Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis
Solomiia Bandrivska,
Mykhailo Bandrivskyi,
Iryna Pepenina,
Natalia Maslianchuk,
Natalia Mykhailovska,
Iryna Lasiichuk,
Viktoriia Gryb,
Tatyana Slobodin
Issue:
Volume 11, Issue 2, June 2023
Pages:
34-40
Received:
8 March 2023
Accepted:
28 March 2023
Published:
11 April 2023
Abstract: Normal pressure hydrocephalus (NPH) is potentially treatable form of dementia, which along with gait disturbance and impaired urinary control compose a clinical picture of the Hakim-Adams syndrome. In advanced age it could be challenging to distinguish the disease from other form of dementias or brain atrophy. From another prospective, other brain conditions could have a number of similar symptoms that could make it even harder to raise a suspicion of NPH. In this article we describe a clinical picture, neurological examination data, neuroimaging and clinical analysis of blood and cerebrospinal fluid (CSF) of the patient with confirmed multiple sclerosis (MS) and symptoms falling under Hakim-Adams triad criteria. On the other hand, pronounced cortical atrophy and patient`s cognitive decline, could be a consequence of prolonged disease, absence of disease-modifying treatment and poor compliance of the patient. Challenges in management of the patient were not only limited by the duration of the multiple sclerosis, but also a number of comorbidities in the history of the disease and not straightforward data after performing the tap test. Thorough review of a patient with multiple sclerosis with clinical manifestations corresponding to Hakim's triad, and with ventriculomegaly on CT/MRI, should be performed as the comorbidity of MS and NPH has to be excluded.
Abstract: Normal pressure hydrocephalus (NPH) is potentially treatable form of dementia, which along with gait disturbance and impaired urinary control compose a clinical picture of the Hakim-Adams syndrome. In advanced age it could be challenging to distinguish the disease from other form of dementias or brain atrophy. From another prospective, other brain ...
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Practicing Psychoeducation at the University Psychiatric Service in Marrakech
Salim Said,
Kachouchi Aymen,
Adali Imane,
Manoudi Fatiha
Issue:
Volume 11, Issue 2, June 2023
Pages:
41-46
Received:
16 April 2023
Accepted:
13 May 2023
Published:
25 May 2023
Abstract: Objective: to take stock of the state of psychoeducation at the service level of psychiatry and to evaluate the participation of nursing staff in education therapeutic. Material: This is a descriptive cross-sectional study conducted in May 2021 at the university psychiatric service in Morocco on a sample of 70 staff, 62 nurses and 8 psychiatrists. Results: 87 % of caregivers had notions about psychoeducation. 53, 3% reported having received training, 90% of which had benefited from it at the basic curriculum level. the entire personnel involved in the investigation asserted the existence of therapeutic effects of the psychoeducation. 37.09% reported that psychoeducation has an effect on adherence to care and 33.87% considered that the effect of psychoeducation is on behavioural change. 67.74% considered psychoeducation as a therapeutic intervention that did not requires no medical prescription. 85.48% of the surveyed population estimated that the absence of psychoeducation hinders the patient’s overall therapeutic plan. the majority of staff felt that psychoeducation is influenced by related factors 40, 32% reported that the level of education in the A good practice of psychoeducation. Only 22.58% have acknowledged having tried psychoeducation in their practice. 51.61% estimated that the lack of training is the reason why psychoeducation is not integrated in management of patients. In the majority of cases, patients who have received education was schizophrenic and bipolarAll participants in the survey had asserted the therapeutic effect of psychoeducation. The majority affirmed the importance of patient family involvement in psychoeducation. 72, 58% of staff having practiced psychoeducation reported having done so for families. 80.64% have done so on their own initiative. 100% of caregivers were motivated to participate in a psychoeducation training. Conclusion: Adoption by medical staff and paramedical approach to education in their daily practice should be the rule, However, the lack of training of caregivers remains an essential obstacle.
Abstract: Objective: to take stock of the state of psychoeducation at the service level of psychiatry and to evaluate the participation of nursing staff in education therapeutic. Material: This is a descriptive cross-sectional study conducted in May 2021 at the university psychiatric service in Morocco on a sample of 70 staff, 62 nurses and 8 psychiatrists. ...
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Seismotherapy at the University Hospital in Marrakech
Salim Said,
Kachouchi Aymen,
Adali Imane,
Manoudi Fatiha
Issue:
Volume 11, Issue 2, June 2023
Pages:
47-54
Received:
14 April 2023
Accepted:
16 May 2023
Published:
31 May 2023
Abstract: Seismotherapy consists of causing a generalized epileptic crisis by means of an electric current with transcranial administration. (T. Charpeaud, 2016) This therapeutic method is currently undergoing a new remedy in several countries. In our Context as a mental health staff in the city of Marrakech, we found the great inadequacy of The prescription of seismotherapy in the common practice at the level of all psychiatric care Structures Objective of the study: To establish the activity assessment in seismotherapy at the University hospital Ibn Nafis of Marrakech. Methodology: This is a retrospective descriptive study of 21 patients (17 men and 4 women) Who received 264 seismotherapy sessions between 2012 and 2022. We used an operating Sheet to collect information through the traceability register at the seismotherapy room. Results: The two main diagnoses of treated patients were schizophrenic disorders in 55% of Cases, and thymic disorders in a proportion of 28%. these sessions involved 81% of Hospitalized patients. The anesthetic was propofol for all patients. The intensity of the Charge was in the majority of the 800 mA sessions. We found that despite an inadequacy in the conditions of the practice of these sessions, including the absence of the use of the «curare» and the lack of a recovery room, favourable short-term developments in all cases. Conclusion: Seismotherapy consists in causing a generalized comitiale crisis by means of an Electric current with transcranial administration. Our results indicate that the practice of seismotherapy at the Ibn Nafis CHU does not meet international standards and remains Poorly adapted. We found a positive evolution in the short term out of the 264 sessions Conducted. However, efforts must be made to make the staff aware of this therapeutic Process in other indications aimed at both curative and preventive.
Abstract: Seismotherapy consists of causing a generalized epileptic crisis by means of an electric current with transcranial administration. (T. Charpeaud, 2016) This therapeutic method is currently undergoing a new remedy in several countries. In our Context as a mental health staff in the city of Marrakech, we found the great inadequacy of The prescription...
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