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  • Bipolar  (1)
  • CAG repeat  (1)
  • Cortico-spinal system  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Transcranial magnetic stimulation: specific and non-specific facilitation of magnetic motor evoked potentials (1990)
    Springer
    Journal of neurology 237 (1990), S. 416-419 
    Details
    ISSN: 1432-1459
    Keywords: Transcranial magnetic stimulation ; Motor evoked potentials ; Cortico-spinal system
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Different physiological mechanisms of facilitation of latencies and amplitudes of magnetic motor evoked potentials (MEPs) were evaluated in a cohort of 140 healthy volunteers. The potentials were induced at the vertex and recorded at the abductor pollicis brevis. The aim of the present investigation was to compare physiological mechanisms which presumably facilitate motor pathways at the cortical level with those known to occur during contraction of small hand muscles. When compared with MEPs at rest, the maximum average decrease of latencies (1.5, SD 1.1 ms) as well as the highest increase of peak to peak amplitudes (2.6, SD 2.1 mV) was observed during exertion of a voluntary background force, at the muscle recorded from. Pre-innervation of a neighbouring muscle (abductor digiti minimi) led to a lesser average decrease of latencies by 1.0, SD 1.1 ms and an average increase of amplitudes by only 0.5, SD 1.5 mV. Non-specific manoeuvres, like sticking out the tongue or counting aloud, reduced mean latencies slightly by 0.4 ms, SD 0.8 ms and 0.3 SD 0.85 ms respectively, but increased amplitudes markedly by an average of 1.0, SD 1.6 mV and 0.8, SD 1.4mV respectively. It is concluded that facilitation of MEPs by non-specific manoeuvres occurs and must be taken into account when evaluating MEPs.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00314732
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  • 2
    Electronic Resource
    Electronic Resource
    Suicidality in bipolar compared to unipolar depressed inpatients (2000)
    Springer
    European archives of psychiatry and clinical neuroscience 250 (2000), S. 257-261 
    Details
    ISSN: 1433-8491
    Keywords: Key words Unipolar ; Bipolar ; Depression ; Suicidality ; Suicide
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of the present analyses was to evaluate differences in suicidality (past suicide attempts, suicidal thoughts at time of admission and completed suicides during the hospital stay) between bipolar and unipolar depressed inpatients. Apart from a higher frequency of past suicide attempts in bipolar depressed patients (26.6% in bipolar vs. 17.8% in unipolar patients), findings do not indicate any further differences in suicidality (suicidal thoughts (about 40% in both groups) and completed suicides during the hospital stay (0.8% in both groups)) between bipolar and unipolar patients. Factors with a predictive value for suicidal thoughts at the time of admission were a positive family history for affective disorders, past suicide attempts, and the depressive and paranoid hallucinatory syndrome (all associated with an increased risk). Female gender, an older age at hospitalisation and a longer duration of the illness were found to be associated with a lower probability for having suicidal tendencies at the time of admission. The risk for committing suicide during the hospital stay was increased if the patients had a history of past suicide attempts and suicidal thoughts at the time of admission. A more pronounced depressive syndrome at time of admission was slightly associated with a lower risk of committing suicide.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004060070016
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Typische Antizipation bei spinozerebellärer Ataxie Typ 7 (2000)
    Springer
    Der Nervenarzt 71 (2000), S. 835-838 
    Details
    ISSN: 1433-0407
    Keywords: Schlüsselwörter SCA7 ; CAG-Repeat ; Ataxie ; Makuladegeneration ; Keywords SCA7 ; Anticipation ; CAG repeat ; Ataxia ; Macular degeneration
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract Spinocerebellar ataxia type 7 (SCA7) belongs to the category of autosomal dominant cerebellar ataxias (ADCA). The clinical picture is characterised by progressive ataxia and macular degeneration. Other common signs are slow saccades, external ophthalmoplegia, and pyramidal tract signs. The disease is caused by the expansion of an unstable CAG trinucleotide repeat in the gene for ataxin 7 on chromosome 3. SCA7 is a rare disorder. The first case in Germany was described only recently. We report two additional patients, father and son, with the molecular genetic diagnosis of SCA7. The father carries a trinucleotide expansion of 42 CAG repeats, the son 51. Normal alleles range from 7 to 35 CAG repeats. Both patients show the typical picture with progressive ataxia and macular degeneration. We found a pronounced anticipation (earlier disease onset in subsequent generations), which is highly characteristic of CAG repeat disorders.
    Notes: Zusammenfassung Die spinozerebelläre Ataxie Typ 7 (SCA7) gehört zu den autosomal-dominanten zerebellären Ataxien (ADCA). Klinisch zeichnet sich die SCA7 durch eine Kombination von progressiver Ataxie und Makuladegeneration aus, darüber hinaus können weitere Symptome wie z. B. Okulomotorikstörungen und Pyramidenbahnzeichen auftreten. Molekulargenetisch liegt der Erkrankung eine CAG-Repeat-Verlängerung im Gen für Ataxin 7 auf Chromosom 3 zugrunde. Die SCA7 ist eine seltene Erkrankung, erst kürzlich wurde der erste Fall in Deutschland beschrieben. Wir berichten über 2 weitere Patienten, Vater und Sohn, mit molekulargenetisch gesicherter SCA7. Es fand sich eine Verlängerung der betreffenden CAG-ä liegt zwischen 7 und 35 CAG-Repeateinheiten. Beide Patienten zeigen das charakteristische klinische Bild mit zerebellärer Ataxie und Makuladegeneration. Darüber hinaus besteht eine ausgeprägte Antizipation (früheres Erkrankungsalter in den Folgegenerationen), was für die sog. CAG-Repeat-Erkrankungen typisch ist.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001150050672
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    Paper (German National Licenses)
    Fulltext
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