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Query: UMLS:C0013421 (dystonia)
 8,418 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Dynamics of electro- and rheoencephalographic (EEG and REG) indices in patients with some forms of cephalgia (vegetovascular dystonia--VVD) as well as with chronic nonspecific pulmonary diseases has been studied under the effect of artificial mountain climate therapy conducted using a special chamber "Orotron" created by a collective of researchers from Academy of Sciences of Ukraine. The results of EEG and REG analysis reflect a general tendency to improvement of the bioelectrical brain activity and cerebral hemodynamics.
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PMID:[Effect of inhalation therapy on the dynamics of electroencephalographic and rheoencephalographic indices in patients with vasomotor dystonia and with pathology of respiratory organs]. 130 73

The postconcussion syndrome refers to a large number of symptoms and signs that may occur alone or in combination following usually mild head injury. The most common complaints are headaches, dizziness, fatigue, irritability, anxiety, insomnia, loss of consciousness and memory, and noise sensitivity. Mild head injury is a major public health concern because the annual incidence is about 150 per 100,000 population, accounting for 75% or more of all head injuries. The postconcussion syndrome has been recognized for at least the last few hundred years and has been the subject of intense controversy for more than 100 years. The Hollywood head injury myth has been an important contributor to persisting skepticism and might be countered by educational efforts and counter-examples from boxing. The organicity of the postconcussion syndrome has now become well documented. Abnormalities following mild head injury have been reported in neuropathologic, neurophysiologic, neuroimaging, and neuropsychologic studies. There are multiple sequelae of mild head injury, including headaches of multiple types, cranial nerve symptoms and signs, psychologic and somatic complaints, and cognitive impairment. Rare sequelae include hematomas, seizures, transient global amnesia, tremor, and dystonia. Neuroimaging and physiologic and psychologic testing should be used judiciously based on the problems of the particular patient rather than in a cookbook fashion. Prognostic studies clearly substantiate the existence of a postconcussion syndrome. Manifestations of the postconcussion syndrome are common, with resolution in most patients by 3 to 6 months after the injury. Persistent symptoms and cognitive deficits are present in a distinct minority of patients for additional months or years. Risk factors for persisting sequelae include age over 40 years; lower educational, intellectual, and socioeconomic level; female gender; alcohol abuse; prior head injury; and multiple trauma. Although a small minority are malingerers, frauds, or have compensation neurosis, most patients have genuine complaints. Contrary to a popular perception, most patients with litigation or compensation claims are not cured by a verdict. Treatment is individualized depending on the specific complaints of the patient. Although a variety of medication and psychologic treatments are currently available, ongoing basic and clinical research of all aspects of mild head injury are crucial to provide more efficacious treatment in the future.
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PMID:The postconcussion syndrome and the sequelae of mild head injury. 143 59

According to the authors' observations, the symptoms of nervous system derangement associated with legionnaires' disease rather often enter the disease structure and can virtually be characterized as a manifestation of infectious and toxic encephalopathy and polyneuropathy (encephalopolyneuropathy). In the majority of cases, the neurological disorders develop acutely or subacutely after or simultaneously with respiratory lesions. The clinical picture of encephalopathy is marked by permanent headache, mental abnormalities, memory disturbances, insomnia, pronounced astheno-vegetative and vascular manifestations. In patients with legionellosis, polyneuropathy is manifested by paresthesias, less frequently by pains in the distal parts of the limbs and myasthenia without visible atrophies. Vegetative disorders such as vegetative polyneuropathy of the hands and legs, visceral polyneuropathies are typical symptoms of the disease whatever its gravity. Vegetovascular dystonia together with long-term AP instability is an obligate sign of the disease. Electrophysiological examinations (EEG, REG, EMG) support the clinical findings and may serve the basis for an objective evaluation of the gravity of the neurological disorders. The degree of pulmonary lesions and the intensity of vegetative disorders eventually determine the torpidity and characteristics of the disease course.
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PMID:[Nervous system involvement in legionellosis (legionnaires' disease)]. 164 36

Mumps virus is one of the most common causes of viral meningitis. Although brain involvement has been observed in a low proportion of children with mumps meningitis, a pure form of mumps encephalitis is extremely uncommon in the adult. A 23 year-old man presented with a rapidly evolving syndrome of cephalalgia , vomiting, mutism, disorders of gait, somnolence and dystonic movements. The electroencephalogram showed a diffusely slowed background activity. The CSF contained no cells, but the total protein concentration was elevated. The patient recovered without sequelae, but severe intellectual and motor disturbances persisted during more than a month. Serological studies showed an increase of blood IgM mumps-specific antibodies. We conclude that mumps encephalitis, although infrequent, should be considered among viral diseases that mimic herpes simplex encephalitis in the adulthood.
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PMID:[Mumps encephalitis in adulthood]. 205

Potential adverse effects of estrogen-gestagen contraceptive agents on blood pressure were studied in 220 fertile women (19 to 45 years old) throughout 2152 menstrual cycles. The contraceptive agents used were ovidon, non-ovlon, rigevidon and triquilar. Blood pressure was measured prior to administration of contraceptive agents, after 3, 6, 9 and 12 months of administration, and 1 month after termination of administration of estrogen-gestagen contraceptives. Evaluation of the cardio-vascular status indicated that of 220 women 212 had various risk factors for elevated blood pressure: 28 had excessive body weight, 14 were older than 35 years, 21 had a history of complicated pregnancy and labor, 2 had neurocirculatory dystonia, 54 had family history of cardio- vascular diseases, 70 smoked at least 20 cigarettes; more than on half of women (163) complained of headache of various severity. Each risk factor was assigned a rank of 1 (weak), 2 (moderate), or 3 (strong). All contraceptive agents tested had an effect on blood pressure. The most pronounced elevation of blood pressure was observed after administration of ovidon: statistically significant increase of the systolic blood pressure was observed after 3-month administration and after 1 year this parameter exceeded the initial values by 6-7 mm Hg. During the use of non-ovlon, significant increase of the systolic blood pressure was first observed later, after 6 months, and 1 year later it exceeded the initial values only by 3-4 mm Hg. Significant increase of the diastolic pressure (by 3-6 mm Hg) was observed only after 9 months of ovidon administration and after 1 year of non-ovlon administration. Contraceptive agents with reduced dosage of steroid components (rigevidon or triquilar) produced less pronounced increase in systolic or diastolic blood pressure (less than by 2-3 mm Hg). The changes in blood pressure after the use of ovidon and non-ovlon were more pronounced in women with combined rank of risk factors of 7.
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PMID:[Changes in arterial blood pressure of women using hormonal contraceptives in relation to their cardiovascular history]. 247 38

The clinical variants of headaches were observed in 83 patients with autonomic vascular dystonia. The diagnostic table was designed to differentiate between the latter and migraine. Bulbar conjunctiva and retinal microcirculation studies revealed multiple morphological and hemodynamic changes. These were especially marked during painful paroxysms. The substantial increase in red blood cell aggregation rates was observed within the entire headache exacerbation. The data provide grounds for using adrenergic blockers, antiaggregatory and venotonic drugs in these conditions.
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PMID:[Headache in autonomic-vascular dystonia]. 260 21

Etiological factors and clinical course of transient disorders of the cerebral circulation developing at various terms of gestation and in the immediate postpartum period were studied in 132 women. Early symptoms of a cerebral crisis included headache, vertigo, palpitation, dyspnea, darkness in the eyes, noise in the ears or head, paresthesia, and numbness of the legs. Occasionally, it had to be differentiated from a cerebral stroke. The most important etiological factors of this cerebrovascular pathology included toxemia of pregnancy, exacerbation of the rheumatic process, essential hypertension, vegetovascular dystonia, intracranial aneurysm, etc. Various combinations of a number of etiological factors of transient disorders of the cerebral circulation are possible. Recommendations about the management of pregnancy and parturition are offered.
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PMID:[Transient cerebral circulatory disorder in pregnant women]. 342 70

Acquired movement disorders in children can present a diagnostic dilemma. Chorea, dystonia, and atypical seizures must be distinguished from simple or complex tics. The combination of chronic motor and vocal tics, Tourette syndrome, may in some children be associated with thought and behavioral disorders, sleep disturbances, headaches, and school difficulties (e.g., attention deficit disorder). The increasing numbers of children recognized as having Tourette syndrome, its broadening clinical spectrum and frequent familial nature are detailed in this review.
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PMID:Diagnosis of Tourette syndrome in childhood. The need for heightened awareness. 346 98

Motor disorders affecting the orofacial musculature include bruxism, chronic orofacial muscle pain affecting the jaw and neck muscles and the involuntary waking period disorders such as orofacial dyskinesia, oral mandibular dystonia, tremor and others. Research at UCLA has touched these and many other areas. Current results have indicated the usefulness of contingent afferent electrical stimulation of the lip to control bruxism; provided information regarding the fatigue, endurance and recovery faculties of the protrusive jaw muscles; explored the issue of chronic muscle hyperactivity inducing headache pain; and worked with botulin toxin as a method to treat orofacial dystonia and dyskinesia.
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PMID:Oral motor disorders in humans. 768 5

A double-blind, randomized study of parallel group design comparing remoxipride and thioridazine (dose range 150-600 mg/day of either drug) was undertaken at 11 Australian centres. A total of 144 patients (remoxipride = 73, thioridazine = 71) with DSM-III-R schizophrenia or schizophreniform disorder commenced the study, and 89 patients (remoxipride = 45, thioridazine = 44) completed the 6 weeks of the trial. The mean daily doses at last rating were 404 mg (remoxipride) and 378 mg (thioridazine). Initial Brief Psychiatric Rating Scale scores decreased by a mean 8.7 points in both remoxipride and thioridazine groups. Equivalent treatment responses were also confirmed by Clinical Global Impression. During the study, sedatives or hypnotics were needed by 68% of the remoxipride patients and 51% of the thioridazine patients. Thioridazine was associated with more postural hypotension, drowsiness, increased sleep, headache, dizziness on rising, dry mouth, sexual dysfunction and weight gain, while remoxipride patients reported more insomnia. There were no differences between remoxipride and thioridazine on dystonia, hypokinesia, dyskinesia, rigidity and akathisia. The results indicate that remoxipride has similar antipsychotic efficacy to thioridazine but causes fewer side effects.
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PMID:The Australian multicentre double-blind comparative study of remoxipride and thioridazine in schizophrenia. 787 41


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