Arch Neurol Chicago
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Arch Neurol Chicago · May 1983
Compressed spectral array patterns following cardiopulmonary arrest. A preliminary report.
Continuous taped EEG recordings were made following resuscitation in 18 survivors of cardiopulmonary arrest. These taped data were processed, using Bickford's method of compressed spectral array, and four distinctive patterns were recognized. These patterns correlated significantly with eventual outcome of these patients, suggesting that processed EEG information can provide important prognostic information for such patients.
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Arch Neurol Chicago · Apr 1982
Case ReportsOphthalmoscopy of the retinal nerve fiber layer. Use in detection of neurologic disease.
Ophthalmoscopic examination of the retinal nerve fiber layer may demonstrate changes associated with a variety of diseases. These alterations are of four general types: slit or rake defects, sector atrophy, diffuse atrophy, and density changes in the nerve fibers themselves. With practice and the use of a bright source of "red-free" light, recognition of these alterations provides a bedside tool for evaluation of te anterior visual pathways.
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Four patients made substantial recovery following the locked-in syndrome of vascular origin. Clinical and radiologic features supported the presence of ventral pontine infarction secondary to basilar artery occlusion. Quadriplegia and mutism persisted for one to 12 weeks before recovery of motor function began. ⋯ All patients regained functional though dysarthric speech. Three of the four patients are ambulatory, one without assistance. As a few patients make a notable recovery from the locked-in syndrome resulting from ventral pontine infarction, aggressive supportive therapy should be considered in the early months of the syndrome.
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Arch Neurol Chicago · Nov 1981
Case ReportsCluster headache variant. Spectrum of a new headache syndrome.
The syndrome of cluster headache variant is characterized by the occurrence of three combined symptoms: atypical cluster headaches, multiple jabs, and background vascular headaches. Atypical cluster headaches are localized headaches that occur several times daily, usually without any headache-free periods. They differ from the typical chronic cluster headache in their location, duration, frequent shifting, and frequency. ⋯ Complete control was achieved in 50% of the patients. The nine patients who did not respond to indomethacin were depressed. These nine patients responded well to tricyclic antidepressants.