129 e-Letters

published between 2009 and 2012

  • PMSAH - A patient's experience
    Kevin J Daniels

    Having received treatment for PMSAH in 2006, I agree vigorously with the conclusion that there needs to be additional study on the long term outcomes of individuals who have suffered this type of non-aneurysmal brain bleed.

    In my particular case, my in-hospital treatment was excellent, but I had no idea what to expect afterwards, what complications might arise, how long it would take for my headaches to subside...

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    Khichar Shubhakaran

    We read an interesting review and meta-analysis of published articles pertaining to cerebral amyloid angiopathy (CAA) by Samarasekera and collegues published in March 2012 issue of our esteemed journal1. The effforts made by the authors are worth appreciation. The previously considered to be a rare neurological curosity, CAA is now recognised as an important cause of spontaneous intracerebral haemorrhage and cognitive im...

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  • Psychotic symptoms in the early stages of Parkinson's disease
    Osamu Kano

    We read with great interest a recent article by Morgante et al1 concerning the prevalence of psychosis associated with Parkinson disease. Psychotic symptoms, mainly visual hallucinations (VHs), occur in about one -third of patients, and thought to be a complication of antiparkinsonian treatment. However, they reported that psychotic type symptoms of PD, such as VHs, might occur more frequently in the early stage compared w...

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    CEREBRAL AMYLOID ANGIOPATHY- NOT SO AVOIDABLE - NOT SO DISMAL A NEW HOPE Honourable Editor Sir, I read an intresting article by Cheridimou A and collegues published in February 2012 issue of our estttmed journal1. The authors have very nicely reviewed the sporadic cerebral amyloid angiopathy (CAA) in a very excellent and precise way. The efforts made by authors are worth appriciation by the readres. Here I would like to share...
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  • Gate control pain modulation theory explains transient improvements.
    Stavros Saripanidis

    Dear Editors,

    The dorsal horns are not merely passive transmission stations but sites at which dynamic activities (inhibition, excitation and modulation) occur. [18]

    Via a series of filters and amplifiers, the nociceptive message is integrated and analysed in the cerebral cortex, with interconnections with various areas. [1]

    The processing of pain takes place in an integrated matrix throughout...

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  • Re:Survey of non-invasive ventilation use in ALS in Britain: authors' response
    Michael Swash

    I understand Dr Bourne's concerns regarding my criticism of the survey of NIV reported from Sheffield. My Editorial Commentary was prompted by the very evident shortcomings in the survey reported, relying as it does on unverified data. We have reached a stage in epidemiological work when accurate data are needed to assess the uptake of medical interventions and their outcomes. Surveys cannot provide this essential evide...

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  • Survey of non-invasive ventilation use in ALS in Britain: authors' response
    Stephen Bourke

    We are concerned that the article by Professor Swash [1] misrepresents both the nature and findings of our recent UK national survey of the use of NIV in patients with MND/ALS. Although entitled an "editorial commentary", the article is essentially restricted to a critique of our study alone. In particular, he criticises the response rate to the survey (63%) and the lack of verification of the data in a sub -population;...

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  • Re:Pyramidal tract involvement in HMSN-P?
    Ryuji Kaji

    We thank Dr. Kengo Maeda for his comments regarding our case report of a patient with Kansai-type proximal-dominant hereditary motor and sensory neuropathy (HMSN-P).[1] He argues that upper motor neuron (UMN) involvement has not been established in HMSN-P because of the following reasons: UMN signs were absent in his 15 patients with Brazilian and Kansai-type HMSN-P; previous studies did not suggest UMN involvement in H...

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  • Persistence of Proatlas in Man
    Mohammadali M. Shoja
    We read with great interest, the article by Tsuang et al. (Occipitocervical malformation with atlas duplication) published in the Journal of Neurology, Neurosurgery and Psychiatry (2011 82:1101-1102). In this report, a patient with spastic gait is presented. The imaging studies revealed an atlas-like vertebra below the occipital bone. The authors referred to this anomaly as "atlas duplication". However, we believe that the anomalo...
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  • Regional brain atrophy and cognitive impairment
    Ioannis N. Mavridis

    Ioannis Mavridis, M.D., Sophia Anagnostopoulou, M.D., Ph.D., Assoc. Professor

    Department of Anatomy, University of Athens School of Medicine

    Corresponding author: Ioannis N. Mavridis, M.D. Department of Anatomy, Medical School, University of Athens, Mikras Assias str. 75, Goudi, 11527 Athens, Greece Tel.: 0030-210 74 62 404 Fax: 0030-210 74 62 398 e-mail: pap-van@otenet.gr

    Dear Sir/Madam,...

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