No abstract available.
Humans ; Infant, Newborn* ; Neurologic Examination*

At HungVương Hospital, 17-48 hours after birth, 58 newborn babies with fetal age of 39,5 weeks in average underwent a neurological examination. Results showed that in comparing with the original British cohort, Vietnamese newborns had got significantly lower scores in 10 out of 25 indicators, including almost relating to truncal tone. Among these studied subjects, the deficiency of long chains fatty acid was unsignificant, while this group of fatty acids was related strictly to the nerve, especially ophtalmic nerve. The relation between transketolase concentration with neurological status was not identified
Neurologic Examination ; Infant, Newborn ; epidemiology

The purpose of this article is to identify and explain the role and effectiveness of nurse practitioners(NPs) in the field of neurosurgery. The role of nurse practitioner has expanded over the past 15 years in the areas of administration, clinical activities, counseling, and surgical assistance. One primary activity of the NPs in our department is the frequent periodic neurological examination and rapid detection of deteriorating critical patients. They also improve the rapport between the patients and neurosurgery service and cover wevere manpower shortage or resident staffs. The department of neurosurgery in the hospital can maintain adequate coverage for the neurosurgical patients without increasing the number of residents. The author believes that NPs can improve the quality of care and outcome in a cost-effective manner. Concerns with acceptance and the role of neurosurgical NPs are clearly no longer on issue.
Counseling ; Humans ; Neurologic Examination ; Neurosurgery ; Nurse Practitioners*

No abstract available.
Cerebral Palsy* ; Early Diagnosis* ; Neurologic Examination*

We report a case of recurrent dermatofibrosarcoma in a 30-years-old woman who had undergone operations three times during 60 months and had received post-operative radiotherapy. On neurological examination, no neurological deficits were noticed. In brain magnetic resonance image(MRI), there was right parieto-occipital scalp mass with high signal in T2-weighted image, low signal in T1-weighted image with homogeneous enhancement. The removal was done including about 2cm uninvolved margins and pathologic examination of the lesion revealed dermatofibrosarcoma protuberans(DFSP). The prognostic factors of local recurrence may be related to surgical margins for resection; the length from the grossly intact margins, and the microscopically controlled excision in margins.
Brain ; Dermatofibrosarcoma* ; Female ; Humans ; Neurologic Examination ; Radiotherapy ; Recurrence ; Scalp*

Neck pain is common symptom; one out of three individuals can recall at least one incidence of neck pain in their lifetime. Evaluating and treating common cervical spine conditions calls for a probability analysis of what injured structure is most likely causing the patient's complaints. The newer diagnostic procedures must supplement the diagnostic approach but must never replace the proper interpretation of a careful history, the reproduction of the symptoms during the examination, or the performance of to meaningful orthopedic and neurologic examination. This review is offered to summarize all of these considerations with the intent of ascertaining proper management of the patient with pain in the neck or from the neck.
Humans ; Incidence ; Neck ; Neck Pain ; Neurologic Examination ; Orthopedics ; Reproduction ; Spine

Neck pain is common symptom; one out of three individuals can recall at least one incidence of neck pain in their lifetime. Evaluating and treating common cervical spine conditions calls for a probability analysis of what injured structure is most likely causing the patient's complaints. The newer diagnostic procedures must supplement the diagnostic approach but must never replace the proper interpretation of a careful history, the reproduction of the symptoms during the examination, or the performance of to meaningful orthopedic and neurologic examination. This review is offered to summarize all of these considerations with the intent of ascertaining proper management of the patient with pain in the neck or from the neck.
Humans ; Incidence ; Neck ; Neck Pain ; Neurologic Examination ; Orthopedics ; Reproduction ; Spine

STUDY DESIGN: A case report. OBJECTIVES: In patients with fracture-dislocation of the lumbar spine with neurologic deficit and hemodynamic instability, minimally invasive surgery made/produced good clinical results. So the authors have reported the results with literature review. SUMMARY OF LITERATURE REVIEW: In patients with unstable lumbar spine fracture-dislocation, early surgical treatment has been preferred due to its many advantages of anatomical reduction, nerve decompression, recovery of nerve function, and early rehabilitation, etc. But for patients with unstable lumbar spine fracture-dislocation and who are hemodynamically unstable, the surgical treatment is generally delayed, so there are many cases that cannot fulfill the expectation of neurologic recovery. MATERIALS AND METHODS: In patients with unstable lumbar 2-3 spine fracture-dislocation and who are hemodynamically unstable, applying the concept of stage operation, postural reduction and minimal invasive percutaneous pedicle screw fixation were conducted as soon as possible. Then after recover of general condition, decompression and posterior fusion were conducted as a second stage operation. RESULTS: After the first stage operation, motor grade was improved from 3 to 4 below the L3 spine level in postoperative physical examination. The second stage operation was conducted two weeks later and neurologic symptom was more improved after the second stage operation. CONCLUSIONS: In patients with lumbar spine fracture-dislocation having hemodynamic instability and neurologic deficit, early minimally invasive fixation for reducing complications of open reduction and internal fixation may contribute to improving general conditions and recovery of neurologic deficits.
Decompression ; Hemodynamics* ; Humans ; Neurologic Manifestations* ; Physical Examination ; Rehabilitation ; Spine*

No abstract available.
Humans ; Neurologic Examination* ; Physicians, Primary Care* ; Primary Health Care*

OBJECTIVES: We report a case of n-hexane-induced occupational peripheral polyneuropathy. The patient had been cleaning mobile phone cases using n-hexane for 3 years without proper protection in the workplace. Method : Physical examinations, detailed history taking, laboratory studies and electrophysiological study were done. The n-hexane concentration in the ambient air of the workplace was analysed. RESULTS: The findings of the electrophysiological study revealed that the worker's neurologic symptoms were due to peripheral polyneuropathy. The average n-hexane concentration in the ambient air sampled at the workplace for 59 minutes was 1411.24ppm, from which the 8 hour time-weighted-average(TWA) was estimated as 882ppm. Because other alternative causes for peripheral polyneuropathy were ruled out by laboratory findings and detailed history taking, this TWA level strongly suggested that the disease was caused by n-hexane exposure. Conclusion : Although the neuro-toxicity of n-hexane is relatively well known, many problems have been identified in the management of this toxic material in terms of preventing toxic diseases in the workplace. We expect that this case will help in the planning of health management strategies for using n-hexane in the workplace.
Cellular Phone* ; Humans ; Neurologic Manifestations ; Physical Examination ; Polyneuropathies*