Journal of neurology, neurosurgery, and psychiatry
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J. Neurol. Neurosurg. Psychiatr. · Apr 2005
Predictors and prognosis of refractory status epilepticus treated in a neurological intensive care unit.
To assess risk factors and prognosis in patients with refractory status epilepticus (RSE). ⋯ SE treated in the NICU is frequently refractory to first line anticonvulsant drugs. Encephalitis is a predictor for RSE, which is associated with markedly poor outcome, in particular, the development of post-SE symptomatic epilepsy. Thus prevention of this most severe form of SE should be the primary target of treatment of SE.
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J. Neurol. Neurosurg. Psychiatr. · Apr 2005
Internal jugular vein valve incompetence and intracranial venous anatomy in transient global amnesia.
Recently a causal relation between internal jugular vein valve incompetence (IJVVI) and transient global amnesia (TGA) has been suggested. IJVVI is postulated to provoke a transient mesiotemporal ischaemia by venous congestion. This mechanism requires a patent venous pathway from the affected IJV through the transverse sinus, confluens, straight sinus (SS), vein of Galen into the basal vein of Rosenthal and the internal cerebral veins. ⋯ Our study confirms the significantly higher prevalence of IJVVI in TGA patients. However, no specific IJVVI related intracranial venous drainage patterns could be found to further support the hypothesis of a direct causal relation between IJVVI and TGA.
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J. Neurol. Neurosurg. Psychiatr. · Apr 2005
The effect of subthalamic nucleus stimulation on kinaesthesia in Parkinson's disease.
Parkinson's disease is accompanied by deficits in passive motion and limb position sense. ⋯ STN-DBS improves kinaesthesic deficits in Parkinson's disease, but does not lead to a full recovery of proprioceptive function.
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J. Neurol. Neurosurg. Psychiatr. · Apr 2005
A failure to communicate: patients with cerebral aneurysms and vascular neurosurgeons.
To assess communication between vascular neurosurgeons and their patients with unruptured cerebral aneurysms about treatment options and expected outcomes. ⋯ Following consultation with a vascular neurosurgeon, many patients with cerebral aneurysms have an inaccurate understanding of their aneurysm treatment plan and an exaggerated sense of the risks of aneurysmal disease and treatment.
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J. Neurol. Neurosurg. Psychiatr. · Apr 2005
Facets and determinants of quality of life in patients with recurrent high grade glioma.
To assess patients with recurrent high grade brain glioma with the aim of evaluating facets of quality of life (QOL) and their association with mood, cognition, and physical performance. ⋯ These results show that QOL of recurrent high grade glioma patients is multifaceted and determined by multiple factors. Disease severity does not necessarily eliminate the possibility of expressing personal feelings and opinions which could provide criteria for clinical decision making and psychological support.