Pub Date : 2019-11-04DOI: 10.32474/ojnbd.2019.03.000160
Bukasa Binene JC
The extra-dural hematoma or epidural hematoma is a collection of blood formed between the dura mater and the internal table of the skull bone. The origin is traumatic most often causing an arterial lesion more particularly of the meningeal artery; this explains the topographical predilection of extra dural hematoma for the temporal zone with 50% of cases according to (BRICOLO 1984); rarely the cause may be a post-traumatic lesion of a venous sinus or a bone bleed at the level of the fracture site. In this respect, 5 to 10% of forms without fracture exist (BRICOLO 1984). Classic in traumatology and more readily the young subject 60% between 10 and 40 years. Beyond 60 years the dura matter adheres to the internal table of the bone and gives it a less releasable character in the area of Gérard Marchand which explains the rarity of this lesion after 65 years.
{"title":"The Extra Dural Hematoma Complicating a Decompressive Craniectomy about One Case","authors":"Bukasa Binene JC","doi":"10.32474/ojnbd.2019.03.000160","DOIUrl":"https://doi.org/10.32474/ojnbd.2019.03.000160","url":null,"abstract":"The extra-dural hematoma or epidural hematoma is a collection of blood formed between the dura mater and the internal table of the skull bone. The origin is traumatic most often causing an arterial lesion more particularly of the meningeal artery; this explains the topographical predilection of extra dural hematoma for the temporal zone with 50% of cases according to (BRICOLO 1984); rarely the cause may be a post-traumatic lesion of a venous sinus or a bone bleed at the level of the fracture site. In this respect, 5 to 10% of forms without fracture exist (BRICOLO 1984). Classic in traumatology and more readily the young subject 60% between 10 and 40 years. Beyond 60 years the dura matter adheres to the internal table of the bone and gives it a less releasable character in the area of Gérard Marchand which explains the rarity of this lesion after 65 years.","PeriodicalId":93346,"journal":{"name":"Online journal of neurology and brain disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48876267","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}
Pub Date : 2019-10-24DOI: 10.32474/ojnbd.2019.03.000159
C. Hamonet
Ehlers-Danlos syndrome is a hereditary, diffuse connective tissue disorder whose frequency is largely underestimated. Its diagnosis rests on a grouping of clinical criteria while biogenetic results are unreliable. Paradoxically, Ehlers-Danlos syndrome is considered as a rare disease while its prevalence in the world is at least 2%. It is very poorly known and very rarely diagnosed. This situation is dangerous for patients and exposes them to iatrogenic effects. The case reported here is a good illustration of this situation in a 26-year-old man, with local complications (paralysis of serratus major), a dramatic worsening of the disease’s symptoms (pain, proprioception) and exclusion from the work world.
{"title":"Tissue Fragility and Ehlers-Danlos Syndrome Global Aggravation by Osteopathic Manipulations","authors":"C. Hamonet","doi":"10.32474/ojnbd.2019.03.000159","DOIUrl":"https://doi.org/10.32474/ojnbd.2019.03.000159","url":null,"abstract":"Ehlers-Danlos syndrome is a hereditary, diffuse connective tissue disorder whose frequency is largely underestimated. Its diagnosis rests on a grouping of clinical criteria while biogenetic results are unreliable. Paradoxically, Ehlers-Danlos syndrome is considered as a rare disease while its prevalence in the world is at least 2%. It is very poorly known and very rarely diagnosed. This situation is dangerous for patients and exposes them to iatrogenic effects. The case reported here is a good illustration of this situation in a 26-year-old man, with local complications (paralysis of serratus major), a dramatic worsening of the disease’s symptoms (pain, proprioception) and exclusion from the work world.","PeriodicalId":93346,"journal":{"name":"Online journal of neurology and brain disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44449008","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}
Pub Date : 2019-10-16DOI: 10.32474/ojnbd.2019.03.000158
Miranda Nava Gabriel
{"title":"Epilepsy of Janz (Juvenile Myoclonic) Report of the Case of Two Brothers and Review of the Literature","authors":"Miranda Nava Gabriel","doi":"10.32474/ojnbd.2019.03.000158","DOIUrl":"https://doi.org/10.32474/ojnbd.2019.03.000158","url":null,"abstract":"","PeriodicalId":93346,"journal":{"name":"Online journal of neurology and brain disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47467817","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}
Pub Date : 2019-10-03DOI: 10.32474/ojnbd.2019.03.000157
S. Shafti
Introduction: Hyponatremia is one of the most frequent ion and water disorders and severe hyponatremia is associated with well‐known clinical symptoms and manifestations. In the present assessment the incidence and clinical profile of hyponatremia have been probed among a great sample of non-western psychiatric inpatients and compared with the available data in literature regarding prevalence and other associated clinical characteristics. Methods: All inpatients with idiopathic hyponatremia during the last sixty-four months had been included in the present study. Clinical diagnosis, as well, was in essence based on ‘Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM‐5)’. Statistical significance had been defined as a p value ≤0.05. Results: While the annual incidence of hyponatremia in current evaluation was around 0.01%, the annual incidence of mortality due to hyponatremia was around 0.001%. It was significantly more prevalent among male psychiatric inpatients (p<0.04) and patients with duration of illness in excess of one year (p<0.04). Furthermore, it was meaningfully more evident among schizophrenic patients (p<0.007), in comparison with remaining primary psychiatric disorders. There was no significant relationship between hyponatremia and symptomatic profile, or serum level of sodium and occurrence of seizure. Conclusion: Hyponatremia was significantly more prevalent among male patients and cases with duration of illness in excess of one year. Furthermore, it was meaningfully more evident among schizophrenic patients.
{"title":"Hyponatremia in Psychiatric Inpatients: A Native Pilot Study","authors":"S. Shafti","doi":"10.32474/ojnbd.2019.03.000157","DOIUrl":"https://doi.org/10.32474/ojnbd.2019.03.000157","url":null,"abstract":"Introduction: Hyponatremia is one of the most frequent ion and water disorders and severe hyponatremia is associated with well‐known clinical symptoms and manifestations. In the present assessment the incidence and clinical profile of hyponatremia have been probed among a great sample of non-western psychiatric inpatients and compared with the available data in literature regarding prevalence and other associated clinical characteristics. Methods: All inpatients with idiopathic hyponatremia during the last sixty-four months had been included in the present study. Clinical diagnosis, as well, was in essence based on ‘Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM‐5)’. Statistical significance had been defined as a p value ≤0.05. Results: While the annual incidence of hyponatremia in current evaluation was around 0.01%, the annual incidence of mortality due to hyponatremia was around 0.001%. It was significantly more prevalent among male psychiatric inpatients (p<0.04) and patients with duration of illness in excess of one year (p<0.04). Furthermore, it was meaningfully more evident among schizophrenic patients (p<0.007), in comparison with remaining primary psychiatric disorders. There was no significant relationship between hyponatremia and symptomatic profile, or serum level of sodium and occurrence of seizure. Conclusion: Hyponatremia was significantly more prevalent among male patients and cases with duration of illness in excess of one year. Furthermore, it was meaningfully more evident among schizophrenic patients.","PeriodicalId":93346,"journal":{"name":"Online journal of neurology and brain disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43304386","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}
Pub Date : 2019-08-06DOI: 10.32474/ojnbd.2019.03.000152
Bipin Kumar Chaurasia
Postoperative oculomotor nerve palsy is a rare complication that occurs in the setting of micro¬surgical aneurysm clipping. While a number of theories have been postulated to explain the development of postoperative oculomotor nerve palsies, the underlying pathophysiology of such complications still remain to be elucidated. In this report, we present a case of postoperative isolated ipsilateral oculomotor nerve palsy after clipping of basilar tip aneurysm which we believe may be attributed to periperative oculomotor nerve manipulation related neuropraxia.
{"title":"3rd Nerve Palsy After Microsurgical Clipping of Basilar Top Aneurysm","authors":"Bipin Kumar Chaurasia","doi":"10.32474/ojnbd.2019.03.000152","DOIUrl":"https://doi.org/10.32474/ojnbd.2019.03.000152","url":null,"abstract":"Postoperative oculomotor nerve palsy is a rare complication that occurs in the setting of micro¬surgical aneurysm clipping. While a number of theories have been postulated to explain the development of postoperative oculomotor nerve palsies, the underlying pathophysiology of such complications still remain to be elucidated. In this report, we present a case of postoperative isolated ipsilateral oculomotor nerve palsy after clipping of basilar tip aneurysm which we believe may be attributed to periperative oculomotor nerve manipulation related neuropraxia.","PeriodicalId":93346,"journal":{"name":"Online journal of neurology and brain disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49304521","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}
Pub Date : 2019-08-06DOI: 10.32474/ojnbd.2019.03.000151
Aamir Jalal Al-Mosawi
{"title":"The Novel Use of Cerebrolysin and Citicoline in the Treatment of Kernicterus","authors":"Aamir Jalal Al-Mosawi","doi":"10.32474/ojnbd.2019.03.000151","DOIUrl":"https://doi.org/10.32474/ojnbd.2019.03.000151","url":null,"abstract":"","PeriodicalId":93346,"journal":{"name":"Online journal of neurology and brain disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47163929","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}
Pub Date : 2019-08-05DOI: 10.26502/jppd.2572-519x0073
Haitian Nan, Y. Jing
Oculomotor paresis with cyclic spasms (OPCS) is a rare and usually congenital disorder. It typically presents at birth or within the first 2 years of life. Acquired OPCS resulting from aneurysm compression on the nerve and after irradiation therapy has been reported. OPCS is characterized by unilateral third nerve paresis with periodic spasms causing eyelid elevation, miosis and contraction of 1 or more of the extraocular muscles innervated by the third nerve. Here we report four patients with this rare ocular condition, and propose possible mechanisms and differential diagnoses for their presentation. In case of patient #4 the symptoms secondary to gamma knife radiosurgery is confusingly similar to that of Ocular neuromyotonia (ONM). The association of COPS and gamma knife radiosurgery is hitherto unreported in the literature. It seems likely that COPS may share some similarity on peripheral mechanisms of ONM.
{"title":"Oculomotor Paresis with Cyclic Spasms: Description of Four Cases and Hypothesis of the Mechanism","authors":"Haitian Nan, Y. Jing","doi":"10.26502/jppd.2572-519x0073","DOIUrl":"https://doi.org/10.26502/jppd.2572-519x0073","url":null,"abstract":"Oculomotor paresis with cyclic spasms (OPCS) is a rare and usually congenital disorder. It typically presents at birth or within the first 2 years of life. Acquired OPCS resulting from aneurysm compression on the nerve and after irradiation therapy has been reported. OPCS is characterized by unilateral third nerve paresis with periodic spasms causing eyelid elevation, miosis and contraction of 1 or more of the extraocular muscles innervated by the third nerve. Here we report four patients with this rare ocular condition, and propose possible mechanisms and differential diagnoses for their presentation. In case of patient #4 the symptoms secondary to gamma knife radiosurgery is confusingly similar to that of Ocular neuromyotonia (ONM). The association of COPS and gamma knife radiosurgery is hitherto unreported in the literature. It seems likely that COPS may share some similarity on peripheral mechanisms of ONM.","PeriodicalId":93346,"journal":{"name":"Online journal of neurology and brain disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42906548","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}
Pub Date : 2019-06-24DOI: 10.32474/OJNBD.2019.02.000148
Mmc Gabriel Miranda Nava, Nester Javier Escott Leyva
When trying to define the dream it is inevitable to differentiate the physiological characteristics in the good quality of sleep depending on the species, where it is a little simpler to enumerate the behavioral characteristics that are associated with the aspect of the dream and try to define it properly
{"title":"Intervention of Dream Quality in the Appearance of Concomitant Symptoms in Hospitalized Patients Symptoms in Hospitalized Patients","authors":"Mmc Gabriel Miranda Nava, Nester Javier Escott Leyva","doi":"10.32474/OJNBD.2019.02.000148","DOIUrl":"https://doi.org/10.32474/OJNBD.2019.02.000148","url":null,"abstract":"When trying to define the dream it is inevitable to differentiate\u0000the physiological characteristics in the good quality of sleep\u0000depending on the species, where it is a little simpler to enumerate\u0000the behavioral characteristics that are associated with the\u0000aspect of the dream and try to define it properly","PeriodicalId":93346,"journal":{"name":"Online journal of neurology and brain disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46998915","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}
Pub Date : 2019-06-10DOI: 10.32474/ojnbd.2019.02.000147
R. Divya
During an action observation (AO) and action execution, specific group of neural substrates are activated
在动作观察和动作执行过程中，一组特定的神经底物被激活
{"title":"Mirror Mirror on the Brain; Tell Me What Do They Feel? Mirror Neurons; The Neural Wi-fi System for Affect Sharing","authors":"R. Divya","doi":"10.32474/ojnbd.2019.02.000147","DOIUrl":"https://doi.org/10.32474/ojnbd.2019.02.000147","url":null,"abstract":"During an action observation (AO) and action execution,\u0000specific group of neural substrates are activated","PeriodicalId":93346,"journal":{"name":"Online journal of neurology and brain disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48055475","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}
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