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25 September 2017, Volume 13 Issue 3
    

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    Youth Forum
  • ZHU Dongyu, LU Zhengyu, LU Lingdan, XU Qiang, ZHAO Hong
    Journal of Neurology and Neurorehabilitation. 2017, 13(3): 109-113. https://doi.org/10.12022/jnnr.2017-0033
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    Parkinson’s disease is a common neurological disease. It belongs to the “tremor syndrome” in traditional Chinese medicine. Parkinson’s disease is mostly treated from liver, spleen or kidney based on the theory of traditional Chinese medicine. The relationship between lung and Parkinson’s disease is rarely mentioned. Using the treatment to tonifying lung in the early stage of Parkinson’s disease has certain curative efficacy to prevent or slow down its progression. Based on the theory of traditional Chinese medicine, the lung opens at nose, governs Qi and breathing, regulates water passage, and has internal and external relations with the Large Intestine Meridian. Its physiological function also affects the transporting of Qi and blood through the whole body. So the lung is the key organ of Parkinson’s disease. In this paper, the discussion on the relationship between the lung and Parkinson’s disease through aspects of etiology, pathogenesis and non-motor symptoms demonstrates that the early treatment of Parkinson’s disease from lung is necessary and feasible.
  • Original Research
  • WANG Nuan, ZHOU Hao, HUANG Hongli
    Journal of Neurology and Neurorehabilitation. 2017, 13(3): 114-119. https://doi.org/10.12022/jnnr.2017-0044
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    Objective: To compare the clinical efficacy between 360-degree maneuver and Epley maneuver repositioning treatment in patients with posterior semicircular canal benign paroxysmal positional vertigo (BPPV). Methods: There were 69 patients with posterior semicircular canal BPPV were randomly divided into study group (n = 35, treated with 360-degree maneuver) and the control group (n = 34, treated with Epley maneuver). The efficacy and the residual symptoms after recovery between the two groups were compared. Results: There were 91.4% (32/35) of the patients in the study group and 88.2% (30/34) of the patients in the control group achieved recovery after single treatment, and the difference was not significant (P > 0.05). The proportions of patients who achieved recovery after two treatments were 8.6% (3/35) in the study group and 11.8% (4/34) in the control group, and the difference was also not significant (P > 0.05). The proportion of patients who had been cured but still had residual symptoms (including dizziness, walking instability and neck discomfort) in the study group was 17.1% (6/34), which was significantly lower than that of the control group [29.4% (10/35)] (P < 0.05). Conclusion: 360-Degree maneuver and Epley maneuver in the treatment of posterior semicircular canal BPPV can achieve similar effectiveness, but less residual symptoms are observed in patients treated with 360-Degree maneuver, which can improve the quality of life of the patients, and has the advantages of simpler operation, better comfort, and higher clinical application value.
  • ZHANG Yanlan, LI Yanling, LONG Jin, LI Guangqing, DUAN Yuhan, CHANG Yan
    Journal of Neurology and Neurorehabilitation. 2017, 13(3): 120-124. https://doi.org/10.12022/jnnr.2017-0038
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    Objective: To evaluate the role of health education in improving treatment compliance of patients with epilepsy. Methods: A total of 180 eligible patients with epilepsy were recruited in this study and randomly divided into the health education group (n = 90, on the basis of routine health education, the health education nurses carried out systematic intervention, including guiding the patients to take the medicine regularly, take a visit to the clinic regularly and have a record of medication diary, and calling back regularly to supervise the patients’ treatment compliance) and the control group (n = 90, only receiving routine health education). After a follow-up of 12 months, 79 patients in the health education group and 76 patients in the control group were included in the final analysis. The differences in treatment compliance score and compliance rate between the 2 groups before and after intervention were examined. Results: There were no statistically significant differences in treatment compliance score and compliance rate between 2 groups before intervention and at 2 months since the start of intervention (both P > 0.05). However, at 6 and 12 months, the treatment compliance score and the compliance rate were both higher in the health education group than those in the control group (both P < 0.05). Conclusion: Nurses’ health education through guiding the epilepsy patients to take medicine on time and take a regular visit to the clinic, as well as urging the patients to have a medication diary record, is helpful to enhance the treatment compliance of epilepsy patients, and improve the outcomes of treatment.
  • Review
  • JIN Guohua, WANG Lijing, ZHONG Ping, ZHAN Qing
    Journal of Neurology and Neurorehabilitation. 2017, 13(3): 125-131. https://doi.org/10.12022/jnnr.2017-0045
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    Infection is one of the most common serious complications in stroke patients. The incidence rate of stroke-associated pneumonia (SAP) is high after stroke. SAP can aggravate the patient’s condition and is closely related to the prognosis. It is also one of the main causes of death. Understanding the risk factors of SAP, early identifying SAP, and timely providing effective rehabilitation with traditional Chinese and Western medicine can promote the absorption of inflammation, shorten the hospitalization duration, improve the quality of life, and benefits the prognosis of patients. This paper reviews the progress in SAP rehabilitation with traditional Chinese and Western medicine.
  • YU Min, ZHAN Qing, ZHAO Jiangmin
    Journal of Neurology and Neurorehabilitation. 2017, 13(3): 132-137. https://doi.org/10.12022/jnnr.2017-0025
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    The severe complications of subarachnoid hemorrhage (SAH) include cerebral vasospasm (CVS), hydrocephalus and symptomatic epilepsy, which seriously affect the prognosis of patients. In the early stage of these complications, most of the brain’s functions or structure has undergone early or atypical changes. This study describes the applications of electroencephalogram (EEG) and transcranial Doppler (TCD) in evaluation and prediction of SAH complications. It is pointed out that EEG and TCD may contribute to the clinical evaluation and intervention in a timely and effective manner, thus prevent the brain damage after SAH and improve the prognosis of patients with SAH.
  • ZHANG Li, JIANG Wenfei, SUN Chuanhe, LIAO Weilong, PAN Weidong
    Journal of Neurology and Neurorehabilitation. 2017, 13(3): 138-141. https://doi.org/10.12022/jnnr.2017-0048
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    Parkinson’s disease (PD) is a chronic progressive neurodegenerative disorder that includes motor symptoms and non-motor symptoms. At present, there is no effective treatment method for PD and its progression, and only motor symptoms (including tremor, rigidity and being slow, etc.) can be treated with symptomatic treatment, but there is almost no reliable and effective treatment for non-motor symptoms. Tai Ji Quan has certain curative effect in the treatment of motor symptoms and non-motor symptoms of PD. The purpose of this paper is to review the progress in the role of Tai Ji Quan in motor symptoms and non-motor symptoms of PD.
  • PAN Yongli, ZHANG Tao, LIU Jinzhi
    Journal of Neurology and Neurorehabilitation. 2017, 13(3): 142-145. https://doi.org/10.12022/jnnr.2017-0039
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    This paper expounds the clinical therapeutic efficacy of extracts from Gastrodia elata Blume on anticonvulsant and neuroprotective effects. The studies based on pharmacology and molecular level have shown that the extracts from Gastrodia elata Blume has a variety of effects. In this paper, the research progress in bioactive constituents in the extracts from Gastrodia elata Blume and its anticonvulsant and neuroprotective are reviewed.
  • Case Report
  • SUN Chuanhe, LIAO Weilong, GAO Penglin, JIANG Wenfei, PAN Weidong
    Journal of Neurology and Neurorehabilitation. 2017, 13(3): 146-150. https://doi.org/10.12022/jnnr.2017-0037
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    Objective: To report one patient diagnosed of neuromyelitis optica spectrum disorder (NMOSD) receiving treatment with steroid combined with cyclophosphamide, and review the related literatures. Methods: Laboratory examinations (including aquaporin-4 detection) and adjuvant examinations were performed on one patient with NMOSD, and the treatment with steroid combined with cyclophosphamide based on clinical practice was administrated. Results: The patient suffered from progressive blurred vision of the right eye, accompanied by the weakness and numbness of the right limb, and was diagnosed of NMOSD. For treatment, this patient received steroid pulse therapy immediately after the NMOSD was confirmed, but the patient’s condition continued to progress and developed steroid-dependence. Then the cyclophosphamide was added and the patient’s condition was effectively controlled. Conclusion: There is a significant benefit in NMOSD patients who are treated with steroid combined with cyclophosphamide when the only steroid treatment is ineffective.
  • HAN Ying, TANG Tongjian, XU Wenjie, ZHAN Qing
    Journal of Neurology and Neurorehabilitation. 2017, 13(3): 151-156. https://doi.org/10.12022/jnnr.2017-0023
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    Objective: To report the diagnosis and treatment of a patient with acute ischemic stroke caused by traumatic internal carotid artery occlusion, and review the related literatures. Methods: The clinical diagnosis and treatment of a patient with acute ischemic stroke caused by traumatic internal carotid artery occlusion was reported. The clinical characteristics of traumatic internal carotid artery occlusion and the related progress in diagnosis and treatment of this disease were reviewed. Results: A patients with acute ischemic stroke caused by traumatic internal carotid artery occlusion received intravenous thrombolysis. After 2-week treatment, the right limb function was recovered, only leaving moderate motor aphasia, and the National Institute of Health Stroke Scale (NIHSS) score was 2. After 6-week treatment, the carotid artery computed tomography angiography (CTA) suggested the proximal stenosis of left common carotid artery and the distal common carotid artery occlusion extending to the bifurcation of the common carotid artery. Then the left carotid endarterectomy was performed with embolectomy and carotid angioplasty and stenting. After operation, the patient was followed-up, and the prognosis was good. Conclusion: For patients with acute ischemic stroke caused by traumatic internal carotid artery occlusion, individualized treatment is recommended on the basis of guidelines. The thrombolytic therapy in time window can improve the prognosis of the patients.