Journal of neurology, neurosurgery, and psychiatry
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J. Neurol. Neurosurg. Psychiatr. · Dec 2003
Comparative StudyClinical surveillance of carpal tunnel syndrome in two areas of the United Kingdom, 1991-2001.
To study the demographic characteristics of patients with carpal tunnel syndrome and changes in incidence over time. ⋯ The age distributions of unselected cases of carpal tunnel syndrome in both clinics differ markedly from that usually portrayed in surgical series. There was a significant increase in cases diagnosed between 1992 and 2001 in Canterbury, probably the result of increased ascertainment of milder cases. Median nerve impairment is more severe in the elderly and in men at all ages.
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J. Neurol. Neurosurg. Psychiatr. · Dec 2003
Heralding manifestations of basilar artery occlusion with lethal or severe stroke.
Basilar artery occlusion usually causes severe disability or death. Until the recent developments in local intra-arterial or systemic intravenous fibrinolysis, interest in early diagnosis was low because there was no satisfactory treatment. Thus there is little information about the initial phase of the disease. ⋯ All the patients reviewed presented some symptoms and signs pointing to brain stem involvement. Only 8% (2/24) had an acute course with no adequate warning signs.
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J. Neurol. Neurosurg. Psychiatr. · Dec 2003
Medial temporal lobe atrophy in patients with refractory temporal lobe epilepsy.
The objective of this study was to assess the volumes of medial temporal lobe structures using high resolution magnetic resonance images from patients with chronic refractory medial temporal lobe epilepsy (MTLE). ⋯ Patients with refractory MTLE have damage in the temporal lobe that extends beyond the hippocampus, and affects the regions with close anatomical and functional connections to the hippocampus.