Journal of neurology
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Journal of neurology · May 2006
Comparative StudyDexamethasone and prognostic factors in adults with bacterial meningitis.
To determine the effect of dexamethasone on prognostic factors in adults with bacterial meningitis. ⋯ Routine use of dexamethasone therapy may lead towards new risk stratification in adults with bacterial meningitis.
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Journal of neurology · May 2006
Comparative StudyFluid-attenuated inversion recovery (FLAIR) sequences for the assessment of acute stroke: inter observer and inter technique reproducibility.
Diffusion-weighted magnetic resonance (MR) imaging (DWI), and three-dimensional (3D) time-of-flight (TOF) MR angiography (MRA), are highly sensitive for the early detection of stroke and arterial occlusion. However, only a few studies have evaluated the sensitivity of conventional MR sequences that are usually included in the imaging protocol. The aim of this study was to evaluate interobserver and intertechnique reproducibility of Fluid-Attenuated Inversion Recovery (FLAIR) sequences for the diagnosis of early brain ischemia and arterial occlusion. ⋯ Although DWI is the most sensitive technique with which to detect acute stroke, FLAIR imaging may also be useful to demonstrate both acute ischemia and arterial occlusion with an excellent interobserver reproducibility.
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Journal of neurology · May 2006
Comparative StudyLong-term intrathecal baclofen therapy in ambulatory patients with spasticity.
Intrathecal baclofen (ITB) is an effective treatment for severe spasticity. In ambulatory patients with spasticity, it is possible that ITB treatment may compromise ambulatory function by unmasking underlying muscle weakness. This retrospective study is designed to determine the long-term ambulatory function in patients receiving ITB. ⋯ ITB therapy may be used in selected ambulatory patients with spasticity and is not associated with loss of ambulatory function.