At the time of diagnosis and after therapy, we examined 33 patients suffering from Wilson's disease. We applied a standardized diagnostic score system on the basis of clinical signs. Without observing any differences between pseudoparkinsonian and pseudosclerosis subtypes, patients with neurological symptoms significantly improved by 2.33 points. Patients with initially more severe symptoms showed the same improvement as less affected patients. Fine motor disturbances were evaluated using the V-scope system. Finger tapping and drawing a spiral were compared to values of a healthy control group (n = 52). Patients with neurological symptoms showed significantly decreased frequencies in both tests. The clinical score was related to frequencies in finger tapping but not in drawing a spiral. Therefore finger tapping can be used as an objective diagnostic tool to evaluate the severity of Wilson's disease, while spiral testing appears to be a sensitive screening tool.
ZusammenfassungSpinale Notfälle treten infolge traumatischer und nicht traumatischer Ereignisse auf. Die neurologische Symptomatik ist abhängig von der Höhe sowie Ausdehnung der Schädigung im Quer- und Längsschnitt und dem zeitlichen Verlauf. Für die gezielte Diagnostik und rasche Therapieeinleitung ist die neurologische Syndromdiagnose erforderlich. Dabei sind extraspinale Prozesse auszuschließen, die eine spinale Symptomatik vortäuschen.
fall, which is 2.42 miles long, 54" in diameter, and discharges into 51' of salt water on the Mamaroneck Valley project. Another is the longest sewer tunnel, extending over 5 miles under Mount Vernon and conveying sewage from Hutchinson Valley to the Hudson River. Still another is the largest self-contained sewage sterilization plant under one roof. This is the joint sewage treatment plant at Yonkers, where the following process
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