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The Extra Dural Hematoma Complicating a Decompressive Craniectomy about One Case 颅脑减压术并发硬膜外血肿1例
Pub Date : 2019-11-04 DOI: 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.
硬膜外血肿或硬膜外血肿是在硬脑膜和颅骨内表之间形成的血液集合。起源是外伤性的,最常引起动脉病变,特别是脑膜动脉;这解释了硬膜外血肿在颞区的地形倾向,50%的病例根据(BRICOLO 1984);罕见的原因可能是创伤后静脉窦病变或骨折部位水平的骨出血。在这方面,存在5%至10%的无断裂形式(BRICOLO 1984)。在创伤学中很典型而且更容易是年轻的研究对象60%在10到40岁之间。60岁以上的硬脑膜附着在骨的内部表上,使其在gsamrard Marchand区域的可释放性较低,这解释了65年后这种病变的罕见性。
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引用次数: 0
Tissue Fragility and Ehlers-Danlos Syndrome Global Aggravation by Osteopathic Manipulations 整骨疗法操作下的组织脆性和ehers - danlos综合征整体加重
Pub Date : 2019-10-24 DOI: 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.
埃勒斯-丹洛斯综合征是一种遗传性、弥漫性结缔组织疾病,其发病率在很大程度上被低估了。它的诊断取决于一组临床标准,而生物遗传学结果是不可靠的。矛盾的是,埃勒斯-丹洛斯综合征被认为是一种罕见疾病,而其在世界范围内的患病率至少为2%。它鲜为人知,也很少被诊断出来。这种情况对患者来说是危险的,并使他们面临医源性影响。这里报道的病例很好地说明了一名26岁男子的这种情况,他有局部并发症(大锯齿麻痹),疾病症状急剧恶化(疼痛、本体感觉),并被排除在工作之外。
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引用次数: 1
Epilepsy of Janz (Juvenile Myoclonic) Report of the Case of Two Brothers and Review of the Literature 杨兹癫痫(青少年肌阵挛)两兄弟病例报告及文献复习
Pub Date : 2019-10-16 DOI: 10.32474/ojnbd.2019.03.000158
Miranda Nava Gabriel
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引用次数: 0
Hyponatremia in Psychiatric Inpatients: A Native Pilot Study 精神科住院患者的低钠血症:一项国内试点研究
Pub Date : 2019-10-03 DOI: 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.
简介:低钠血症是最常见的离子和水障碍之一,严重的低钠血症与众所周知的临床症状和表现有关。在本评估中,在大量非西方精神病住院患者中探讨了低钠血症的发病率和临床特征,并与文献中关于发病率和其他相关临床特征的可用数据进行了比较。方法:将过去六十四个月内所有特发性低钠血症的住院患者纳入本研究。临床诊断在本质上也是基于“精神疾病诊断和统计手册,第5版(DSM‐5)”。统计学显著性定义为p值≤0.05。结果:虽然在目前的评估中,低钠血症的年发病率约为0.01%,但因低钠血症导致的年死亡率约为0.001%。它在男性精神病住院患者中更为普遍(p<0.04),在病程超过一年的患者中更明显(p<0.05)。此外,它在精神分裂症患者中更显著(p<0.007),与剩余的原发性精神障碍相比。低钠血症与症状、血清钠水平和癫痫发作之间没有显著关系。结论:低钠血症在男性患者和病程超过一年的患者中更为普遍。此外,它在精神分裂症患者中更为明显。
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引用次数: 1
CeA & BNST: D2R &Impulsivity CeA和BNST:D2R和脉冲性
Pub Date : 2019-09-25 DOI: 10.32474/ojnbd.2019.03.000156
R. Divya
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引用次数: 0
3rd Nerve Palsy After Microsurgical Clipping of Basilar Top Aneurysm 基底动脉瘤显微外科夹闭术后第3神经麻痹
Pub Date : 2019-08-06 DOI: 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.
术后动眼神经麻痹是一种罕见的并发症,发生在微创动脉瘤夹闭术中。虽然有许多理论被认为可以解释术后动眼神经麻痹的发展,但这种并发症的潜在病理生理学仍有待阐明。在本报告中,我们报告了一例基底尖动脉瘤夹闭术后孤立性同侧动眼神经麻痹,我们认为这可能归因于术前动眼神经操作相关的神经失调症。
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引用次数: 0
The Novel Use of Cerebrolysin and Citicoline in the Treatment of Kernicterus 脑活素和胞磷胆碱在治疗柯尼特氏病中的新应用
Pub Date : 2019-08-06 DOI: 10.32474/ojnbd.2019.03.000151
Aamir Jalal Al-Mosawi
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引用次数: 12
Oculomotor Paresis with Cyclic Spasms: Description of Four Cases and Hypothesis of the Mechanism 周期性痉挛性眼球运动异常:四例病例描述及机制假说
Pub Date : 2019-08-05 DOI: 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.
动眼肌轻瘫伴周期性痉挛(OPCS)是一种罕见的先天性疾病。它通常在出生时或出生后两年内出现。由于动脉瘤压迫神经和放射治疗后获得性OPCS已被报道。OPCS的特点是单侧第三神经麻痹,伴有周期性痉挛,引起眼睑抬高、缩小和收缩一块或多块由第三神经支配的眼外肌。在此,我们报告了4例患有这种罕见眼病的患者,并提出了可能的机制和鉴别诊断。在病例4中,伽玛刀放射手术继发的症状与眼神经肌强直(ONM)的症状令人困惑地相似。迄今为止,文献中尚未报道cop与伽玛刀放射手术的关联。cop似乎在ONM的外围机制上有一些相似之处。
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引用次数: 1
Intervention of Dream Quality in the Appearance of Concomitant Symptoms in Hospitalized Patients Symptoms in Hospitalized Patients 梦质量对住院患者并发症状出现的干预
Pub Date : 2019-06-24 DOI: 10.32474/OJNBD.2019.02.000148
Mmc Gabriel Miranda Nava, Nester Javier Escott Leyva
When trying to define the dream it is inevitable to differentiatethe physiological characteristics in the good quality of sleepdepending on the species, where it is a little simpler to enumeratethe behavioral characteristics that are associated with theaspect of the dream and try to define it properly
当试图定义梦时,不可避免地要根据不同的物种区分睡眠质量良好的生理特征,在这种情况下,列举与梦相关的行为特征并试图正确地定义它会更简单一些
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引用次数: 0
Mirror Mirror on the Brain; Tell Me What Do They Feel? Mirror Neurons; The Neural Wi-fi System for Affect Sharing 大脑上的镜子;告诉我他们的感受?镜像神经元;情感共享的神经Wi-fi系统
Pub Date : 2019-06-10 DOI: 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
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引用次数: 0
期刊
Online journal of neurology and brain disorders
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