Next Issue
Volume 157, 01
Previous Issue
Volume 157, 01
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
SANPP
Volume 157
Issue 2
share announcement
Swiss Archives of Neurology, Psychiatry and Psychotherapy is published by MDPI from Volume 176 Issue 1 (2026). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with the previous journal publisher.

Swiss Arch. Neurol. Psychiatry Psychother., Volume 157, Issue 2 (01 2006) – 31 articles

  • Issues are regarded as officially published after their release is announced to the table of contents alert mailing list.
  • You may sign up for e-mail alerts to receive table of contents of newly released issues.
  • PDF is the official format for papers published in both, html and pdf forms. To view the papers in pdf format, click on the "PDF Full-text" link, and use the free Adobe Reader to open them.
Order results
Result details
Show export options expand_more Show export options expand_less
Select all
Export citation of selected articles as:
157 KB  
Communication
Iain Wilkinson, Graham Lennox: Essential Neurology
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 88; https://doi.org/10.4414/sanp.2006.01708 - 1 Jan 2006
Viewed by 33
Abstract
Essential Neurology wendet sich an Medizinstudentinnen und -studenten und möchte die Grundzüge der klinisch neurologischen Untersuchung sowie wesentliche Fakten zu den häufigsten neurologischen Erkrankungen vermitteln Full article
157 KB  
Communication
William J. Weiner, Christopher G. Goetz: Neurology for the Non-Neurologist
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 87-88; https://doi.org/10.4414/sanp.2006.01707 - 1 Jan 2006
Abstract
Wieviel Neurologie braucht die Nicht-Neurologin, der Nicht-Neurologe? Primär 610 Buchseiten: Neurology for the Non-Neurologist kommt als Paperback-Buch gestaltet mit einer Portion Understatement daher. Seinen reichen Inhalt gliedert es in neunundzwanzig, als einzelne Häppchen wohl verdauliche Kapitel [...] Full article
157 KB  
Communication
Jean-Pierre Valat, Philippe Goupille, Valérie Vedere: Lombalgies et sciatiques
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 87; https://doi.org/10.4414/sanp.2006.01706 - 1 Jan 2006
Abstract
Vous ne savez plus exactement comment distinguer une lombalgie commune d’une lombalgie symptomatique, ou vous ne savez pas comment quantifier cliniquement une lombosciatalgie commune, ou encore vous doutez de votre attitude thérapeutique? Ce «petit» livre est donc pour vous; il est en effet [...] Read more.
Vous ne savez plus exactement comment distinguer une lombalgie commune d’une lombalgie symptomatique, ou vous ne savez pas comment quantifier cliniquement une lombosciatalgie commune, ou encore vous doutez de votre attitude thérapeutique? Ce «petit» livre est donc pour vous; il est en effet à la dimension d’un livre de poche, mais c’est un guide pratique, très pratique [...] Full article
157 KB  
Communication
Sheila J. Wallace, Kevin Farrell: Epilepsy in Children
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 87; https://doi.org/10.4414/sanp.2006.01705 - 1 Jan 2006
Abstract
Neun Jahre nach der ersten Auflage ist 2004 die zweite, revidierte und leicht erweiterte Fassung dieses erfolgreichen Lehrbuches über die Epilepsien des Kindesalters erschienen. Sheila J.Wallace, die profilierte Initiantin dieses Werkes, zog für die zweite Auflage den kanadischen Epileptologen Kevin Farrell als Mitherausgeber [...] Read more.
Neun Jahre nach der ersten Auflage ist 2004 die zweite, revidierte und leicht erweiterte Fassung dieses erfolgreichen Lehrbuches über die Epilepsien des Kindesalters erschienen. Sheila J.Wallace, die profilierte Initiantin dieses Werkes, zog für die zweite Auflage den kanadischen Epileptologen Kevin Farrell als Mitherausgeber zu. Sie selber konnte das Erscheinen des Buches leider nicht mehr erleben [...] Full article
157 KB  
Communication
Manfred Stöhr: Klinische Elektromyographie und Neurographie. Lehrbuch und Atlas
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 87; https://doi.org/10.4414/sanp.2006.01704 - 1 Jan 2006
Abstract
Das Buch ist übersichtlich gegliedert in die drei Teile «Untersuchungstechnik», «allgemeine Untersuchungsbefunde» und «spezielle Krankheitsbilder» [...] Full article
157 KB  
Communication
Detlef Rosenow, V. Tronnier, H. Göbel: Neurogener Schmerz. Management von Diagnostik und Therapie (+ CD-ROM)
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 86; https://doi.org/10.4414/sanp.2006.01703 - 1 Jan 2006
Abstract
Das vorgelegte Vielmänner- und -frauenbuch der Herausgeber Rosenow, Tronnier und Göbel präsentiert in deutscher Sprache den Versuch, «Neurogenen Schmerz» interdisziplinär in seiner Pathophysiologie, Semiologie und seinen therapeutischen Dimensionen zu erfassen. Als Zielgruppe dieses Buches werden im Geleitwort von Marco Mumenthaler (nicht von den [...] Read more.
Das vorgelegte Vielmänner- und -frauenbuch der Herausgeber Rosenow, Tronnier und Göbel präsentiert in deutscher Sprache den Versuch, «Neurogenen Schmerz» interdisziplinär in seiner Pathophysiologie, Semiologie und seinen therapeutischen Dimensionen zu erfassen. Als Zielgruppe dieses Buches werden im Geleitwort von Marco Mumenthaler (nicht von den Herausgebern) mit verschiedenen Spezialistengruppen letztlich alle an der Schmerztherapie Interessierten genannt. Dieses ist zweifellos richtig [...] Full article
157 KB  
Communication
Martin A. Samuels: Manual of Neurologic Therapeutics
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 86; https://doi.org/10.4414/sanp.2006.01702 - 1 Jan 2006
Abstract
Dieses Buch soll laut Vorwort als «therapeutisches Kompendium» neurologischer Krankheiten angesehen werden [...] Full article
157 KB  
Communication
John M. Stern, Jerome Engel: Atlas of EEG Patterns
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 86; https://doi.org/10.4414/sanp.2006.01701 - 1 Jan 2006
Abstract
In den letzten Monaten hat sich meine Büchersammlung um mehrere neue EEGAtlanten erweitert (Referenzen 1–5), einer davon ist derjenige von John M. Stern und Jerome Engel, Jr; er zeichnet sich besonders durch die Beschreibung und Illustration von EEG-Mustern aus [...] Full article
157 KB  
Communication
Ronald F. Pfeiffer, Ivan Bodis-Wollner: Parkinson's Disease and Nonmotor Dysfunction
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 85; https://doi.org/10.4414/sanp.2006.01700 - 1 Jan 2006
Abstract
Nonmotor dysfunction in Parkinson’s disease has received insufficient attention from the medical community although it can be very distressing to patients and often represents a challenge to their treating physicians. Indeed, multidisciplinary skills are required for adequate management of these symptoms, for which [...] Read more.
Nonmotor dysfunction in Parkinson’s disease has received insufficient attention from the medical community although it can be very distressing to patients and often represents a challenge to their treating physicians. Indeed, multidisciplinary skills are required for adequate management of these symptoms, for which usual antiparkinsonian medication is often ineffective [...] Full article
157 KB  
Communication
Loren A. Rolak: Neurology Secrets. With STUDENTCONSULT Access
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 85-86; https://doi.org/10.4414/sanp.2006.01699 - 1 Jan 2006
Abstract
Gemäss dem Herausgeber soll das Buch «Neurology Secrets» den Leser befähigen, die richtigen Fragen zu stellen und die richtigen Antworten zu geben, wobei offengelassen wird, wer der Fragende und wer der Antwortende ist. Die Autoren scheinen aber das Ziel zu verfolgen, mit Hilfe [...] Read more.
Gemäss dem Herausgeber soll das Buch «Neurology Secrets» den Leser befähigen, die richtigen Fragen zu stellen und die richtigen Antworten zu geben, wobei offengelassen wird, wer der Fragende und wer der Antwortende ist. Die Autoren scheinen aber das Ziel zu verfolgen, mit Hilfe von konkreten Fragen und Antworten einen umfassenden Überblick über Grundlagen und Klink der Neurologie zu geben [...] Full article
157 KB  
Communication
Jacques Philippon: Tumeurs cérébrales: du diagnostic au traitement
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 85; https://doi.org/10.4414/sanp.2006.01698 - 1 Jan 2006
Abstract
Die Betreuung der Patienten und Patientinnen, die an einem intrakraniellen Tumor leiden, hat dank neuer Grundkenntnisse aus der Molekularbiologie sowie Fortschritten der Bildgebung, Chemotherapie und Radiotherapie wichtige Neuerungen in den letzten 10 Jahren erlebt [...] Full article
157 KB  
Communication
E. Steve Roach, Van S. Miller: Neurocutaneous Disorders
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 85; https://doi.org/10.4414/sanp.2006.01697 - 1 Jan 2006
Abstract
Dans la plupart des livres de références en Neurologie, la description des syndromes neuro-cutanés est limitée, se limitant aux syndromes neuro-cutanés les plus fréquents comme dans la maladie de von Recklinghausen ou la sclérose de Bourneville. Le présent ouvrage vise à combler cette [...] Read more.
Dans la plupart des livres de références en Neurologie, la description des syndromes neuro-cutanés est limitée, se limitant aux syndromes neuro-cutanés les plus fréquents comme dans la maladie de von Recklinghausen ou la sclérose de Bourneville. Le présent ouvrage vise à combler cette lacune à l’aide d’une description détaillée et à une riche iconographie [...] Full article
157 KB  
Communication
Lorene M. Nelson, Caroline M. Tanner, Stephen K. Van Den Eeden, Valerie M. McGuire, editors: Neuroepidemiology. From Principles to Practice
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 84; https://doi.org/10.4414/sanp.2006.01696 - 1 Jan 2006
Abstract
Mit diesem Werk entstand eine hervorragende Zusammenfassung über grundlegende epidemiologische Daten zu den grossen Gebieten der Neurologie [...] Full article
157 KB  
Communication
J. P. Mohr, Dennis W. Choi, James C. Grotta, Bryce Weir, Philip A. Wolf: Stroke: Pathophysiology, Diagnosis and Management
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 84; https://doi.org/10.4414/sanp.2006.01695 - 1 Jan 2006
Abstract
The 4th edition of Stroke, Pathophysiology, Diagnosis and Management, published in 2004, 20 years after the first edition, has been thoroughly updated. A new section on epidemiology and prevention has been created by Philip A [...] Full article
157 KB  
Concept Paper
Marco Pappagallo: The Neurological Basis of Pain
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 84; https://doi.org/10.4414/sanp.2006.01694 - 1 Jan 2006
Abstract
Marco Pappagallo legt als Herausgeber ein Werk vor, das wahrlich interdisziplinär in 4 Teilen und 46 Kapiteln von ganz überwiegend international anerkannten Fachleuten bearbeitet wird [...] Full article
157 KB  
Communication
Didier le Gall, Ghislaine Aubin: L'apraxie
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 83; https://doi.org/10.4414/sanp.2006.01693 - 1 Jan 2006
Abstract
«L’apraxie» – un titre improbable pour un livre. L’initié sait qu’il n’y a pas une apraxie mais seulement «les apraxies»,des syndromes indépendants avec des bases anatomiques différentes [...] Full article
157 KB  
Communication
Nick Losseff, editor: Neurological Rehabilitation of Stroke
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 83; https://doi.org/10.4414/sanp.2006.01692 - 1 Jan 2006
Abstract
In diesem konzis geschriebenen Handbuch werden essentielle Aspekte der Neurorehabilitation nach Hirnschlag aufgezeigt [...] Full article
157 KB  
Communication
Sous la coordination de Stéphane Louryan, Marc Lemort, Danielle Balériaux: Imagerie des nerfs périphériques
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 83-84; https://doi.org/10.4414/sanp.2006.01691 - 1 Jan 2006
Abstract
Ce livre est le reflet de la publication de l’édition 2004 de cours du Collège d’enseignement post-universitaire de Radiologie (CEPUR), anciennement édités dans le journal de «Radiologie», journal du CEPUR. Si cette revue a succombé aux vicissitudes de l’édition médicale, la pérennité de [...] Read more.
Ce livre est le reflet de la publication de l’édition 2004 de cours du Collège d’enseignement post-universitaire de Radiologie (CEPUR), anciennement édités dans le journal de «Radiologie», journal du CEPUR. Si cette revue a succombé aux vicissitudes de l’édition médicale, la pérennité de la publication s’est faite il y a un an, par l’édition d’un livre, recueil des principales manifestations du CEPUR:«Les Annales du CEPUR».Comme les trois autres précédents volumes traitant d’autres aspects, il offre une revue complète, cette fois-ci de l’imagerie des racines nerveuses périphériques, des plexus et des troncs nerveux isolés, en insistant sur les aspects anatomiques et fonctionnels, et en précisant la place de l’imagerie interventionnelle [...] Full article
157 KB  
Communication
James Lance, Peter Goadsby: Mechanism and Management of Headache
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 83; https://doi.org/10.4414/sanp.2006.01690 - 1 Jan 2006
Abstract
Zum siebten Mal erschienen, neu überarbeitet und in neuem Gewand. Sind die Aussenmasse etwas kleiner als bei der sechsten Auflage, stecken neu jedoch fast hundert Seiten mehr Information drin [...] Full article
157 KB  
Communication
Hans Förstl, Herausgeber: Frontalhirn. Funktionen und Erkrankungen
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 82; https://doi.org/10.4414/sanp.2006.01689 - 1 Jan 2006
Abstract
Es gibt mehrere Bücher in englisch über Aufbau und Funktion des Frontalhirns, aber bisher keines im deutschen Sprachraum [...] Full article
157 KB  
Communication
Christiane Gleixner, Markus Müller, Steffen-Boris Wirth: Neurologie und Psychiatrie für Studium und Praxis 2006/07
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 82; https://doi.org/10.4414/sanp.2006.01688 - 1 Jan 2006
Abstract
Neurologie und Psychiatrie» von Gleixner, Müller und Wirth ist in der Absicht entstanden, eine knappe zusammenfassende Übersicht über beide Fächer zu erstellen [...] Full article
157 KB  
Communication
Margareth M. Esiri, Virginia M.-Y. Lee, John Q. Trojanowski, editors: The Neuropathology of Dementia
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 82; https://doi.org/10.4414/sanp.2006.01687 - 1 Jan 2006
Abstract
The Neuropathology of Dementia edited by M. Esiri, V. M.-Y. Lee and J. Q. Trojanowski was published by Cambridge University Press in 2004 [...] Full article
157 KB  
Communication
Michael P. Barnes,Bruce H. Dobkin, Julien Bogousslavsky: Recovery after Stroke
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 81; https://doi.org/10.4414/sanp.2006.01686 - 1 Jan 2006
Abstract
Der Schlaganfall ist die häufigste Ursache für eine Langzeitbehinderung bei älteren Erwachsenen mit oft gravierenden sozioökonomischen Folgen. Eine möglichst optimale Erholung von einem Schlaganfall ist deshalb nicht nur aus Patientensicht, sondern auch aus sozialmedizinischen Überlegungen wichtig [...] Full article
157 KB  
Communication
Mitchell F. Brin, Cynthia L. Comella, Joseph Jankovic, editors: Dystonia. Etiology, Clinical Features and Treatment
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 81; https://doi.org/10.4414/sanp.2006.01685 - 1 Jan 2006
Abstract
The Neuropathology of Dementia edited by M. Esiri, V. M.-Y. Lee and J. Q. Trojanowski was published by Cambridge University Press in 2004. This second edition on the neuropathology of diseases causing dementia is both up-to-date and compelling. It offers contributions from a [...] Read more.
The Neuropathology of Dementia edited by M. Esiri, V. M.-Y. Lee and J. Q. Trojanowski was published by Cambridge University Press in 2004. This second edition on the neuropathology of diseases causing dementia is both up-to-date and compelling. It offers contributions from a group of excellent experts providing actual knowledge in the field [...] Full article
157 KB  
Communication
Peter J. Dyck, P. K. Thomas: Peripheral Neuropathy (2-vol. set)
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 81-82; https://doi.org/10.4414/sanp.2006.01684 - 1 Jan 2006
Abstract
As a neurologist specialised in disorders of the peripheral nerves I can only welcome the long awaited 4th edition of the textbook “Peripheral Neuropathy”, edited by Peter J [...] Full article
204 KB  
Article
Neurologist-in-training
by EMH Swiss Medical Publishers Ltd.
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 77-80; https://doi.org/10.4414/sanp.2006.01682 - 1 Jan 2006
Viewed by 32
Abstract
+[...] Full article
703 KB  
Article
Histoire des contributions neurologiques dans les Archives suisses de neurologie et de psychiatrie
by P. Valko, M. Mumenthaler and Claudio L. Bassetti
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 62-76; https://doi.org/10.4414/sanp.2006.01683 - 1 Jan 2006
Cited by 2 | Viewed by 35
Abstract
The Swiss Archives of Neurology and Psychiatry were founded in 1917 by Constantin von Monakow. The main motivation was the growing need for an independent Swiss journal. Previously Swiss neurologists had had to submit their scientific contributions to German or French journals, with [...] Read more.
The Swiss Archives of Neurology and Psychiatry were founded in 1917 by Constantin von Monakow. The main motivation was the growing need for an independent Swiss journal. Previously Swiss neurologists had had to submit their scientific contributions to German or French journals, with the result that they were often insufficiently informed of their own compatriots’ work. For the Swiss Neurological Society, established in 1908, the foundation of the Swiss Archives was also a milestone in its battle to be accepted as an independent medical faculty. While the papers were mainly Swiss authored, the Swiss Archives also occupied a significant international position from the outset, as witness the regular contributions from well-known European neurologists. Constantin von Monakow remained editor-inchief until his death in 1930. Most of the famous (neuro-)scientific-philosophical works written during the last 15 years of his life were published in the Swiss Archives. Certainly the most outstanding volume was No 13 (1923), which contains 52 articles by the most renowned neurologists, psychiatrists, neuroanatomists and physiologists of that time as a festschrift for Constantin von Monakow’s 70th birthday. After Constantin von Monakow’s death, R. Bing (Basel) and M.Minkowski (Zurich) took over as editors of the neurology section. Both neurologists published a considerable number of papers in the Swiss Archives and contributed greatly to the quality of the journal, not least through their contacts with scientists from all over the world. It was in the Swiss Archives that M. Minkowski published his well-known work on the course of the optic nerve fibres (1920) and studies on the reflexes of the human foetus (1924, 1925). The 1st International Neurological Congress, which took place in Berne in 1931, was an important event in the history of Swiss neurology and formed the subject of a commentary in the Swiss Archives. At the end of the congress all the participants received a presentation copy of the most recent volume of the Swiss Archives. During the years preceding World War II the Swiss Archives played a remarkable international role by continuing to publish foreign papers, despite growing nationalism and racism in the surrounding countries of Europe.The journal also appeared regularly during the war. In 1959 the neurosurgeon H. Krayenbühl, who in 1941 had published his classic work on cerebral aneurysm in the Swiss Archives, became editor-inchief. During his editorship the journal’s name was expanded to Swiss Archives of Neurology, Neurosurgery and Psychiatry (until 1986). The most cited papers since 1945 have been those of R. Adams (on normopressive hydrocephalus) and B. Roth (on narcolepsy and hypersomnia). Several contributions have come from related specialities, e.g. the physiologist and Nobel Prize winner W. Hess wrote on the autonomic nervous system, the anatomist G. Töndury on foetopathies and the paediatrician G. Fanconi on poliomyelitis. Full article
►▼ Show Figures

Figure 1

132 KB  
Article
Wechselwirkung Krankheit–Familie1
by Barbara Steck, A. Grether, M. Ehrensperger, F. Amsler, A. Schwald Dillier, G. Romer, L. Kappos and D. Bürgin
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 54-61; https://doi.org/10.4414/sanp.2006.01681 - 1 Jan 2006
Viewed by 38
Abstract
Multiple sclerosis confronts patients, partners and their children with a wide array of challenges. In addition to physical symptoms, multiple sclerosis may result in cognitive dysfunction, depression or personality changes. Changes in family roles, loss of work, income and social status and caregiver [...] Read more.
Multiple sclerosis confronts patients, partners and their children with a wide array of challenges. In addition to physical symptoms, multiple sclerosis may result in cognitive dysfunction, depression or personality changes. Changes in family roles, loss of work, income and social status and caregiver burnout are common in these families. Thus multiple sclerosis represents a disease condition that has the potential to affect partner and children in a number of ways. Based on studies of 70 families and 110 of their offspring by means of semi-structured psychiatric interviews, questionnaires and psychological tests, we evaluated the coping process of the ill, the healthy parent and their children. We analysed disease variables, parental factors and family situations favouring the coping process of children or aggravating their burden, resulting in serious consequences for their psychosocial development. The results with respect to the coping of all family members show the mutual influences between the parental couple as well as between the parents and their children. The better patient or partner are able to cope with the disease, the higher are the values of the coping capacity of the partner and the patient respectively. Children’s coping abilities are influenced by their parents’ coping behaviour, and even stronger by the coping competence of the healthy parent. With regard to disease variables there are significant correlations between the severity of the disease, cognitive impairment and the degree of depression. Additional cognitive dysfunction of the patient is associated with depressive symptoms in his or her partner. Psychological distress affects not only the chronically ill patient but also the caregiver. A severe parental disease is considered as a potential risk factor for psychological trauma in children. If multiple psychosocial distress factors come together, the impact on the child’s psychological development may be traumatising. Main factors aggravating children’s burden and impeding their coping process are: parental depression, single parenthood and social isolation of the family, parental communication incapacity and unresolved traumatic experience in the parents’ own past history. The latter may be associated with the parent’s feelings of victimisation and a tendency to focus his or her life around the disease. Such an attitude interferes with his or her capacity to perceive and be available to the child’s developmental and affective needs, leading eventually to her or his emotional or in rare cases physical abuse. In this context, social isolation may operate as a more or less important factor. As to symptom formation in children, somatisation and hypochondrial fears are more frequent manifestations – evolving through identification with the ill parent – in children of somatically ill parents than in children of healthy parents. Important factors contributing to children’s mental health in a situation of a multiple sclerosis disease are: fulfilling children’s developmental and emotional needs and respecting their plays, interests and activities; parents’ perception of the illness effects on children and open communication within the family about the disease situation; assuring children that their parents are adequately supported by a social network and opportunity for children to engage in alternative relationships. Against the background of the disease course, family dynamics and life phase, the coping process of each family and its individual members varies greatly. There is clearly no right or wrong way of coping; to understand the very particular meaning each family attributes to the disease is of fundamental importance to the helping professional. The importance of the family of the ill parent, the function and competence of the parental couple and the welfare of the children have to be analysed most carefully before the possibility of preventive/ therapeutic intervention can be introduced. Full article
143 KB  
Article
Fatigue – better understanding, better therapy?
by I.-K. Penner and R. Schläger
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 46-53; https://doi.org/10.4414/sanp.2006.01680 - 1 Jan 2006
Cited by 2 | Viewed by 42
Abstract
Fatigue affects 75–95% of all multiple sclerosis (MS) patients. It belongs to one of the most disabling symptoms in multiple sclerosis causing social and occupational problems and affecting quality of life in a markedly negative way. Fatigue can be present at all stages [...] Read more.
Fatigue affects 75–95% of all multiple sclerosis (MS) patients. It belongs to one of the most disabling symptoms in multiple sclerosis causing social and occupational problems and affecting quality of life in a markedly negative way. Fatigue can be present at all stages of the disease including disease onset and often persists throughout the disease course. The pathophysiology is still unknown although several reasonable suggestions have been made. In this context peripheral and central abnormalities as well as neuroendocrine alterations were discussed as causal factors for fatigue. Even though these factors might contribute in part to the pathology they are not able to explain the entire complexity of the symptom. The current understanding of fatigue as a multicausal symptom complicates a reliable assessment.At present, methods to assess fatigue in an objective way are still missing.The knowledge about the pathology itself therefore mostly depends on subjective measures such as self-reports from patients.Without quantitative measures, however, it is difficult to define fatigue and to differentiate it from non-pathological tiredness. By developing different fatigue scales one has aimed at least at standardising the fatigue symptom and quantifying its dimension. However, these scales often suffer from insufficient discriminatory power between patients and controls, they often do not differentiate between cognitive and motor fatigue, and they were not validated according to methodological standards. At present, therefore, no reliable self-report instrumentis available to diagnose patients’ fatigue in clinical routine. Objective measures as might be provided by electrophysiological methods are employed even considerably less frequently but might be an interesting methodological approach for the future.The definition of fatigue being difficult and the pathophysiology still unknown, the development of specific therapeutic standards consequently is problematic as well. Various drugs that are supposed to raise the level of neuronal activity have been investigated for the management of MS fatigue. Significant benefits were described for some of the drugs in some subgroups of patients while in others adverse reactions were observed before a benefit could be noticed. It is recommended to combine non-pharmacological treatments and pharmacological approaches in treating MS fatigue. However, one has to be aware that a specific fatigue treatment is still lacking and that the options available today cannot be regarded as a standard treatment for fatigue. The present article will introduce the complexity of MS fatigue by discussing the major issues, assessment and treatment options. Full article
►▼ Show Figures

Figure 1

110 KB  
Article
Blasenfunktionsstörungen bei Multipler Sklerose – was ist praxisrelevant?
by Jörg Humburg, W. Holzgreve and E. Wight
Swiss Arch. Neurol. Psychiatry Psychother. 2006, 157(2), 42-45; https://doi.org/10.4414/sanp.2006.01679 - 1 Jan 2006
Viewed by 34
Abstract
Bladder dysfunctions, particularly voiding disorders, are commonly seen in multiple sclerosis. 96% of those suffering from multiple sclerosis for more than ten years show urological findings. The impact on quality of life is high. Complications like hydronephrosis, stone formation, vesicourethral reflux, infections and [...] Read more.
Bladder dysfunctions, particularly voiding disorders, are commonly seen in multiple sclerosis. 96% of those suffering from multiple sclerosis for more than ten years show urological findings. The impact on quality of life is high. Complications like hydronephrosis, stone formation, vesicourethral reflux, infections and renal failure can affect the upper urinary tract. Symptoms such as urgency, frequency, urinary incontinence and signs of obstruction, e.g. urinary retention, can, but need not be secondary to multiple sclerosis and may even present as primary clinical manifestation of the ailment. As multiple sclerosis is a dynamic disease with exacerbations and remissions, lower urinary tract symptoms and urodynamic findings change. Due to the poor correlation between symptoms, origin and bladder function, an initial urodynamic evaluation is advised. Therapy should be individualised, adapted to the stages of multiple sclerosis and planned in an interdisciplinary setting. Oral anticholinergics and intermittent self-catheterisation are important and effective treatments. Measurement of post-void residual bladder volume by ultrasound or catheterisation helps control therapy and bladder function. Cystoscopic botulinum-A toxin injection may be a promising new treatment option for many different urological dysfunctions. 10% of patients with bladder dysfunction, however, will still require surgery such as suprapubic cystostomy, augmentation cystoplasty, incontinent ileovesicostomy and sphincterotomy when conservative treatment fails Full article
Show export options expand_more Show export options expand_less
Select all
Export citation of selected articles as:
 
Displaying articles 1-31
Previous Issue
Next Issue
Back to TopTop