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Neurology International
Volume 7
Issue 3
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Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.

Neurol. Int., Volume 7, Issue 3 (December 2015) – 6 articles

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Article
The Behavior of Migraine in Patients with Parkinson's Disease
by Celmir de Oliveira Vilaça, Marco Antonio Araujo Leite, Jano Alves de Souza, Marco Orsini, João Santos Pereira and Clayton Amaral
Neurol. Int. 2015, 7(3), 6133; https://doi.org/10.4081/ni.2015.6133 - 31 Dec 2015
Cited by 6 | Viewed by 361
Abstract
Parkinson’s disease (PD) is characterized by the degeneration of dopaminergic systems in the central nervous system. In migraine it is supposed to occur hyperactivation of central dopaminergic pathways. We verified the hypothesis of improved migraine in patients who manifest PD. We evaluated 109 [...] Read more.
Parkinson’s disease (PD) is characterized by the degeneration of dopaminergic systems in the central nervous system. In migraine it is supposed to occur hyperactivation of central dopaminergic pathways. We verified the hypothesis of improved migraine in patients who manifest PD. We evaluated 109 patients with PD over 40 years (57 men and 52 women) about the presence throughout the life of migraine, as well as the possibility of improvement in migraine after the onset of motor symptoms of PD. This group was compared to a control group of 152 people (41 men and 152 women) without PD regarding the presence of migraine and its improvement. Twenty-one patients manifested migraine in the group with PD (16 women and 5 men) in which 13 reported improvement in migraine after the onset of symptoms of PD. Among the controls, 37 interviewed had migraine history (32 women and 5 men) among which 20 showed improvement. There was no significant difference when comparing the two groups (χ21:0,05=0.337; P<0.382). We were unable to relate the improvement of migraine with the emergence of PD motor signs, despite the degeneration of dopaminergic pathways of the central nervous system. Full article
598 KiB  
Case Report
True Cervicothoracic Meningocele: A Rare and Benign Condition
by Bruno L. Pessoa, Yara Lima and Marco Orsini
Neurol. Int. 2015, 7(3), 6079; https://doi.org/10.4081/ni.2015.6079 - 31 Dec 2015
Cited by 4 | Viewed by 357
Abstract
Cervical meningoceles are rare spinal dysraphism, accounting for approximately 7% of all cystic spinal dysraphism. In spite of the rarity, the clinical course is most of the times benign. The surgical treatment includes resection of the lesion and untethering, when presented. We present [...] Read more.
Cervical meningoceles are rare spinal dysraphism, accounting for approximately 7% of all cystic spinal dysraphism. In spite of the rarity, the clinical course is most of the times benign. The surgical treatment includes resection of the lesion and untethering, when presented. We present a 14-day-old female child with true meningoceles who underwent to surgical excision and dura-mater repair. Retrospect analysis of the literature concerning true cervical meningocele is performed. By reporting this illustrative case, we focus on its classification and its differentiation from other types of cervical spinal dysraphism, such as myelocystocele and myelomeningocele. Although its course is benign, it is mandatory a continuum follow up with periodic magnetic resonance imaging of spinal cord, since late neurological deterioration has been described. Full article
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Article
The Influence of Fear of Falling on Orthostatic Postural Control: A Systematic Review
by Nélio Silva de Souza, Ana Carolina Gomes Martins, Dângelo J.A. Alexandre, Marco Orsini, Victor Hugo do Vale Bastos, Marco Antônio A. Leite, Silmar Teixeira, Bruna Velasques, Pedro Ribeiro, Juliana Bittencourt, André Palma da Cunha Matta and Pedro Moreira Filho
Neurol. Int. 2015, 7(3), 6057; https://doi.org/10.4081/ni.2015.6057 - 31 Dec 2015
Cited by 14 | Viewed by 429
Abstract
Posture is a complex sensory-motor behavior that can be influenced by the fear of falling (FoF) during environmental changes. The aim of this paper is to investigate the influence of FoF on orthostatic postural control in healthy individuals by a systematic review. Thirteen [...] Read more.
Posture is a complex sensory-motor behavior that can be influenced by the fear of falling (FoF) during environmental changes. The aim of this paper is to investigate the influence of FoF on orthostatic postural control in healthy individuals by a systematic review. Thirteen articles were selected. Some other articles (31 references) were used to contextualize and discuss the topic. Studies in the environment made changes on the environment, in which participants were positioned in high hydraulic platforms at different heights, showed a decrease in the center of pressure in the anteroposterior oscillation where the platform was higher. This change in postural control strategy and the FoF are correlated. It can modulate the activity of the muscle spindle (H-reflex) and probably induce postural freezing phenomenon (anticipated postural anxiety). We can conclude that further studies are needed to understand the physiological mechanisms involved in FoF and its relation to changes in postural control strategy. Full article
564 KiB  
Review
Motor Imagery and Its Effect on Complex Regional Pain Syndrome: An Integrative Review
by Nélio Silva de Souza, Ana Carolina Gomes Martins, Victor Hugo do Vale Bastos, Marco Orsini, Marco Antônio A. Leite, Silmar Teixeira, Bruna Velasques, Pedro Ribeiro, Juliana Bittencourt, André Palma da Cunha Matta and Pedro Moreira Filho
Neurol. Int. 2015, 7(3), 5962; https://doi.org/10.4081/ni.2015.5962 - 31 Dec 2015
Cited by 13 | Viewed by 462
Abstract
The motor imagery (MI) has been proposed as a treatment in the complex regional pain syndrome type 1 (CRPS-1), since it seems to promote a brain reorganization effect on sensory- motor areas of pain perception. The aim of this paper is to investigate, [...] Read more.
The motor imagery (MI) has been proposed as a treatment in the complex regional pain syndrome type 1 (CRPS-1), since it seems to promote a brain reorganization effect on sensory- motor areas of pain perception. The aim of this paper is to investigate, through an integrative critical review, the influence of MI on the CRPS-1, correlating their evidence to clinical practice. Research in PEDro, Medline, Bireme and Google Scholar databases was conducted. Nine randomized controlled trials (level 2), 1 non-controlled clinical study (level 3), 1 case study (level 4), 1 systematic review (level 1), 2 review articles and 1 comment (level 5) were found. We can conclude that MI has shown effect in reducing pain and functionality that remains after 6 months of treatment. However, the difference between the MI strategies for CRPS-1 is unknown as well as the intensity of mental stress influences the painful response or effect of MI or other peripheral neuropathies. Full article
594 KiB  
Article
Palm to Finger Ulnar Sensory Nerve Conduction
by Eduardo Davidowich, Osvaldo J.M. Nascimento, Marco Orsini, Camila Pupe, Bruno Pessoa, Caroline Bittar, Karina Lebeis Pires, Carlos Bruno, Bruno Mattos Coutinho, Olivia Gameiro de Souza, Pedro Ribeiro, Bruna Velasques, Juliana Bittencourt, Silmar Teixeira and Victor Hugo Bastos
Neurol. Int. 2015, 7(3), 6207; https://doi.org/10.4081/ni.2015.6207 - 29 Dec 2015
Cited by 3 | Viewed by 369
Abstract
Ulnar neuropathy at the wrist (UNW) is rare, and always challenging to localize. To increase the sensitivity and specificity of the diagnosis of UNW many authors advocate the stimulation of the ulnar nerve (UN) in the segment of the wrist and palm. The [...] Read more.
Ulnar neuropathy at the wrist (UNW) is rare, and always challenging to localize. To increase the sensitivity and specificity of the diagnosis of UNW many authors advocate the stimulation of the ulnar nerve (UN) in the segment of the wrist and palm. The focus of this paper is to present a modified and simplified technique of sensory nerve conduction (SNC) of the UN in the wrist and palm segments and demonstrate the validity of this technique in the study of five cases of type III UNW. The SNC of UN was performed antidromically with fifth finger ring recording electrodes. The UN was stimulated 14 cm proximal to the active electrode (the standard way) and 7 cm proximal to the active electrode. The normal data from amplitude and conduction velocity (CV) ratios between the palm to finger and wrist to finger segments were obtained. Normal amplitude ratio was 1.4 to 0.76. Normal CV ratio was 0.8 to 1.23.We found evidences of abnormal SNAP amplitude ratio or substantial slowing of UN sensory fibers across the wrist in 5 of the 5 patients with electrophysiological-definite type III UNW. Full article
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Article
Anthropometry of Arm: Nutritional Risk Indicator in Amyotrophic Lateral Sclerosis
by Cristina Cleide dos Santos Salvioni, Patricia Stanich, Acary Souza Bulle Oliveira and Marco Orsini
Neurol. Int. 2015, 7(3), 5952; https://doi.org/10.4081/ni.2015.5952 - 29 Dec 2015
Cited by 3 | Viewed by 340
Abstract
The aim of the paper is to examine the correlation between clinical data, nutritional, respiratory and functional parameters in amyotrophic lateral sclerosis (ALS). This is a descriptive study of 111 ALS patients [91 spinal onset (GS) and 20 bulbar onset (GB)] carried on [...] Read more.
The aim of the paper is to examine the correlation between clinical data, nutritional, respiratory and functional parameters in amyotrophic lateral sclerosis (ALS). This is a descriptive study of 111 ALS patients [91 spinal onset (GS) and 20 bulbar onset (GB)] carried on using nutritional and respiratory parameters and amyotrophic lateral sclerosis functional rating scale (ALSFRS). ALSFRS was analyzed in the main domains (D1, D2 and D3). Forced vital capacity and anthropometric measurements, there was significant association for GS and GB, and in GS there was positive correlation with midarm circumference (MAC) (r=0.30; P=0.020), midarm muscle circumference (r=0.29; P=0.026), arm muscle area (r=0.28; P=0.033) and protein-caloric malnutrition score (r=0.27; P=0.039), while for GB only with body weight (r=0.64; P=0.024). On correlation of nutritional parameters and ALSFRS for GS patients we observed that MAC and %MAC presented positive association with both issues of D1 and D2. For GB, the total score in addition to correlate positively with anthropometric parameters related to lean body mass also presented negative association with a parameter associated with body fat. In summary, it is suggested that the application of anthropometry of arm could be useful in routine monitoring of ALS patients. Full article
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