33.8 ± 11.4, 65.7 ± 16.7, and 62.5 ± 19.4, respectively. resilience and social support scales (r = 0.44, P < 0.001), and also a significant negative correlation between resilience and BAI (r = -0.31, P < 0.001). Patients with severe anxiety (BAI > 30) had lower social support scores and resilience (social support: 70.3 ± 13.1 vs. 61.5 ± 18.6, P < 0.001; resilience: 57.3 ± 17.0 vs. 68.2 ± 19.6, P < 0.001) compared to patients with BAI ≤ 30. By considering resilience score as the dependent variable and other variables as independent variables, we found that BAI and social support scores were independent predictors. Conclusion: Social support and anxiety are independent predictors of resilience during COVID-19 pandemic in patients with MS.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":"10 10","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156344","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
On genotype-phenotype relationship of dystrophinopathies among Iranian population 伊朗人肌营养不良症的基因型与表型关系
IF 0.7 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-26 DOI: 10.18502/cjn.v22i4.14528
Keivan Basiri, Maryam Alizadeh, B. Ansari, Majid Ghasemi, Mohsen Kheradmand, M. Sedghi
Background: Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are inherited X-linked disorders resulting from alterations in the dystrophin gene. Genotype-phenotype matching studies have revealed a link between disease severity, the amount of muscle dystrophin, and the extent of mutation/deletion on the dystrophin gene. This study aimed to assess the relationship between genetic alterations in the dystrophin gene and the clinical status of patients with dystrophinopathies among the Iranian population. Methods: This cross-sectional study examined 54 patients with muscle weakness caused by abnormalities in the dystrophin gene at a hospital affiliated to Isfahan University of Medical Sciences, Isfahan, Iran, in 2021. The participants’ demographic information, including age, family history of muscle dystrophies, and family history of other medical diseases as well as the type of muscular dystrophy were recorded. Furthermore, the number and region of deleted exons based on dystrophy types were also evaluated using multiplex ligation-dependent probe amplification (MLPA). The patients’ gaits were also assessed as using a wheelchair, the presence of waddling gaits, or toe gaits. The patients’ clinical status and the coexistence of pulmonary, bulbar, and mental conditions were also examined and compared between the two groups of dystrophinopathies. Results: In this study, 54 patients with dystrophinopathy with the mean age of 16.63 ± 12.10 years were evaluated, of whom 22 (40.7%) and 30 (55.6%) patients were classified as BMD and DMD, respectively. The most affected regions with deleted exons were exons 45-47 (n = 5) and 45-48 (n = 4) in patients with BMD, while exons 45, 48-52, 51-55, and 53 (2 cases per exon) were the most common affected exons in patients with DMD. Further analyses revealed that deletions in exons 45-47 and 51-55 were significantly associated with older and younger ages at the onset of becoming wheelchair-bound in patients with dystrophy, respectively. The hotspot range in both BMD and DMD was within exons 45-55 (n = 15 for each group); 63% of the patients had alterations on the dystrophin gene within this range [30 patients (68.18%) in the BMD group, 15 patients (53.57%) in the DMD group]. Conclusion: Exon deletion was the most common genetic alteration in patients with dystrophinopathies. No significant difference was observed between DMD and BMD regarding the number of deleted exons. Deletions in exons 45-47 and 51-55 were linked to later and earlier onset of becoming wheelchair-bound, respectively.
背景:杜兴氏肌营养不良症(DMD)和贝克氏肌营养不良症(BMD)是由肌营养不良蛋白基因改变引起的X连锁遗传性疾病。基因型-表型匹配研究显示,疾病的严重程度、肌肉营养不良蛋白的数量和营养不良蛋白基因突变/缺失的程度之间存在联系。本研究旨在评估伊朗人群中肌营养不良症患者肌营养不良蛋白基因的遗传改变与临床状态之间的关系。 研究方法这项横断面研究于 2021 年在伊朗伊斯法罕市的伊斯法罕医科大学附属医院对 54 名因肌营养不良基因异常而导致肌无力的患者进行了调查。研究记录了参与者的人口统计学信息,包括年龄、肌营养不良家族史、其他疾病家族史以及肌营养不良类型。此外,还使用多重连接依赖性探针扩增法(MLPA)评估了根据肌营养不良类型而删除的外显子的数量和区域。患者的步态也被评估为使用轮椅、蹒跚步态或脚趾步态。此外,还对两组肌营养不良症患者的临床状况以及是否同时患有肺部、球部和精神疾病进行了检查和比较。 研究结果本研究共评估了 54 例肌营养不良症患者,平均年龄为(16.63 ± 12.10)岁,其中 22 例(40.7%)和 30 例(55.6%)患者分别被归类为 BMD 和 DMD。在BMD患者中,受影响最大的外显子缺失区域是45-47号外显子(5例)和45-48号外显子(4例),而在DMD患者中,最常见的受影响外显子是45、48-52、51-55和53号外显子(每个外显子2例)。进一步分析发现,外显子 45-47 和 51-55 的缺失分别与肌营养不良症患者开始坐轮椅的年龄较大和较小有显著相关性。BMD和DMD的热点范围都在45-55号外显子内(每组n = 15);63%的患者的肌营养不良症基因在此范围内发生改变[BMD组30名患者(68.18%),DMD组15名患者(53.57%)]。 结论外显子缺失是肌营养不良症患者最常见的基因改变。在外显子缺失数量方面,DMD 和 BMD 之间没有明显差异。外显子 45-47 和 51-55 的缺失分别与患者较晚和较早开始坐轮椅有关。
{"title":"On genotype-phenotype relationship of dystrophinopathies among Iranian population","authors":"Keivan Basiri, Maryam Alizadeh, B. Ansari, Majid Ghasemi, Mohsen Kheradmand, M. Sedghi","doi":"10.18502/cjn.v22i4.14528","DOIUrl":"https://doi.org/10.18502/cjn.v22i4.14528","url":null,"abstract":"Background: Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are inherited X-linked disorders resulting from alterations in the dystrophin gene. Genotype-phenotype matching studies have revealed a link between disease severity, the amount of muscle dystrophin, and the extent of mutation/deletion on the dystrophin gene. This study aimed to assess the relationship between genetic alterations in the dystrophin gene and the clinical status of patients with dystrophinopathies among the Iranian population. Methods: This cross-sectional study examined 54 patients with muscle weakness caused by abnormalities in the dystrophin gene at a hospital affiliated to Isfahan University of Medical Sciences, Isfahan, Iran, in 2021. The participants’ demographic information, including age, family history of muscle dystrophies, and family history of other medical diseases as well as the type of muscular dystrophy were recorded. Furthermore, the number and region of deleted exons based on dystrophy types were also evaluated using multiplex ligation-dependent probe amplification (MLPA). The patients’ gaits were also assessed as using a wheelchair, the presence of waddling gaits, or toe gaits. The patients’ clinical status and the coexistence of pulmonary, bulbar, and mental conditions were also examined and compared between the two groups of dystrophinopathies. Results: In this study, 54 patients with dystrophinopathy with the mean age of 16.63 ± 12.10 years were evaluated, of whom 22 (40.7%) and 30 (55.6%) patients were classified as BMD and DMD, respectively. The most affected regions with deleted exons were exons 45-47 (n = 5) and 45-48 (n = 4) in patients with BMD, while exons 45, 48-52, 51-55, and 53 (2 cases per exon) were the most common affected exons in patients with DMD. Further analyses revealed that deletions in exons 45-47 and 51-55 were significantly associated with older and younger ages at the onset of becoming wheelchair-bound in patients with dystrophy, respectively. The hotspot range in both BMD and DMD was within exons 45-55 (n = 15 for each group); 63% of the patients had alterations on the dystrophin gene within this range [30 patients (68.18%) in the BMD group, 15 patients (53.57%) in the DMD group]. Conclusion: Exon deletion was the most common genetic alteration in patients with dystrophinopathies. No significant difference was observed between DMD and BMD regarding the number of deleted exons. Deletions in exons 45-47 and 51-55 were linked to later and earlier onset of becoming wheelchair-bound, respectively.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":"1 3","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139155690","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
Injudicious use of cranio-spinal imaging in Guillain-Barré syndrome in a low resource country 在一个资源匮乏的国家,吉兰-巴雷综合征患者错误使用头颅脊柱成像技术
IF 0.7 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-26 DOI: 10.18502/cjn.v22i4.14532
Muhammad Hassan, M. Badshah, Mansoor Iqbal
Guillain-Barré syndrome (GBS) undergo unnecessary neuroimaging. The objective of this study was to determine the proportion of patients with GBS undergoing neuroimaging investigation, and to investigate any association with different GBS variants using the Brighton criteria. Methods: This cross-sectional observational study was conducted in the leading tertiary care hospital in Pakistan; 148 patients being investigated for, and subsequently diagnosed with GBS between January 2017 and March 2020 were enrolled. Participants were asked if they had undergone neuroimaging of the craniospinal axis before or during hospital admission, and the purpose of any computed tomography (CT) scan was investigated. We enquired whether fundoscopy had been performed before lumbar puncture (LP) and determined the level of certainty based on the Brighton criteria. Results: The majority of participants were men (n = 107, 73%), with a mean age of 42.85 ± 18.40 years. The mean waiting time to their first interaction with a neurologist was 5.20 ± 4.01 days, and the demyelinating variant of GBS was more common than the axonal variant (1.6:1). Most patients were diagnosed with level I certainty using the Brighton criteria (n = 113, 76%). Brain and spine magnetic resonance imaging (MRI) were performed ahead of admission in 48 (32%) and 59 (39%) patients, respectively. Brain CT scan was performed in 121 (82%) patients before LP, while 27 (18%) only underwent fundoscopic examination before LP. Conclusion: Clinical examination is fundamental in the diagnosis of GBS. Neuroimaging may be inappropriate and unnecessary, and may detract attention from crucial peripheral neuropathy measures while misusing limited resources.
吉兰-巴雷综合征(GBS)患者不必要接受神经影像学检查。本研究旨在确定接受神经影像学检查的吉兰-巴雷综合征患者比例,并使用布莱顿标准调查不同吉兰-巴雷综合征变异的相关性。 研究方法这项横断面观察性研究在巴基斯坦领先的三级甲等医院进行,共招募了 148 名在 2017 年 1 月至 2020 年 3 月期间接受检查并随后被确诊为 GBS 的患者。我们询问了参与者在入院前或入院期间是否接受过颅脊轴神经影像学检查,并调查了任何计算机断层扫描(CT)的目的。我们询问了腰椎穿刺(LP)前是否进行了眼底镜检查,并根据布莱顿标准确定了确定性水平。 结果大多数参与者为男性(n = 107,73%),平均年龄为(42.85 ± 18.40)岁。首次与神经科医生交流的平均等待时间为(5.20 ± 4.01)天,脱髓鞘型 GBS 比轴索型 GBS 更常见(1.6:1)。大多数患者根据布莱顿标准(n = 113,76%)确诊为 I 级。分别有48名(32%)和59名(39%)患者在入院前进行了脑部和脊柱磁共振成像(MRI)检查。121名(82%)患者在LP前进行了脑CT扫描,27名(18%)患者在LP前仅进行了眼底镜检查。 结论临床检查是诊断 GBS 的基础。神经影像学检查可能是不恰当和不必要的,可能会分散对关键性周围神经病变措施的关注,同时滥用有限的资源。
{"title":"Injudicious use of cranio-spinal imaging in Guillain-Barré syndrome in a low resource country","authors":"Muhammad Hassan, M. Badshah, Mansoor Iqbal","doi":"10.18502/cjn.v22i4.14532","DOIUrl":"https://doi.org/10.18502/cjn.v22i4.14532","url":null,"abstract":"Guillain-Barré syndrome (GBS) undergo unnecessary neuroimaging. The objective of this study was to determine the proportion of patients with GBS undergoing neuroimaging investigation, and to investigate any association with different GBS variants using the Brighton criteria. Methods: This cross-sectional observational study was conducted in the leading tertiary care hospital in Pakistan; 148 patients being investigated for, and subsequently diagnosed with GBS between January 2017 and March 2020 were enrolled. Participants were asked if they had undergone neuroimaging of the craniospinal axis before or during hospital admission, and the purpose of any computed tomography (CT) scan was investigated. We enquired whether fundoscopy had been performed before lumbar puncture (LP) and determined the level of certainty based on the Brighton criteria. Results: The majority of participants were men (n = 107, 73%), with a mean age of 42.85 ± 18.40 years. The mean waiting time to their first interaction with a neurologist was 5.20 ± 4.01 days, and the demyelinating variant of GBS was more common than the axonal variant (1.6:1). Most patients were diagnosed with level I certainty using the Brighton criteria (n = 113, 76%). Brain and spine magnetic resonance imaging (MRI) were performed ahead of admission in 48 (32%) and 59 (39%) patients, respectively. Brain CT scan was performed in 121 (82%) patients before LP, while 27 (18%) only underwent fundoscopic examination before LP. Conclusion: Clinical examination is fundamental in the diagnosis of GBS. Neuroimaging may be inappropriate and unnecessary, and may detract attention from crucial peripheral neuropathy measures while misusing limited resources.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":"15 12","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156353","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
Plasma neurofilament light chain associated with impaired regional cerebral blood flow in healthy individuals 血浆神经丝蛋白轻链与健康人区域脑血流受损有关
IF 0.7 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-26 DOI: 10.18502/cjn.v22i4.14526
F. Nabizadeh, Richard T. Ward, M. Balabandian, S. B. Kankam, M. Pourhamzeh
Background: Recent findings suggest that the plasma axonal structural protein, neurofilament light (NFL) chain, may serve as a potential blood biomarker for early signs of neurodegenerative diseases, such as Alzheimer’s disease (AD). Given the need for early detection of neurodegenerative disorders, the current study investigated the associations between regional cerebral blood flow (rCBF) in brain regions associated with neurodegenerative disorders and memory function with plasma NFL in AD, mild cognitive impairment (MCI), and healthy controls (HCs). Methods: We recruited 29 AD, 76 MCI, and 39 HCs from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database in the current cross-sectional study. We used Pearson’s correlation models adjusted for the effect of age, sex, and APOE genotype to investigate the association between plasma NFL and rCBF. Results: We found non-significant differences in age (F(2, 141) = 1.304; P = 0.275) and years of education (F(2, 141) = 0.013; P = 0.987). Additionally, we found significant differences between groups in terms of MMSE scores (F(2, 141) = 100.953; P < 0.001). Despite the observation of significantly reduced rCBF in AD and MCI groups versus HCs, we did not detect significant differences in plasma NFL between these groups. We found significant negative associations between plasma NFL and rCBF in various AD-related regions, these findings were only observed after analyses in all participants, and were observed in HCs alone and no significant associations were observed in the AD or MCI groups. Conclusion: These outcomes add to our current understanding surrounding the use of rCBF and plasma NFL biomarkers as tools for early detection and diagnosis of neurodegenerative diseases. A conclusion might be that the association between NFL and impaired rCBF exists before the clinical symptoms appear. Further longitudinal studies with a large sample size should be performed to examine the correlation between plasma NFL and rCBF in order to understand these complex relationships.
背景:最近的研究结果表明,血浆轴突结构蛋白--神经丝蛋白轻链(NFL)--可作为神经退行性疾病(如阿尔茨海默病(AD))早期症状的潜在血液生物标志物。鉴于早期检测神经退行性疾病的需要,本研究调查了与神经退行性疾病相关的脑区区域脑血流(rCBF)和记忆功能与 AD、轻度认知障碍(MCI)和健康对照(HCs)血浆 NFL 之间的关联。 研究方法在本次横断面研究中,我们从阿尔茨海默病神经影像学倡议(ADNI)数据库中招募了 29 名 AD、76 名 MCI 和 39 名 HC。我们使用调整了年龄、性别和 APOE 基因型影响的皮尔逊相关模型来研究血浆 NFL 与 rCBF 之间的关系。 结果:我们发现年龄(F(2, 141) = 1.304; P = 0.275)和受教育年限(F(2, 141) = 0.013; P = 0.987)差异不显著。此外,我们还发现组间在 MMSE 评分方面存在显著差异 (F(2, 141) = 100.953; P < 0.001)。尽管观察到 AD 组和 MCI 组的 rCBF 相对于 HC 组明显降低,但我们并未发现这些组间血浆 NFL 的显著差异。我们发现血浆 NFL 与各 AD 相关区域的 rCBF 之间存在明显的负相关,但这些发现仅在对所有参与者进行分析后才观察到,而且仅在 HCs 中观察到,在 AD 或 MCI 组中未观察到明显的相关性。 结论这些结果加深了我们对使用 rCBF 和血浆 NFL 生物标志物作为早期检测和诊断神经退行性疾病的工具的理解。结论可能是,在临床症状出现之前,NFL 和受损的 rCBF 之间就存在关联。应进一步开展大样本量的纵向研究,检查血浆 NFL 和 rCBF 之间的相关性,以了解这些复杂的关系。
{"title":"Plasma neurofilament light chain associated with impaired regional cerebral blood flow in healthy individuals","authors":"F. Nabizadeh, Richard T. Ward, M. Balabandian, S. B. Kankam, M. Pourhamzeh","doi":"10.18502/cjn.v22i4.14526","DOIUrl":"https://doi.org/10.18502/cjn.v22i4.14526","url":null,"abstract":"Background: Recent findings suggest that the plasma axonal structural protein, neurofilament light (NFL) chain, may serve as a potential blood biomarker for early signs of neurodegenerative diseases, such as Alzheimer’s disease (AD). Given the need for early detection of neurodegenerative disorders, the current study investigated the associations between regional cerebral blood flow (rCBF) in brain regions associated with neurodegenerative disorders and memory function with plasma NFL in AD, mild cognitive impairment (MCI), and healthy controls (HCs). Methods: We recruited 29 AD, 76 MCI, and 39 HCs from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database in the current cross-sectional study. We used Pearson’s correlation models adjusted for the effect of age, sex, and APOE genotype to investigate the association between plasma NFL and rCBF. Results: We found non-significant differences in age (F(2, 141) = 1.304; P = 0.275) and years of education (F(2, 141) = 0.013; P = 0.987). Additionally, we found significant differences between groups in terms of MMSE scores (F(2, 141) = 100.953; P < 0.001). Despite the observation of significantly reduced rCBF in AD and MCI groups versus HCs, we did not detect significant differences in plasma NFL between these groups. We found significant negative associations between plasma NFL and rCBF in various AD-related regions, these findings were only observed after analyses in all participants, and were observed in HCs alone and no significant associations were observed in the AD or MCI groups. Conclusion: These outcomes add to our current understanding surrounding the use of rCBF and plasma NFL biomarkers as tools for early detection and diagnosis of neurodegenerative diseases. A conclusion might be that the association between NFL and impaired rCBF exists before the clinical symptoms appear. Further longitudinal studies with a large sample size should be performed to examine the correlation between plasma NFL and rCBF in order to understand these complex relationships.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":"11 3","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156532","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
Olfactory dysfunction in patients with Parkinson's disease: A systematic review and meta-analysis 帕金森病患者的嗅觉功能障碍:系统回顾和荟萃分析
IF 0.7 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-26 DOI: 10.18502/cjn.v22i4.14530
Sara Bagherieh, Noor Mohammad Arefian, M. Ghajarzadeh, Arash Tafreshinejad, Alireza Zali, O. Mirmosayyeb, Saeid Safari
Background: Parkinson’s disease (PD) is a progressive neuro-degenerative disease and olfactory dysfunction is considered as an important issue in these patients. The prevalence of olfactory dysfunction in patients with PD was reported variously in previous studies. Therefore, we designed this systematic review and meta-analysis to estimate the pooled prevalence of olfactory dysfunction in patients with PD. Methods: Two expert researchers systematically searched PubMed, Scopus, EMBASE, Web of Science, Google Scholar, references of the papers, and conference abstracts. The titles and abstracts of the potential studies were evaluated after deleting the duplicates. We extracted data regarding the total number of participants, first author, publication year, the country of origin, mean age, mean disease duration, female/male, number with olfactory dysfunction, and name of the test. We evaluated the risk of potential bias by the Newcastle-Ottawa Quality Assessment Scale (adapted for cross-sectional studies). All statistical analyses were done using Stata software. To determine heterogeneity between the findings of included studies, inconsistency (I2) was calculated. We applied random effect model when I2 was more than 50%. P-value less than 0.05 was considered significant. Results: The literature search revealed 1546 studies; after deleting duplicates, 894 remained. Finally, twelve studies remained for meta-analysis. Studies were published between years of 2009 to 2021, the sample size of studies ranged between 30 and 2097, and the mean age ranged between 61 and 70 years. The pooled prevalence of olfactory dysfunction in patients with PD was estimated as 64% [95% confidence interval (CI): 44-84, I2 = 99.7%, P < 0.001]. The pooled prevalence of olfactory dysfunction using Sniffin's test was 67% (95% CI: 51-83) and using other tests was 60% (95% CI: 28-92). Conclusion: The results of this systematic review and meta-analysis showed that the pooled prevalence of olfactory dysfunction in patients with PD was 64% which should be considered by physicians.
背景:帕金森病(PD)是一种进行性神经退行性疾病,嗅觉功能障碍被认为是这些患者的一个重要问题。以往的研究对帕金森病患者嗅觉功能障碍的患病率有不同的报道。因此,我们设计了本系统综述和荟萃分析,以估算PD患者嗅觉功能障碍的总体患病率。 方法:两名专家研究人员系统检索了 PubMed、Scopus、EMBASE、Web of Science、Google Scholar、论文参考文献和会议摘要。在删除重复内容后,对潜在研究的标题和摘要进行了评估。我们提取了有关参与者总人数、第一作者、发表年份、原籍国、平均年龄、平均病程、女性/男性、有嗅觉功能障碍的人数和测试名称的数据。我们采用纽卡斯尔-渥太华质量评估量表(适用于横断面研究)对潜在的偏倚风险进行了评估。所有统计分析均使用 Stata 软件完成。为确定纳入研究结果之间的异质性,我们计算了不一致性(I2)。当 I2 超过 50%时,我们采用随机效应模型。P 值小于 0.05 视为显著。 结果文献检索发现了 1546 项研究;删除重复研究后,剩下 894 项研究。最后,剩下 12 项研究进行了荟萃分析。这些研究发表于 2009 年至 2021 年之间,样本量在 30 至 2097 个之间,平均年龄在 61 至 70 岁之间。据估计,嗅觉障碍在帕金森病患者中的汇总患病率为 64% [95% 置信区间 (CI):44-84,I2 = 99.7%,P < 0.001]。使用斯尼芬测试的嗅觉功能障碍总患病率为 67%(95% 置信区间:51-83),使用其他测试的总患病率为 60%(95% 置信区间:28-92)。 结论这项系统回顾和荟萃分析的结果表明,嗅觉功能障碍在帕金森病患者中的总患病率为 64%,医生应对此加以重视。
{"title":"Olfactory dysfunction in patients with Parkinson's disease: A systematic review and meta-analysis","authors":"Sara Bagherieh, Noor Mohammad Arefian, M. Ghajarzadeh, Arash Tafreshinejad, Alireza Zali, O. Mirmosayyeb, Saeid Safari","doi":"10.18502/cjn.v22i4.14530","DOIUrl":"https://doi.org/10.18502/cjn.v22i4.14530","url":null,"abstract":"Background: Parkinson’s disease (PD) is a progressive neuro-degenerative disease and olfactory dysfunction is considered as an important issue in these patients. The prevalence of olfactory dysfunction in patients with PD was reported variously in previous studies. Therefore, we designed this systematic review and meta-analysis to estimate the pooled prevalence of olfactory dysfunction in patients with PD. Methods: Two expert researchers systematically searched PubMed, Scopus, EMBASE, Web of Science, Google Scholar, references of the papers, and conference abstracts. The titles and abstracts of the potential studies were evaluated after deleting the duplicates. We extracted data regarding the total number of participants, first author, publication year, the country of origin, mean age, mean disease duration, female/male, number with olfactory dysfunction, and name of the test. We evaluated the risk of potential bias by the Newcastle-Ottawa Quality Assessment Scale (adapted for cross-sectional studies). All statistical analyses were done using Stata software. To determine heterogeneity between the findings of included studies, inconsistency (I2) was calculated. We applied random effect model when I2 was more than 50%. P-value less than 0.05 was considered significant. Results: The literature search revealed 1546 studies; after deleting duplicates, 894 remained. Finally, twelve studies remained for meta-analysis. Studies were published between years of 2009 to 2021, the sample size of studies ranged between 30 and 2097, and the mean age ranged between 61 and 70 years. The pooled prevalence of olfactory dysfunction in patients with PD was estimated as 64% [95% confidence interval (CI): 44-84, I2 = 99.7%, P < 0.001]. The pooled prevalence of olfactory dysfunction using Sniffin's test was 67% (95% CI: 51-83) and using other tests was 60% (95% CI: 28-92). Conclusion: The results of this systematic review and meta-analysis showed that the pooled prevalence of olfactory dysfunction in patients with PD was 64% which should be considered by physicians.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":"20 8","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156934","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
Evaluation of risk factors for recurrence of cutaneous adverse reactions due to anti-seizure medications in children: A retrospective study 抗癫痫药物导致儿童皮肤不良反应复发的风险因素评估:回顾性研究
IF 0.7 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-26 DOI: 10.18502/cjn.v22i4.14524
Çağatay Günay, G. S. Uzan, S. Asilsoy, N. Uzuner, Özge Kangallı, S. Kurul, U. Yiş
Background: Cutaneous adverse reactions (CARs) are one of the most important reasons for anti-seizure medication (ASM) discontinuation in epilepsy. However, such discontinuations can cause an increase in seizures. This study investigates the risk factors for ASM-related rash recurrence in children. Methods: This retrospective case-control study consisted of the patient group with a single rash due to ASMs (group 1), the patient group with rash recurrence (group 2), and the control group. While the demographic and clinical features of group 1 and the control group were compared in terms of a single rash, group 1 and group 2 were compared for rash recurrence. Results: Group 1, group 2, and control group consisted of 112, 33, and 166 patients, respectively. Female gender was a risk factor for a single rash (P < 0.001) but not for recurrence (P = 0.439). Presence of atopic disease [odds ratio (OR): 9.5, 95% confidence interval (CI): 3.8-23.1, P < 0.001], family history of drug allergy (OR: 26.3, 95% CI: 9.6-72.1, P < 0.001), and polytherapy (OR: 23.5, 95% CI: 8.7-62.9, P < 0.001) were risk factors for rash recurrence. Aromatic nature of both the ASMs associated with the first rash (OR: 14.4, 95% CI: 3.2-63.2, P < 0.001) and rash recurrence (OR: 11.3, 95% CI: 4.6-27.5, P < 0.001) were determined as risk factors separately. Conclusion: Careful use of aromatic drugs may prevent recurrence of ASM-related CAR in children, particularly in cases of personal history of allergic disease and family history of drug allergy.
背景:皮肤不良反应(CAR)是癫痫患者停用抗癫痫药物(ASM)的最重要原因之一。然而,停药会导致癫痫发作增加。本研究调查了儿童抗癫痫药物相关皮疹复发的风险因素。 方法:这项回顾性病例对照研究包括由 ASMs 引起的单次皮疹患者组(第 1 组)、皮疹复发患者组(第 2 组)和对照组。第一组和对照组的人口统计学和临床特征就单次皮疹进行比较,第一组和第二组就皮疹复发进行比较。 结果如下第一组、第二组和对照组分别有 112 名、33 名和 166 名患者。女性是单发皮疹的危险因素(P < 0.001),但不是复发的危险因素(P = 0.439)。特应性疾病[几率比(OR):9.5,95% 置信区间(CI):3.8-23.1,P <0.001]、药物过敏家族史(OR:26.3,95% CI:9.6-72.1,P <0.001)和多疗程治疗(OR:23.5,95% CI:8.7-62.9,P <0.001)是皮疹复发的危险因素。与首次皮疹(OR:14.4,95% CI:3.2-63.2,P<0.001)和皮疹复发(OR:11.3,95% CI:4.6-27.5,P<0.001)相关的 ASM 的芳香性分别被确定为风险因素。 结论谨慎使用芳香类药物可预防儿童ASM相关CAR的复发,尤其是在有过敏性疾病个人史和药物过敏家族史的情况下。
{"title":"Evaluation of risk factors for recurrence of cutaneous adverse reactions due to anti-seizure medications in children: A retrospective study","authors":"Çağatay Günay, G. S. Uzan, S. Asilsoy, N. Uzuner, Özge Kangallı, S. Kurul, U. Yiş","doi":"10.18502/cjn.v22i4.14524","DOIUrl":"https://doi.org/10.18502/cjn.v22i4.14524","url":null,"abstract":"Background: Cutaneous adverse reactions (CARs) are one of the most important reasons for anti-seizure medication (ASM) discontinuation in epilepsy. However, such discontinuations can cause an increase in seizures. This study investigates the risk factors for ASM-related rash recurrence in children. Methods: This retrospective case-control study consisted of the patient group with a single rash due to ASMs (group 1), the patient group with rash recurrence (group 2), and the control group. While the demographic and clinical features of group 1 and the control group were compared in terms of a single rash, group 1 and group 2 were compared for rash recurrence. Results: Group 1, group 2, and control group consisted of 112, 33, and 166 patients, respectively. Female gender was a risk factor for a single rash (P < 0.001) but not for recurrence (P = 0.439). Presence of atopic disease [odds ratio (OR): 9.5, 95% confidence interval (CI): 3.8-23.1, P < 0.001], family history of drug allergy (OR: 26.3, 95% CI: 9.6-72.1, P < 0.001), and polytherapy (OR: 23.5, 95% CI: 8.7-62.9, P < 0.001) were risk factors for rash recurrence. Aromatic nature of both the ASMs associated with the first rash (OR: 14.4, 95% CI: 3.2-63.2, P < 0.001) and rash recurrence (OR: 11.3, 95% CI: 4.6-27.5, P < 0.001) were determined as risk factors separately. Conclusion: Careful use of aromatic drugs may prevent recurrence of ASM-related CAR in children, particularly in cases of personal history of allergic disease and family history of drug allergy.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":"9 17","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139155723","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
Chronic pain among Lebanese individuals with spinal cord injury: Pain interference and impact on quality of life 黎巴嫩脊髓损伤患者的慢性疼痛:疼痛干扰和对生活质量的影响
IF 0.7 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-26 DOI: 10.18502/cjn.v22i4.14529
Nour El-Hoda Saleh, Sleiman Fneish, Ali Orabi, Ghadir Al-Amin, Ibrahim Naim, Zahra Sadek
Background: Chronic pain is one of the most disabling consequences of spinal cord injury (SCI). Although studies have identified a link between chronic pain and decreased quality of life (QOL) among this population, few studies have looked into the experience of chronic pain in Lebanese individuals with SCI and the impact of pain characteristics on QOL. Thus, the present study evaluated the chronic pain experience and its associated factors among Lebanese individuals with SCI in order to determine the impact of pain on QOL. Methods: A cross-sectional study was conducted on 81 Lebanese individual with SCI between August 1st and October 31, 2022. The collected information included sociodemographic characteristics, SCI-related information, pain-related variables, and the 12-item Short Form Health Survey (SF-12). Factors associated with pain interference were evaluated using a linear regression model. One-way ANOVA and independent sample t-test were used to evaluate the association of different baseline and pain characteristics with QOL. Results: In the present study, 81.5% of participants reported chronic pain with the majority of them having neuropathic pain type. Employment status (P = 0.034), type of pain (P = 0.009), and pain severity (P = 0.028) were significantly associated with pain interference. Unemployed participants and those with severe chronic pain, particularly neuropathic pain, had lower QOL. Conclusion: Chronic pain was found to be highly prevalent among Lebanese patients with SCI. Pain interference and QOL were significantly affected by employment status and pain type. Therefore, targeting chronic pain and its associated factors in rehabilitation practice is warranted.
背景:慢性疼痛是脊髓损伤(SCI)最严重的致残后果之一。尽管研究发现慢性疼痛与该人群生活质量(QOL)下降之间存在联系,但很少有研究调查黎巴嫩 SCI 患者的慢性疼痛经历以及疼痛特征对 QOL 的影响。因此,本研究评估了黎巴嫩 SCI 患者的慢性疼痛经历及其相关因素,以确定疼痛对 QOL 的影响。 研究方法在 2022 年 8 月 1 日至 10 月 31 日期间,对 81 名黎巴嫩 SCI 患者进行了横断面研究。收集的信息包括社会人口学特征、SCI 相关信息、疼痛相关变量和 12 项简表健康调查(SF-12)。采用线性回归模型评估了与疼痛干扰相关的因素。采用单因素方差分析和独立样本 t 检验来评估不同基线和疼痛特征与 QOL 的关系。 研究结果在本研究中,81.5%的参与者报告患有慢性疼痛,其中大多数为神经性疼痛。就业状况(P = 0.034)、疼痛类型(P = 0.009)和疼痛严重程度(P = 0.028)与疼痛干扰显著相关。失业者和严重慢性疼痛(尤其是神经性疼痛)患者的 QOL 较低。 结论慢性疼痛在黎巴嫩 SCI 患者中非常普遍。疼痛干扰和 QOL 受就业状况和疼痛类型的影响很大。因此,有必要在康复实践中针对慢性疼痛及其相关因素进行研究。
{"title":"Chronic pain among Lebanese individuals with spinal cord injury: Pain interference and impact on quality of life","authors":"Nour El-Hoda Saleh, Sleiman Fneish, Ali Orabi, Ghadir Al-Amin, Ibrahim Naim, Zahra Sadek","doi":"10.18502/cjn.v22i4.14529","DOIUrl":"https://doi.org/10.18502/cjn.v22i4.14529","url":null,"abstract":"Background: Chronic pain is one of the most disabling consequences of spinal cord injury (SCI). Although studies have identified a link between chronic pain and decreased quality of life (QOL) among this population, few studies have looked into the experience of chronic pain in Lebanese individuals with SCI and the impact of pain characteristics on QOL. Thus, the present study evaluated the chronic pain experience and its associated factors among Lebanese individuals with SCI in order to determine the impact of pain on QOL. Methods: A cross-sectional study was conducted on 81 Lebanese individual with SCI between August 1st and October 31, 2022. The collected information included sociodemographic characteristics, SCI-related information, pain-related variables, and the 12-item Short Form Health Survey (SF-12). Factors associated with pain interference were evaluated using a linear regression model. One-way ANOVA and independent sample t-test were used to evaluate the association of different baseline and pain characteristics with QOL. Results: In the present study, 81.5% of participants reported chronic pain with the majority of them having neuropathic pain type. Employment status (P = 0.034), type of pain (P = 0.009), and pain severity (P = 0.028) were significantly associated with pain interference. Unemployed participants and those with severe chronic pain, particularly neuropathic pain, had lower QOL. Conclusion: Chronic pain was found to be highly prevalent among Lebanese patients with SCI. Pain interference and QOL were significantly affected by employment status and pain type. Therefore, targeting chronic pain and its associated factors in rehabilitation practice is warranted.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":"76 9","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139154838","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
Evaluation of obsessive-compulsive disorder prevalence in Iranian patients with multiple sclerosis and its relationship with demographic characteristics 评估伊朗多发性硬化症患者的强迫症患病率及其与人口统计学特征的关系
IF 0.7 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-26 DOI: 10.18502/cjn.v22i4.14523
A. Keyhani, Mohammad Javad Shabani, F. Etesam, N. Rezaeimanesh, A. Azimi, A. Moghadasi
Background: The present study examined the prevalence of obsessive-compulsive disorder (OCD) among Iranian patients with multiple sclerosis (MS) and the relationship between OCD and the patient’s demographic characteristics. Methods: The present study used a cluster sampling method to randomly select 297 patients with MS from the patients referred to the MS Clinic and Research Center of Sina University Hospital, Tehran, Iran, during 2018-2019. To gather the required data, a questionnaire consisting of demographic characteristics and disease information sections was used. Moreover, Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Obsessive-Compulsive Inventory-Revised (OCI-R), and Hospital Anxiety and Depression Scale (HADS) were employed in the present study. between OCD-positive and negative groups was examined with chi-square test and independent samples t-test, respectively. Binary logistic regression was used as multivariate modeling to adjust the effects of potential confounders that could distort the relation of OCD with intended variables. Data were analyzed using SPSS software. The significance level was considered lower than 0.05. Results: Of the total of 297 patients, 77.8% were women. Moreover, analysis of the data obtained from the HADS questionnaire revealed that 11.44% (n = 34) and 15.15% (n = 45) of patients had severe depression and severe anxiety, respectively. The results of Y-BOCS indicated that the prevalence of severe OCD among patients was 19.9%. The OCI-R questionnaire revealed that the prevalence of OCD was 47.8%, which was consistent with the total of moderate, severe, and extreme values of Y-BOCS (47.9%). Furthermore, the subscales of ordering-arranging with 69 patients (22.9%) and obsessing with 46 patients (15.5%) indicated the highest frequencies as compared to other subscales. Moreover, OCD had a significant relationship with depression, anxiety, and type of MS in this regard. Conclusion: In this study, the prevalence rate of OCD among patients with MS was higher than its rate among the general population.
背景:本研究调查了伊朗多发性硬化症(MS)患者中强迫症(OCD)的患病率以及 OCD 与患者人口统计学特征之间的关系。 研究方法本研究采用聚类抽样法,从2018-2019年间转诊至伊朗德黑兰新浪大学医院多发性硬化症诊疗与研究中心的患者中随机抽取了297名多发性硬化症患者。为收集所需数据,使用了一份由人口统计学特征和疾病信息部分组成的调查问卷。此外,本研究还采用了耶鲁-布朗强迫症量表(Y-BOCS)、强迫症量表修订版(OCI-R)和医院焦虑抑郁量表(HADS)。 强迫症阳性组和阴性组之间的差异分别采用卡方检验和独立样本 t 检验。采用二元逻辑回归作为多变量模型,以调整可能扭曲强迫症与预期变量关系的潜在混杂因素的影响。数据使用 SPSS 软件进行分析。显著性水平低于 0.05。 结果在 297 名患者中,77.8% 为女性。此外,HADS 问卷数据分析显示,分别有 11.44%(34 人)和 15.15%(45 人)的患者患有严重抑郁症和严重焦虑症。Y-BOCS 的结果显示,患者中严重强迫症的患病率为 19.9%。OCI-R 问卷显示强迫症的患病率为 47.8%,这与 Y-BOCS 的中度、重度和极端值总和(47.9%)一致。此外,与其他分量表相比,排序-整理分量表的频率最高,有 69 名患者(22.9%),强迫症分量表的频率最高,有 46 名患者(15.5%)。此外,强迫症与抑郁、焦虑和多发性硬化症的类型也有显著关系。 结论在这项研究中,多发性硬化症患者的强迫症患病率高于普通人群。
{"title":"Evaluation of obsessive-compulsive disorder prevalence in Iranian patients with multiple sclerosis and its relationship with demographic characteristics","authors":"A. Keyhani, Mohammad Javad Shabani, F. Etesam, N. Rezaeimanesh, A. Azimi, A. Moghadasi","doi":"10.18502/cjn.v22i4.14523","DOIUrl":"https://doi.org/10.18502/cjn.v22i4.14523","url":null,"abstract":"Background: The present study examined the prevalence of obsessive-compulsive disorder (OCD) among Iranian patients with multiple sclerosis (MS) and the relationship between OCD and the patient’s demographic characteristics. Methods: The present study used a cluster sampling method to randomly select 297 patients with MS from the patients referred to the MS Clinic and Research Center of Sina University Hospital, Tehran, Iran, during 2018-2019. To gather the required data, a questionnaire consisting of demographic characteristics and disease information sections was used. Moreover, Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Obsessive-Compulsive Inventory-Revised (OCI-R), and Hospital Anxiety and Depression Scale (HADS) were employed in the present study. between OCD-positive and negative groups was examined with chi-square test and independent samples t-test, respectively. Binary logistic regression was used as multivariate modeling to adjust the effects of potential confounders that could distort the relation of OCD with intended variables. Data were analyzed using SPSS software. The significance level was considered lower than 0.05. Results: Of the total of 297 patients, 77.8% were women. Moreover, analysis of the data obtained from the HADS questionnaire revealed that 11.44% (n = 34) and 15.15% (n = 45) of patients had severe depression and severe anxiety, respectively. The results of Y-BOCS indicated that the prevalence of severe OCD among patients was 19.9%. The OCI-R questionnaire revealed that the prevalence of OCD was 47.8%, which was consistent with the total of moderate, severe, and extreme values of Y-BOCS (47.9%). Furthermore, the subscales of ordering-arranging with 69 patients (22.9%) and obsessing with 46 patients (15.5%) indicated the highest frequencies as compared to other subscales. Moreover, OCD had a significant relationship with depression, anxiety, and type of MS in this regard. Conclusion: In this study, the prevalence rate of OCD among patients with MS was higher than its rate among the general population.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":"19 11","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139155356","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
A case of type II fucosidosis-diagnosed with neuroradiological and dysmorphological findings 一例根据神经放射学和畸形学检查结果确诊的 II 型岩藻糖苷酶病
IF 0.7 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-26 DOI: 10.18502/cjn.v22i4.14534
Sanjay M. Khaladkar, Satvik Dhirawani, Aastha Agarwal, Vijetha Chanabasanavar, Tejvir Singh
The Article Abstract is not available.
文章摘要不详。
{"title":"A case of type II fucosidosis-diagnosed with neuroradiological and dysmorphological findings","authors":"Sanjay M. Khaladkar, Satvik Dhirawani, Aastha Agarwal, Vijetha Chanabasanavar, Tejvir Singh","doi":"10.18502/cjn.v22i4.14534","DOIUrl":"https://doi.org/10.18502/cjn.v22i4.14534","url":null,"abstract":"The Article Abstract is not available.","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":"80 6","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156791","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
Current Journal of Neurology
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