Neurological diseases as seen at the outpatient Paediatric Neurology Clinic in Benin City

1984 ◽  
Vol 4 (4) ◽  
pp. 217-220 ◽  
Author(s):  
J. O. Obi ◽  
R. M. Sykes
Keyword(s):  
Neurological Diseases ◽  
Benin City ◽  
Neurology Clinic

An Analysis of Disorders Presenting at a Pediatric Neurology Outpatient Clinic: A Report from Turkey

2021 ◽  
Author(s):  
Emre Sarıkaya ◽  
Halûk Yavuz
Keyword(s):  
Outpatient Clinic ◽  
Neurological Diseases ◽  
Child Neurology ◽  
Pediatric Neurology ◽  
Number Of Patients ◽  
The Family ◽  
Neurology Clinic ◽  
Similar Disease ◽  
Male Patients ◽  
First Time

AbstractNeurological problems constitute an important part of diseases in children. Studies evaluating neurological diseases in children collectively and reporting their types and rates are very few. We report the clinical and laboratory spectra of children presenting with neurological diseases to our clinic. The charts of patients who presented for the first time to the only pediatric neurology outpatient clinic in the region during a year were evaluated retrospectively. A total of 88,785 patients were seen at the Meram Faculty of Medicine pediatric outpatient clinics in 1 year; 5.5% (4,904) of these patients were seen at the child neurology clinic and 1,807 patients (36.8%) were seen for the initial evaluation. Medical charts of 1,685 (93.2%) patients were reviewed: 952 (56.5%) were male patients and 733 were females. The mean age was 5.77 ± 4.92 years; 30.9% of the patients had a similar disease in the family. The top three presenting complaints that led to hospital seen were seizures (12.2%), paroxysmal events (10%), and headaches (9.2%). The most common diagnoses were epilepsy (18%), headache (8.6%), and developmental delay (7.8%). Our study describes the characteristics of the large number of patients seen for the first time in the child neurology outpatient clinic.

scholarly journals Prevalence of syphilis reactivity in patients with stroke, cognitive impairment and extrapyramidal syndromes: a retrospective study.

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Giulia Ciccarese ◽  
Francesco Drago ◽  
Bianco Drago ◽  
Aurora Parodi
Keyword(s):  
Cognitive Impairment ◽  
Neurological Diseases ◽  
Treponema Pallidum ◽  
Epidemiological Data ◽  
Routine Screening ◽  
Serological Screening ◽  
Extrapyramidal Syndromes ◽  
Neurology Clinic ◽  
Syphilis Serology ◽  
Reporting Data

In the last two decades, there has been a resurgence of syphilis worldwide. However, epidemiological data on neurosyphilis are inconsistent for the lack of reporting data and diagnostic gold standard tests. The aim of the present study was to estimate the prevalence of syphilis reactivity in a cohort of patients with neurological diseases of our hospital. We retrospectively analyzed the medical records of the patients hospitalized at the Stroke Unit of the Neurology Clinic and those suffering from cognitive impairment hospitalized at the acute ward of the Geriatrics Clinic between January 2017 and December 2019. Also the patients who attended the Movement disorder outpatient clinic during the same study period were examined. To detect syphilis reactivity a qualitative specific treponemal test on patient’s serum was performed: the Treponema pallidum haemagglutination assay (TPHA). A total of 652 patients were admitted and 315 of them (52%) were submitted to a routine screening for syphilis: 307 (97%) were negative while 8 (3%) had a positive syphilis serology. The TPHA-positive patients (4 males, 4 females) were 2 patients with stroke, 5 with cognitive impairment and 1 with Parkinsonism with a mean age of 83 years, suffering from multiple comorbidities. Although the patients we have retrospectively studied have not undergone lumbar puncture to confirm the diagnosis of neurosyphilis, the not negligible syphilis reactivity rate found in our series suggests that serological screening for syphilis should be reviewed as a routine screening test in neurology and geriatrics departments, especially if the clinical presentation of the neurological diseases is atypical.

scholarly journals Profil penyandang epilepsi di Poliklinik Saraf RSUP Prof. Dr. R.D. Kandou Manado periode Juli 2015 – Juni 2016

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Mughni H. Hasibuan ◽  
Corry N. Mahama ◽  
Rizal Tumewah
Keyword(s):  
Focal Epilepsy ◽  
Neurological Diseases ◽  
Public Health Problem ◽  
Economic Life ◽  
Seizure Type ◽  
Major Public Health Problem ◽  
Adult Age ◽  
Epileptic Patients ◽  
Neurology Clinic ◽  
Patients With Epilepsy

Abstract: Epilepsy is one of the most common neurological diseases that can be complicated due to behavioral, cognitive, and mental disorders. Approximately 50 million people currently live with epilepsy worldwide. Epilepsy is still a major public health problem, not only because of its health implications but also for its connotations in social, cultural, psychological, and economic life aspects. This study was aimed to obtain the profile of patients with epilepsy in the Neurology Clinic of Prof. Dr. R. D. Kandou Hospital Manado from July 2015 to June 2016. This was a descriptive retrospective study. The results showed that the number of epileptic patients was higher in males than in females. Epipleptic patients were more common in young adult age group, high school graduated, had no ocuupation yet and were still students. Majority of patients had partial seizure type (focal) epilepsy. Most epileptic patients were treated with monotherapy antiepileptic drugs. Based on the seizures, most patients had uncontrolled seizure.Keywords: epilepsy, seizure. Abstrak: Epilepsi merupakan salah satu penyakit saraf yang paling umum dan dapat menjadi rumit dengan gangguan perilaku, kognitif , dan mental. Sekitar 50 juta orang saat ini hidup dengan epilepsi di seluruh dunia. Epilepsi masih masalah kesehatan masyarakat yang utama, karena bukan hanya berdampak pada kesehatan tetapi juga berdampak pada sosial, ekonomi, psikologis dan budaya. Penelitian ini bertujuan untuk memperoleh profil penyandanfn epilepsi dalam 1 tahun di Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2015-Juni 2016. Jenis penelitian ialah deskriptif retrospektif menggunakan data penderita Epilepsi yang tercatat di rekam medik RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2015 hingga Juni 2016. Hasil penelitian menunjukkan penyandang epilepsi laki-laki lebih banyak dibandingkan dengan perempuan. Terbanyak ditemukan pada golongan usia dewasa muda, lulusan SMA, belum bekerja dan masih berstatus sebagai pelajar. Penyandang epilepsi dengan jenis bangkitan parsial (fokal) paling banyak ditemukan dari pada yanng dengan jenis bangkitan umum. Pengobatan tersering yang dilakukan terhadap penyandang epilepsi ialah dengan monoterapi obat-obat anti epilepsi. Berdasarkan terkontrolnya kejang pada pasien epilepsi, lebih banyak kejang tidak terkontrol. Kata kunci: epilepsi, kejang.

THE CHANGING FACE OF ACUTE NEUROLOGY: EXPERIENCE FROM TWO DECADES OF THE CAMBRIDGE NEUROLOGY EMERGENCY CLINIC

2015 ◽  
Vol 86 (11) ◽  
pp. e4.131-e4
Author(s):  
Laura Axinte ◽  
Stephen Sawcer ◽  
Sybil Stacpoole
Keyword(s):  
Neurological Diseases ◽  
Number Of Patients ◽  
Neurology Clinic ◽  
Consultant Physician ◽  
Changing Patterns ◽  
Day Of The Week ◽  
Increasing Demand ◽  
Specialist Nurses ◽  
The Uk ◽  
Emergency Neurology

Acute neurological presentations are a common problem, accounting for around 17% of GP consultations, 10% of A&E visits and around 20% of the medical take. There is an increasing appreciation of the need to reconfigure neurological services to meet this need, but the challenge is to provide a service for those who most need it with an under-resourced specialty. The Royal College of Physicians 2012 Consultant Physician Survey reported that there were 716 neurology consultants in the UK, resulting in 1 per 90,000 population, significantly lower than the recommended RCP minimum of 1 consultant per 70,000, every day of the week. One solution to the evident need is providing rapid access ambulatory pathways. Here we report on the Cambridge experience of nearly two decades provision of an emergency neurology clinic at Addenbrooke's Hospital. We show how the service has evolved and the changing patterns of presentation, management and outcomes of the patients seen. Annualised attendance data demonstrates increasing demand, whilst the proportion of patients presenting with headaches (now 40%) has escalated dramatically. By contrast, the number of patients referred with problems related to established chronic neurological diseases has fallen considerably, no doubt related to the development of specialist nurses and clinics.

scholarly journals Thermography as Method of Paraclinic Diagnosis in Diabetic Polyneuropathy

2019 ◽  
Vol 70 (4) ◽  
pp. 1449-1454
Author(s):  
Dorel Firescu ◽  
Radu Andy Sascau ◽  
Gheorghe Raftu ◽  
Cristian Statescu ◽  
Tudor Cuciureanu ◽  
...  
Keyword(s):  
Infrared Imaging ◽  
Neurological Diseases ◽  
Pain Syndrome ◽  
Diabetic Polyneuropathy ◽  
Future Research ◽  
Diabetic Patients ◽  
Diabetes Clinic ◽  
Neurology Clinic ◽  
History Of ◽  
Vascular Occlusions

The concept of polyneuropathy comprises the etiological diversity of neurological syndromes characterized by the formation of bilateral and symmetrical lesions of limb peripheral nerves; symmetrical distal sensory-motor polyneuropathy is the most common form of diabetic neuropathy; it is the most frequent chronic complication of diabetes and more than half of the patients make this complication throughout their lives, both pathogenetic mechanisms and epidemiology, its diagnosis and treatment generate many controversy and challenges for both researchers and practitioners. The study batch consisted of 40 diabetic patients admitted to the Neurology Clinic of the Clinical Recovery Hospital and the Diabetes Clinic between January 2014 and December 2018 who were diagnosed according to clinical and electrophysiological criteria, the etiology of which was type II diabetes with a history of more than 5 years of development and who were examined the lower limb skin according to the local protocol. Thermography is already used as a diagnostic and monitoring tool for patients suffering from neuropathies, especially in the case of complex regional pain syndrome (sympathetic reflex dystrophy) and in our case of diabetic polyneuropathy. This non-invasive exploration has great potential for future research on its use in the diagnosis of other neurological diseases involving the peripheral nervous system. Medical imaging analysis provides a useful way to diagnose and monitor multiple physical illnesses; infrared imaging provides information about infrared energy from the surface of the skin. Emission of infrared radiation changes after nerve damage and vascular occlusions.

scholarly journals Spectrum of Neurological Disorders: Experience in Specialized Outpatient Clinic in Bangladesh

1970 ◽  
Vol 13 (1) ◽  
pp. 39-42
Author(s):  
RN Chowdhury ◽  
ATM H Hasan ◽  
KM Rahman ◽  
M Shyfullah ◽  
SR Deb ◽  
...  
Keyword(s):  
Outpatient Clinic ◽  
Neurological Disorders ◽  
Neurological Diseases ◽  
Tertiary Care ◽  
College Hospital ◽  
Care Level ◽  
Neurologic Disorder ◽  
Medical College ◽  
Number Of Patients ◽  
Neurology Clinic

Objective: To examine the burden of neurologic disorder as encountered in a specialized neurology clinic at tertiary care level. Methods: This retrospective study was carried out in specialized neurology outpatient clinic of Dhaka Medical College Hospital from July 2010 to June 2011, which included 3173 patients. Data were collected through a predesigned questionnaire from the hospital database kept at the clinic. Result: Among all the patients attending outpatient clinic, 88.7% had 44 types of neurological disorders. Distribution of disease was similar in all age group from 21-30 years to 51-60 years. Stroke (28.2%) and Headache (24.7%) were two most common neurologic disease, where headache was prevalent among female aged less than 30 years and stroke in male of >40 years. Epilepsy, peripheral neuropathy, Parkinson’s disease, pseudo vertigo were also present in a considerable number of patients. Patients with peptic ulcer (3.02%), anxiety neurosis (2.6%) and other non neurological disease were also given consultation in the clinic. Conclusion: Neurological diseases are not uncommon. Different diseases predominate in different age and sexes. Knowing pattern of disease distribution in community will help managing them properly. DOI: http://dx.doi.org/10.3329/jom.v13i1.10045 JOM 2012; 13(1): 39-42

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