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Research & ReviewsA Journal of Neuroscience
STM JOURNALSScientific Technical Medical
ISSN : 2348-7925
May - August 2014
(RRJoNS)
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Research & Reviews: A Journal of Neuroscience
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Industrial Tribology Machine Dynamics & Maintenance
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Indian Institute of Technology Delhi, India
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Alternative Energy Technology Laboratory,
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STM Journal (s) Advisory Board
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Kerala, India.
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University New Delhi, India.
Dr Nandini Chatterjee SinghNational Brain Research Centre NH-8,
Nainwal Mode Manesar - 122050, India.
I take the privilege to present the hard copy compilation for the [Volume 4 Issue (2)] of Research &
Reviews: A Journal of Neuroscience. The intension of RRJoNS is to create an atmosphere that
stimulates creativeness, research and growth in the area of Neuroscience.
The development and growth of the mankind is the consequence of brilliant Research done by
eminent Scientists and Engineers in every field. RRJoNS provides an outlet for Research findings
and reviews in areas of Neuroscience found to be relevant for National and International recent
developments & research initiative.
The aim and scope of the Journal is to provide an academic medium and an important reference for
the advancement and dissemination of Research results that support high level learning, teaching and
research in the domain of Neuroscience.
Finally, I express my sincere gratitude and thanks to our Editorial/ Reviewer board and Authors for
their continued support and invaluable contributions and suggestions in the form of authoring write-
ups/ reviewing and providing constructive comments for the advancement of the journals. With
regards to their due continuous support and co-operation, we have been able to publish quality
Research/Reviews findings for our customers base.
I hope you will enjoy reading this issue and we welcome your feedback on any aspect of the Journal.
Dr. Archana Mehrotra
Director
STM Journals
Director's Desk
STM JOURNALS
1. Schwannoma of the Superficial Peroneal Nerve in 12 year female child-A Case Report Siddaram N. Patil, Dinesh Babu K. B, Sandeep Reddy, Divya Bandari,Gannerla Sudhaker, Pranavi V 1
2. Management of Hyperthermia in Traumatic Brain Injury Patients Parveen, Punita Sharma, Ugu Libang, Sukhpal Kaur, Manju Dandhapani 5
3. Parsing of Sensory Perception in Oscillatory Networks Through Cross Frequency Coupling of Memory Synchronization: Revelation of Enhanced Learning by Autistic Brain Ankush Rai 9
4. Protocol for Intrahospital Transport of Critically Sick Neurosurgical Patients Avondeep Dhaliwal, Meenakshi Agnihotri, Sandeep Mohindra 15
5. Nursing Management of a Patient with Increased Intracranial Pressure:A Review Latika Bajaj, Manisha Nagi, Sukhpal Kaur 19
6. Epidemiology and Diagnosis of Epilepsy Vinay Kumari, Maya Patlia 24
7. Improvement of Motor and Sensory–Motor Behaviors after the Human Amniotic Epithelial Cells Transplantation in 6-OHDA Lesioned Corpus Striatum of Wistar Albino Rats Ravisankar Periyasamy, Ramesh Kumar Radhakrishnan, Muthusamy Rathinasamy 34
ContentsResearch & Reviews: A Journal of Neuroscience
RRJoNS (2014)© STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Neuroscience ISSN: 2277-6427 (online), ISSN: 2348-7925 (print)
Volume 4, Issue 2
www.stmjournals.com
Schwannoma of the Superficial Peroneal Nerve in 12 year
Female Child: A Case Report
Siddaram N. Patil*, Dinesh Babu K. B, Sandeep Reddy, Divya Bandari,
Gannerla Sudhaker, Pranavi V.
Mamata Medical College, Mamata General & Superspeciality Hospital, Khammam, Telangana, India
Abstract Schwannomas (or neurilemmomas) are related to hereditary disorder in some patients
and arise from the neurilemmal cells in nerve sheaths as lobulated, encapsulated
tumours. It is commonly found in the head region but extremely found in the deep tissues
of the foot. Schwannomas are slow-growing, encapsulated tumours that can be separated
surgically from the parent nerve. Occasionally, intralesional degeneration with fibrosis,
haemorrhage, calcification and cystic necrosis occurs in large or long-standing schwannomas leading to a so-called ancient schwannoma. In case of an elongated cystic
mass along the peroneal nerve, an intraneural ganglion is a more likely diagnosis.
Keywords: Nerve sheath, Superficial peronial nerve, Schwannoma, Neurilemmomas
RRJoNS (2014) © STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Neuroscience ISSN: 2277-6427 (online), ISSN: 2348-7925 (print)
Volume 4, Issue 2
www.stmjournals.com
Management of Hyperthermia in Traumatic
Brain Injury Patients
Parveen*, Punita Sharma, Ugu Libang, Sukhpal Kaur, Manju Dandhapani
National Institute of Nursing Education, PGIMER, Chandigarh, India
Abstract Hyperthermia is frequently seen in patients following head injury. It is associated with
worse outcomes in the form of longer intensive care unit stay, increased intracranial pressure and lower Glasgow Coma Scale Scores. Therefore, maintaining normal body
temperature is important in these patients. This study was aimed to determine the current
practices of management of hyperthermia in traumatic brain injury patients. A
retrospective study was conducted on 30 traumatic brain injury patients with temperature
≥ 38 °C in the neurology wards of a tertiary care hospital in India. Demographic profile sheet and temperature recording sheet were used to record temperature and its
management accordingly. The findings revealed that the highest mean temperature was recorded in patients with subdural hematoma (38.3 °C). Different modalities of
management for hyperthermia being used included cold sponging, oral paracetamol and
intravenous paracetamol. While no intervention was initiated at a temperature of 38 °C, cold sponging was initiated at a mean temperature of 38.2 °C. Oral paracetamol was
administered at a mean temperature of 38.3 °C and the most frequently used intervention
was intravenous paracetamol which was given at the mean temperature of 38.7 °C. Monitoring of temperature plays an important role in examining the effects of
interventions to manage fever. It is important to have a clear definition of fever in these patients so that interventions can be initiated early.
Keywords: Traumatic Brain Injury, Hyperthermia, Oral Paracetamol
RRJoNS (2014) © STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Neuroscience ISSN: 2277-6427 (online), ISSN: 2348-7925 (print)
Volume 4, Issue 2
www.stmjournals.com
Parsing of Sensory Perception in Oscillatory Networks
Through Cross Frequency Coupling of Memory
Synchronization: Revelation of Enhanced Learning
by Autistic Brain
Ankush Rai* Department of Applied Science, CRIAD Laboratories, Smiriti Nagar, 490020, India
Abstract The brain faces many complex problems when dealing with multidimensional signals,
which is usually experienced as unitary precepts. We used neuronal spike patterns to
determine synchronization dynamics of neuronal activity for computer-generated color patterns in aid of synchronization of neuronal activity for memory formation in autistic
subjects. In particular, this gives functional organization of neuronal circuits and
interesting relationships between these oscillations and interneuronal coupling that suggest an enhanced mechanism for effective learning of visual patterns by autistic brain.
Keywords: Memory, Perception, Neuronal synchronization
RRJoNS (2014)© STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Neuroscience ISSN: 2277-6427 (online), ISSN: 2348-7925 (print)
Volume 4, Issue 2
www.stmjournals.com
Protocol for Intrahospital Transport of Critically Sick
Neurosurgical Patients
Avondeep Dhaliwal1*
, Meenakshi Agnihotri1, Sandeep Mohindra
2
1Division of Neurology and Neurosurgery Nursing, National Institute of Nursing Education,
Postgraduate Institute of Medical Education and Research, Chandigarh, India 2Department of Neurosurgery, Postgraduate Institute of Medical Education and Research,
Chandigarh, India
Abstract Intrahospital transport (IHT) of critically sick neurosurgical patients is an inevitable part
of patient care. IHT of neurosurgical patients for diagnostic and therapeutic procedures
are more frequent than for other patients. During transportation, patients may face
certain avoidable mishaps and complications. So, the use of a systematic protocol for transport may contribute to better management of neurosurgical patients. The aim of the
study was to develop a protocol for safe IHT of critically sick neurosurgical patients. A Delphi technique was used to develop a protocol. A protocol was developed after
collecting suggestions from 11 Delphi members in three Delphi rounds. The final draft of
protocol was developed for transportation of neurosurgical patients that addresses the following elements—pretransport coordination and communication, accompanying
equipment, accompanying personnel, pretransport patient status assessment, monitoring during the transport, arrival procedures and documentation. We can ensure safe IHT of
critically sick neurosurgical patients by following a systemically developed protocol.
Keywords: Intrahospital transport, Critically Sick Neurosurgical Patients,
Delphi Technique, Protocol
RRJoNS (2014)© STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Neuroscience ISSN: 2277-6427 (online), ISSN: 2348-7925 (print)
Volume 4, Issue 2
www.stmjournals.com
Nursing Management of a Patient with Increased
Intracranial Pressure:A Review
Latika Bajaj*, Manisha Nagi, Sukhpal Kaur National Institute of Nursing Education, PGIMER, Chandigarh, India
Abstract Increased intracranial pressure (ICP) is a common manifestation in the patients with
neurosurgical disorders. It can lead to potentially catastrophic consequences, including
permanent neurological damage and disability. Its prevention and management is of utmost importance in these patients. The current review is to evaluate the various
strategies for management of increased ICP. Material for the present study was collected
by reviewing various healthcare databases i.e., Cochrane review, Medline, CINHAL, Pub med, Science direct to identify various measures for the management of increased ICP.
Approximately 50 articles were reviewed. Effective management of increased ICP involves meticulous avoidance of factors that precipitate or aggravate increased ICP. It
has been documented that by elevating head up to 30, decreasing cerebral edema by using osmotic diuretics and hypertonic saline (HTS), administration of oxygen, reducing
cerebral metabolic demands, controlling seizures, maintaining temperature within normal limits, carefully performing respiratory procedures and appropriate nutrition can
control the rising ICP. Nursing care of the patient with increased ICP can present many
challenges for critical care nurses and hence a thorough knowledge of the dynamics of ICP and the factors associated with its increase is required to prevent progressive
damage to brain tissues.
Keywords: Intracranial pressure, Management, Nursing care
RRJoNS (2014)© STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Neuroscience ISSN: 2277-6427 (online), ISSN: 2348-7925 (print)
Volume 4, Issue 2
www.stmjournals.com
Epidemiology and Diagnosis of Epilepsy
Vinay Kumari1*, Maya Patlia
2
1MM College of Nursing, MM University, Mullana, Ambala (Haryana), India
2Indore College of Nursing, Indore (MP), India
Abstract Epilepsy is a common neurological disease and has no age, race, social, gender or
geographical boundaries. Nearly 5% people in the world may have at least one seizure in
their lives. At any point in time, 50 million people have epilepsy, especially in childhood, adolescence and old age. Major problems in epilepsy epidemiology are diagnostic
accuracy and case ascertainment. The diagnosis of epilepsy has important physical, psychosocial and economic implications for the patient. Appropriate measures are
needed to reduce the incidence, ensure adequate treatment of all affected persons, and
prevent morbidity and mortality associated with epilepsy.
Keywords: Epilepsy, Seizures, Epidemiology, Diagnosis
RRJoNS (2014) © STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Neuroscience ISSN: 2277-6427 (online), ISSN: 2348-7925 (print)
Volume 4, Issue 2
www.stmjournals.com
Improvement of Motor and Sensory–Motor Behaviors
after the Human Amniotic Epithelial Cells
Transplantation in 6-OHDA Lesioned Corpus Striatum
of Wistar Albino Rats
Ravisankar Periyasamy1*, Ramesh Kumar Radhakrishnan
2, Muthusamy Rathinasamy
3
1Department of Anatomy, Tagore Medical College & Hospital, Rathina Mangalam, Vandalur Post,
Chennai -600048, Tamil Nadu, India 2Department of Anatomy, Dr. A.L.M.P.G.I.B.M.S, University of Madras Taramani,
Chennai -113, Tamil Nadu, India 3Department of Anatomy, S.R.M Dental College-Deemed University, Ramapuram,
Chennai, Tamil Nadu, India
Abstract Deficits in apomorphine-induced rotation and rotarod in rat have been proposed as a
nondrug-induced model of the akinesia associated with the Parkinson’s disease. In the
present study, we examined the disabilities in the rotarod and apomorphine-induced rotations have been observed after the 6-hydroxydopamine-induced denervation in the
striatum. These impaired activities have reversed after the Human Amniotic Epithelial
(HAE) cells transplantation during long-term observation. The neuronal densities and diameter were reduced in the 6-OHDA-infused striatum and the densities and diameter of
the neurons were slightly increased after the HAE cells transplanted striatum. The HAE cells did not have any surface antigen to create the graft-versus-host disease. HAE cells
from term human placenta express surface markers and genes characteristic of
embryonic stem cells and have the ability to differentiate into all three germ layers, including tissues of endodermal origin i.e., liver. HAE cells possess the ability to
differentiate into cells with characteristics of functional hepatocytes, in vitro and in vivo,
thus representing a useful and noncontroversial source of cells for transplantation. In the
present investigation, the HAE cells transplanted animals showed improvement on the
motor, sensorimotor and muscular coordination.
Keywords: Human amniotic epithelial cells, Apomorphine-induced rotation,
DiI labelling, Rotarod, 6-OHDA lesion