ABSTRACT
INTRODUCTION: Scientific guidelines recommend the National Institutes of Health Stroke Scale (NIHSS) for ischemic stroke (IS) assessment. In Clinical Department of Neurology of Split University Hospital Center nurses use the categorization of patients (COP) according to individual needs for health care. AIM: The aim of this study was to demonstrate that there is a positive correlation between the COP and the NIHSS in IS patients. METHODS: We analyzed NIHSS scores and COP findings in 325 participants (median age 77 years, min-max: 37-95 years) with acute ISs. RESULTS: There is a statistically significant correlation between the NIHSS score at admission and COP at admission (ρ=0.717; P<0.001). There is a statistically significant correlation between the NIHSS score at discharge and COP at discharge (ρ=0.762; P<0.001). Median of NIHSS scores at admission is higher in females than in males for 2 (Z=4.45, P<0.001) and at discharge is higher for 2 (Z = 4.1, P<0.001). Median of COP at admission is higher in females than in males for 1 (Z=4.7, P<0.001) and at discharge is the same (Z=4.7, P<0.001). CONCLUSION: There is a significant association of NIHSS scores and COP in IS patients. This association exists at admission and at discharge from the hospital.
Subject(s)
Ischemic Attack, Transient/diagnosis , Stroke/diagnosis , Adult , Aged , Aged, 80 and over , Croatia , Decision Support Techniques , Disability Evaluation , Disease Progression , Female , Humans , Ischemic Attack, Transient/physiopathology , Male , Middle Aged , National Institutes of Health (U.S.) , Nursing Diagnosis/statistics & numerical data , Patient Admission , Patient Discharge , Practice Guidelines as Topic , Predictive Value of Tests , Reproducibility of Results , Retrospective Studies , Severity of Illness Index , Stroke/physiopathology , United StatesABSTRACT
INTRODUCTION: Meningiomas are slow-growing benign tumors that arise at any location where arachnoid cells reside. Although meningiomas account for a sizable proportion of all primary intracranial neoplasms (14.3-19%), only 1.8 to 3.2% arise at the foramen magnum. Their indolent development at the craniocervical junction makes clinical diagnosis complex and often leads to a long interval between onset of symptoms and diagnosis. CASE REPORT: We report a case of a 79-year-old male patient, presented with ataxia and sense of threatening fainting during verticalization. Magnetic resonance imaging revealed the presence of meningioma in the right side of craniospinal junction.
ABSTRACT
Schwannomas are benign encapsulated tumors arising from the sheaths of peripheral nerves. They present as slowly enlarging solitary lumps, which may cause neurological defects. Multiple schwannomas in non-neurofi bromatosis type 2 patients are extremely rare. We report a case of a 60-year-old female patient, without any family history of neurofibromatosis or schwannomatosis, presented with trigeminal neuralgia and progressive facial nerve palsy. Magnetic resonance imaging revealed the presence of acoustic schwannoma involving facial nerve and trigeminal schwannoma of the cisternal part of the nerve involving gasserian ganglion (Meckel's cave). After gamma knife radiosurgery, trigeminal neuralgia was relieved completely with improvement of facial nerve palsy.
Subject(s)
Cranial Nerve Neoplasms/diagnostic imaging , Neoplasms, Multiple Primary/diagnostic imaging , Neuroma, Acoustic/diagnostic imaging , Cranial Nerve Neoplasms/complications , Cranial Nerve Neoplasms/surgery , Female , Humans , Magnetic Resonance Imaging , Middle Aged , Neoplasms, Multiple Primary/complications , Neoplasms, Multiple Primary/surgery , Neuroma, Acoustic/complications , Neuroma, Acoustic/surgery , Radiosurgery , Trigeminal Neuralgia/etiology , Trigeminal Neuralgia/surgeryABSTRACT
OBJECTIVE: Recording of event-related potentials by using oddball paradigm of auditory P300 has yielded conflicting results in migraine. The aim of this study was to demonstrate that migraine patients have reduced P300 amplitude and prolonged P300 latency, suggesting alterations of the cognitive-evaluative component. METHODS: We recruited 29 migraine patients (24 females; median age 40 years) and 29 healthy age- and gender-matched participants. Participants were subjected to the same testing procedures of auditory P300 by discrimination the target auditory stimulus from the frequent stimulus, and analyzing P300 target/frequent stimulus amplitudes, and P300 target/frequent stimulus latencies. RESULTS: Patients with migraine don't have prolonged P300 target stimulus latency, but have a longer P300 frequent stimulus latency for 17.5ms. Out of 29 participants with migraine 8 had pathological P300 target stimulus amplitude, and 19 had pathological P300 frequent stimulus amplitude. CONCLUSION: People with migraine have altered the P300 which indicates the presence of cognitive dysfunction in these patients and importance of early diagnosis and intervention to preventing any deterioration in cognitive functions.
