Year : 2006 | Volume
: 9 | Issue : 2 | Page : 59-
Sanjeev V Thomas
Department of Neurology, SCTIMST, Trivandrum - 695011, India
Sanjeev V Thomas
Department of Neurology, SCTIMST, Trivandrum - 695011
|How to cite this article:|
Thomas SV. Editorial.Ann Indian Acad Neurol 2006;9:59-59
|How to cite this URL:|
Thomas SV. Editorial. Ann Indian Acad Neurol [serial online] 2006 [cited 2021 Jun 12 ];9:59-59
Available from: https://www.annalsofian.org/text.asp?2006/9/2/59/25977
World health organization has estimated that more than 500 million healthy life years are lost due to disabilities from various health conditions every year. Primary neurological disorders, other than communicable diseases and malignancies, account for over five percent of this. There had been several attempts to develop a unified system to measure disability due to health conditions. The international classification of functioning (ICF) brought out by WHO is one of the important systems and it had been accepted by 191 countries including India. Disability was equated with defects or damage to body parts until recently. In the last decade, there had been efforts to include neurological and mental disorders under the broad umbrella of disability. The last census of India carried a question on disability status of an individual. H. Radharksihna in his article on the neurological legal disability in this issue has focused attention on the need to develop a scoring system to quantify neurological disability for various legal and administrative purposes. The views and scores expressed in this article are purely the author's opinion. We invite the readers and experts in the field to send us their views and comments on this for inclusion in the next issue.
Non epileptic psychogenic seizures can occur in 2-33 persons per 100 000 population. It accounts for 10-20% of referrals for presurgical work up for intractable epilepsy. Failure to diagnose non epileptic psychogenic seizures leads of considerable disability and unnecessary exposure to hazards of AED treatment. This issue carries a review that discusses various aspects of non epileptic psychogenic seizures.
Bone health can be adversely affected by seizures as well as by anti epilepitc drugs. The risk of osteopenia is greater in elderly and women. A review on the biochemical mechanisms by which bone metabolism is altered by anti epileptic drugs and strategies to prevent it is included in this issue.
Neurologists often have to attend to patients with psychiatric symptoms when their primary task is to identify any organic or structural basis for the symptoms. An expert psychiatrist or facilities for detailed investigations may not be available in remote areas. The review on psychiatric symptoms in neurology practice is a treatise on the anatomical basis of these symptoms and the important clinical characteristics that point to organic basis or structural pathology. This article will be a handy reference for the residents and the practitioners alike.
There are two case reports in this issue on disorders relevant to tropical countries. Tropical pyomyositis is a specific infectious disease that is eminently treatable. The clinical features and some of the laboratory investigations may be confusing for the uninitiated. Hansen's disease continues to be a major public health problem in India and several other developing countries. Multi drug therapy has shortened the duration of treatment and reduced the risk of drug resistance. The case report in this issue highlights a rare manifestation of Hansen's disease.
We appreciate very much the encouraging comments from the readers and respected members of the Indian academy of neurology regarding the changes in the format and printing of the journal. The journal website www.annalsofian.org had an overwhelming response with over 21621 visitors since March 2006. We are very pleased that the write-ups in this journal are receiving international attention. Our online manuscript center has facilitated submissions from any part of the world. It has also enabled us to expedite the editorial process. We look forward to more contributions of regional relevance from our respected readers. In this issue, we have opened an occasional column - View Point - meant to draw attention to some of the important topics on which there is no consensus at present. This is an endeavor to initiate a brain storming interaction that would eventually lead to more concrete understanding on these topics. We once again encourage our respected readers to use the letter to editor section to share their experience, observations and comments related to the articles published in this journal.