[Elements of high-grade iatrogenic risk in care of patients with somatic symptom disorder].

Author analyses the process of care of somatic symptom disorder in the general medical practice with special concern to iatrogenic harms. In his opinion the latency of the patients' first appointment with a psychiatrist or clinical psychologist is caused by multiple factors. Patients do not have knowledge on the basic activities of central nervous system necessary to recognize the pathomechanism.

[Psychosomatic disorders and illnesses: a blind spot of medicine].

Unlabelled: Összefoglaló. Bevezetés: A pszichoszomatikus medicina területéhez tartozó betegek ellátása rossz hatásfokú. Ez egyaránt jelentős terhet jelent a betegek és az egészségügy számára.

[Decisional collisions between evidence and experience based medicine in care of people with epilepsy].

Background - Based on the literature and his long-term clinical practice the author stresses the main collisions of evidence and experience based medicine in the care of people with epilepsy. Purpose - To see, what are the professional decisions of high responsibility in the epilepsy-care, in whose the relevant clinical research is still lacking or does not give a satisfactory basis. Methods - Following the structure of the Hungarian Guideline the author points the critical situations and decisions.

[28 years in the service of the cooperation of national clinical neurosciences].

Two leading managers of the scientific journal currently publishing its 71st volume give an overview on the history and content- and form-related development of the journal. Recognizing the constantly decreasing role of paper-based literature products, the value system and the priorities of the journal were established more than 20 years ago: 1) preservation of high standards by achieving and maintaining international registration and annual qualification (i.e.

Reliability and validity of the Hungarian version of the Pittsburgh Sleep Quality Index (PSQI-HUN): comparing psychiatric patients with control subjects.

Purpose: The Pittsburgh Sleep Quality Index is used to evaluate subjective sleep quality, and it is commonly used in clinical research. Subjective sleep quality is also an important clinical measure in patients with psychiatric disorders. The aim of the present study was to evaluate the reliability and validity of the Hungarian version of the Pittsburgh Sleep Quality Index (PSQI-HUN) in both clinical and non-clinical samples.

[Dostoyevsky's epilepsy in the light of recent neurobiological data].

Background And Purpose: Since the 1960s several theories have developed on the epilepsy of Fyodor Mikhailovich Dostoyevsky. Probably the most exciting and still actual question might be the subject of the "ecstatic aura", he described in his novels based on his own experiences. During this extremely rare seizure onset the patients experience a strong sense of happiness, harmony and wholeness.

Diagnosis of primary insomnia by actigraphy--improved results by data selection.

Study Objectives: In spite of the useful information provided by actigraphy in sleep medicine it is still not an independent tool either in the clinical diagnosis or in the follow-up. In the frame of a retrospective study, a simple new method of data reduction was applied with the aim of improving the clinical impact of actigraphy for the diagnosis of primary insomnia.

Methods: Actigraphic records with a duration of 1 week produced on 47 subjects who met the inclusion-exclusion criteria.

[Theoretical and practical considerations in rational polytherapy for epilepsy].

Author analyses the consideration of rational polytherapy for epilepsy. Among the theoretical aspects he points the different effect of seizure inhibitory drugs on the epilepsy models but didn't find data enough for the basis of any successful combination. Combinations of compounds having different way of action are more promising.

[Oligoepilepsy: a real entity or the benign form of epileptic disorder?].

Background And Purpose: Although oligoepilepsy (OLE) is a used term in many protocols, guidelines and the everyday routine, it is found practically nowhere in the scientific literature. The aim of our study is to investigate and evaluate of the main characteristics of his subcategory of epilepsy. We try to find answer to the basic question of not only theoretical but also great practical importance whether the OLE does really exist, is it an independent entity of epilepsy or only its general benign clinical presentation.

[Classical neurology: Adieu! Or: the future of Hungarian neurology, fruitful transformation or preprogrammed death?].

According to our opinion several ideas, trends and aims of the traditional neurology became outworn. (So together with all the romantic beauty and hierarchic relations: Adieu!). The specialisation within the main body of the profession is unavoidable.

[Living with lost individuality. Special concerns in medical care of severely demented Alzheimer patients].

While the expected life-time increases dementias will show a pandemic nature. Author analyses the special medical and social concerns of severe states of Alzheimer disease. Having introduced the epidemiologic, diagnostic data and forms of palliative therapies he concentrates on the hitherto unsolved problems of patients and caregivers.

Actigraphy: a valuable diagnostic tool or a luxury investigation? (Neuropsychiatric aspects).

Aim: Despite of the continuing interest in actigraphy it has a relatively low impact on the everyday medical routine. Accordingly, we set out to review the current state and to recommend relevant further indications for its application, especially in neuropsychiatry.

Method: We surveyed the areas of its use and then reviewed the literature, with special regard to its advantages and methodological limitations.

[Antiepileptic drugs as mood stabilizers: what did we learn from the epileptology?].

Author summarizes the practical aspects of psychiatric application of mood stabilizing antiepileptic drugs. He observes how to transfer experiences taken from the "epileptologic" practice into the psychiatric care of bipolar patients. He shortly demonstrates the relevant information on the mechanisms of action, controversies and possible clinical effects influenced by the seizure inhibiting effect of the concerning molecules.

Are there real unprovoked/unprecipitated seizures?

Resistant epileptic patients often experience seizure precipitating conditions. Their lack or presence is extremely important not only for the diagnosis of epilepsy but also for the most appropriate treatment of the seizures. Unfortunately, there are a lot of uncertainty in their evaluation occurring in the daily routine and the exact definitions for the practice are still lacking.

[Effects of antiepileptic drugs on mood of people with epilepsy].

This article deals with the effect of antiepileptic drugs on mood when applied in epileptic patients. The author points that depressive symptoms occur significantly more frequently in epilepsy and there are more common factor in the mechanism of action of the antiepileptic and antidepressive agents. The relevant literature is surprisingly poor.

[The familial incidence of epilepsy in the group of epileptic patients examined after their first seizure--pilot study].

Introduction: It is essential to identify the genetic factors of epilepsy in the every day clinical practice for several reasons. The proof of the genetically defined sub-clusters existing inside the epileptic disease group is significant in diagnoses and therapy. The risk of inheriting epilepsy could influence the patient's family planning which has a great impact on their quality of life.