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Biomedical subjects

I György

Publications and source records attributed to I György.

At least 19 recordsLinked to original sources
PubMed2000

[Alkaline phosphatase level and bone density in Scheuermann's disease and in adolescent idiopathic scoliosis].

Authors made a comparison between 167 suffers from Scheuermann's disease (SD), 70 adolescence idiopathic scoliosis (AIS) and 132 age, sex, height, weight, pubertal developmental stages (Tanner stages) matched controls. The height percentile in 130 cases was also determined. The bone mineral density (BMD) was measured by pQCT on the non dominate sided radial bone. The alkaline phosphatase (AP) level increased at the beginning of puberty and in the puberty in SD. In SD the trabecular Z-score of BMD was significantly decreased in Tanner stage 1 to 4 in both boys and girls. It was not found any significance difference, however, in Tanner stage 5, while in AIS girl no significance decrease of BMD was found. In SD good correlation could be demonstrated between increase in AP and decrease in trabecular Z score r = 0.2, while did not correlate with height percentile. The AP level's increase, and radiomorphometric data of SD severity (intervertebral space narrowing and antero-posterior diameter increase of vertebral body) shows a significant correlation with decreased trabecular Z-score in the period of prepuberty.

Adolescent↗
PubMed2000

Urinary N-acetyl-beta-D-glucosaminidase in epileptic children treated with antiepileptic drugs.

AIM: To investigate the effect of prolonged use of antiepileptic drugs on renal function in children. METHODS: Prospective study of 72 children (aged 3-18 years) with epilepsy, on either monotherapy (n = 44) or combined therapy (n = 28). The length of treatment varied from 1 to 13 years. Drugs used were valproic acid, carbamazepine, ethosuximide, clonazepam, clobazepam, and vigabatrin. RESULTS: In 65 patients plasma concentrations of the drugs were in the therapeutic range. In the remaining seven, plasma concentrations were slightly high. In 33 patients urinary N-acetyl-beta-D-glucosaminidase (NAG) activity was raised. The incidence of pathological NAG indices was significantly higher in the combined therapy group than in the monotherapy group. There were also significant differences in the NAG indices of patients depending on the duration of therapy. CONCLUSIONS: Results suggest that chronic use of some antiepileptic drugs-in spite of normal blood concentrations-may alter tubular function, and the dysfunction may result in clinical symptoms. Therefore, we recommend screening of tubular function in these patients.

Acetylglucosaminidase↗
PubMed1997

Hungarian multicentre epidemiologic study of the warning and initial symptoms (prodrome, aura) of epileptic seizures.

We carried out a Hungarian multicentre study to assess the frequency of the occurrence of warning symptoms preceding epileptic seizure. The data of 562 patients with epilepsy out of a total of 1124 were analysed on the basis of questionnaires filled in under standard conditions. About 50% of the patients experienced warning symptoms before a smaller or greater part of their seizures. Their appearance was fairly consistent and became mainly manifested in the form of headache, epigastric sensation and dysphoria. In relation to epileptological basic data, it was found that warning symptoms appeared primarily in focal epilepsies and among them they mainly preceded generalized tonic clonic and complex partial seizures. Between the warning symptom and the onset of the seizure there was usually a longer interval during which (and generally also during the warning symptom) the patient remained able to act. About 20% of the patients enrolled in the study tried to inhibit the onset or mitigate the course of the seizure and about 10% judged their spontaneous activity carried out in that direction to be successful. The frequency of the occurrence of independent prognostic symptoms not followed by a seizure was relatively low, and among epileptics with warning symptoms the incidence of seizures occurring without a preceding event was not high either. Based on our experiences, we have drawn the conclusion that, in a significant part of epileptic patients, the warning symptoms render possible the supplementation of the therapy by the development of seizure-inhibiting or seizure-avoiding behaviour or activity.

Adolescent↗
PubMed1995

[Transient neonatal myasthenia gravis].

Authors reported about their experiences with newborn infants, who had transient myasthenia gravis; one disease developed in the fetal, others 10 in the early neonatal age. Direct correlation was found between the development of maternal polyhydramnios and the severity symptoms in newborns: risk of neonatal myasthenia gravis increased at these infants. Specific treatment included blood exchange transfusions and pyridostigmin (Mestinon) medication for 2-10 weeks. Five transient myasthenia gravis responded readily to blood exchange transfusions. Authors pointed out that in the early neonatal period the aetiology of an obscure respiratory inadequacy and hypoventilation might be regarded as transient myasthenia gravis.

Adult↗
PubMed1992

[Acquired epileptic aphasia--Landau-Kleffner syndrome].

Authors report about a girl with Landau-Kleffner syndrome. After the history of normal developmental milestones at the age of five-and-half year the patient had absence seizures, and marked receptiv and expressiv aphasia developed gradually. She was found to have Landau-Kleffner syndrome. This entity initially can be regarded as deafness or psychiatric reaction. The seizure activity usually has a favorable outcome, the aphasia can fluctuate for years. The improvement is more likely in promptly treated cases.

Aphasia↗
PubMed1992

Substituent effects in the free radical reactions of silybin: radiation-induced oxidation of the flavonoid at neutral pH.

Silybin dihemisuccinate sodium salt, a flavonoid used in human therapy of liver dysfunction, has an inhibitory effect in vivo on radiation-induced deactivation of enzymes and peroxidation of membrane lipids in rat liver microsomes. The reactivity of silybin and its phenolic OH groups towards free radicals (OH, N3., (SCN)2.-, Cl3CO2.) in aqueous solution was studied by pulse radiolysis. Absorption spectra for the phenoxyl-type radicals were assigned using structurally similar models. The one-electron reduction potential for silybin at pH 7 (E07 = 0.76 V), determined using the p-methoxy-phenoxyl/phenolate redox couple as reference standard (E07 = 0.72 V, Lind et al. 1990), is related to the 3'-methoxy-4'-OH structure, the exclusive target for one-electron oxidation at pH 7, while the 7-OH and 5-OH groups are prevented from oxidation by 4-keto substitution and intramolecular H-bonding, respectively. The free radical reactivity of silybin compares favourably with poly-OH-substituted flavonoids; however, the latter compounds have been reported to generate potentially toxic oxygen species at a biologically relevant pH.

Animals↗
PubMed1991

[Possibilities of antioxidant therapy in the prevention of side effects of amiodarone].

The authors demonstrated the generation of a very reactive phenyl radical from amiodarone in a reducing molecular environment by pulse radiolysis study. The various antioxidants are probably not capable of preventing the generation of phenyl radical, as well as to protect against its damaging effects on the neighboring molecules. Electron microscopic studies from lung tissue of in vivo treated rats showed that the simultaneous Silibinin (a flavonoid type antioxidant) treatment with amiodarone decreased significantly the lysosomal phospholipoidosis induced by amiodarone compared with the amiodarone treated group, but it didn't prevent entirely the accumulation of lysosomal phospholipids. The in vitro lysosomal beta-glucuronidase enzyme release measured from the liver tissue of in vivo treated rats increased significantly on amiodarone treatment, the antioxidants used (Silibinin, and the dihydroquinoline type MTDQ-DA) didn't exert any favorable effect. The authors discuss in details the possible relationships between free radical reactions and lysosomal phospholipoidosis.

Amiodarone↗
PubMed1990

Neonatal periventricular leukomalacia: diagnosis and monitoring by real-time ultrasound.

Periventricular leukomalacia is a form of hypoxic-ischaemic encephalopathy developing in preterm babies. During the last year among 387 sonographically screened neonates 11 periventricular neonatal leukomalacia cases were found. Analysing their cases authors discuss its sonographic diagnosis and follow up. In the acute stage characteristic triangular shaped area of increased echogenicity appears at the external angle of the lateral ventricles, later regular shaped echo-free areas of cysts appear in that region. The diagnostic and prognostic significance of cranial sonography in periventricular leukomalacia is discussed.

Diagnosis, Differential↗
PubMed1990

Sonography of meningoencephalitis and ventriculitis in infancy.

On the basis of eleven own cases sonographic features of infant meningoencephalitis and ventriculitis are discussed. The characteristic findings are as follows: abnormal parenchymal echogenicity of brain, changes of the size and wall echogenicity of cerebral ventricles and that of cerebrospinal fluid echogenicity.

Cerebral Ventricles↗
PubMed1989

[Detection of increased intracranial pressure by transcranial Doppler sonography in infants].

The value of transcranial Doppler sonography is demonstrated in two infants with an elevation of intracranial pressure (ICP). One of them suffered from hydrocephalus and ICP increased because of her VP shunt-insufficiency. In the other case status epilepticus caused brain oedema and a rise in intracranial pressure. In both cases, transcranial Doppler sonography showed a decrease in blood flow (CBF) velocity and an increase in the Pourcelot index in the middle cerebral artery. Quick or gradual reduction of the ICP led to an increase in CBF velocity and a decrease in the Pourcelot index. On the basis of experiences of the authors, transcranial Doppler sonography is a valuable method of verifying the elevation of ICP. It is suitable for measuring the effect of treatment necessitated by the elevation of ICP. The method is non-invasive, quick and it can be freely repeated. Therefore it is applicable for monitoring the dynamic of ICP.

Age Factors↗
PubMed1989

[Ultrasonic diagnosis of agenesis of the corpus callosum].

Agenesis of the corpus callosum may be diagnosed successfully in vivo when sonograms demonstrate absence of corpus callosum, absence of pericallosal and cingulate sulci, wide interhemispheric fissure, small laterally positioned frontal horns with concave lateral borders. Two cases of corpus callosum agenesis were diagnosed in early infancy by ultrasound. Ultrasonographic anatomy of the corpus callosum and characteristic ultrasound features and neurological findings of agenesis are described.

Agenesis of Corpus Callosum↗
PubMed1989

In vitro scavenger effect of dihydroquinoline type derivatives in different free radical generating systems.

The non-toxic and water soluble dihydroquinoline type antioxidants: CH 402 (Na-2,2-dimethyl-1,2-dihydroquinoline-4-yl methane sulphonate) and MTDQ-DA (6,6-methylene bis 2,2-dimethyl-4-methane sulphonic acid: Na-1,2-dihydroquinoline) were studied in various in vitro tests in which oxygen free radicals were generated. Both compounds were shown to scavenge superoxide radical anions O2- produced in aqueous solution by pulse radiolysis with rate constants k (O2- + MTDQ-DA) = 4.10(8) dm3 mol-1 s-1 and k (O2- + CH 402) = 1.5.10(7) dm3 mol-1 s-1. CH 402 and MTDQ-DA reduced the H2O2 produced in the glucose-glucose oxidase reaction, which was detected by the luminol + hemin reaction with a chemiluminometric method. The dihydroquinoline type substrates inhibited the NADPH-induced and Fe3+ - stimulated lipid peroxidation and the ascorbic acid-induced non-enzymatic peroxidation pathways in microsomal fractions of rat and mouse liver.

Animals↗
PubMed1988

Sonographic diagnosis of subcortical cystic leukomalacia.

The real-time sonographic diagnosis of subcortical cystic leukomalacia has been described only recently. We report on a severely asphyxiated term infant who went on to develop this condition, and discuss the usefulness of ultrasound scanning in term babies with hypoxic-ischaemic disease.

Brain↗