PubMed Journal Database | Fortschritte der Neurologie-Psychiatrie 
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Showing PubMed Articles, all 17 from Fortschritte der Neurologie-Psychiatrie
Placement of Stimulus Electrodes and Heart Rate during Electroconvulsive Therapy.
OBJECTIVE: Bifrontal stimulation in electroconvulsive therapy (ECT) has been increasingly administered and evaluated over the past years. However, no attention has been paid to cardiac side effects of this novel form of treatment during the application of the electrical stimuli. METHOD: Cardiac responses to different electrode positions were compared intraindividually, using synchronised electrocardiograms and waveforms of pulse oximetry. RESULTS: Unilateral ECT gave rise to a marked cardiac response during...
The Interdisciplinary S3 Guidelines Dementia: Advances in Neurology and Psychiatry.
Comment on the S3 Guidelines Dementia by the DGPPN and the DGN from the Neurological Point of View.
The German Society for Psychiatry, Psychotherapy, and Nervous Diseases (DGPPN) and the German Society for Neurology (DGN) have appointed an expert panel to develop guidelines for the diagnosis of and therapy for dementias and to reach a consensus on these guidelines with other relevant societies. These guidelines have now been broadly consented. They assess the present evidence according to transparent standards and give a number of recommendations that are outlined in the present communication. The guideli...
Comment on the S3 Guidelines Dementia by the DGPPN and the DGN from the Psychiatric Point of View.
The S 3 guidelines Dementia from the DGPPN and DGN represent recommendations that fulfil the highest methodological requirements and are based on a consensus process involving all professional societies, associations and organisations that participate in the management of patients with dementia. From the psychiatric point of view, in particular, the broad representation of the diagnostic processes, the inclusion of modern liquor diagnostics, the comprehensive presentation of psychosocial interventions and t...
Dementia in Morbus Parkinson: Reasonable Diagnostics and Rational Therapy.
Cognitive decline is a common disorder in idiopathic Parkinson's syndrome, the risk for the development of a dementia is four- to six-fold higher for Parkinsonian patients. The cognitive profile in Parkinson's disease dementia (PDD) differs from that of Alzheimer-type dementias. The affected cognitive functions include attention, executive functions, visual-spatial functions and recall. The main differential diagnosis for PDD is the Lewy body dementia (LBD), which can be differentiated through the temporal...
Neuropsychological Therapy in Dementia Patients: What is Reasonable?
The aging of the population leads to increasing incidence rates of dementia. Besides pharmacotherapy, non-pharmacological interventions are becoming more and more recognised. Although the data can be regarded as insufficient, many studies indicate that neuropsychological therapy can lead to an improvement of cognitive and non-cognitive symptoms in patients with dementia and mild cognitive impairment, or even decelerate the course of decline. Regulating guidelines of the local health insurance companies do n...
Moyamoya Disease - A Rare Vasculopathy in Europeans.
The Role of Ceruloplasmin in the Differential Diagnosis of Neuropsychiatric Disorders.
The blue copper protein ceruloplasmin has been of interest to psychiatrists for decades following Heilmeyer's observation of elevated serum copper levels in schizophrenic patients. Immunoturbidimetry, however, does not yield elevated serum ceruloplasmin concentrations in schizophrenia while ceruloplasmin-related oxidase activity appears to be elevated in patients with schizophrenia and reduced in patients with Alzheimer's disease. Low serum concentrations of immunoturbidimetrically measured ceruloplasmin, a...
Depression in Parkinson's Disease - Part 2: Therapy and Management.
A good number of different methods and antidepressive agents are now available for the management of depressive symptoms, the efficacy of which has been confirmed by clinical studies. Various approaches - be it medication, electroconvulsive therapy (ECT), psychoeducation and psychotherapy - have also been developed to treat depression in patients with Parkinson's disease. Unfortunately, only a few controlled studies exist for this very specific group of patients. Systematic knowledge of treatment options, h...
Recovery and Remission in Schizophrenia.
INTRODUCTION: Remission in schizophrenia is defined as a period of at least 6 months in which symptom reduction occurs. In comparison, the term recovery is defined to include not only long-term symptomatic improvement but also good psychosocial functioning and improved quality of life. The aim of this naturalistic study is to prospectively investigate all these variables and their interrelationship in a sample of subjects with schizophrenia over a period of two years. METHODS: Seventy-seven subjects were in...
Expert Opinion on Post-Traumatic Stress Disorder.
There is a high prevalence of post-traumatic stress disorder in community-based samples.Therefore, psychiatric assessment and expert opinion are often required. Professional standards for psychiatric expert opinion in the assessment of post-traumatic stress disorder are outlined. The significance of symptom validity tests is critically discussed. Test results have to be considered carefully in the medicolegal context and require thorough clinical assessment.
Phraseology of Disk Herniation: An Inevitable Revision.
Etymology teaches us to use the term prolapse exclusively for describing the part of the intervertebral disk that has slipped forwards, that is, towards the anterior longitudinal ligament. Consequently, the word retrolapse has to be introduced as the corresponding term in order to designate the posterior slipped disk. The common use of matching pairs like propulsion/retropulsion or prognathism/retrognathia is another justification for the recommended revision.
Obituary to Professor Dr. med. Franz Müller-Spahn.
Olfactory Dysfunction in Parkinsonian Syndromes. Its Role in Early and Differential Diagnosis.
Up to one-third of all schizophrenic patients suffer from auditory verbal hallucinations (AVH) that are resistant to antipsychotics. The use of repetitive transcranial magnetic stimulation (rTMS) is a therapeutic option that may disrupt or attenuate treatment resistant (TR) AVHs. This article reviews the available literature on the use of rTMS to treat AVHs, particularly focusing on randomised controlled trials, which have introduced new definitions ("refractory AVHs"), and techniques (active comparator str...
Treatment of Autonomic Dysfunction in Patients with Extrapyramidal Disorders.
Although extrapyramidal diseases are commonly thought to solely affect the (extrapyramidal) motor system, non-motor symptoms such as behavioural abnormalities, dysautonomia, sleep disturbances and sensory dysfunctions are also frequently observed. Autonomic dysfunction as an important clinical component of extrapyramidal disease (idiopathic Parkinson's disease, multiple system atrophy, progressive supranuclear palsy, dementia with Lewy bodies) is often not formally assessed and thus frequently misdiagnosed....
