1,721,029 research outputs found
A study of spontaneous motility (“General Movements”) to assess psychomotor development in offspring of epileptic mothers on anticonvulsant drug treatment during pregnancy.
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Studio della motilità spontanea (“General Movements”) per la valutazione dello sviluppo psicomotorio nei nati da pazienti epilettiche in trattamento con farmaci anticonvulsivanti(AED) durante la gravidanza
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Assesment of emotional responses in patient affected by epilepsy: adaptive and disadaptive aspects
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Valutazione delle risposte emozionali di pazienti affetti da epilessia. Aspetti adattativi e Disadattativi
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A female with central anticholinergic syndrome responsive to neostigmine
No full textVIENE DESCRITTO UN CASO CLINICO IN ETA' EVOLUTIVA IN CUI SI SEGNALA LA INSORGENZA DI UNA SINDROME ANTICOLINERGICA CENTRALE PER INGESTIONE ACCIDENTALE DELLE FOGLIE DI UNA PIANTA (SOLANUM PSEUDOCAPSICUM) AVVENUTA NEL GIARDINO DEI NONNI CUI ERA IN CUSTODIA LA BAMBINA. SI SEGNALANO LE PECULIARITA' DEL QUADRO CLINICO E LA UTILIZZAZIONE CON EFFICACIA "ATIPICA" E INATTESA DELLA NEOSTIGMINA , DISCUTENDO LA ALTERATA BARRIERA EMATOENCEFALICA LEGATA AL MOMENTO INFIAMMATORIO.Central anticholinergic syndrome is a rarely observed condition in children. The occurrence of this syndrome after ingestion of Solanum pseudocapsicum is infrequent because findings tend to be milder and localized to the gastrointestinal system, without central nervous system involvement. Most patients do not present with diagnostic problems because their relatives can usually report any ingestion of poisonous agents; however, when drug poisoning or plant ingestion is uncertain, a differential diagnosis with encephalitis must be considered. Physostigmine salicylate is the specific antidote because it crosses the blood-brain barrier because of its tertiary ammonium group. Neostigmine methylsulfate has a quaternary ammonium group, which prevents its penetration through the blood-brain barrier; hence its primary influence is believed to be due to its action on the peripheral nervous system. We describe a female with central anticholinergic syndrome caused by ingestion of Solanum pseudocapsicum. A slow intravenous infusion of neostigmine methylsulfate (0.03 mg/kg) immediately resolved the clinical picture. To our knowledge, this case is the first reported of central anticholinergic syndrome occurring after ingestion of Solanum pseudocapsicum in a child and the first report of a complete and rapid remission after intravenous neostigmine methylsulfate administration
Heart rate variability and familial amyloidosis
No full textA 32-year-old man with family history of amyloidosis was admitted to the hospital because of orthostatic hypotension. An echocardiogram was suggestive for cardiac amyloidosis. Heart rate variability analysis, performed on 24-h Holter monitoring, showed markedly low values in both frequency and time domain, reflecting a severe autonomic nervous system dysfunction. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved
Botulism: A case associated with pyramidal signs
No full textBotulism is a widespread neuroparalytic disease that may be confused with other neurological disorders. As it is potentially lethal, clinicians are required to be aware of its diagnosis and management. We report a case of botulism complicated by pyramidal signs in a 35-year-old woman. Clinical aspects, differential diagnoses and therapeutic problems are discussed
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