Focus on the management of thunderclap headache: from nosography to treatment

Thunderclap headache (TCH) is an excruciating headache characterized by a very sudden onset. Recognition and accurate diagnosis of TCH are important in order to rule out the various, serious underlying brain disorders that, in a high percentage of cases, are the real cause of the headache. Primary TCH, which may recur intermittently and generally has a spontaneous, benign evolution, can thus be diagnosed only when all other potential underlying causes have been excluded through accurate diagnostic work up. In this review, we focus on the management of TCH, paying particular attention to the diagnostic work up and treatment of the condition

Early onset frontotemporal dementia with psychiatric presentation due to the C9ORF72 hexanucleotide repeat expansion: A case report

Background: Frontotemporal dementia (FTD) may present with psychiatric symptoms, usually together with neurological ones and in cases with a family history of dementia. We describe the case of an FTD behavioural variant with a psychiatric presentation and a normal neurological examination, due to a C9Orf72 gene mutation. Case presentation: The patient was a 57 years-old Caucasian woman with a recent onset of bizarre behaviours and mystic delusions. She had a negative clinical history for previous psychiatric disorders and treatments and this was her first admission to a Psychiatry Ward. A careful assessment was performed including, beyond psychiatric evaluation, the following: blood sampling, neurological examination (including electroencephalogram, electroencephalogram with zygomatic electrodes, Positron Emission Tomography, Cerebrospinal Fluid Analysis), carotid artery Doppler ultrasound, brain Magnetic Resonance Imaging - angio Magnetic Resonance Imaging. Blood sampling for the genetic assessment of mutations associated to primary dementias was performed as well: the genes investigated were FUS, C9Orf72, PSEN-1, PSEN-2. Conclusions: Serological tests were negative, neurological examination was normal, instrumental examinations showed theta waves in the posterior temporal areas bilaterally and frontotemporal cortical atrophy bilaterally. The genetic assessment of mutations associated revealed she carried a GGGGCC hexanucleotide repeat expansion (at least 80 repeats) in C9Orf72 intron 1. Patients carrying the C9Orf72 mutation are likely to receive a psychiatric diagnosis (mainly mood disorder or schizophrenia) prior to correct diagnosis; this may be particularly problematic for those patients with no neurological signs to orientate diagnosis. Understanding the manner in which such FTD variant may present as a psychiatric syndrome, with a negative neurological examination, is essential to provide the best treatment for patients, as soon as possible, especially when the behavioural anomalies interfere with their care

Perception and action in 'visual form agnosia'

A single case study of a patient with 'visual form agnosia' is presented. A severe visual recognition deficit was accompanied by impairments in discriminating shape, reflectance, and orientation, although visual acuity and colour vision, along with tactile recognition and intelligence, were largely preserved. Neuropsychological and behavioural investigations have indicated that the patient is able to utilize visual pattern information surprisingly well for the control of hand movements during reaching, and can even read many whole words, despite being unable to make simple discriminative judgements of shape or orientation. She seems to have no awareness of shape primitives through Gestalt grouping by similarity, continuity or symmetry. It is proposed that many of these perceptual disorders might be the combined result of (1) a selective loss of the cortical elaboration of the magnocellular visual processing stream, and (2) a selective output disconnection from a central processor of visual boundaries and shape primitives in the occipital cortex.</p

Effects of interface roughness scattering on device performance of indirectly pumped terahertz quantum cascade lasers

The impacts of interface roughness (IR) scattering on device performance of indirectly-pumped (IDP) terahertz quantum cascade lasers are studied. Three different active region designs with almost the same lasing frequency at threshold and comparable oscillator strength are experimentally investigated and the measurement data are analyzed and compared with numerical simulation. The simulation results show that all structures suffer from the detrimental effect of intersubband roughness scattering in terms of threshold current density, and probably operating temperature. The intrasubband IR scattering time could also to be a limiting factor in the IDP structures due to the employed high energetic barrier.Peer reviewed: YesNRC publication: Ye

Loss of single-molecule-magnet behavior of a Mn 12 -based compound assembled in a monolayer

Magnetic circular dichroism magnetization measurements on a monolayer of single molecule magnets have been performed and the results are presented. At the measurement temperature (2 K) the hysteresis cycle shows no opening, contrary to what is seen in the bulk with SQUID magnetometry. This result could surprisingly imply that XMCD is unsuited for such measurements given the fact that it excites the core electrons at the origin of the magnetism. This result could also mean that the blocking temperature is greatly decreased or that these molecules loose their hallmark when deposited as adsorbed films, precluding therefore their much sought-after use in magnetic memories