Acta neurologica Belgica最新文献

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Strength and dexterity of less affected hand of children with unilateral cerebral palsy: a comparison study with normal peers. 单侧脑瘫患儿患侧较轻手部的力量和灵活性：与正常同龄人的对比研究。

IF 2 4区医学 Q3 CLINICAL NEUROLOGY

Acta neurologica Belgica

Pub Date : 2024-11-14 DOI: 10.1007/s13760-024-02683-x

Mahmoud A Hassan, Emam H Elnegmy, Amira M El-Tohamy, Amira M Abd-Elmonem

Background/aim: A key aspect of hand function is dexterity, which is described as fine voluntary movements used to manipulate small objects during a specific task. The contralateral hand in children with unilateral cerebral palsy (U-CP); is commonly referred to as a "good" and "unimpaired" hand, while others have noted that it has subtle limitations. Therefore, this study aimed to assess and compare between the strength and dexterity of less-affected hand of children with U-CP and the dominant hand of normal peers.

Methods: A sample of 120 volunteer children from both sexes and age ranged from 6 to 10 years participated in this study. Out of the 120 children, sixty were normal typically developing (TD) and sixty children with U-CP. Assessment of fine motor dexterity and grip and pinch strength were carried out by the Functional dexterity test (FDT) and Pneumatic squeeze Blub Dynamometer respectively.

Results: The results showed that there was a significant lower in pinch and grip strength (p < 0.01) and significant higher FDT scores of children with U-CP compared with that of TD children (p = 0.001). Moreover, there was a significant higher functional levels in TD children compared with that of children with U-CP (p < 0.001) with no significant difference between groups in penalty distribution (p > 0.05).

Conclusion: Children with U-CP underperformed with their less-affected hand than the dominant hand of TD age matched peers. Future researches on bilateral hand function may be used to determine the best rehabilitation interventions.

背景/目的：手部功能的一个关键方面是灵巧性，即在特定任务中用于操作小物件的精细自主运动。单侧脑瘫（U-CP）患儿的对侧手常被称作 "良好 "和 "未受损 "的手，但也有人指出它有微妙的局限性。因此，本研究旨在评估和比较 U-CP 患儿受影响较小的手与正常同龄人的优势手的力量和灵活性：本研究抽取了 120 名年龄在 6 至 10 岁之间的男女儿童作为志愿者。在这 120 名儿童中，有 60 名发育正常（TD）的儿童和 60 名患有 U-CP 的儿童。研究分别通过功能灵活性测试（FDT）和气动挤压式测力计对儿童的精细动作灵活性、握力和夹力进行了评估：结果表明，捏力和握力明显降低（P 0.05）：结论：患有 U-CP 的儿童，其受影响较小的那只手的表现低于与 TD 年龄匹配的同龄人的优势手。今后对双侧手功能的研究可用于确定最佳康复干预措施。

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引用次数: 0

Letter to the editor regarding "Postoperative elevated bed header position versus supine in the management of chronic subdural hematoma: a systematic review and meta-analysis" by Ibrahim Serag et al. 致编辑的信，内容涉及 Ibrahim Serag 等人撰写的 "慢性硬膜下血肿术后抬高床头位与仰卧位的对比：系统回顾和荟萃分析"。

IF 2 4区医学 Q3 CLINICAL NEUROLOGY

Acta neurologica Belgica

Pub Date : 2024-11-14 DOI: 10.1007/s13760-024-02687-7

Rodrigo Batata, Vasco Sá Pinto, Sérgio Sousa, Eduardo Cunha, Alfredo Calheiros

引用次数: 0

Ocular myasthenia gravis and thyroid eye disease: double trouble. 眼肌型重症肌无力和甲状腺眼病：双重麻烦。

IF 2 4区医学 Q3 CLINICAL NEUROLOGY

Acta neurologica Belgica

Pub Date : 2024-11-11 DOI: 10.1007/s13760-024-02684-w

Vasiliki Zouvelou, Georgios Boutzios, Chrysoula Michaletou, Nikolaos-Achilleas Arkoudis, Georgios Velonakis

A 60-year-old male patient with a previously unremarkable medical history presented with unilateral eyelid ptosis and binocular diplopia in the past year. Clinical and laboratory workup confirmed the diagnosis of ocular myasthenia gravis. In addition, further workup with orbital MRI performed due to exophthalmos and unilateral ophthalmoplegia demonstrated findings compatible with thyroid eye disease, which were further verified by antibody testing. The unusual concurrent appearance of ocular myasthenia gravis and thyroid eye disease is presented while illustrating the hallmark clinical, laboratory, and imaging findings relevant to both diseases.

一名 60 岁的男性患者在过去一年里出现了单侧眼睑下垂和双眼复视的症状，此前病史并无异常。临床和实验室检查确诊为眼肌型重症肌无力。此外，由于眼球外翻和单侧眼肌麻痹，患者还接受了眼眶核磁共振成像检查，结果显示与甲状腺眼病相符，并通过抗体检测进一步证实了这一点。本文介绍了眼肌型重症肌无力症和甲状腺眼病的不寻常并发症，同时说明了与这两种疾病相关的标志性临床、实验室和影像学检查结果。

引用次数: 0

Gaze palsy in glycine receptor antibody-mediated autoimmune encephalitis: a case report. 甘氨酸受体抗体介导的自身免疫性脑炎中的凝视麻痹：病例报告。

IF 2 4区医学 Q3 CLINICAL NEUROLOGY

Acta neurologica Belgica

Pub Date : 2024-11-08 DOI: 10.1007/s13760-024-02681-z

Wan Jiang, Chong Wang, Yun Xu, Qing Ye

引用次数: 0

Recurrency in myasthenic crisis. 肌无力危象的复发。