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A case report about oligodendrogliomas of the fourth ventricle.

RATIONALE: Oligodendrogliomas are usually located in the frontal, parietal and the temporal lobe, with the ones in the fourth ventricle quite rare. Hence we want to introduce a case about the rare disease. PATIENT CONCERNS: An eight-year old boy complained of progressive headache, dizziness and vomit for about 2 months. Then the slight ataxia was found by the physical examinations, with no sensory disturbances and other motor disturbances. DIAGNOSES: Abnormal signals on the fourth ventricle were found by the preoperative brain computed tomography (CT) scan and magnetic resonance imaging (MRI…

The Effectiveness of Vestibular Rehabilitation Interventions in Treating Unilateral Peripheral Vestibular Disorders: A Systematic Review.

BACKGROUND AND PURPOSE: Various types of vestibular rehabilitation therapy are routinely used in clinical practice to treat unilateral perip … eral vestibular hypofunction except when patient outcomes are captured by the dynamic gait index or dizziness handicap inventory. Many studies in this review demonstrate notable biases, suggesting that results should be used with caution. Future research should aim to use a common set of measures to capture outcomes. Copyright © 2015 John Wiley & Sons, Ltd.

Paraneoplastic orthostatic hypotension associated with acute myeloid leukemia.

AIMS: To further elucidate the clinical relevance of T-cell abnormalities in minimal change nephrotic syndrome (MCNS), and to predict the consequences of MCNS, we studied T-cell receptor (TCR) diversity by analyzing CDR3 size distribution and the frequency of Vβ repertoire usage. METHODS: Participants comprised 36 pediatric patients with MCNS. 18 were frequent relapsers (FRs) and/or steroid-dependent (SD) and 18 were non-frequent relapsers (NFRs). Serial changes in TCR Vβ repertoires were analyzed for these two groups of patients. Frequencies of Vβ repertoire usage were determined by flow cyt

A retrospective study of the clinical and electrophysiological characteristics of 32 patients with orthostatic myoclonus.

OBJECTIVES: To review the electrophysiological and clinical characteristics of 32 patients with orthostatic myoclonus (OM), a relatively newly identified movement disorder, and compare these characteristics to those of primary orthostatic tremor (OT) patients and patients with similar gait and balance complaints without either hyperkinesia diagnosed during the same 30-month period. METHODS: The database of the Mayo Clinic Florida Movement Disorders Electrophysiology Laboratory (MDEL) was searched for all patients referred for possible OM or OT from 6/2010 to 12/2012. All available clinical re

Comorbidities in vestibular migraine.

A growing body of clinical and epidemiological evidence supports a specific relationship between vestibular symptoms and migraine. Without a … Ménière's disease, and motion sickness. Patients with VM also have high rates of chronic subjective dizziness, which may be associated with anxious, introverted temperaments that can affect clinical presentation and treatment response. Broadly inclusive studies of well-characterized patients with other neurotologic and psychiatric comorbidities are needed t …

Adjunctive strategies in the treatment of refractory bipolar depression: clinician options in the absence of a systematic database.

Multiple approaches to enhancing antidepressant treatment response in bipolar depression are available and should, in many instances, be explored despite a lack of definitive controlled trial literature supporting their efficacy. Given that the morbidity of depression is three times greater than mania in bipolar illness, a range of treatment approaches to this phase of illness should be pursued. This paper highlights the preliminary evidence of efficacy versus side effects, tolerability, and safety in order to suggest an overall provisional utility grade for each well-studied to highly-experim

Benign positional vertigo after cochlear implantation.

OBJECTIVE: To identify patients who underwent cochlear implantation (CI) and who subsequently developed benign positional vertigo (BPV) afte … t, and prognosis of BPV after CI do not differ from those for non-CI-associated BPV. SIGNIFICANCE: Dizziness after CI usually develops as a result of vestibular hypofunction. BPV, which is a hyperfunctioning form of vestibular dysfunction, should be recognized as a possible sequelae of CI.

Falls in the elderly: more common, more dangerous.

Eye, ear, endocrine, neurologic, arrhythmic, and other disorders can be underlying causes of falls. For this reason, a thorough history following a fall is essential. To document an arrhythmia as the cause of a fall, the best instrument to use is the Holter ambulatory monitor. A 24-hour tracing is standard.

[Vertigo and psychological repercussions: psychological disorders and vertigo].

Vestibular dysfunction and other causes of dizziness may trigger psychiatric disorders, but vertigo may be a symptom of psychiatric illness. Specialists dealing with vertigo must keep these interrelationships in mind to provide their patients with the best possible care.

[Apical and inferior mammillary aneurysm in chronic Chagas cardiomyopathy].

A 66 year-old woman with chronic Chagas's heart disease, presented palpitations, dizziness and chest pain. The His bundle electrograms revealed sick sinus syndrome. The left cineventriculography showed apical and inferior aneurysms of mammillary morphological aspect.

Capsaicin 8% Patch Versus Oral Neuropathic Pain Medications for the Treatment of Painful Diabetic Peripheral Neuropathy: A Systematic Literature Review and Network Meta-analysis.

PURPOSE: A network meta-analysis (NMA) was performed, aiming to assess the relative efficacy and tolerability of the capsaicin 179-mg (8% we … tions of patients with ≥30% and ≥50% reductions in pain, and tolerability outcomes were somnolence, dizziness, nausea, diarrhea, constipation, headache, fatigue, insomnia, and rate of discontinuation due to adverse events (AEs). Data were analyzed by using a Bayesian NMA. Fixed and random effects models were estimated. Relative treatment effect was presente …

Desflurane combined with ciprofol or esketamine improves postoperative symptoms without compromising early neurocognitive recovery after intracranial aneurysm endovascular coiling.

OBJECTIVE: This randomized controlled trial aimed to compare the effects of three anesthetic regimens-desflurane + 0.9% saline (DS), desflur … y 5 (POD 5). Secondary outcomes included the incidence of postoperative nausea and vomiting (PONV), dizziness, numerical rating scale (NRS) pain scores, and the requirement for rescue antiemetic medication. This study was registered at the Chinese Clinical Trial Registry (ChiCTR2500097866). RESULTS: The MoCA scores improved significantly over time across a …

The Effect of Gradual Mobilization on Vital Signs and Comfort Level After Transfemoral Coronary Angiography.

Transfemoral coronary angiography (TFA) is widely used for the diagnosis and treatment of coronary artery disease. Prolonged bed rest after … Vital signs were recorded before and 20 min after mobilization. Post-procedural symptoms including dizziness, palpitations, and falling sensations-as well as complications such as bleeding or hematoma-were documented. Patient comfort was assessed using the General Comfort Scale Short Form 2 hr after mobilization. The intervention group experienced signific …

The effect of combined cognitive behavioral therapy and rehabilitation training on negative emotions of patients with vestibular dysfunction: a real-world cohort study.

PURPOSE: This study evaluated the association of combined cognitive behavioral therapy (CBT) and rehabilitation training with improvements i … of CBT combined with rehabilitation training. Primary outcomes included Visual Analog Scale (VAS), Dizziness Handicap Inventory (DHI), and Somatic Symptom Scale (SSS) scores at 3 months. Secondary outcomes included the above scales at 1 month, along with Generalized Anxiety Disorder Scale-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) scores. RESULT …

Balance Disorders in Young and Middle-Aged Adults: NHANES, 2001-2004 and 2021-2023.

OBJECTIVES: To estimate the prevalence of balance disorders in young and middle-aged adults, examine associations with risk factors, and changes over the past 20 years. METHODS: The National Health and Nutrition Examination Survey (NHANES) is a cross-sectional complex random sample of the civilian, non-institutionalized United States population. In 2001-2004 and 2021-2023, NHANES included questions about balance, dizziness, and falls in the past 12 months. The modified Romberg test (MRT) was used to examine vestibular balance function. Logistic regression models were used to assess risk facto…

Синдром мозга из Протон-Помп Инхибитор, вызванный гипомагнетомией: два презентабельных, но повторных случая.

ВВЕДЕНИЕ: Синдромы головного мозга являются редкими, но потенциально серьезными презентациями в отделении экстренной помощи, требующими своевременного диагностики и вмешательства. Дифференциальный диагноз широк, охватывает инсульт, множественный склероз, токсичные реакции и метаболические дисбалансы, такие как гипомагнетемия. Ингибиторы протонных насосов (ИПЦ) все чаще признаются в качестве причины сильной гипомагнетемии, которая может привести к обратимому синдрому головного мозга. Мы представляем два случая обратимого синдрома головного мозга, вызванного гипомагнетемией. Первое дело касается

Совпадение в аннотации оригинала
INTRODUCTION: Cerebellar syndromes are rare yet potentially serious presentations in the emergency department, requiring timely diagnosis an … d by hypomagnesemia. The first case involves a 65-year-old man with a two-week history of weakness, dizziness, and inappetence. After extensive investigation, including normal MRI and vestibular testing, his symptoms were attributed to severe hypomagnesemia secondary to esomeprazole use. Magnesium supplementation led to clinical improvement. The second case …