97 e-Letters

published between 2001 and 2004

  • Use it or lose it!
    Krishna Vaitheeswaran

    Dear Editor

    It is of indeed of great interest to learn of the results of the study by Zeloni et al. (Viewing less to see better). The hemiblinding procedure seems to effectively improve utilisation of the neglected field and enhance recovery.

    This, no doubt, would be an important technique for rehabilitation of patients with visuospatial hemineglect.

    In my series of patients (36 patients) w...

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  • What's in a name
    Rossen T Rousseff

    Dear Editor

    The case presented is of particular interest. Tumour-like MS plaques present and behave in a delinquent manner, unlike the classic ones. However, with no evidence of demyelination elsewhere, no paraclinical support, a somehow meager description of "demyelination with macrophages etc" wouldn't it be better to call this lesion an "isolated demyelinating CNS lesion" as proposed by others?

  • Community based rehabilitation following brain injury
    Bernardus R. Coetzer

    Dear Editor

    Powell, Heslin and Greenwood[1] are to be commended for their study reporting the results of community based rehabilitation following traumatic brain injury. While the effectiveness of rehabilitation following brain injury has been acknowledged, randomised controlled trials have not been reported to support this[2]. An especially encouraging result from Powell, Heslin and Greenwood’s study was the fin...

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  • Executive dysfunction and depressive symptoms in cerebrovascular disease
    Giuseppe Bellelli

    Dear Editor

    The article by Kramer et al [1] suggests that subcortical ischaemic vascular disease is associated with subtle declines in executive functioning and visual memory, even in non-demented patients. The authors compared 27 control subjects and 12 non-demented patients, which were selected after exclusion of major depression, bipolar affective disorder, and other DSM-IV I axis disorders. We wish to contribute...

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  • Re: Hypercortisolemia and chronic migraine
    Mario F P Peres

    Dear Dr Eugene Cassidy,

    Thanks for your letter and comments.

    The Beck Depression Inventory (BDI) scores were not correlated with cortisol levels in our study. In addition, cortisol levels in patients with BDI score higher than 16 (and 21) were not different from those with score 16 (and 21) or lower.

    We agree hypercortisolemia is a feature of CM with co-morbid depression, and not CM alone, ho...

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  • Hypercortisolemia and chronic migraine
    Eugene M Cassidy

    Dear Editor

    Peres et al (2001) are to be congratulated for advancing the limited neuroendocrine literature on chronic migraine, a disorder with a significant attendant morbidity and a poorly understood pathophysiology.

    A few points however deserve mention.

    In their introduction, the authors rightly highlight that chronic migraine (CM) and major depression are strongly associated. However, in this...

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  • JNNP and developing countries.
    Natarajan Muthukumar

    Dear Editor

    I enjoyed reading the editorial "Getting our Journal to developing countries".

    I think the BMJ Publishing Group is doing a yeoman service to doctors and patients in developing countries by providing free internet access to the BMJ journals. As a consultant in a teaching institution with "bare" library shelves I can attest to the fact that this free internet access to BMJ journals is a boon to...

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  • 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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