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2 Articles
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  • 1.
    Clinical study on static overall posture assessment of cervicogenic headache
    Lan Ma, Baojun Wang, Jun Zhang, Wenping Xiang, Qiankun Man, Yuelong Tian, Zhong Liu, Fei He, Min Wen
    Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition) 2020, 10 (01): 6-10. DOI: 10.3877/cma.j.issn.2095-123X.2020.01.002
    Abstract (63) HTML (0) PDF (666 KB) (1)
    Objective

    To explore the assessment method of static overall posture in cervical headache (CEH), quantify the assessment results, and further prove the relationship between abnormal posture and CEH.

    Methods

    A selection of 73 patients with headache, dizziness, head fullness and numbness who attended the neurology department of Baotou Central Hospital from June 2017 to December 2018 were selected as the symptomatic group. According to clinical symptoms, they were further divided into two groups, group A: 41 patients with abnormal posture CEH patients, group B: 32 non-CEH patients with abnormal posture with head fullness, dizziness, and numbness. And recruited 30 asymptomatic patients matching their gender and age as the asymptomatic group (group C). The whole body posture correction and functional training system were used to record the static overall posture of the three groups, and compared them with the ideal body posture, and the results were evaluated by the static overall posture summary score (referred to as posture summary score).

    Results

    Group A, group B and group C were compared pairwise, there was a statistically significant difference in posture simple score (P<0.05). Posture simple score has statistical significance in the symptom group and asymptomatic control group (P<0.05).

    Conclusion

    The method of recording the static overall posture and comparing it with the ideal body posture is suitable for the static overall posture evaluation of CEH, and the posture simple score can quantify the evaluation result, which proves that abnormal posture is related to CEH. The more abnormal posture, the more likely it is with clinical symptoms, the more likely to suffer from CEH.

  • 2.
    Analysis of the value of hydrogen proton nuclear magnetic spectrum in detection of cerebral parenchymal abnormalities and evaluation of the prognosis in febrile seizures child
    Jianwei Cao, Meiling Liu, Yingying Li, Kaijun Zheng, Ang Yang, Xianxiu Lu
    Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition) 2020, 10 (01): 11-15. DOI: 10.3877/cma.j.issn.2095-123X.2020.01.003
    Abstract (51) HTML (0) PDF (656 KB) (0)
    Objective

    To investigate the efficiency of hydrogen proton nuclear magnetic resonance spectroscopy (H1-MRS) in detection of cerebral parenchymal abnormalities, and the predict the value of clinical prognosis in children with febrile seizures (FS).

    Methods

    Thirty-eight children with FS given treatments from March 2017 to May 2018 in general pediatrics department of Zhongshan City People Hospital were selected as research objects. All children were examined by brain MRI and H1-MRS, and the values of the metabolites N-acetylaspartic acid/(creatine+Creatine phosphate) [NAA/(Cr+Cho)], NAA/Cr and NAA/Cho were calculated according to the results of H1-MRS. Then, the differences in NAA/(Cr+Cho), NAA/Cr and NAA/Cho values between the children with and without poor clinical prognosis were compared according to the clinical poor prognosis of the children. The prognostic value of NAA/(Cr+Cho), NAA/Cr and NAA/Cho values were analyzed.

    Results

    Among the 38 children with FS, 23 craniocerebral abnormalities cases were detected by MRI and 32 craniocerebral abnormalities cases were detected by H1-MRS, there was a statistically difference (χ2=5.330, P=0.021). Of the 38 children with FS, 13 had poor clinical prognosis and 25 had no poor clinical prognosis, the rate of complex type in the group with poor clinical prognosis was higher than that in the group without poor clinical prognosis, and there was a statistically difference (P<0.05). NAA/(Cr+Cho), NAA/Cr and NAA/Cho in the group with poor clinical prognosis were all lower than those in the group without poor clinical prognosis, showing statistically significant differences (P<0.05). The ROC curve of NAA/(Cr+Cho), NAA/Cr and NAA/Cho for predicting poor clinical prognosis was drawn, and the corresponding area under the curve (ACU) was 0.848, 0.774 and 0.797, respectively.

    Conclusion

    The detection rate of brain parenchymal abnormalities by H1-MRS examination was higher than that by MRI examination, and the NAA/(Cr+Cho), NAA/Cr and NAA/Cho values calculated by H1-MRS results were significantly reduced in children with thermal convulsion. Among them, NAA/(Cr+Cho) values were of good predictive value for the prognosis of the children.

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