The etiology of enuresis is not completely explained. It is assumed that it might be a psychosomatic disorder caused by psychological and urological predispositions combined with unfavorable ...environmental factors. Thirty-seven patients of both sexes (mean age 8 years) were included in the acupuncture treatment. They had not shown any improvement after psychotherapy. During the observation period of 6 months (180 days) after the acupuncture treatment, the statistical decrease of enuresis was evident (2.9), thus confirming that acupuncture represents a new possibility of treatment of patients with enuresis.
In the paper are presented the results of total enzyme activity investigation: GOT, GPT, LDH and CPK, and of the CPK isoenzymes in the cerebrospinal fluid of 148 examinees and in the serum of 67 ...examinees with an acute stroke, who were treated at the Intensive Care Unit of the Department of Neurology and Institute of Neuropathology, Clinical Medical center "Rebro". The aim was to determine the reliability of the applied methods in the diagnosis of cerebrovascular diseases, particularly in the differential diagnosis of cerebral hemorrhage, ischemia and subarachnoidal hemorrhage. The highest frequency of pathologic findings of the tested enzymes in the whole group of patients with CVA was obtained in the determination of the CPK total activity assessment, then followed the assessments of LDH activity, isoenzyme CPK profile, GOT and finally GPT activity. A larger number of pathologic findings of all mentioned enzymes and CPK isoenzymes was found in the group of patients with ICH. In the patients with ICH and ISI, who survived stroke a higher incidence of normal findings of the total enzymic activities was found, while in those who died from ICH a higher incidence of pathologic findings could not be established. The correlations between the total CPK activity in the serum and in the cerebrospinal fluid does not exist, as well as the correlation between the CPK isoenzyme profile in the serum and CSF.
Anastomoses among the perforating arteries were examined in 50 human brains using injection technique with India ink and gelation, or methylmethacrylate. Anastomoses were not found among the ...perforators of the internal carotid artery and the thalamogeniculate branches. Anastomotic channels involving perforating branches of the anterior choroidal, middle cerebral, and anterior cerebral arteries were noted in 1% of the cases. Vascular connections of the premamillary arteries were observed in 30% of the brains. They varied from 60 to 280 microns) in diameter, and from 0.3 to 3.6 (mean 1.5 mm) in length. Anastomoses among the interpeduncular (thalamoperforating) branches of the posterior cerebral artery were present in 79% of the cases. They ranged from 80 to 400 microns (mean 146 microns) in caliber, and from 0.9 to 6.1 mm (mean 3.3 mm) in length. Since anastomoses among the interpeduncular and the premamillary arteries are much more frequent than those among other perforators, thalamic, subthalamic, and midbrain's infarctions seem to be less frequent than capsular and ganglionic ischemic lesions.
Visual potentials evoked by pattern reversal (PRVEPs) were studied in 64 normal children (age range 7 to 15 years) and in 20 age-matched patients with common and complicated migraine (age range 6 to ...16 years). Most of them were studied before and during prophylactic therapy. A Quadristim set (Alvar) was used to present checkerboard patterns on a TV monitor, to amplify the EEG signals and to average and plot the evoked potentials. The potentials were elicited by binocular full-field 2/s checkerboard reversal, recorded from an electrode 4 cm above the inion, and analyzed for latency, amplitude and waveform morphology. The degree of similarity between pairs of PRVEPs was determined by the correlation coefficient. In all our patients no pronounced influence of the disease itself was demonstrated on the PRVEP latencies and amplitudes, but in most of them the correlation coefficients were significantly different from that showing the measure of normal PRVEP variations. Prophylactic medication influenced non-significant increase of the coefficient. This increase seems to be related to recovery from medication in terms of attack frequency. No significant difference in PRVEP results of common and complicated migraine was noticed. The PRVEP distortion can be revealed by the correlation coefficient but not by other PRVEP parameters. Therefore, this parameter may be useful as a sensitive measure of both PRVEP distortion and PRVEP improvement. Our results give further evidence that non-demyelinating disorders, but with ischemic damage and abnormalities in neurotransmitters, can produce measurable changes in PRVEP morphology.
