Том 9, брой 2 - 2013/ Vol. 9, No. 2 - 2013

S. Nikolov 1, E. Titianova 1,2, S. Cherninkova 3, S. Karakaneva 2, P. Popov 1,2, K. Genova 4
1 Faculty of Medicine, Sofia University St. Kliment Ohridski – Sofia,
2 Clinic of Functional Diagnostics of Nervous System, Military Medical Academy – Sofia,
3 Clinic of Neurology, Alexandrovska University Hospital – Sofia,
4 M-TEX Imaging Laboratory, University Emergency Hospital Pirogov – Sofia, Bulgaria

Objective: To demonstrate the diagnostic abilities of multimodal 2D/3D/4D ultrasound imaging of chronic blast eye trauma associated with full blindness.

Material and Methods: A 31-year-old man with amaurosis after eye blast trauma at the age of 17, underwent multiple operations and different eye-procedures (including a silicon vitreous filling) was studied by parallel application of multimodal 2D/3D/4D ultrasound eye-imaging, electroencephalography, visual and auditory evoked potentials, CT and MRI.

R. Dimova 1, E. Titianova 1,3, S. Karakaneva 1, I. Daskalova 2
1 Clinic of Functional Diagnostics of Nervous System,
2 Clinic of Endocrinology, Military Medical Academy – Sofia, 3Faculty of Medicine, Sofia University St. Kliment Ohridski – Sofia, Bulgaria

Objective: To summarize our experience in parallel electromyographic (EMG) and multimodal ultrasound imaging studies of calf muscle structure and function in patients with different neurological and non-neurological disorders.

Material and Methods: Different types of triceps surae (TS) muscle disturbances due to traumatic injury, genetic disorders, peripheral neuropathy, chronic spastic hemiparesis, venous pathology and combined hemiparesis after cervical and lumbar spinal surgery were evaluated by EMG and electroneurography. The findings were juxtaposed to corresponding images obtained by simultaneous multimodal 2D/3D/4D myosonography in rest, during maximal plantar flexion and electrical stimulation. The results were compared to EMG findings and myosonograms of healthy persons.

E. Alexiev 1, K. Guirov 2, A. Mihova 3, B. Guirova 4, E. Titianova 5,6
1 University Hospital for Active Treatment in Maxillo-Facial Surgery, Medical University – Sofia,
2 Clinic of Vascular Surgery and Angiology,
3 Department of Pathomorphology,
4 Military Medical Detachment for Emargency Response,
5 Clinic of Functional Diagnostics of Nervous System, Military Medical Academy – Sofia,
6 Faculty of Medicine, Sofia University St. Kliment Ohridski – Sofia, Bulgaria

Objective: To demonstrate the diagnostic abilities of multimodal ultrasound imaging and its correlation to clinical, intraoperative, histological and CT imaging in a rare case of facial malignant melanoma.

Z. Stoyneva
Clinic of Occupational Diseases, University Hospital St. Ivan Rilsky, Medical University – Sofia, Bulgaria

Objective: To assess microvascular morphological and functional changes in patients with hand-arm vibration syndrome (HAVS).

Material and Methods: Thirty HAVS patients and 30 healthy controls were included. After acclimatization, all subjects underwent nailfold capillaroscopy (NFC) and infrared thermography followed by laser Doppler flowmetry measurement. NFC was performed with a microscope under 10× to 20× magnification in the eponychium of the fingers. Skin blood flow of the volar part of the fingertips was measured using laser Doppler flowmeter Periflux4001 at baseline and by lowering the arm from heart level hanging to test skin venoarteriolar microcirculatory responces.

Z. Stoyneva
Clinic of Occupational Diseases, University Hospital St. Ivan Rilsky, Medical University – Sofia, Bulgaria

Objective: to investigate skin vasomotor reflex responses in type 2 diabetic patients using laser Doppler flowmeter (LDF).

Material and Methods: Skin blood flow was measured at the first tiptoe of each foot of 89 patients with type 2 diabetes mellitus and of 44 healthy controls during: local heating to 440C; venoarteriolar test by measuring sympathetic axon-reflex microcirculatory responses to foot lowering; reactive hyperemia test using laser Doppler flowmeter Periflux4001.

T. Corona
National Institute of Neurology and Neurosurgery – Mexico City, Mexico

Epidemiological and genetic studies suggest that the prevalence, median age of onset, and specific phenotypes of MS are different in Caucasians and Latino Americans. Recent epidemiological studies indicate an increase in MS prevalence in LA, where the south–north gradient of latitude described for Nordic countries does not exist.

D. Pankov, T. Pankova
Department of Education, Russian Science Research Medical University – Moscow, Russia

Objective: To study central nervous system changes in patients with vascular and autonomic nervous system disorders.

Material and Methods: Electroencephalography, ultrasound Dopplero­graphy and rheoencephalography were used.

S. Andonova-Atanasova 1, F. Kirov 1, M. Petkova 1, P. Kirilova 1, E. Kalevska 1, V. Argirova 1, Zv. Zvetkov 1, M. Novakova 2, R. Georgiev 2, V. Georgieva 3
1 Department of Neurology, Second Clinic of Neurology,
2 Department of Radiology, 3Centre of Emergency, University Hospital St. Marina – Varna, Bulgaria

Objective: The aim of the present study is to describe the results and the problems in evaluation of the thrombolytic therapy for management of acute ischemic stroke in the Second clinic of Neurology with Intensive Neurology Care Unit .

S. Sirakov
City Clinic Cardiology Center – Sofia, Bulgaria

Endovascular treatment of brain aneurysm and AVM’s is minimally invasive method performed to block or stop blood flow into the pathological vessels and to prevent main complications. In these procedures are used different technical devices like platinum coils, stents, occlusion ballons , liquid embolizants and etc.

D. Lubenova 1, E. Titianova 2, A. Dimitrova 1
1 National Sports Academy Vassil Levski – Sofia,
2 Military Medical Academy – Sofia, Bulgaria

Objective: To assess the effect of a structured physical therapy (PT) programme on the orthostatic reactivity in patients with diabetic neuropathy (DNP).

Material and Methods: The study was performed in 90 patients with DNP (38 male and 52 female, mean age 60.8±7.8 years) of lower extremities. The orthostatic autoregulation was evaluated using an active orthostatic test. The arterial blood pressure and the heart rate were determined after 10 minutes of rest in lying position before and after 1, 5 and 10 minutes of active standing. All patients had therapy with alpha-lipoic acid and a structured intensive 10 days PT program, later continued as a home exercise programme. The orthostatic autoregulation was evaluated three times – at the start of the study, at day 10 and at week 6 after the beginning of PT. The classification of Thulesius was used to divide the patients into 3 groups according to the type of their orthostatic reactivity.

N. Gamakova 1, D. Lubenova 2
1Neonatology Department – Ruse,
2Department of Kinesitherapy and Rehabilitation, National Sports Academy Vassil Levski – Sofia, Bulgaria

Objective: The goal of this paper is to evaluate whether early physiotherapy intervention (EPI) that started immediately after birth has a positive outcome for premature neonates with hypoxic impairments of the central nervous system (CNS) who are at risk of developing motor disorders.

Material and Methods: The study is prospective and includes preterm neonates born at the Neonatal Department of the Regional hospital in Ruse, Bulgaria. The newborns are with hypoxic impairments of the CNS and are split into two groups. The first group includes those neonates whose parents signed a written consent form and had an EPI that started immediately after birth and lasted until the infant was 3 months old and released from the Neonatology department. The mothers are trained and perform the physiotherapy techniques at home. This paper presents the precise EPI techniques that are being used.

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