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BMC Neurology

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https://www.readbyqxmd.com/read/30241499/long-term-telephone-based-follow-up-after-stroke-and-tia-improves-risk-factors-36-month-results-from-the-randomized-controlled-nailed-stroke-risk-factor-trial
#1
Joachim Ögren, Anna-Lotta Irewall, Lars Söderström, Thomas Mooe
BACKGROUND: Strategies are needed to improve adherence to the blood pressure (BP) and low-density lipoprotein cholesterol (LDL-C) level recommendations after stroke and transient ischemic attack (TIA). We investigated whether nurse-led, telephone-based follow-up that included medication titration was more efficient than usual care in improving BP and LDL-C levels 36 months after discharge following stroke or TIA. METHODS: All patients admitted for stroke or TIA at Östersund hospital that could participate in the telephone-based follow-up were considered eligible...
September 21, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30236077/the-psychometric-properties-of-the-childhood-health-assessment-questionnaire-chaq-in-children-with-cerebral-palsy
#2
Soojung Chae, Eun-Young Park, Yoo-Im Choi
BACKGROUND: The evaluation of children with cerebral palsy (CP) focuses on activity level measurement to examine the effect of health-care interventions on their physical functioning in the home, school, and community settings. This study aimed to identify the psychometric properties of the Korean version of the Childhood Health Assessment Questionnaire (CHAQ) by applying the Rasch model. The use of the Rasch model has an advantage in that item characteristic curve estimation is not affected by the characteristics of subject groups...
September 20, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30236075/factors-associated-with-favourable-outcome-in-large-hemispheric-infarctions
#3
Jie Li, Ping Zhang, Simiao Wu, Xingyang Yi, Chun Wang, Ming Liu
BACKGROUND: Large hemispheric infarction (LHI) is a devastating condition with high mortality and poor functional outcome in most conservatively treated patients. The purpose of this study was to explore factors associated with favorable outcome in patients with LHI. METHODS: We prospectively enrolled consecutive patients with LHI. Favorable outcome was defined as a modified Rankin Scale (mRS) score of 0 to 3 at 90 days. Multivariate logistic regression analysis was employed to identify the independent factors associated with favorable outcome...
September 20, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30236074/mutation-m-15923a-g-in-the-mt-tt-gene-causes-mild-myopathy-case-report-of-an-adult-onset-phenotype
#4
Mikko Kärppä, Laura Kytövuori, Markku Saari, Kari Majamaa
BACKGROUND: Only five patients have previously been reported to harbor mutations in the MT-TT gene encoding mitochondrial tRNA threonine. The m.15923A > G mutation has been found in three severely affected children. One of these patients died within days after birth and two had a phenotype of myoclonic epilepsy with ragged red fibers (MERRF) in early childhood. We have now found the mutation in an adult patient with mild myopathy. CASE PRESENTATION: The patient is a 64-year-old Finnish man, who developed bilateral ptosis, diplopia and exercise intolerance in his fifties...
September 20, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30236066/urological-dysfunctions-in-patients-with-parkinson-s-disease-clues-from-clinical-and-non-invasive-urological-assessment
#5
Francesca Valentino, Tommaso Vincenzo Bartolotta, Giuseppe Cosentino, Sergio Mastrilli, Valentina Arnao, Paolo Aridon, Salvatore Scurria, Alice Pavone, Carlo Pavone, Marco D'Amelio
BACKGROUND: Autonomic nervous system dysfunction, common in patients with Parkinson's disease (PD), causes significant morbidity and it is correlated with poor quality of life. To assess frequency of urinary symptoms in patients with PD, without conditions known to interfere with urinary function. METHODS: Non-demented PD patients were consecutively enrolled from the outpatients clinic of our department. Scales investigating motor and non-motor symptoms were carried out...
September 20, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30236064/epileptic-spasms-in-ppp1cb-associated-noonan-like-syndrome-a-case-report-with-clinical-and-therapeutic-implications
#6
Chien-Heng Lin, Wei-De Lin, I-Ching Chou, Inn-Chi Lee, Hueng-Chuen Fan, Syuan-Yu Hong
BACKGROUND: Noonan syndrome-like disorder with loose anagen hair-2 (NSLH2) is an extremely rare disease caused by a heterozygous mutation in the PPP1CB gene on chromosome 2p23. The syndrome causes not only numerous dysmorphic features but also hypotonia, developmental delay, and even intellectual disability. We report the first case of NSLH2 in Asia and the 16th in the world. Moreover, the first case of PPP1CB-related infantile spasms. The clinical and therapeutic significance is outlined in this paper...
September 20, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30231852/atypical-sensory-processing-pattern-following-median-or-ulnar-nerve-injury-a-case-control-study
#7
Pernilla Vikström, Anders Björkman, Ingela K Carlsson, Anna-Karin Olsson, Birgitta Rosén
BACKGROUND: Due to brain plasticity a transection of a median or ulnar nerve results in profound changes in the somatosensory areas in the brain. The permanent sensory deprivation after a peripheral nerve injury might influence the interaction between all senses. The aim of the study was to investigate if a median and/or ulnar nerve injury gives rise to a changed sensory processing pattern. In addition we examined if age at injury, injured nerve or time since injury influence the sensory processing pattern...
September 19, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30227849/marathons-and-myasthenia-gravis-a-case-report
#8
Simone Birnbaum, Tarek Sharshar, Bruno Eymard, Marie Theaudin, Pierre Portero, Jean-Yves Hogrel
BACKGROUND: The cardinal symptoms of auto-immune myasthenia gravis are fatigue and weakness. Endurance events such as marathon running would seem incompatible with this chronic disease. Many patients stop sport altogether. There is limited literature of patients with auto-immune myasthenia gravis undergoing regular endurance exercise. CASE PRESENTATION: We report the case of a 36-year-old female who began long-distance running whilst experiencing initial symptoms of myasthenia gravis...
September 18, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30217172/effect-of-interferon-beta-1a-subcutaneously-three-times-weekly-on-clinical-and-radiological-measures-and-no-evidence-of-disease-activity-status-in-patients-with-relapsing-remitting-multiple-sclerosis-at-year-1
#9
Anthony Traboulsee, David K B Li, Mark Cascione, Juanzhi Fang, Fernando Dangond, Aaron Miller
BACKGROUND: In the PRISMS study, interferon beta-1a subcutaneously (IFN β-1a SC) reduced clinical and radiological disease burden at 2 years in patients with relapsing-remitting multiple sclerosis. The study aimed to characterize efficacy of IFN β-1a SC 44 μg and 22 μg three times weekly (tiw) at Year 1. METHODS: Exploratory endpoints included annualized relapse rate (ARR), 3-month confirmed disability progression (1-point Expanded Disability Status Scale increase if baseline was < 6...
September 14, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30217170/surgical-treatment-and-perioperative-management-of-intracranial-aneurysms-in-chinese-patients-with-ischemic-cerebrovascular-diseases-a-case-series
#10
Yangrui Zheng, Chen Wu
BACKGROUND: Patients with ischemic cerebrovascular diseases are more likely to suffer from intracranial aneurysms, and their surgical treatment has a growing controversy in this condition. The current case series was aimed at exploring surgical treatment and perioperative management of intracranial aneurysms in Chinese patients with ischemic cerebrovascular diseases. METHODS: Minimally invasive surgical approach through small pterion or inferolateral forehead was applied in 31 patients...
September 14, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30213258/reliability-validity-and-responsiveness-of-three-scales-for-measuring-balance-in-patients-with-chronic-stroke
#11
Ahmad H Alghadir, Einas S Al-Eisa, Shahnawaz Anwer, Bibhuti Sarkar
BACKGROUND: Various outcome measures are used for the assessment of balance and mobility in patients with stroke. The purpose of the present study was to examine test-retest reliability, construct validity, and responsiveness of the Timed Up and Go Test (TUG), Berg Balance Scale (BBS), and Dynamic Gait Index (DGI) for measuring balance in patients with chronic stroke. METHODS: Fifty-six patients (39 male and 17 female) with chronic stroke participated in this study...
September 13, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30200902/the-subtleties-of-cognitive-decline-in-multiple-sclerosis-an-exploratory-study-using-hierarchichal-cluster-analysis-of-cantab-results
#12
Hideraldo Luis Souza Cabeça, Luciano Chaves Rocha, Amanda Ferreira Sabbá, Alessandra Mendonça Tomás, Natali Valim Oliver Bento-Torres, Daniel Clive Anthony, Cristovam Wanderley Picanço Diniz
BACKGROUND: It is essential to investigate cognitive deficits in multiple sclerosis (MS) to develop evidence-based cognitive rehabilitation strategies. Here we refined cognitive decline assessment using the automated tests of the Cambridge Neuropsychological Test Automated Battery (CANTAB) and hierarchical cluster analysis. METHODS: We searched for groups of distinct cognitive profiles in 35 relapsing-remitting MS outpatients and 32 healthy controls. All individuals participated in an automated assessment (CANTAB) and in a pencil and paper general neuropsychological evaluation...
September 10, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30189853/rheumatoid-meningitis-presenting-with-a-stroke-like-attack-treated-with-recombinant-tissue-plasminogen-activator-a-case-presentation
#13
Masashi Akamatsu, Futaba Maki, Hisanao Akiyama, Daisuke Hara, Masashi Hoshino, Yasuhiro Hasegawa
BACKGROUND: Rheumatoid meningitis presenting with a stroke-like attack (RMSA) is a rare manifestation of rheumatoid arthritis (RA). When the patients arrive within the time-window for recombinant tissue plasminogen activator (rt-PA) infusion therapy, no diagnostic protocol has been established. CASE PRESENTATION: A 55-year-old woman was brought by ambulance to our hospital with complaints of sudden-onset dysarthria and left arm numbness. The National Institutes of Health Stroke Scale (NIHSS) score was 5, and the Alberta Stroke Program Early CT Score was 8...
September 6, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30180819/time-spent-lying-sitting-and-upright-during-hospitalization-after-stroke-a-prospective-observation-study
#14
Ole Petter Norvang, Anne Hokstad, Kristin Taraldsen, Xiangchun Tan, Stian Lydersen, Bent Indredavik, Torunn Askim
BACKGROUND: Early mobilization has been an important part of acute stroke unit treatment. However, early and intense mobilization within the first 24 h post stroke may cause an unfavorable outcome. Recently, objective measurements using body-worn sensors have been applied, enabling continuous monitoring of physical activity in the hospital setting. This study aimed to use body-worn sensors to quantify the amount of physical activity and how activity levels changed over time during hospitalization in patients with acute stroke...
September 4, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30176815/bilateral-oculomotor-ocular-neuromyotonia-a-case-report
#15
Tanyatuth Padungkiatsagul, Panitha Jindahra, Anuchit Poonyathalang, Narong Samipak, Kavin Vanikieti
BACKGROUND: Ocular neuromyotonia (ONM) is characterized by episodic diplopia, which is usually triggered by prolonged eccentric gaze of the affected extraocular muscles. The spell is characterized by involuntary, occasionally painful, sustained contraction of one or more extraocular muscles innervated by the oculomotor, trochlear, or abducens nerve. ONM usually occurs as a late consequence of radiotherapy around the parasellar area, although idiopathic cases have been reported. Most cases are unilateral; however, bilateral ONM has occasionally been described...
September 3, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30176811/efficacy-and-safety-of-minimal-invasive-surgery-treatment-in-hypertensive-intracerebral-hemorrhage-a-systematic-review-and-meta-analysis
#16
Yiping Tang, Fengqiong Yin, Dengli Fu, Xinhai Gao, Zhengchao Lv, Xuetao Li
BACKGROUND: Recently, minimal invasive surgery (MIS) has been applied as a common therapeutic approach for treatment of hypertensive intracerebral hemorrhage (HICH). However, the efficacy and safety of MIS is still controversial compared with conservative medical treatment or conventional craniotomy. This meta-analysis aimed to systematically assess the safety and efficacy of MIS compared with conservative method and craniotomy in treating HICH patients. METHODS: PubMed, Embase, Web of Science, and Cochrane Controlled Trials Register were used to identify relevant studies on MIS treatment of HICH up to November 2017...
September 3, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30172251/accuracy-of-seizure-semiology-obtained-from-first-time-seizure-witnesses
#17
Taim A Muayqil, Mohammed H Alanazy, Hassan M Almalak, Hussain Khaled Alsalman, Faroq Walid Abdulfattah, Abdullah Ibrahim Aldraihem, Fawaz Al-Hussain, Bandar N Aljafen
BACKGROUND: Little is known of how accurately a first-time seizure witness can provide reliable details of a semiology. Our goal was to determine how accurately first-time seizure witnesses could identify key elements of an epileptic event that would aid the clinician in diagnosing a seizure. METHODS: A total of 172 participants over 17 years of age, with a mean (sd) of 33.12 (13.2) years and 49.4% female, composed of two groups of community dwelling volunteers, were shown two different seizure videos; one with a focal seizure that generalized (GSV), and the other with a partial seizure that did not generalize (PSV)...
September 1, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30170563/hyperuricemia-and-dementia-a-case-control-study
#18
Bettina Engel, Willy Gomm, Karl Broich, Wolfgang Maier, Klaus Weckbecker, Britta Haenisch
BACKGROUND: There is evidence that uric acid may have antioxidant and neuroprotective effects and might therefore alter the risk for neurodegenerative diseases such as dementia. So far, the relation between serum uric acid (SUA) levels or hyperuricemia and dementia remains elusive. Most studies focused on the disease or SUA levels. Effects of anti-hyperuricemic treatment have not been considered yet. This study investigated the association between hyperuricemia and dementia taking into account anti-hyperuricemic treatment...
August 31, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30170559/targeting-the-notch1-oncogene-by-mir-139-5p-inhibits-glioma-metastasis-and-epithelial-mesenchymal-transition-emt
#19
Jianlong Li, Qingbin Li, Lin Lin, Rui Wang, Lingchao Chen, Wenzhong Du, Chuanlu Jiang, Ruiyan Li
BACKGROUND: Glioma metastasis, invasion, epithelial-mesenchymal transition (EMT) and chemoresistance indicate poor prognosis. Accumulating evidence reveals that Notch1 is an important factor in tumour progression. However, the role of Notch1 in glioma EMT and associated microRNAs (miRNAs) with the Notch pathway remain controversial. METHODS: Utilizing cBioPortal database to examine the gene signature of NOTCH1 (encoding Notch1), CDH2 (encoding N-cadherin) and SNAI1 (encoding Snail-1) in disease-free survival (DFS) and overall survival (OS)...
August 31, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30170556/altered-development-of-dopaminergic-neurons-differentiated-from-stem-cells-from-human-exfoliated-deciduous-teeth-of-a-patient-with-down-syndrome
#20
Thanh Thi Mai Pham, Hiroki Kato, Haruyoshi Yamaza, Keiji Masuda, Yuta Hirofuji, Hiroshi Sato, Huong Thi Nguyen Nguyen, Xu Han, Yu Zhang, Tomoaki Taguchi, Kazuaki Nonaka
BACKGROUND: Down syndrome (DS) is a common developmental disorder resulting from the presence of an additional copy of chromosome 21. Abnormalities in dopamine signaling are suggested to be involved in cognitive dysfunction, one of the symptoms of DS, but the pathophysiological mechanism has not been fully elucidated at the cellular level. Stem cells from human exfoliated deciduous teeth (SHED) can be prepared from the dental pulp of primary teeth. Importantly, SHED can be collected noninvasively, have multipotency, and differentiate into dopaminergic neurons (DN)...
August 31, 2018: BMC Neurology
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