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Minori Enomoto RMT RPSGT Yuichi Inoue MD PhD Kazuyoshi Namba Takashi Munezawa Masato Matsuura MD PhD 《Movement disorders》2008,23(6):811-816
This study was done to identify the clinical characteristics of uremic restless legs syndrome (RLS). Consecutive uremic RLS patients (n = 15) and idiopathic RLS patients (iRLS; n = 20) were evaluated. The groups were compared with respect to their clinical course, subjective symptoms [using the Pittsburgh Sleep Quality Index (PSQI) and the International Restless Legs Syndrome Severity Scale (IRLS)], polysomnographic (PSG) variables, the results of the suggested immobilization test (SIT), and the drug doses used to treat RLS. The duration of the disorder was significantly shorter in the uremic RLS group than in the iRLS group. The PSQI and IRLS scores before treatment were higher in the uremic RLS group than in the iRLS group. The periodic leg movement index (PLM index) on PSG and the SIT index were also higher in the uremic RLS group (P < 0.001, respectively). The bromocriptine equivalent dose of dopaminergic agonists used to treat RLS was significantly higher in the uremic RLS group (P < 0.001). Uremic RLS appears to deteriorate faster and to become more severe than iRLS. Moreover, uremic RLS patients appear to have a decreased response to dopaminergic agonists. © 2007 Movement Disorder Society 相似文献
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Hongliang Feng MD Lauren Chen MBChB Yaping Liu MD PhD Xinru Chen MD Jing Wang MD Mandy Wai Man Yu MPH RPSGT Bei Huang MD Shirley Xin Li PhD DClinPsy Steven Wai Ho Chau FHKCPsych FHKAM Joey Wing Yan Chan FHKCPsych FHKAM Jie Chen MD Vincent Chung Tong Mok MD FRCP Yun Kwok Wing FRCPsych Jihui Zhang MD PhD 《Annals of neurology》2020,88(4):817-829
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MATTHIAS W. KÖNIG MD MOHAMED A. MAHMOUD MD HISAKO FUJIWARA EEG/EP T RPSGT BS † NAT HEMASILPIN MS EE ‡ KI H. LEE MD † DOUGLAS F. ROSE MD † 《Paediatric anaesthesia》2009,19(5):507-512
Background: Magnetoencephalography (MEG) is increasingly used in the presurgical evaluation of pediatric seizure patients. Many pediatric patients require sedation or anesthesia to tolerate these exams. However, the available literature on anesthetic management in this population is very limited.
Methods: We retrospectively reviewed the records of all patients who underwent MEG scanning at our institution with regard to the interaction of anesthetic management and quality of scan data.
Results: High-dose propofol infusions (≥200 μg·kg−1 ·min−1 ) were associated with high frequency artifacts that interfered with the identification of epileptiform discharges. Lower-dose propofol infusions (≤100 μg·kg−1 ·min−1 ) did not produce artifacts but required co-administration of fentanyl to prevent patient motion. Dexmedetomidine infusions were not associated with signal artifacts and prevented patient motion very well in our initial patients and became our standard technique.
Conclusion: In our experience, dexmedetomidine infusions are preferable to propofol-based techniques for pediatric MEG scans due to the absence of adverse effect on interictal activity. 相似文献
Methods: We retrospectively reviewed the records of all patients who underwent MEG scanning at our institution with regard to the interaction of anesthetic management and quality of scan data.
Results: High-dose propofol infusions (≥200 μg·kg
Conclusion: In our experience, dexmedetomidine infusions are preferable to propofol-based techniques for pediatric MEG scans due to the absence of adverse effect on interictal activity. 相似文献
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