Neurol. praxi. 2008;9(6):327
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Neurol. praxi. 2008;9(6):334-338
Epileptic as well as non-epileptic seizures are frequent problem in teenage. Both intrinsic (e. g. estrogens/gestagens rate) and exogenic (e. g. sleep deprivation and first experiences with alcohol). Psychosocial and neurovegetative instability should be causative factor of high incidence of non-epileptic or migrenous attacks.
Neurol. praxi. 2008;9(6):339-343
In adolescence, syncope is one of the most frequent cases of reccurent impairment of concsiousness. Syncope is often misdagnosed as epilepsy. This review deals with the classification, differential diagnosis and treatment of syncopes. We emphasized some key aspects of diferential diagnosis of syncope and epilepsy.
Neurol. praxi. 2008;9(6):345-349
The synopsis deals with problem behavior in adolescents, particularly with three selected disorders – conduct disorders, attention deficit/hyperactivity disorder and substance abuse related disorders. The diagnostic criteria of the particular disorders, distinction of individual disorders and their common features, their symptoms and basic therapeutic algorithms are discussed.
Neurol. praxi. 2008;9(6):351-355
The stimulation technique in neurosurgery is based on the possibilities of sterotactic technique, technical parameters of implantable systems, imaging techniques, and contemporary pathophysiological and clinical knowledge on the role of the potential targets of electrical stimulation. It is the case of not only the stimulation of subcortical structures, but also of those of the cerebellum and cerebral cortex. An advantage of stimulation therapy is the reversible nature of electrical stimulation, limitations include economic factors and mechanical complications of implantable systems. The development of responsive systems which respond to recorded epileptic...
Neurol. praxi. 2008;9(6):356-360
Menstrual migraine is a subtype of migraine without aura. Pure menstrual migraine (PMM) which occurs during menstruation, and menstrually-related migraine (MRM) which can also occur outside menstruation are distinguished. In pathophysiology, a decrease in the oestrogen level by the end of the luteal phase of the cycle as well as an increase in prostaglandin within the first 48 hours of menstruation are thought to play the main role. Acute treatment and prophylaxis of MRM do not differ from the routine treatment. Prophylactic treatment of PMM involves intermittent prophylaxis with nonsteroid anti-inflammatory drugs or frovatriptan, hormonal prophylaxis...
Neurol. praxi. 2008;9(6):362-366
Over the past decade we have observed considerable advances in the treatment of autoimmune-mediated neurological disorders. Part of this development was the introduction of high-dose polyclonal intravenous immunoglobulins (IVIg). On the basis of randomised, placebo controlled, double-blind clinical trials, IVIg has became a first-line therapy for Guillain-Barré syndrome, chronic inflammatory demyelinating polyneuropathy and multifocal motor neuropathy. Furthermore, IVIg plays an important role in treating myasthenic crises and exacerbations in myasthenia gravis, and IVIg may play a role in selected chronic treatment-refractory cases of polymyositis,...
Neurol. praxi. 2008;9(6):367-370
Background: Categorical verbal fluency (CVF) is one of many neuropsychological tests. The aim of the study was to confirm the hypothesis that the short version of CVF (wherein the subjects were asked to recite 12 animals as fast as they were able) correlated with the one minute CVF. Methods: We assessed 32 healthy volunteers with mean age 67 +/- 8.5 years, mean education 16 +/- 2.2 years, MMSE 29.5 +/- 0.72 with CVF. We recorded performance, then we analyzed 15 s intervals and time to recite 12 animals. Results: Volunteers recited 25.75 +/- 6.59 animals during 1 minute. The performance significantly decreased every 15 s interval. The mean...
Neurol. praxi. 2008;9(6):371-373
The authors present a case of a 4-year-old child with a neurological form of toxocariasis with the larvae and numerous inflammatory infiltrates being located in various parts of the brain. Attention is paid to diagnosing and severe clinical symptoms at a high dose of embryonated Toxocara ova, resulting in intracranial primoinfection with central quadriparesis and parainfectious myocarditis.
Neurol. praxi. 2008;9(6):374-376
Paramedian thalamic infarctions (particularly the relatively frequently occurring bilateral ones) represent a very remarkable clinical entity. Bilateral paramedian thalamic infarction was described for the first time by Schuster more than 70 years ago, presenting with a classical triad of consciousness disturbances, vertical gaze, and amnesic syndrome. Despite a long period of time and a number of publications since, there is still little awareness among clinicians and differential diagnosis in the case of acute consciousness disturbances is difficult. We report a case of a patient with bilateral paramedian thalamic infarction and discuss the mechanism...
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Neurol. praxi. 2008;9(6):380
Neurol. praxi. 2008;9(6):381