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https://www.readbyqxmd.com/read/28645166/epidemiological-and-clinical-characteristics-of-children-and-adolescents-with-leprosy-admitted-over-16%C3%A2-years-at-a-rural-hospital-in-ethiopia-a-retrospective-analysis
#1
José M Ramos, Sonia Ortiz-Martínez, Deriba Lemma, Matheus M Petros, Carmen Ortiz-Martínez, Abraham Tesfamariam, Francisco Reyes, Isabel Belinchón
Aim: To analyse differences in children and adolescents aged ≤18 years admitted to the leprosy ward in a rural Ethiopian hospital >16 years. Methods: We retrospectively collected data from leprosy admission registry books on patients with leprosy who were admitted to a referral hospital from September 2000 to September 2016. Results: There were 2129 admissions for leprosy during the study period: 180 (8.4%) patients were s ≤ 18 years old...
June 22, 2017: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/28638708/citation-classics-in-central-nervous-system-inflammatory-demyelinating-disease
#2
Jee-Eun Kim, Kang M Park, Yerim Kim, Dae Y Yoon, Jong S Bae
OBJECTIVES: To identify and analyze the characteristics of the most influential articles about central nervous system (CNS) inflammatory demyelinating disease. MATERIALS AND METHODS: The Institute for Scientific Information (ISI) Web of Science database and the 2014 Journal Citation Reports Science Edition were used to retrieve the top 100 cited articles on CNS inflammatory demyelinating disease. The citation numbers, journals, years of publication, authorships, article types, subjects and main issues were analyzed...
June 2017: Brain and Behavior
https://www.readbyqxmd.com/read/28633333/anti-natural-octyl-disaccharide-leprosy-idri-diagnostic-ndo-lid-antibodies-as-indicators-of-leprosy-reactions-and-neuritis
#3
Héctor Serrano-Coll, Mónica Muñoz, Juan Camilo Beltrán, Malcolm S Duthie, Nora Cardona-Castro
Background: Leprosy is a complex infectious and neurological disease caused by Mycobacterium leprae. Nerve damage is related to immunological hypersensitivity responses known as leprosy reactions (LRs). Diagnostic tools to predict LRs are not available. We hypothesized that natural octyl disaccharide-leprosy IDRI diagnostic (NDO-LID) would be helpful as an indicator of LRs and neuritis. Methods: To assess the utility of NDO-LID in indicating reactions, ELISA were used to detect specific antibodies in serum samples from 80 Colombian leprosy patients (40 with and 40 without history of LRs)...
March 1, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28626779/optical-coherence-tomography-and-visual-evoked-potentials-in-pediatric-ms
#4
Amy T Waldman, Grant T Liu, Amy M Lavery, Geraldine Liu, William Gaetz, Tomas S Aleman, Brenda L Banwell
OBJECTIVE: To determine the relative ability of optical coherence tomography (OCT) and pattern-reversal visual evoked potentials (pVEPs) to detect visual pathway involvement in pediatric-onset MS. METHODS: Pediatric-onset MS participants (onset <18 years) and healthy controls (HCs) underwent OCT (Cirrus HD-OCT) and pVEPs. Retinal nerve fiber layer (RNFL), ganglion cell layer to inner plexiform layer (GCL-IPL), and P100 pVEP latency were measured. Generalized estimating equation models were used to compare the groups, adjusting for age and intereye correlations...
July 2017: Neurology® Neuroimmunology & Neuroinflammation
https://www.readbyqxmd.com/read/28624951/prefoveal-floaters-as-a-differential-diagnosis-to-optic-neuritis-mouches-dormantes
#5
Marloes C Burggraaff, Willemine A E J de Vries-Knoppert, Axel Petzold
This case series describes a new optical coherence tomography (OCT) specific observation relevant to the differential diagnosis of patients with suspected optic neuritis. A tiny prefoveal floater, only detectable by OCT, was found responsible for the symptoms in three patients, one of whom had been referred with unilateral delayed visual evoked potentials. This case series suggests that with increased use of OCT in routine clinical care, entoptic phenomena can be demonstrated as a relevant differential diagnosis to optic neuritis...
June 17, 2017: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/28623066/association-of-posterior-semicircular-canal-hypofunction-on-video-head-impulse-testing-with-other-vestibulo-cochlear-deficits
#6
Alexander A Tarnutzer, Christopher J Bockisch, Elena Buffone, Konrad P Weber
OBJECTIVES: The video-head-impulse test (vHIT) provides a functional assessment of all six semicircular canals (SCC). Occasionally isolated loss of the posterior canal(s) (ILPC) is diagnosed, though this finding is poorly characterized. Here we assessed how accurate that diagnosis is by measuring the co-occurrence of abnormalities on caloric irrigation, vestibular-evoked myogenic-potentials and audiometry. METHODS: We identified 52 patients with ILPC (unilateral=40, bilateral=12)...
May 17, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/28615429/diagnostic-algorithm-for-relapsing-acquired-demyelinating-syndromes-in-children
#7
Yael Hacohen, Kshitij Mankad, W K Chong, Frederik Barkhof, Angela Vincent, Ming Lim, Evangeline Wassmer, Olga Ciccarelli, Cheryl Hemingway
OBJECTIVE: To establish whether children with relapsing acquired demyelinating syndromes (RDS) and myelin oligodendrocyte glycoprotein antibodies (MOG-Ab) show distinctive clinical and radiologic features and to generate a diagnostic algorithm for the main RDS for clinical use. METHODS: A panel reviewed the clinical characteristics, MOG-Ab and aquaporin-4 (AQP4) Ab, intrathecal oligoclonal bands, and Epstein-Barr virus serology results of 110 children with RDS. A neuroradiologist blinded to the diagnosis scored the MRI scans...
June 14, 2017: Neurology
https://www.readbyqxmd.com/read/28611640/visual-loss-from-choroidal-melanoma-mimicking-neurological-syndromes
#8
Karim Hammamji, Ehud Reich, Amit Arora, Victoria M L Cohen, Mandeep S Sagoo
Melanoma of the eye is rare, but can mimic a range of disorders. This report highlights 2 cases of choroidal melanoma with vision loss mimicking neurological diagnoses. The first patient is a 41-year-old white male with a known history of multiple sclerosis and a previous episode of optic neuritis in the right eye, who presented with a 6-month history of decreased vision in the same eye, and occasional photopsiae. He was treated with 2 courses of oral steroids for presumed recurrent optic neuritis. After a temporary improvement in his symptoms, his vision worsened, following which he had a head MRI, which revealed a solid intraocular mass...
January 2017: Case Reports in Neurology
https://www.readbyqxmd.com/read/28611623/visual-loss-induced-by-adalimumab-used-for-plaque-psoriasis
#9
Norman Saffra, Konstantin Astafurov
A 61-year-old Caucasian male with severe plaque psoriasis without joint involvement was initiated on adalimumab therapy. Shortly thereafter he presented to the emergency room with acute loss of vision in the right eye. A comprehensive systemic workup was instituted which included magnetic resonance imaging (MRI) with and without gadolinium of the brain and orbits. MRI revealed findings that were consistent with CNS demyelination and retrobulbar optic neuritis. Immediate cessation of adalimumab was instituted without any other systemic therapy...
January 2017: Case Reports in Dermatology
https://www.readbyqxmd.com/read/28601290/suspected-bacterial-meningomyelitis-the-first-presenting-clinical-feature-of-neuromyelitis-optica-spectrum-disorder
#10
Xiang Li, Jie Lin, Sipei Pan, Yiyun Weng, Jia Li, Xu Zhang, Junhui Xia, Qiaowen Tong
A rare case of neuromyelitis optica spectrum disorder, suspected to be bacterial meningomyelitis as the initial manifestation, is reported. The patient presented with initial symptoms of meningomyelitis and fever. Cerebrospinal fluid analysis revealed pleocytosis (1280×10(6)/L [98% lymphocytes]) and glucose level of 1.8mmol/L. Magnetic resonance imaging revealed >3 vertebral, longitudinally extensive transverse myelitis and area postrema lesions. Right optic neuritis was experienced 20months after the first attack...
August 15, 2017: Journal of Neuroimmunology
https://www.readbyqxmd.com/read/28601289/anti-inflammatory-and-immunomodulatory-potential-of-human-immunoglobulin-applied-intrathecally-in-lewis-rat-experimental-autoimmune-neuritis
#11
Kalliopi Pitarokoili, Felix Kohle, Jeremias Motte, Oluwaseun Fatoba, Xiomara Pedreiturria, Ralf Gold, Min-Suk Yoon
Intravenous human immunoglobulins dominate in the treatment of autoimmune neuropathies. We introduce intrathecal application as a new option for experimental autoimmune neuritis in Lewis rats. After immunisation with neuritogenic P2 peptide, we show a therapeutic and preventive effect of intrathecal human immunoglobulins (5-40mg/kg) on clinical and electrophysiological neuritis signs. Histology corroborated a lower degree of inflammation, demyelination, ICAM-1-dependent blood-nerve-barrier permeability and complement activation in the sciatic nerve...
August 15, 2017: Journal of Neuroimmunology
https://www.readbyqxmd.com/read/28597317/erratum-to-plasma-exchange-response-in-34-patients-with-severe-optic-neuritis
#12
Romain Deschamps, Antoine Gueguen, Nathalie Parquet, Samir Saheb, Francoise Driss, Malcie Mesnil, Catherine Vignal, Jennifer Aboab, Raphael Depaz, Olivier Gout
No abstract text is available yet for this article.
June 8, 2017: Journal of Neurology
https://www.readbyqxmd.com/read/28578363/etiology-of-optic-atrophy-a-prospective-observational-study-from-saudi-arabia
#13
Joyce N Mbekeani, Maaly Abdel Fattah, David M Poulsen, Selwa Al Hazzaa, M Anas Dababo, Abdelmoneim Eldali, Manzoor Ahmed
BACKGROUND: Optic atrophy (OA) represents permanent retinal ganglion cell loss warranting study to establish etiology. OBJECTIVES: To describe neurogenic causes of OA. DESIGN: Prospective, observational. SETTING: Tertiary care center, Riyadh, Saudi Arabia. PATIENTS AND METHODS: We included consecutive patients of all ages with OA caused by lesions affecting the visual pathways who were referred over a 9-month period (November 2013 to July 2014)...
May 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28570722/use-of-corneal-confocal-microscopy-to-detect-corneal-nerve-loss-and-increased-dendritic-cells-in-patients-with-multiple-sclerosis
#14
Gulfidan Bitirgen, Zehra Akpinar, Rayaz A Malik, Ahmet Ozkagnici
Importance: Multiple sclerosis (MS) is characterized by demyelination, axonal degeneration, and inflammation. Corneal confocal microscopy has been used to identify axonal degeneration in several peripheral neuropathies. Objective: To assess corneal subbasal nerve plexus morphologic features, corneal dendritic cell (DC) density, and peripapillary retinal nerve fiber layer (RNFL) thickness in patients with MS. Design, Setting, and Participants: This single-center, cross-sectional comparative study was conducted at a tertiary referral university hospital between May 27, 2016, and January 30, 2017...
June 1, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/28570417/vestibular-restoration-and-adaptation-in-vestibular-neuritis-and-ramsay-hunt-syndrome-with-vertigo
#15
Eduardo Martin-Sanz, Almudena Rueda, Jonathan Esteban-Sanchez, Joaquin Yanes, Jorge Rey-Martinez, Ricardo Sanz-Fernandez
OBJECTIVE: To evaluate vestibular restoration and the evolution of the compensatory saccades in acute severe inflammatory vestibular nerve paralysis, including vestibular neuritis and Ramsay Hunt syndrome with vertigo. STUDY DESIGN: Prospective. SETTING: Tertiary referral center. PATIENTS: Vestibular neuritis (n = 18) and Ramsay Hunt syndrome patients with vertigo (n = 13) were enrolled. INTERVENTION: After treatment with oral corticosteroids, patients were followed up for 6 months...
May 31, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28567539/retinal-ganglion-cell-analysis-in-multiple-sclerosis-and-optic-neuritis-a-systematic-review-and-meta-analysis
#16
REVIEW
Josefine Britze, Gorm Pihl-Jensen, Jette Lautrup Frederiksen
The aim of this study was to summarise existing findings regarding optical coherence tomography (OCT) measurements of ganglion cell layer (GCL) alterations in optic neuritis (ON) and multiple sclerosis (MS). Peer-reviewed studies published prior to April 2016 were searched using PubMed, EMBASE, Web of Science and Scopus. Studies were included if they measured GCL thickness using OCT in patients with either ON, MS or clinically isolated syndrome. For the meta-analysis, we compared GCL thickness in MS patients with and without prior ON, to healthy controls...
May 31, 2017: Journal of Neurology
https://www.readbyqxmd.com/read/28566179/acute-unilateral-peripheral-vestibulopathy-in-neurosyphilis
#17
Allison S Young, Antonia S Carroll, Miriam S Welgampola, Peter J McCluskey, Sebastian J van Hal, Elizabeth O Thompson, Juliet Burn, Michael J Fulham, G Michael Halmagyi
INTRODUCTION: Neurosyphilis producing basal meningitis presenting as sequential transient cranial nerve palsies was well recognized before the antibiotic era. OBJECTIVE: To report two patients presenting with acute unilateral peripheral vestibulopathy due to syphilitic basal meningitis. RESULTS: In Case 1 basal meningitis occurred early in the secondary phase of the infection, in Case 2 in the late latent phase. The diagnosis was not made immediately in either case; in Case 1 after previous presentation with increasing hearing loss and then with facial palsy and then a subsequent presentation with optic neuritis; in Case 2 after investigation for possible lymphoma...
July 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28562427/effects-of-saccular-function-on-recovery-of-subjective-dizziness-after-vestibular-rehabilitation
#18
Junhui Jeong, Jinsei Jung, Jeon Mi Lee, Michelle J Suh, Sang Hyun Kwak, Sung Huhn Kim
OBJECTIVE: We attempted to investigate whether the integrity of saccular function influences the severity of subjective dizziness after vestibular rehabilitation in vestibular neuritis. STUDY DESIGN: Retrospective analysis. SETTING: Tertiary referral center. PATIENTS: Forty-six patients with acute unilateral vestibular neuritis were included. INTERVENTIONS: Diagnostic, therapeutic, and rehabilitative...
May 29, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28549682/epidemiology-of-vestibular-disorders-in-the-otoneurology-unit
#19
Gloria Guerra-Jiménez, Alejandra Arenas Rodríguez, Juan Carlos Falcón González, Daniel Pérez Plasencia, Ángel Ramos Macías
INTRODUCTION AND OBJECTIVES: The set of symptoms relating to disorders of the balance system are common in the general population. However, there are few studies quantifying the frequency of onset of the various vestibular disorders that present in specialist otoneurology units in the Spanish population. The aim of this study is to establish the epidemiology of vestibular disorders, their form of presentation, and the expected care burden in a specialist otoneurology clinic. MATERIAL AND METHODS: A retrospective, descriptive, observational study of patients referred to the otoneurology unit of a third level hospital between 1/1/2015 and 31/12/2015...
May 23, 2017: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/28543062/an-adaptive-vestibular-rehabilitation-technique
#20
Benjamin T Crane, Michael C Schubert
OBJECTIVES/HYPOTHESIS: There is a large variation in vestibular rehabilitation (VR) results depending on type of therapy, adherence, and the appropriateness for the patient's level of function. A novel adaptive vestibular rehabilitation (AVR) program was developed and evaluated. STUDY DESIGN: Technology and procedure development, and prospective multicenter trial. METHODS: Those with complete unilateral vestibular hypofunction and symptomatic at least 3 months with a Dizziness Handicap Inventory (DHI) >30 were eligible...
May 23, 2017: Laryngoscope
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