Swiss Archives of Neurology, Psychiatry and Psychotherapy

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Open AccessAbstract

165. Jahresversammlung der Schweizerischen Neurologischen Gesellschaft und der Schweizerischen Gesellschaft für Klinische Neurophysiologie 165e Assemblée annuelle de la Société Suisse de Neurologie et de la Société Suisse de Neurophysiologie Clinique

by EMH Swiss Medical Publishers Ltd.

Swiss Arch. Neurol. Psychiatry Psychother. 2000, 151(6), 265-276; https://doi.org/10.4414/sanp.2000.01187 - 1 Jan 2000

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Abstract

Background: Experiences with our comprehensive stroke unit showed that only 28% of acute stroke patients were admitted to the intensive care unit (ICU), partly because of limited resources. In addition, criteria for admission to ICU were not always followed. Thus, two interventions were [...] Read more.

Background: Experiences with our comprehensive stroke unit showed that only 28% of acute stroke patients were admitted to the intensive care unit (ICU), partly because of limited resources. In addition, criteria for admission to ICU were not always followed. Thus, two interventions were prompted: First, a time budget for stroke patients on ICU was given by the hospital administration (“24h ICU each day”). Second, criteria for ICU admission were modified. Methods: For 6 months in 1999 management of all patients with acute ischemic stroke was prospectively assessd using standardized, prespecified criteria. We evaluated whether modified criteria were realized in clinical practice and whether management on ICU within the time budget was feasible. Further, we compared stroke profile and medication on ICU between 1999 (modified criteria) and the same period in 1997 (initial criteria). Results: In 1999, 71 of 195 (36%) stroke patients were admitted to ICU,compared to 41 of 162 (25%) patients in 1997 (p<0.05). In 1999, 1 patient (0.5%) had no ICU admission despite fulfilled criteria and 4 of 71 ICU patients (5.6%) were admitted without fulfilling selection criteria. Mean time on ICU was 39.8 ± 33.3h, compared to 44.5 ± 51.1h in 1997 (p>0.1). Total ICU time was 2902h in 1999, which was higher than in 1997 (1821), but lower than the given time limit of 4416h. Patients with lacunar infarcts were less often admitted to ICU in 1999 (10%) than in 1997 (27%) (p<0.05). Antihypertensive drugs were less often used in 1999 (11.3%) than in 1997 (32%, p<0.02). Conclusion: Modified criteria for ICU admission were implemented with a low rate of misplacement. ICU was available for more patients than previously, and total ICU time was shorter than the allocated time limit. Patients with lacunar syndromes were less likely treated on ICU. Full article

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Open AccessArticle

Guideline: akute Polyradikulitis (Guillain-Barré-Syndrom, GBS)

by A. J. Radziwill, T. Kuntzer, P. Fuhr and A. J. Steck

Swiss Arch. Neurol. Psychiatry Psychother. 2000, 151(6), 259-261; https://doi.org/10.4414/sanp.2000.01188 - 1 Jan 2000

Cited by 1 | Viewed by 32

Abstract

Das Guillain-Barré-Syndrom (GBS) ist ein klinisches Syndrom, für das 1978 zum erstem Mal diagnostische Kriterien geschaffen wurden [...] Full article

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Open AccessArticle

Myositis als seltene Spätmanifestation der Sarkoidose

by A. J. Radziwill, C. Mitrache, U. Lüscher, S. Renaud, A. J. Steck and M. Tolnay

Swiss Arch. Neurol. Psychiatry Psychother. 2000, 151(6), 257-258; https://doi.org/10.4414/sanp.2000.01191 - 1 Jan 2000

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Abstract

This is a case report of a 59-year-old woman who developed 10 years after the diagnosis of systemic sarcoidosis a late and rare manifestation of neurosarcoidosis with histologically proven myositis, axonal polyneuropathy and vasculitis. Full article

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Open AccessArticle

Neuropathie trigéminale et syndrome de Sjögren: à propos d’un cas

by A. O. Rossetti, A. Carruzzo, F. Vingerhoets, B. Nater, R. Meuli and J. Bogousslavsky

Swiss Arch. Neurol. Psychiatry Psychother. 2000, 151(6), 253-256; https://doi.org/10.4414/sanp.2000.01192 - 1 Jan 2000

Cited by 1 | Viewed by 34

Abstract

We report a female patient presenting with trigeminal neuropathy; further investigations allowed to diagnose a primary Sjögren’s syndrome. A short literature review about epidemiology, clinical aspects and pathophysiology follows. In our case the unusual detection of a trigeminal lesion in MRI points to [...] Read more.

We report a female patient presenting with trigeminal neuropathy; further investigations allowed to diagnose a primary Sjögren’s syndrome. A short literature review about epidemiology, clinical aspects and pathophysiology follows. In our case the unusual detection of a trigeminal lesion in MRI points to a peripheral aetiology of this clinical manifestation. In presence of a trigeminal neuropathy one should always consider the possibility of an autoimmune collagen disease. Full article

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Open AccessArticle

Manipulations cervicales et dissection artérielle

by A. O. Rossetti, P. C. Combremont and J. Bogousslavsky

Swiss Arch. Neurol. Psychiatry Psychother. 2000, 151(6), 247-252; https://doi.org/10.4414/sanp.2000.01190 - 1 Jan 2000

Cited by 4 | Viewed by 31

Abstract

Arterial dissections of neck vessels are frequently related to manipulations of the cervical spine [...] Full article

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Open AccessArticle

Contrôle central de la prise alimentaire: de nouvelles connexions d’intérêt en psychiatrie biologique?

by Y. Charnay, I. Cusin, F. Rohner-Jeanrenaud, P. Muzzinc, T. Steimer, M. Archinard and C. Bouras

Swiss Arch. Neurol. Psychiatry Psychother. 2000, 151(6), 236-246; https://doi.org/10.4414/sanp.2000.01193 - 1 Jan 2000

Cited by 3 | Viewed by 33

Abstract

Feeding behaviours in human depend on psychic functions. Thus, eating disorders such as bulimia and anorexia nervosa are often accompanied by mood disorders. Conversely, anxiety or depression may dramatically influence appetite and food intake. Furthermore, hyperphagia and consecutively weight gain frequently occur with [...] Read more.

Feeding behaviours in human depend on psychic functions. Thus, eating disorders such as bulimia and anorexia nervosa are often accompanied by mood disorders. Conversely, anxiety or depression may dramatically influence appetite and food intake. Furthermore, hyperphagia and consecutively weight gain frequently occur with chronic administration of antipsychotics (clozapine, olanzapine) or mood stabilisers (lithium) in psychiatric patients. Although the biological mechanisms involved in eating behaviour are complex, several regulatory loops between the brain and the periphery have emerged recently. Thus, interactions between hormones (insulin, leptin), many neuropeptides (neuropeptide Y, CRH, POMC, melaninconcentrating hormone, orexins/hypocretins, peptide CART, TRH) and monoamines have been shown to contribute to the control of energy balance by influencing appetite, satiety and adiposity. Since most of these signalling factors are also implicated in other physiological functions (reward mechanisms, sleep, stress) or pathologies such as anxiety and depression, it can reasonably be assumed that these systems may represent new targets for drugs of special interest in psychiatry. Here we provide an overview of recent progress concerning certain basic and clinical aspects of feeding and eating disorders. Full article

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Open AccessArticle

Les syndromes de fatigue d’origine cérébrale

by F. Staub and J. Bogousslavsky

Swiss Arch. Neurol. Psychiatry Psychother. 2000, 151(6), 229-235; https://doi.org/10.4414/sanp.2000.01189 - 1 Jan 2000

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Abstract

In the general population fatigue is an extremely widespread and generally benign symptom [...] Full article

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Swiss Arch. Neurol. Psychiatry Psychother., Volume 151, Issue 6 (01 2000) – 7 articles , Pages 229-276

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