How the application of human immunoglobulin in the treatment of myasthenia crisis changed the outcome of the disease.

Introduction: Myasthenia gravis (MG) is an autoimmune disease characterized by weakness and fluctuating pathological tiredness of cross-striped muscle with improvement after rest.

Goal: To compare the outcomes of treatment in myasthenic crisis therapy and conventional therapy with high doses of human immunoglobulin. Epidemiological research, mainly retrospective, partly prospective, descriptive-analytical and clinical-application nature, was carried out on Neurology Clinic Clinical Center University of Sarajevo in the period from January 1st 2002 to December 31st 2008.

Somatosensory evoked cerebral potentials (SSEP) in multiple sclerosis.

Introduction: Neurological findings are the main criteria for making the diagnosis of multiple sclerosis, including head and spine MRI, CSF findings and evoked potentials.

Objective: Investigate and observe correlation in SSEP especially wave P22 in group of healthy examiners, as well on those suffering multiple sclerosis. Present Evoked potentials clinical application benefits in Multiple sclerosis diagnostic procedures used in Neurological Clinic, Clinical Center University of Sarajevo.

[Catamenial epilepsy].

Seizures are influenced by the physiologic variation in sex hormone secretion during the menstrual cycle and throughout the reproductive life of women with epilepsy. Catamenial epilepsy is defined as the occurrence of seizures around menses or an increase in seizures in relationto the menstrual cycle. The incidence of catamenial epilepsy varies from 10% to 78%, largely because of methodological differences among studies.

[Special needs of women with epilepsy].

Epilepsies are one of the most common neurological disorders. Men and women are almost equally affected. Women bear specific features because of their natural characteristics and changes in hormonal status, which can affect the clinical presentation and the course of the disease as well as the comorbidity of various disorders.

[The neurologist role in diagnostics and therapy of the Alzheimer's disease].

Dementias represent nearly the most frequent diseases of the elderly population, out of which nearly 60% are related to the Alzheimer's dementia. According to the United Nations prognosis the number of patients suffering from this disease will raise from 25,5 million of cases, registered in 2000 up to 63 million in 2030, even 114 million in 2050. Therefore the recognition of this disease, earlier and exact treatment are substantially important both for the patient and the society.

[Acute strong headache in emergency neurology (diagnostic and treatment)].

Acute, strong headache represent a frequent symptom with patients who report to the Emergency Neurology. Most of them have functional headaches from the group of primary headaches. However, a smaller number may have secondary headaches, due to structural changes of the cerebral parenchyma.

[Acute polyradiculoneuritis--clinical course and outcome during the war and postwar period].

The acute polyradiculoneuritis represent acute inflamatory polyneuropathy with unknown cause, frequently induced by prior virus and sometimes bacteria infection. The purpose of this paper is to establish particularities of the clinical course and results of the disease during the war and the post-war time. Within the retrospective study we performed analysis of all patients suffering from the acute polyradiculoneuritis between January 1992 and December 2003 year who during the mentioned period where treated at the Department of Neurology in Sarajevo.

[Treatment of migraine].

The epidemiological parameters of the migraene headaches with the occurrence in the most productive life age with the subjective intensive experience of the characteristic pain in migraene headaches are the reason of interest for migraene as the headache "sui generis" from the pathological and therapeutic aspect. The diagnosis of migraene is put according the criteria for migraene headaches. In persons who suffer from migraene it is certainly, that besides the family anamnesis and the solalled precipiting factors there are also the tresh hold for migraene attack to which the basic change in serotonin generator in the brain branch.

[Urgent neurologic states: experience at the Neurology Clinic in Sarajevo].

There is a quite good definition of medical care for patients suffering from chronicle neurological diseases. However the neurologist role in taking care of urgent cases is substantially less determined. This paper is analyzing one year efforts of the on duty neurological team in the Out Patient Department and Emergency Division of the Neurology Department in Sarajevo.

[Role and significance of measurement of bioelectric signals in neurophysiology--examples from practice].

This paper gives examples of the measurement bioelectrical signals in the diagnosis procedure and therapy of patients treated at the Center for Medical Health of the Clinical Center of the University of Sarajevo. The emphasis of the paper is put on the following methods: electromyography, electroneurography, potentials evoked by hearing, potentials evoked by sight, somatosensory potentials. Each of these methods mentioned calls for the application of modern information technology based on conversion of analog data into digital data and its interpretation during the identification of timely and correct diagnosis.

[Sociomedical aspects of myasthenia syndrome].

Myasthenia gravis is in group of disorders transmission at the motor end-plates is abnormal. Myasthenia gravis is characterised by fluctuating weakness, consisting principally of abnormal fatiguability, with improvement after rest. Since this symptom is subjective the diagnosis is very difficult in the early stages.

[Status of drug addiction in Mostar].

Drug addiction is becoming a more serious problem in many countries in transition and so in B and H. The age limit is decreasing to younger age groups, and the number of i.v.

Family Registration Card as electronic medical carrier in Bosnia and Herzegovina.

Medical documentation is a very important part of the medical documentalistics and is occupies a large part of daily work of medical staff working in Primary Health Care. Paper documentation is going to be replaced by electronic cards in Bosnia and Herzegovina and a new Health Care System is under development, based on an Electronic Family Registration Card. Developed countries proceeded from the manual and semiautomatic method of medical data processing to the new method of entering, storage, transferring, searching and protecting data, using electronic equipment.

[Effectiveness of clinical treatment of survivors of torture].

Purpose: To research the clinical efficiency in the treatment of the torture survivors in Bosnia and Herzegovina after the therapeutic treatment.

Method: There are 51 clients with the experience of the war torture included in the multidisciplinary treatment. All the clients were questioned with SCL 90-R questionnaire at the beginning of the treatment.