Neurol Neurochir Pol
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Neurol Neurochir Pol · Jan 2019
Multiple sclerosis: oral health, behaviours and limitations of daily oral hygiene - a questionnaire study.
Neurological deficits and progressing disability in patients with multiple sclerosis (MS) may hamper daily oral hygiene, but their relations with oral problems have not yet been clearly determined. ⋯ Dry mouth and bleeding from gums are more frequent in patients with longer lasting and more advanced types of MS. Daily oral hygiene and oral health self-control is limited in patients with MS, mainly due to motor deficits, balance problems and pain, and this becomes worse with disease duration. To minimise the burden of the disease, patients with MS require better education and improvement in their awareness regarding proper oral health control, such as the use of electric toothbrushes. In addition, patients with chronic and progressive disability from multiple sclerosis may benefit from better organised access to dental care.
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Neurol Neurochir Pol · Jan 2019
Predictors of Class I epilepsy surgery outcome in tumour-related chronic temporal lobe epilepsy in adults.
Temporal lobe tumours, especially low-grade gliomas and glioneuronal tumours, are common causes of seizures in patients referred for epilepsy surgery. We here present our experience of surgical treatment of patients with intractable chronic epilepsy associated with temporal lobe tumours, focusing on the long-term surgical outcomes and the features associated with better seizure control. ⋯ The most appropriate management of tumour-related chronic temporal lobe epilepsy in adults appears to be tai-lored temporal lobe resection including tumour and hippocampal complex removal. Surgical treatment of tumoural temporal lobe epilepsy demonstrates excellent results in terms of seizure improvement, especially in patients with glioneuronal tumours.
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Neurol Neurochir Pol · Nov 2018
ReviewState-of-the-art approach towards magnetic resonance imaging of the nervous system structures in patients with cardiac implantable electronic devices.
MRI generated forces are the source of potential complications in patients with cardiac implantable electronic devices (CIED). The technological progress, and growing clinical evidence concerning the operation of the contemporary MR non-conditional CIEDs during MRI, have started to significantly change our every-day clinical practice. Nevertheless, a lot of patients who could have an MRI performed safely, still have been refused the examination. ⋯ Further studies are warranted to assess safety issues related to the main current contraindication to MRI, i.e., the presence of abandoned leads.
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Neurol Neurochir Pol · Sep 2018
Ganglion Impar block improves neuropathic pain in coccygodynia: A preliminary report.
To define the effectiveness of ganglion Impar block in improving neuropathic pain. ⋯ Ganglion Impar block is effective in decreasing the neuropathic component of chronic coccygodynia. This improves painless sitting in patients but its reflections on quality of life is not clear.
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Neurol Neurochir Pol · Mar 2018
Monocyte/high-density lipoprotein ratio predicts the mortality in ischemic stroke patients.
The inflammatory process is a very important stage in the development and prognosis of acute ischemic stroke (AIS). The monocyte to high-density lipoprotein (HDL) ratio (MHR) is accepted as a novel marker for demonstrating inflammation. However, the role of MHR as a predictor of mortality in patients with AIS remains unclear. ⋯ Our study demonstrated that a high MHR value is an independent predictor of 30-day mortality in patients with AIS.