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J Grimsmo

Publications and source records attributed to J Grimsmo.

3 recordsLinked to original sources

[Multiple sclerosis and prerequisites for driver's licence. A retrospective study of 33 patients with multiple sclerosis assessed at Sunnaas hospital].

There is increasing interest in assessing the prerequisites for a driver's licence among patients with traumatic brain injury, cerebrovascular accidents and other diseases of the central nervous system which cause cognitive impairments. In the present study, 33 patients with multiple sclerosis, 20 females and 13 males of mean age 43 years, were medically and neuropsychologically examined, and some were assessed in a practical driving test. In total, 19 patients were allowed to drive and 14 were refused. Regression analysis showed that, when deciding for or against driving, cognitive and emotional deficits were given more weight than duration of illness and degree of neurologic deficit. The authors discuss guidelines for assessing the prerequisites for a driver's licence among patients with multiple sclerosis, and indicators for when assessment is warranted.

Adult↗

[Amantadine in cognitive failure in patients with traumatic head injuries].

In patients with severe cerebral injuries, attentional dysfunction may cause greater difficulties for rehabilitation than neurological deficits. These functions seem to be controlled by catecholaminergic neural systems in the central nervous system. Dopamine agonists have therefore been recently introduced in the treatment of these patients. We describe two patients treated with amantadine in daily doses of 200-400 mg. We observed improvement of cognitive functions such as visual attention, speed of information processing, attentional span, learning capacity and alertness. We stress the value of amantadine as a treatment adjuvant in patients with severe attentional deficits following injury of the brain.

Adult↗

[Urinary problems among patients with stroke. Are these problems underestimated?].

The article, based on a survey and a study of the literature, focuses on the problems of urinary disorders in patients who have suffered a stroke. The incidence of incontinence and other urination disorders was studied upon admission and six weeks later in ten stroke patients admitted consecutively to a hospital for rehabilitation. The results of the present study agreed with those of other studies, indicating that urination disorders, especially motoric urge incontinence, are common among stroke patients. The literature indicates that urinary incontinence has a negative influence on the rehabilitation process. Therefore the rehabilitation team should be particularly aware of such problems, and carry out both diagnostic and therapeutic procedures.

Adult↗