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Biomedical subjects

Robert Bernstein

Publications and source records attributed to Robert Bernstein.

8 recordsLinked to original sources
PubMed2006

Parietal lobe epileptic focus identified on SPECT-MRI fusion imaging in a case of epilepsia partialis continua.

Epilepsia partialis continua, or "Kozhevnikov syndrome," is a rare condition characterized by persistent localized motor seizures usually localized in a distant limb. It is most often seen in children under 16 years old without gender preference. We report a 12-year-old girl with epilepsia partialis continua who presented to the emergency room after the onset of seizures. Routine electroencephalography (EEG) was performed with no clear ictal localization. Magnetic resonance imaging (MRI) was unremarkable. Ictal single photon emission computed tomography (SPECT) images with Tc-99m exametazime fused with MRI images revealed a parietal lobe epileptic focus within the superior segment of the postcentral gyrus. This case illustrates a rare disorder with an unusual epileptic localization identified by SPECT-MRI fusion.

Adolescent↗
PubMed2006

Commentary: the climate for physician adherence to psychiatric advance directives.

Factors that may be significant in rationalizing physician overrides of psychiatric advance directives (PADs) are not only features of individual clinical scenarios, but also are artifacts of the faltering mental health system being navigated by both provider and patient. This system, frequently viewed as hostile to consumer choice and increasingly focused on reacting to recurrent crises, is not predisposed to accepting proactive, person-centered measures such as PADs. In fact, PADs may hold great promise in improving clinical outcomes and even reducing system costs. But to realize the full potentials of PADs requires that providers understand their roles in challenging or perpetuating problems in the larger mental health system.

Advance Directives↗
PubMed2002

Successful stent treatment of pulmonary vein stenosis following atrial fibrillation radiofrequency ablation.

Pulmonary vein stenosis is a known complication of radiofrequency ablation of atrial fibrillation foci. We report a case of severe unilateral pulmonary vein stenosis following radiofrequency ablation resulting in no perfusion to the right lung. Simple balloon dilation was unsuccessful in this patient. Stent placement in the stenotic right pulmonary veins resulted in reperfusion of the lung as documented by follow-up lung scan at one year.

Angiography↗
PubMedDate not supplied

A seat at the table: trend or illusion?

Responding to Nancy Tomes's conclusion that mental health consumers are beneficiaries but not primary causes of a new attentiveness to consumers' concerns, this review finds various historical and contemporary reasons for the mental health consumer movement to remain vigilant: the system's shallow acceptance of consumer self-determination; continued reliance on expedient coercive tactics rather than therapeutic engagement; the currently narrow reach of initiatives in self-direction; and the fragmentation of authority in the delivery of public services and supports needed by mental health consumers.

Coercion↗