620 e-Letters

  • Thanks for free JNNP Online
    A nirudh Apte

    Dear Professor Kennard

    I must thank you for making eJNNP free on the net for the developing countries. I was so excited by this news that I couldn't sleep the whole night and kept on browsing the JNNP site. It's indeed a great service to the neurologists of all the developing nations. I sincerely hope that the American Academy of Neurology follows suit and makes Neurology available on the net for developing nation...

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  • Descartes' Error
    Dennis Valone

    Dear Editor,

    I found this article to be very consistent with Antonio DeMasio's message in his book, Descartes' Error.

  • Friedreich's ataxia presenting as an isolated spastic paraparesis
    Pierre LABAUGE

    Dear Editor

    We read with interest the correspondence from Wilkinson and colleagues [1]. These authors did not find any mutation in the frataxin gene in eight patients with isolated paraparesis and evidence of recessive inheritance. We agree with the authors that Friedreich ataxia is rarely revealed by isolated spastic paraparesis. We have described the first patients, presenting as isolated spastic paraparesis wit...

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  • Neurobiology of functional recovery after stroke
    Ernest H Friedman

    Gainotti et al [1] find that the recovery over time of non-treated depressed patients with stroke was less than the non-depressed and the depressed but treated patients with stroke and was particularly manifested on the Rivermead mobility index. Neurobiological features are suggested by the correlation of the rate of speech hesitation pauses of 1 s (SHP), 4.79+/-2.48/min, 1.50+/-0.33 s (mean+/-SD), behavioral correlates of...

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  • Deep Brain Stimulation and Epilepsy
    J T Plecnik-Pugel


    The authors are to be congratulated on a good article. Do you they have any experience with this method in the treatment of epilepsy? Thank you and please continue the good work.

  • SUDEP-D Some Risk Factors
    J Plecnik-Pugel

    Dear Editor,

    This is an excellent review. I would like to ask the authors did you find aspiration (food particles or saliva) as one of the causes of SUDEP?

  • Dementia+Schizophrenia

    Dear Editor

    Were these patients all on same dosage and on the same medication. Can some dementia be medication related? Just a thought.

    Continue good work.

  • Acquired hepatocerebral degeneration syndrome - Authors' response
    Andrea Stracciari

    Dear Editor,

    We thank Dr Mark Lewis for his interest in our paper,[1] but his comments deserve some replies. He writes that we suggest that the pathogenesis of the acquired hepatocerebral degeneration syndrome (AHD) is likely to be related to repeated episodes of hepatic encephalopathy. This is incorrect. We did not suggest any pathogenesis for AHD, remarking that its pathogenesis is still unclear. We only refer...

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  • St. Vitus Dance and Tourette Syndrome
    Hugh Rickards
    Dear Editor,

    Eftychiadis and Chen describe the fascinating history of St Vitus. Sydenham's description of a movement disorder which "attacks boys and girls from the tenth year till they have done growing..." certainly would make one think of tic disorders or Tourette syndrome.

    In my clinical practice, it is very common for people with tic disorders to give a family history of "St Vitus Dance". This, tied in with...

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  • Acquired hepatocerebral degeneration syndrome
    Mark Lewis
    Dear Editor,

    I read with interest the recent article by Stracciari et al.[1] They suggest that the pathogenesis of the acquired hepatocerebral degeneration syndrome (AHCD) is likely to be related to repeated episodes of hepatic encephalopathy; however, by their own admission there are cases where no such episodes have occurred.[2] Assuming therefore that these “never encephalopathic” cases are manifestations of the sa...

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