Rob Jan Schimsheimer

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Degenerative cervical radiculopathy: clinical diagnosis and conservative treatment. A review. To provide a state-of-the-art assessment of diagnosis and non-surgical treatment of degenerative cervical radiculopathy a literature search for studies on epidemiology, diagnosis including electrophysiological examination and imaging studies, and different types of(More)
Daytime sleepiness is common in myotonic dystrophy and might be attributed to disturbed nocturnal breathing. Seventeen out of 22 patients complained of excessive daytime sleepiness, resembling "idiopathic hypersomnolence". Sleep apnoea might have contributed to daytime sleepiness in only three of 17 patients. Treatment with the central stimulant(More)
PURPOSE To assess the diagnostic yield of a repeated EEG (REPEEG) after partial sleep deprivation (SD) in children and adolescents with one or more seizures who previously had had a standard EEG (STDEEG) without epileptiform abnormalities (EAs). In the literature, 32-75% of such REPEEGs after SD were reported to show EA. METHODS In a prospective,(More)
In 80 controls latencies of flexor carpi radialis (FCR) and in 94 controls latencies of soleus H-reflexes correlated well with length of the extremity, body height and age. Multiple regression equations using latency as a variable dependent on age and body height can be best used in practice when both reflexes are employed for demonstration of proximal(More)
In 143 normal subjects latencies of H-reflexes of the flexor carpi radialis muscle were well correlated with arm lengths. In 32 patients with injury to cervical roots C5 to C8 it was shown that latencies were only abnormal in lesions of roots C6 or C7. It is suggested that in most instances root C6 or C7 and, probably both roots in some cases are involved(More)
The primary objectives of this study were to construct a self-assessment questionnaire for sleep disorders based on the International Classification of Sleep Disorders-2, and to evaluate the questionnaire's psychometric properties with respect to its total score and the individual scores for each of the six sleep disorders. In total, 1269 patients,(More)
Encephalopathy associated with dengue fever is considered to be a rare condition in adults. We describe a patient with a primary dengue infection who, in the absence of overt signs of dengue shock syndrome, died due to progressive cerebral oedema. Autopsy findings demonstrated loss of integrity of cerebral vascular endothelium and involvement of complement(More)
BACKGROUND AND PURPOSE We initiated this prospective study to investigate the usefulness of contrast enhancement in combination with color Doppler-assisted duplex imaging (CDDI) for the distinction of subtotal internal carotid artery (ICA) stenosis and ICA occlusion. METHODS During 1 year all patients with a previously unknown subtotal ICA stenosis (>90%)(More)
OBJECTIVE To assess the accuracy of the diagnosis, recurrence rate, and fate after the first recurrence in adult patients with an untreated idiopathic first seizure. DESIGN Hospital based follow up study. SETTING One university hospital and three general hospitals in The Netherlands. PATIENTS 165 patients aged 15 years or more with a clinically(More)
Peak latencies of somatosensory evoked potentials (SEPs) from nerves of the first digit (digit 1-SEP), 39 controls, and third digit (digit 3-SEP), 47 controls, and indicated for Erb's point, second cervical vertebra (Cv2) and contralateral cortical hand area correlated significantly with arm length. Single regression analysis for arm length for Erb's(More)