Although acute brachial neuritis is a well-known syndrome, factors that contribute to its pathogenesis are not yet understood. Only once before has this syndrome been reported in connection with Ehlers-Danlos syndrome. We describe here a 24-year-old man who suddenly developed acute multiple brachial neuritis of the right shoulder and on neurologic examination showed an associated finding of Ehlers-Danlos syndrome. The latter syndrome was also confirmed in other members of his family. This combination may have been overlooked previously. Mechanical and traumatic factors may play an important role in both pathogenesis and therapy.
Twenty‐one patients continued a double‐blind crossover study to compare the prophylactic effect on migraine of propranolol and clonidine. The daily dosage of propranolol and clonidine was 160 mg and 100 μg, respectively.
Statistical analysis did not show any significant difference between the two drugs in respect to headache or nausea. The number of sickleave days and the use of symptomatic drugs were both less on propranolol treatment than on clonidine, but there was no statistically conclusive difference.
One hundred patients with a 3rd ventricle width of 12 mm or more were examined for the fifth time in 1976 after an average observation period of 20.8 years. On first admission, a predominant aetiological factor was found in 27 cases. Two patients had air-encephalogrophical findings indicating normal pressure hydrocephalus. One of these had a shunt operation, however, without improvement. Seventy-one patients had died, 7 patients were in need of care and supervision, 11 patients were unable to work, the remaining 11 were able to work to some extent. The group studied had a significantly increased mortality rate. The causes of death were divided into three groups: 1. Probably related to the underlying brain disorder; 2. Related to those in an average Norwegian population; and 3. Minor disorder usually not leading to death. The following factors indicated a poor long-term prognosis: 1. Serious associated disease; 2. A relatively high age; 3. Associated cardiovascular disease; 4. Marked degree of ventricular enlargement; 5. Marked enlargement of the temporal horns; 6. Many and/or marked neurological signs; and 7. Prognosis intellectual deterioration.
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