摘要:

Abstract:Two cases of circumscribed hypochondriasis were reported. Although the syndrome did not seem so rare, these cases were worthy of reporting in the following sense. In spite of the general opinion that the syndrome appeared in the middle age, the onset in our patients was in the young adult age, namely one at 25 and the other at 35, respectively. While the course of the syndrome is said to be chronic, our patients indicated a fairly favorable prognosis. The psychodynamics of the syndrome in our cases was discussed chiefly from the psychoanalytic point of view, and finally the similarity among the related syndromes was considered.

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1985.tb01938.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Abstract:Two additional cases of Capgras syndrome were reported. In these schizophrenic patients, the abrupt hatred against family members seemed to contribute largely to the genesis of the syndrome in addition to delusional background. At the same time, the importance of delusional retrospective interpretation in these patients as well as in the previously reported case was discussed.RésuméDeux cas additionnels du syndrome de Capgras sont rapportés. Chez ces malades schizophréniques, la haine réelle envers les membres de leurs families semble largement contribuer à l'apparition du syndrome. En même temps, l'importance de Interprétation délirante rétrospective observée chez ces malades ainsi que chez une malade déjà rapportée,

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1985.tb01939.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Abstract:In order to find out which factor, genetic or environmental, is more involved in determining hand usage, the distribution of handedness in Japanese senior high school students and the success of their parents' attempts at conversion of handedness was investigated with respect to four pairings of parental handedness. When a child's handedness was related to that of the parent, children of a left‐handed parent were more likely to be non‐right‐handed than those of both right‐handed parents. There was no significant relation between parental handedness and the rate of handedness conversion of children. The results are in favor of the view that human handedness is genetically rather than forcibly determined by parents, although environmental factors such as parents' interference are involved in decreasing the incidence of non‐right‐handedne

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1985.tb01940.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Abstract:In order to examine 5HT metabolism in the hypothalamopituitary (HP) system of chronic schizophrenic patients taking haloperidol for a short or long period, chronological changes of blood 5HT, PRL and HGH were measured after an oral loading dose of L‐5hydroxytryptophan (L‐5HTP), a precursor of 5HT.The subjects consisted of 8 male patients with chronic schizophrenia, who were divided into the following two groups. The 1st group—4 patients taking haloperidol (5.6 mg/day) for 8 months on an average (short‐term treatment). The 2nd group—4 patients taking haloperidol (4.8 mg/day) for 7.5 years on an average (long‐term treatment). The control group was made up of 9 healthy male volunteers.1) As a result, the basal level of blood 5HT in the 1st group was significantly higher than that in the control group. The blood 5HT levels in the 1st and 2nd groups showed an equally remarkable increase as compared with the control group.2) The basal level of plasma PRL in the 2nd group was significantly lower than that in the control group. Moreover, in the 2nd group, an increase in the plasma PRL level after the loading was suppressed, but it showed less suppression in the 1st group.3) There was no significant difference in the basal HGH levels among the control, 1st and 2nd groups. After the loading, an increase in the plasma HGH was suppressed in the 2nd group, but the suppression was less in the 1st group.These results suggest that there might be a hyposensitivity of the 5HT neuron or a disorder in the 5HT‐catecholamine interaction of the HP axis in schizophrenic patients undergoing a long‐term

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1985.tb01941.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Abstract:Possible factors affecting the seizure frequency during pregnancy and puerperium were prospectively studied on 125 cases, paying particular attention to the drug compliance and the antiepileptic drug disposition. Of the subjects, 27% were under the poor compliance category. As the reasons for the poor compliance, anxiety about the side effects of antiepileptic drugs including teratogenecity and the harmful effects on their newborns by breast feeding were found in about half of them. In the cases with regular drug taking, 80% showed no change in the seizure frequency whereas only 16% exhibited an increase and 4% a decrease. The apparent serum clearance of phenytoin, primidone, phenobarbitone derived from primidone and valproic acid increased during pregnancy and puerperium. In some cases, the lowering of the serum level of drugs was associated with the aggravation of seizures.

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1985.tb01942.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Abstract:A total of 202 nonepileptic patients (120 males and 82 females) who exhibited spike abnormalities at least twice in their EEG examinations were studied. The incidence of spike abnormalities among nonepileptic patients was 8.1% (847/10,473). The majority (90%) were under age 19. Headache, dizziness and vomiting, and abdominal pain were more frequently observed compared with controls. Mild paroxysmal EEG abnormalities such as diffuse irregular slow wave bursts with spike (27%), positive spikes (25%) or small spike (8.4%) were commonly detected.In three patients who developed epileptic seizures during the follow‐up period, more specific EEG abnormalities were often exhibited. Other factors like the age at onset before 9, characteristic clinical symptoms or a positive family history of seizures were confirmed to be necessary for the manifestation of clinical seizure

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1985.tb01943.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Abstract:A prospective study of EEG changes following metrizamide myelography was made on 34 patients aged 17–79 years. EEGs were recorded just before and 22–26 hours after myelography. Usually 8–10 ml of metrizamide was injected by either lumbar or lateral cervical puncture. The concentration of metrizamide was relatively high. EEGs were abnormal in 15 out of the 20 patients whose baseline EEGs were normal. EEGs deteriorated in 10 of the 14 patients whose control tracings were abnormal. High voltage delta activity and/or a great deal of theta activity were common abnormalities. Three patients showed triphasic waves. No relationships were found between the EEG changes and clinical variables. But central nervous system involvements by metrizamide tended to be accompanied by a severe EEG sl

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1985.tb01944.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Abstract:Sensory and autonomic polyneuropathy is a rare disease characterized by a sensory nerve disorder and postganglionic autonomic dysfunction. The etiology of this disease is unknown. We described a 51‐year‐old woman who had a chronic sensory dominant polyneuropathy and dysautonomia associated with hypergammaglobulinemia. In the previous reports of sensory and autonomic polyneuropathy, not much attention was given to coexisting hypergammaglobulinemia. By reviewing the literatures, hypergammaglobulinemia was frequently present in these case reports. This fact leads us to consider that an immunological mechanism may be playing a role in the pathogenesis of this disor

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1985.tb01945.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Abstract:This is a report about the case of a 37‐year‐old female with left temporal damage due to a cerebral infarction and showing periodic lateralized epileptiform discharges (PLEDs). A hypsarhythmia‐like pattern was observed a week after the onset. A repeat tracing of EEGs taken two weeks after the onset clarified the presence of PLEDs, consisting of a lateralized slow spike discharge in a rhythmic fashion at a frequency of every 1.6 seconds. PLEDs disappeared two months after the onset, and EEG activity normalized three months after the onset. But, her regressive behavior, crying before her doctor, which was considered to be due to a personality change, persisted for some

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1985.tb01946.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Abstract:Antibody titers to the Epstein‐Barr virus (EBV) in the serum and cerebrospinal fluid (CSF) were determined in 57 cases of acute or subacute neurological diseases. As a result, sera from 11 cases (7 Bell's palsy, 2 encephalitis and 2 acute cerebellar ataxia) were found to be positive for antibodies to early antigen. Seven of these 11 cases either seroconverted for IgG antibodies to viral capsid antigen (VCA) or were proven positive for anti‐VCA‐IgM antibodies in the serum. While 4 were found positive for IgG antibodies to VCA in CSF, 3 tested by the anti‐complement immunofluorescence method were all negative for EBV‐associated nuclear antigen (EBNA) in CSF. Three of the 11 cases were considered to be of a primary infection with EBV because of a negative serologic test for antibodies to EBNA initially; a reinfection with the virus or a reactivation of the latent infection was suspected in some of the remain

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1985.tb01947.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY