Adult-onset dystonia: atypical manifestation of Segawa disease.

A 33-year-old woman developed exercise-induced limb and trunk dystonia with marked diurnal fluctuations. Treatment with levodopa improved her symptoms considerably but incompletely. Molecular genetic analysis revealed a mutation in GTP cyclohydrolase 1 (GCH1).

[Guillain-Barrè syndrome and inadequate antidiuretic hormone secretion syndrome].

Several neurologic disorders including Guillain-Barré syndrome (GBS) are associated with hyponatremia. Hyponatremia and its overly fast correction have major implications to the course of the underlying neurologic disease. We report a case of GBS complicated by hyponatremia secondary to the development of inadequate antidiuretic hormone secretion syndrome.

[Migraine with aura as early symptom of neurosyphilis].

Case: On the basis of a case report the often difficult classification of migraine with aura and exclusion of symptomatic origin is discussed. In spring 1996 a 34-years old patient started to suffer from attacks of a migraine like headache with focal aura several times a week. While clinical examination was inconspicuous the electroencephalogram showed a general slowing of background activity with intermittent rhythmic delta-activity.

[Anticonvulsive drugs in therapy of chronic pain--metaanalysis].

Anticonvulsive drugs provide good analgesic effect in the treatment of chronic neuropathic pain syndromes as well as in certain types of headache. Moreover these drugs may also be considered helpful for cases of non-neuropathic pain, especially if non-opioid analgesics are not effective. The optimal anticonvulsive drug for neuropathic pain is carbamazepine, while for headache prophylaxis valproic acid is recommended.

[Neurogenic pain after deafferentation through trauma. Little-known pain syndrome following amputation, brachial plexus injury and nerve root avulsion].

Amputations may be followed by such phenomena as phantom-limb pain, and pain and involuntary movements of the stump. The sequelae of brachial plexus injuries or cervical root avulsion--the second large group of deafferentiation lesions associated with neurogenic pain--are less varied, and most of these cases involve damage to the substantia gelatinosa of the spinal cord. The two groups of deafferentiation lesions are described on the basis of our own experience and reports in the literature.

[The "Freiburg Migraine Study". Results of the psychological therapy.].

Unlabelled: This study was designed to evaluate the efficacy of different strategies for migraine prophylaxis over a fairly long period. Metoprolol alone was compared with psychotherapy alone and with a combination of metoprolol and psychotherapy. The psychological programme was planned for future use in preventive treatment.

[Pain and functional disturbances of the lumbar spine in lumbar herniated discs.].

In this study we attempted to explore the correlation between lumbar disc herniation and functional disorders of the lumbar spine. Fifty patients with lumbar disc herniation proven by computed tomography underwent a comprehensive functional, neurological and radiological examination. All patients were compared to a control group consisting of 16 healthy subjects of comparable age.

[Not Available].

Different therapeutic modalities are available for the treatment of rheumatic pain. The most important one, besides physiotherapy, is medication with analgesics and adjuvant drugs. Analgesics are given orally and by a stepwise approach in keeping with the principles of cancer pain therapy.

[Pain and functional disturbances in the sacroiliac joint in disc herniation of the lower lumbar spine.].

Back and leg pain in patients with lumbar disc herniation can be caused by various mechanisms. In addition to nerve root compression, functional alterations in the sacroiliac joint, facet joint or the iliolumbar and sacrotuberal ligaments can produce "pseudoradicular" lower back syndrome. The following study attempts to show whether or not pain and functional alterations in the sacroiliac joint (SIJ) correlate with herniations revealed by computed tomography (CT).

A modified method of electronystagmography for recording eye movement during the galvanic vestibular test.

This study demonstrates a new technique for recording galvanic nystagmus using conventional electrooculography: a first pair of electrodes is placed at the nasal and lateral orbital margin of the left eye. An additional pair of electrodes is placed near the left angle of the mouth. This latter pair of electrodes picks up voltage variations induced by heart beat but only a minimal part of voltage variations caused by eye movements during bipolar, binaural electric stimulation.

The vestibulo-ocular response during transient arousal shifts in man.

Horizontal vestibulo-ocular response (VOR) evoked by continuous sinusoidal rotation (0.1 Hz, +/- 90 degrees) was recorded in 20 young and healthy volunteers by DC oculography (EOG). Arousal was assessed by EEG and by reaction time measurement.

Evaluation of the galvanic vestibulo-ocular response recorded with a modified electronystagmographic technique.

Previously, a simple method for recording galvanic nystagmus (GN) using conventional electronystagmography (ENG) was demonstrated. The present study reports on investigations made to examine the applicability of that technique. During a standard stimulus over 20 s, amplitudes and rate of saccades show no tendency to diminish.

[Trauma-triggered migraine attacks. Review of the literature.].

In children and young adults migraine attacks can be triggered by mild head injury. The literature on this syndrome was surveyed and 50 case reports found to meet the latest criteria of classification requiring at least two similar attacks for diagnosis of migraine (except for common migraine which was excluded from review). 33 subjects had at least one trauma-triggered attack and one identical or similar spontaneous attack, 17 cases at least two similar or identical trauma triggered attacks.

[Limitations of and new options with neurophysiological methods in migraine research and diagnosis : Electroencephalographicmethods.].

In parallel with the development of the various electrophysiological methods now available, the clinical syndrome of migraine has been repeatedly analyzed with the aid of these tools, in attempts to track its course with reference to electrophysiological parameters. A survey of the international literature reveals the following EEG findings. (1) In patients with different forms of headache without structural lesions the distribution of normal and abnormal EEG recordings during headachefree intervals resembles that seen among healthy subjects.

Tonic cervical stimulation: does it influence eye position and eye movements in man?

In healthy subjects eye movements were analysed during body rotation, during trunk torsion either with the head passively held stationary in space or with the head voluntarily stabilized in space, and during voluntary head movements. Trapezoidal movements around the vertical axis were performed (+/- 40 degrees, plateau 10 s, duration of ramp 1 or 4 s). Moreover the influence of a tonic head deviation up to 40 degrees on optokinetic nystagmus and on vestibulo-ocular reflex during sinusoidal turning was examined.

[CT follow-up studies of conservatively treated lumbar intervertebral disk herniation].

A CT study was carried out on 43 patients with low back pain and sciatica who were treated conservatively. They were followed up for over 20 months (mean) clinically and monitored by CT before and after treatment. Initially, 38 of them had herniation and 5 had protrusion of the disc.

Association of tardive dyskinesia with increased frequency of eye movement disturbances in chronic schizophrenic patients. A clinical note.

The study of eye movement dysfunction in chronic schizophrenics by electronystagmography revealed a significant increase of saccadic dysmetria as well as saccadic intrusions in smooth pursuit in schizophrenic patients with tardive dyskinesia (TD) compared with those without TD and with healthy controls. The pattern of eye movement dysfunction in schizophrenia allows clear discrimination from patients with similar movement disorders due to Huntington's disease. Of several possible explanation's of the schizophrenic eye movement dysfunction the authors favour the hypothesis of a common pathogenetic link between TD and eye movement disorders in schizophrenia, consisting in an underlying dysfunction of regions involved in the regulation of involuntary attention such as the parietal cortex and striatolimbic structures of the right hemisphere.

Eye movements during voluntary head motion with minimized cervical input.

Eye movements were recorded using DC-electro-oculography in 20 healthy subjects during sinusoidal voluntary head movements and during similar voluntary head movements with minimized cervical input. The eye movements during these conditions were compared to the vestibulo-ocular reflex (VOR), to the cervico-ocular reaction (COR) and to the active COR (i.e.