The Evaluation Acute Traumatic Stress Level in Close Relatives of Stroke Patients

OBJECTIVE: Stroke is the second most common cause of death and the leading cause of adult disability. Both stroke patients and their family can therefore experience increased traumatic stress level. METHODS: The participants are close relatives of patients (n=65) who had a first time stroke (CRPWS) hospitalized. A control group (CG) (n=61), who had no history of chronic illness in their family and had at least one traumatic life event experience. The National Institutes of Health Stroke Scale, Modified Rankin Scale, Personal Information Form, Life Events Checklist, Traumatic Stress Symptom Scale, and Multidimensional Scale of Perceived Social Support, were used in the study. RESULTS: We found no significant association between NIHSS and MRS of patients and traumatic stress level of the family member. The traumatic stress level was significantly higher in the CRPWS group than in the CG group. Traumatic stress level was higher in women than men and was not associated with perceived social support in the CRPWS group. CONCLUSION: The traumatic stress level of the relatives was not associated with the clinical features of the stroke patients. In the early phase, after the diagnosis of stroke, psychological support may be important to prevent CRPWS from PTSD.

Visual evoked potentials in neurobrucellosis

To investigate whether visual evoked potentials [VEPs] are valuable for distinguishing between brucellosis with or without neurological involvement. A total of 23 patients who were admitted to the Department of Infectious Diseases and Microbiology, and Neurology, Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey between December 2004 and August 2005 with a diagnosis of brucellosis were included in this study. After a detailed neurological and ophthalmological examination, VEPs were recorded. The P100 latencies and amplitudes were compared between the group of brucellosis [n=17] and neurobrucellosis [n=6] patients. Although there was no difference in the mean P100 latencies between the groups [n=17 for brucellosis, and n=6 for neurobrucellosis] [p=0.38], the mean P100 amplitude in patients with neurobrucellosis was significantly lower [p=0.012]. It could be emphasized that VEPs might reflect an underlying axonal pathology as a distinctive feature in neurobrucellosis