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Topic Review
Biography
Topic Review
Tremor in Parkinson’s Disease with Mechanical Devices
Parkinsonian tremors are sometimes confused with essential tremors or other conditions. Researchers conducted several studies on tremor evaluation using wearable sensors and devices, which may support an accurate diagnosis. Mechanical devices are also commonly used to treat tremors and have been actively researched and developed. Mechanical devices for tremor suppression include deep brain stimulation (DBS), electrical muscle stimulation, and orthosis. Adaptive DBS and optimization of stimulation parameters have been studied to improve treatment efficacy further. Due to developments using state-of-the-art techniques, effectiveness in diagnosing, evaluating, and suppressing tremors using these devices is satisfactorily high in many studies.
530
09 Jan 2023
Topic Review
Treatment Resistance in Early Psychosis
Treatment resistance is prevalent in early intervention in psychosis services, and causes a significant burden for the individual. A wide range of variables are shown to contribute to treatment resistance in first episode psychosis (FEP). Heterogeneity in illness course and the complex, multidimensional nature of the concept of recovery calls for an evidence base to better inform practice at an individual level. Current gold standard treatments, adopting a ‘one-size fits all’ approach, may not be addressing the needs of many individuals.
478
09 Dec 2020
Topic Review
Traumatic Brachial Plexus
Traumatic brachial plexus injuries are rare but serious consequences of major traumas. Pre-ganglionic lesions are considered irreparable, while post-ganglionic injuries can be potentially treated if an early diagnosis is available.
521
18 Feb 2021
Topic Review
Traumatic Axonal Injury in Concussion
Traumatic axonal injury (TAI) indicates the tearing of axons by indirect shearing forces during acceleration, deceleration, and rotation of the brain or direct head trauma. Since the 1960s, histopathological ones after autopsy have revealed TAI in patients with concussion who died from other causes. The diagnosis of TAI in live patients with concussion is limited because conventional brain MRI is not sensitive to detecting TAI in concussion.
299
02 Jun 2022
Topic Review
Transitional Model for SCZ
Translational psychiatry proposes a new psychopathological paradigm in Schizophrenia (SCZ). Firstly an important acquisition is to consider SCZ as a neurodevelopmental disease. SCZ spectrum is a condition in which genes and environment interact in different phases of the development, causing an individual neurobiological vulnerability. Continuous distress may lead to transdiagnostic conditions as emotional dysregulation, SCZ basic symptoms, psychosis. An early and timely diagnosis and treatment is mandatory, too watchful and waiting conservative approach may risk to increase DUP and worsen prognosis and outcome in some cases.In this context translational psychiatry may change psychiatrist clinical approach reconsidering old categories, stimulating a careful analysis of risk factors, and promoting the correct use of new and safer molecules.
402
18 Mar 2021
Topic Review
Transcranial Magnetic Stimulation of the Primary Motor Cortex
Transcranial magnetic stimulation (TMS) has emerged as a novel technique to stimulate the human brain through the scalp. Over the years, identifying the optimal brain region and stimulation parameters has been a subject of debate in the literature on therapeutic uses of repetitive TMS (rTMS). Nevertheless, the primary motor cortex (M1) has been a conventional target for rTMS to treat motor symptoms, such as hemiplegia and spasticity, as it controls the voluntary movement of the body. However, with an expanding knowledge base of the M1 cortical and subcortical connections, M1-rTMS has shown a therapeutic efficacy that goes beyond the conventional motor rehabilitation to involve pain, headache, fatigue, dysphagia, speech and voice impairments, sleep disorders, cognitive dysfunction, disorders of consciousness, anxiety, depression, and bladder dysfunction.
545
19 Jun 2022
Topic Review
Tics and Emotions
Tics can be associated with neurological disorders and are thought to be the result of dysfunctional basal ganglia pathways. In Tourette Syndrome (TS), excess dopamine in the striatum is thought to excite the thalamo-cortical circuits, producing tics. When external stressors activate the hypothalamic-pituitary-adrenal (HPA) axis, more dopamine is produced, furthering the excitation of tic-producing pathways. Emotional processing structures in the limbic are also activated during tics, providing further evidence of a possible emotional component in motor ticking behaviors.
456
17 Feb 2022
Topic Review
Therapy for Post-Stroke Spasticity
ESWT is safe and free of undesirable side effects. The mechanism of action of ESWT on muscles affected by spasticity is still unknown. To date, no standard parameters of ESWT in post-stroke spasticity regarding intensity, frequency, location, and the number of sessions has been established.
453
24 Apr 2021
Topic Review
Therapies to Treat Neonatal Hypoxic-Ischemic Encephalopathy
Neonatal hypoxic-ischemic encephalopathy (HIE) is a condition that results in brain damage in newborns due to insufficient blood and oxygen supply during or after birth. HIE is a major cause of neurological disability and mortality in newborns, with over one million neonatal deaths occurring annually worldwide. The severity of brain injury and the outcome of HIE depend on several factors, including the cause of oxygen deprivation, brain maturity, regional blood flow, and maternal health conditions. HIE is classified into mild, moderate, and severe categories based on the extent of brain damage and resulting neurological issues. The pathophysiology of HIE involves different phases, including the primary phase, latent phase, secondary phase, and tertiary phase. The primary and secondary phases are characterized by episodes of energy and cell metabolism failures, increased cytotoxicity and apoptosis, and activated microglia and inflammation in the brain.
178
30 Oct 2023
Topic Review
Therapeutic Strategies in Children with Epilepsy
Children with epilepsy are affected by several factors, including clinical and social variables. Among these variables, cognitive decline and behavioral disturbances, perceptions of stigma, and fatigue can lead to reductions in quality of life (QOL). Epileptic activities, including seizure severity, frequent seizures, and status epilepticus (SE), have been identified as important predictors of QOL. In addition, the frequency of interictal epileptiform discharges (IEDs) on electroencephalogram (EEG) may also be an important predictor of QOL, because IEDs can lead to cognitive decline and behavioral disturbances. Moreover, frequent seizures and/or IEDs may play a role in emotional mediators, such as stigma and fatigue, in childhood epilepsy. Seizure severity and/or IEDs are, therefore, important QOL-related factors in childhood epilepsy.
140
15 Jan 2024
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