This has been known since Dr Alois Alzheimer’s first case, Frau

This has been known since Dr. Alois Alzheimer’s first case, Frau Auguste D., presented with emotional distress and delusions of infidelity/excessive jealousy, followed by cognitive symptoms. Being

cognizant of this, in 2010 the Alzheimer’s Association convened a research roundtable on the topic of NPS in AD. A major outcome of the roundtable was the founding of a Professional Interest Area (PIA) within the International Society to Advance Alzheimer’s Research and Treatment (ISTAART). The NPS-PIA has prepared a series of documents that are intended to summarize the literature and provide more detailed specific recommendations for NPS research. This overview paper is the first of these living documents that will be updated periodically as the science advances. The overview is followed by syndrome-specific synthetic reviews and recommendations LY2157299 TGF-beta/Smad inhibitor prepared by NPS-PIA workgroups on depression,

apathy, sleep, agitation, and psychosis. (C) 2013 The Alzheimer’s Association. All rights reserved.”
“Cardiogenic shock after myocardial infarction has a high mortality even if early revascularization is achieved. Biventricular assist devices have not been used in Chile in this critical setting. We report a case of a 55 year-old diabetic man who suffered an acute chest pain and ventricular MAPK inhibitor fibrillation. Prompt outside hospital defibrillation/reanimation restored pulse and allowed emergency room transfer on mechanical ventilation. Electrocardiogram showed an anterior myocardial infarction

and early revascularization was achieved by anterior descending artery angioplasty. However, severe cardiogenic shock continued in spite of inotropic and intra aortic balloon pump support. Levitronix Centrimag(R) biventricular mechanical circulatory support was inserted during reanimation for recurrent ventricular fibrillation and the patient listed for urgent cardiac transplantation upon stabilization. Heart transplantation was performed successfully 28 days later and the patient was discharged after a 21-day recovery period. Twelve months after transplant the patient is in NYHA functional class I with normal Selleck PD0325901 biventricular function. Levitronix Centrimag(R) biventricular mechanical circulatory support could be used successfully as a bridge-to-transplant for myocardial infarction cardiogenic shock. (Rev Med Chile 2010; 138: 752-757).”
“We made surveys for whale sharks Rhincodon typus on a total of 99 d from April through June each year from 2006 to 2008 along the southern fringe of the South An Atoll, Maldives Archipelago. We recorded the length and sex of each shark observed and made photographs to facilitate repeated identification from their spot patterns using pattern-recognition software. We identified 64 whale sharks from digital photographs taken during 220 sightings over 3 yr. Approx. 87 % of those sharks were immature males. The average length of recognisable sharks was 5.98 m (range 2.5 to 10.


“A novel actinobacterium, strain S-1412(T), was isolated f


“A novel actinobacterium, strain S-1412(T), was isolated from a deep sediment sample, collected from the southern Black Sea coast of Turkey, and was examined using a polyphasic approach. The organism had chemical and morphological

features typical of the genus Streptomyces. The cell wall of the novel strain contained LL-diaminopimelic acid. Whole-ell hydrolysates contained galactose, glucose and traces of xylose. The polar lipid profile of S1412(T) consisted of the predominant compound diphosphatidylglycerol, moderate amounts of phosphatidylethanolamine and phosphatidylinositol, and minor amounts of phosphatidylglycerol. Strain S1412(T) exhibited an unusual quinone system, with the predominant compounds MK-10(H-8), MK-9(H-8) and MK-10(H-6) and small amounts of MK-9(H-6) and MK-10(H-4). Major fatty acids were iso-C-16:0, iso-C-16:1 H and anteiso-C-17:0.

The 16S rRNA gene sequence similarities for strain Histone Methyltransf inhibitor S1412(T) with respect to the most closely related type strains of species of the PP2 nmr genus Streptomyces were less than 97.0%. Phenotypic data clearly distinguished the isolate from its closest relatives, Streptomyces specialis GW 41-1564(T), Streptomyces mayteni YIM 60475(T), Streptomyces hainanensis YIM 47672(T), Streptomyces avicenniae MCCC1A01535(T) and Streptomyces sedi YIM 65188(T). Based on chemotaxonomic, phenotypic and genotypic characteristics, strain S1412T is considered to represent a novel species of the genus Streptomyces, for which the name Streptomyces hoynatensis sp. nov. is proposed. The type strain is S1412(T) Selleckchem Duvelisib (=KCTC 29097(T)=DSM 42069(T)).”
“In the present study, we investigated whether celecoxib could induce the expression of NKG2D ligands in clonogenic colon cancer cells, and increase their susceptibility to NK cell-mediated cell death. Celecoxib and its non-coxib analog, 2,5-dimethyl celecoxib, induced ULBP-1 and DR5 in both COX-2 negative HCT-15 cells and COX-2 positive HT-29 cells. Celecoxib increased their susceptibility to NK92 cells in both DELFIA assay and soft agar colony forming assay.

The inducibility of ULBP-1 and DR5 by celecoxib was not different between CD44- and CD44+ HCT-15 cells, and CD133- and CD133+ HT-29 cells. Celecoxib increased the susceptibility of highly clonogenic CD44+ HCT-15 and CD133+ HT-29 cells to NK92 cells, at least comparable to less clonogenic CD44- HCT-15 and CD133- HT-29 cells, respectively. In addition, celecoxib induced CHOP, and thapsigargin, an inducer of ER (endoplasmic reticulum) stress, induced DR5 but not ULBP1 in HCT-15. Taken together, these findings suggest that celecoxib induces the expression of ULBP-1 as well as DR5 in clonogenic colon cancer cells via COX-2 and ER stress-independent pathways, and increases their susceptibility to NK cells. (C) 2014 Elsevier Inc. All rights reserved.

Test meals were served after an overnight fast DF content and so

Test meals were served after an overnight fast. DF content and source were: control (C): 1.4 g/MJ; whole flaxseed learn more (WF): 2.4 g/MJ from whole flaxseeds; low-mucilage dose (LM): 2.4 g/MJ from flaxseed DF; high-mucilage dose (HM): 3.4 g/MJ from

flaxseed DF. During the 7 h test day, subjective appetite sensation was assessed using visual analogue scales and appetite-regulating hormones, and lipemia and glycemia were measured, after which ad libitum energy intake was recorded. There was a significant time x meal effect on triacylglycerols (TG) (p = 0.02) and an 18% smaller area under the curve (AUC) for TG after meal HM compared to meal C was observed (p < 0.01). AUC for insulin was smaller after both LM and HM meals compared to C and WF meals. Higher mean ratings of satiety (p < 0.01) and fullness GSK2126458 concentration (p = 0.03) was seen following the HM meal compared to meal C. AUC for ghrelin, CCK and GLP-1 and ad libitum energy intake did not differ between meals, but ghrelin response exhibited a different response pattern after the mucilage-containing meals.\n\nConclusion: These findings suggest that flaxseed DF may suppress postprandial

lipemia and appetite although subsequent energy intake was not affected. (C) 2011 Elsevier B. V. All rights reserved.”
“Objective: We conducted a pilot study to assess the effects of dietary intervention on metabolic risk factors and renal parameters in obese patients with chronic kidney disease

(CKD).\n\nMethods: We studied 19 obese patients with CKD at our outpatient clinic. The diet selected for this study restricted only their staple food intake, with no change in the side dish component of their meals. We studied neither the lifestyles of the patients nor the activities that they were involved in. We examined changes in clinical and laboratory parameters at baseline and after consumption of the diet.\n\nResults: After 2 and 6 months of staple food restriction, changes in body weight were found to be -3.6% +/- 3.9% and -3.4% +/- 4.7%, respectively. Of GW786034 order the 19 patients, the body weights of 9 decreased by >3% (range: 3.4% to 17.1%) from baseline to follow-up at 6 months. After 6 months of following the diet, these 9 patients showed marked reductions in blood pressure, homeostasis model assessment insulin resistance, and triglycerides, when compared with the remaining 10 patients with stable body weights; however, for proteinuria and estimated glomerular filtration rate they reported having values similar to the 10 patients with stable body weights.\n\nConclusions: Weight reduction associated with a lowered insulin resistance was reported in obese patients with CKD after 6 months of staple food restriction; however, further studies need to be conducted to confirm the presence of other possible renal benefits. (C) 2011 by the National Kidney Foundation, Inc. All rights reserved.


“Virgin forests are relatively rare in the European temper


“Virgin forests are relatively rare in the European temperate zone. This is due to the continuous use of forest historically and to increasing high population densities. Virgin forests are forest where the structure and dynamics have developed entirely under natural conditions, without any human interference or influence. This article assesses the Pljesevica forest in Bosnia Herzegovina to establish whether it can be classified as virgin

forest. The structure and components of the forest were assessed in a 1 ha sample plot and four 400m(2) quadrats. The values of the biodiversity indexes (as defined by Shannon and Weaver, Krebs and Meyer), species richness and evenness, the distribution of the different stand development stages and the proportion of dead wood lead to the conclusion char Pljesevica forest presents a set of structural and dynamic characteristics close to the ones typical for virgin forests in Europe, buy SNX-5422 so in order to maintain its status as such, in the meantime it should undergo a protection management

programme.”
“Abundance indices of southern Gulf Leucoraja ocellata residing in Northumberland Strait, Canada, declined from 2001 to 2005, but increased during 2006 to 2008. Catch rates in 2009 were the lowest in the time series. The size of the area occupied in Northumberland Strait varied with changes in the abundance indices. Leucoraja ocellata were primarily caught selleck chemical in the north-west half of the strait over sandy to gravelly seabed; a near total absence was documented from the eastern half despite suitable habitat and a previously established presence

documented during research surveys conducted before 2000. In Northumberland Strait, L. ocellata occupied shallow (50% cumulative occurrence=12m) and warm (50% cumulative occurrence=16 center dot 5 degrees C) coastal waters and were not present in the cold (<1 degrees C, >35m) intermediate layer. Abundance and distribution data highlight the need for continuing GW786034 chemical structure studies to monitor the status of this population, which is classified as endangered by the IUCN and Committee on the Status of Endangered Wildlife in Canada.”
“The objective of this study was to evaluate the side effects of the main pesticides used in adult and immature Neoseiulus californicus (McGregor) (Acari: Phytoseiidae). The tests were carried out in the laboratory by using the contact and residual spraying method on the leaf Surface. It was tested tebufenozide, phosmet, methidation, chlorpyrifos, abamectin, fenpyroximate, pyridaben, captan, mancozeb (two concentrations) and dithianon. To calculate the total effect (E%) on the adults, it was evaluated the mortality, oviposition and viability of eggs, and for the immature ones, only the mortality. The results of E% were assessed 96 hours after the spraying.

Only two populations, collected from organic farms, were suscepti

Only two populations, collected from organic farms, were susceptible to the insecticides tested. CONCLUSION: This is the first report of a high resistance level to spinosad, the major insecticide used to control the onion thrips. Resistance cases to spinosad were associated with failures to control the pest. Populations resistant

to spinosad also had partial or complete resistance to other insecticides used for controlling selleck kinase inhibitor the onion thrips. Copyright (C) 2012 Society of Chemical Industry”
“Background: Recently a new hard tick species, Ixodes ariadnae has been discovered, adding to the two known ixodid tick species (I. vespertilionis and I. simplex) of bats in Europe. Findings: Scanning electron microscopic comparison of adult females of these species shows morphological differences concerning the palps, the scutum, the Haller’s organ, the coxae, as well as the arrangement and fine structure of setae. Molecular analysis of 10 geographically different isolates revealed 90-95% sequence homology in the 12S and 16S rDNA genes of bat tick species. Based on 12S rDNA sequences, genotypes of I. ariadnae clustered closest to I. simplex, whereas according to their 16S rDNA gene they were closest to I. vespertilionis. The subolesin gene of I. ariadnae had only 91% sequence homology with that of I. ricinus, and

is the longest known among hard tick species. Conclusions: The buy Nocodazole present study illustrates the morphology and clarifies the phylogenetic relationships of the three known bat tick species that occur in Europe. According to its subolesin gene I. ariadnae may have a long evolutionary history.”
“Pomegranate

is an important fruit crop cultivated in many countries, and development of new cultivars depends Nutlin-3 concentration on the plant breeders being able to produce plants from seeds. Poor quality and low yield of cultivars are widespread problems that greatly restrict development of the pomegranate industry. Our purpose was to gain a better understanding of the seed dormancy-breaking and germination requirements of four cultivars of pomegranate from Xinjiang Province, China, which would be useful in improving old cultivars and developing new ones. Fresh pomegranate seeds incubated on moist filter paper imbibed water, but they germinated to only 16% to 20%. Sulfuric acid scarification, cold stratification, and warm followed by cold stratification significantly increased germination percentages. Seeds soaked in concentrated H2SO4 for 40 minutes followed by cold stratification for 2 months germinated to 65%, and those warm stratified for 1-3 months followed by cold stratification for 2 months germinated to 75% to 80%. Seeds of pomegranate have nondeep physiological dormancy (PD).

0 +/- 5 0 mg In multiple regression analysis, BMD loss at the sp

0 +/- 5.0 mg. In multiple regression analysis, BMD loss at the spine was significantly associated with higher daily glucocorticoid dose and lower baseline 25-hydroxyvitamin D levels. BMD loss at the hip was associated with lower 25-hydroxyvitamin D levels at baseline, reduction of body mass index, and baseline use of antimalarials.\n\nIn this 6-year follow-up study, bone loss was remarkably low. A dose-dependent relationship between glucocorticoid use and spinal bone loss was found. In addition, the use of antimalarials selleck chemical and lower 25-hydroxyvitamin D levels at baseline were associated with BMD loss. These

findings underline the importance of prevention and treatment of vitamin D deficiency and osteoporosis in SLE, especially in patients using glucocorticoids or antimalarials.”
“Objectives: Regardless of the

proportion of missing values, complete-case analysis is most frequently applied, although advanced techniques such as multiple imputation (MI) are available. The objective of this study was to explore the performance of simple and more advanced methods for handling missing data in cases when some, many, Lapatinib or all item scores are missing in a multi-item instrument.\n\nStudy Design and Setting: Real-life- missing data situations were simulated in a multi-item variable used as a covariate in a linear regression model. Various missing data mechanisms were simulated with an increasing percentage of missing data. Subsequently, several techniques to handle missing data were applied to decide on the most optimal technique for each scenario. Fitted regression coefficients were compared using the bias and coverage as performance parameters.\n\nResults: Mean imputation caused biased estimates in every missing data scenario when data are missing ACY-738 for more than 10% of the subjects. Furthermore, when a large percentage of subjects had missing items (>25%), MI methods applied to the items outperformed

methods applied to the total score.\n\nConclusion: We recommend applying MI to the item scores to get the most accurate regression model estimates. Moreover, we advise not to use any form of mean imputation to handle missing data. (C) 2014 Elsevier Inc. All rights reserved.”
“We investigated penetration-type semi-transparent hydrogenated amorphous silicon (a-Si:H) solar cells that incorporated cuprite (Cu2O) thin films, deposited by radio frequency magnetron sputtering, as the color-adjusting layer. Depending on the arrangement of the Cu2O and transparent conductive oxide layers in the cells, the cells could be classified as either inner-type or outer-type. By simulating and experimentally measuring the reflectance of both types of cells, it was found that the optical interference in the two cells had a more significant effect on the short-circuit current density than did the thickness of the incorporated Cu2O films. We fabricated a-Si:H cells whose transparency and color could be controlled simultaneously.

As it is impossible to do everything for every patient, we ne

\n\nAs it is impossible to do everything for every patient, we need to know what are the critical factors in the tumour cell microenvironment in each patient and need to have the tools to assess that factor.”
“Objective: To report on the first year of a program using standardized rating scales within a large, multisite mental health system of care ACY-738 datasheet for children and to assess the

validity, reliability, and feasibility of these scales.\n\nStudy Design: Naturalistic follow-up of clinicians’ ratings.\n\nMethods: Clinicians filled out the Brief Psychiatric Rating Scale for Children (BPRS-C) and the Children’s Global Assessment Scale (CGAS) at intake and discharge/90-day follow-up for all new patients.\n\nResults: Data were collected on 2396 patients from all

20 sites serving children in the Partners HealthCare network. Mean scores for both BPRS-C and CGAS showed worst functioning at inpatient sites, followed by Acute Residential Treatment, then partial hospital, then outpatient sites. Selleck Bcl-2 inhibitor All patients re-rated at discharge or 90-day follow-up showed a significant improvement in scores. Inter-item reliability on the BPRS-C was acceptable, with Cronbach alphas of .78 and .81. Feasibility at intake was demonstrated in that 66% of all patients had a completed form at intake. Reassessment at discharge also appeared to be feasible in more restrictive levels of care, but less feasible in outpatient sites, where fewer than 25% of all patients had a follow-up form.\n\nConclusions: This evaluation suggested that the 2 standardized measures appeared to be valid and reliable as part of routine intake and discharge/follow-up in a large child psychiatry system of care. Whether these measures are truly clinically useful

remains to be demonstrated because there is at present no gold standard for assessing the quality of treatment or change caused by it.”
“Considerable disturbance of all quality of life domains that worsens social adaptation and daily living and results in an asthenic-neurotic syndrome, along with neurologic and mnestic-intellectual disturbances, was revealed in patients with chronic brain ischemia (stages I, II, III). Based on the results of the double blind placebo-controlled trial, the high clinical efficacy of cytoflavin in patients with see more chronic brain ischemia has been shown. The treatment with cytoflavin decreases the severity of subjective symptoms and complaints thus increasing the working ability of patients, improves balance and gait, decreases the severity of asthenic and neurotic syndromes, improves cognitive and memory functions (information storage, reasoning and attention), positively effects on quality of sleep and all aspects of quality of life, in particular, on physical activity, self-rating of health and viability as well as social activity, mental health and emotional lability.

In this study, we have designed and synthesized new URP analogues

In this study, we have designed and synthesized new URP analogues in which the intracyclic Trp residue was replaced with natural, unnatural, and constrained amino acids to determine important physicochemical features for receptor binding and activation. The biological

data, highlighting the potent agonistic behavior of [Tiq(4)]URP and [Tpi(4)]URP, also suggest that the Trp residue, and more specifically the indole ring, is not critical for receptor interaction and could in fact be involved in the intramolecular stabilization of the bioactive conformation of URP. Finally, these analogues, which are intracyclic constrained selleck products URP-based agonists, could represent useful pharmacological tools for the study of the urotensinergic system.”
“Microbial

eukaryotes in seawater samples collected from two depths (5 m and 500 m) at the USC Microbial Observatory off the coast of Southern California, USA, were characterized by cloning and sequencing of 18S rRNA genes, as well as DNA fragment analysis of these genes. The sequenced genes were assigned to operational taxonomic units (OTUs), and taxonomic information for the sequence-based OTUs was obtained by comparison to public sequence databases. The sequences were then subjected,to in silico AG-881 manufacturer digestion to predict fragment sizes, and that information was compared to the results of the T-RFLP method applied to the same samples in order to provide taxonomic context for the environmental T-RFLP fragments. A total of 663 and 678 sequences were analyzed GSK2879552 for the 5 m and 500 m samples, respectively, which clustered into 157 OTUs and 183 OTUs. The sequences yielded substantially fewer taxonomic units as in silico fragment lengths (i.e., following in silico digestion), and the environmental T-RFLP resulted in the fewest unique OTUs (unique fragments). Bray-Curtis similarity analysis of protistan assemblages was greater using the T-RFLP dataset compared to the sequence-based OTU dataset, presumably due to the inability of the fragment method to differentiate

some taxa and an inability to detect many rare taxa relative to the sequence-based approach. Nonetheless, fragments in our analysis generally represented the dominant sequence-based OTUs and putative identifications could be assigned to a majority of the fragments in the environmental T-RFLP results. Our empirical examination of the T-RFLP method identified limitations relative to sequence-based Community analysis, but the relative ease and low cost of fragment analysis make this method a useful approach for characterizing the dominant taxa within complex assemblages of microbial eukaryotes in large datasets. (c) 2012 Elsevier B.V. All rights reserved.”
“PPZ1 orthologs, novel members of a phosphoprotein phosphatase family of phosphatases, are found only in fungi. They regulate diverse physiological processes in fungi e. g. ion homeostasis, cell size, cell integrity, etc.

(C) 2014 Elsevier Inc All rights reserved “
“AimThe present

(C) 2014 Elsevier Inc. All rights reserved.”
“AimThe present study aimed to identify barriers and enablers to applying for the Advanced Accredited Practising Dietitian (AdvAPD) credential as well as problems with the application process. MethodsEleven Accredited Practising Dietitians (APDs) and nine AdvAPDs were recruited to participate by telephone in focus groups or in one-on-one interviews via the weekly national Dietitians

Association of Australia (DAA) e-alert and advertisement at the 2012 National Conference. Semistructured interview schedules were used to guide the groups and interviews which were recorded via the DAA conferencing facility and subsequently transcribed verbatim. Themes were identified using qualitative analysis software. FRAX597 mw ResultsBarriers to applying for the AdvAPD credential included the onerousness of the process, busy-ness/finding the time, and having competing priorities, while working with colleagues, receiving recognition and having an AdvAPD mentor were predominant enablers. Problems identified with the application process included the difficulty in completing specific parts of the application, particularly the research and management/supervision components, and the assessment/definition of

advanced practice itself. Suggested improvements Bucladesine manufacturer included the use of technology in submission, and provision of a range of examples for reference. ConclusionsAPDs wishing to apply for the AdvAPD credential are encouraged to apply key findings such as engaging a mentor, working with colleagues and seeking successful application examples as strategies within their plan. The broader results will inform the review of the performance criteria and evidence examples currently available to AdvAPD applicants and support development of additional tools to assist the application process.”
“Approximately 15-30% of breast cancers over-express the HER2/neu receptor.

Historically, over-expression of HER2/neu has been identified using IHC see more or FISH, both of which are invasive approaches requiring tissue samples. Recent evidence has shown that some tumors identified as “negative” using these methods can respond to HER2/neu targeted therapy. Shedding of the extracellular domain (ECD) of the receptor into the circulation has led to the development of a serum test of HER2 ECD as an additional approach to probe HER2/neu overexpression. The serum test will be able to monitor the dynamic changes of HER2 status over the course of disease progression. Some studies further suggest that the serum HER2 ECD level and its change may serve as a biomarker to reflect patients’ response to therapy. Yet more than 10 years after the first serum HER2 ECD test was approved by the FDA, serum HER2 testing has yet to be widely used in clinical practice. In this article we will review the progress of the serum HER2 ECD test and discuss some obstacles impeding its incorporation into broad clinical practice.

Taken together, this study suggests that octopamine and 5-HT can

Taken together, this study suggests that octopamine and 5-HT can mediate hemocytic phagocytosis and nodule formation, through a downstream signal pathway relayed by eicosanoids in S. exigua. (C) 2009 Wiley

Periodicals, Inc.”
“Structural properties of the CH3CN-SO2 complex were studied in the gas phase via density functional theory, as well as in argon matrices, nitrogen matrices, and solid-state thin films via low-temperature infrared spectroscopy. Gas-phase structures for two nearly isoenergetic conformations were obtained from B3PW91/aug-cc-pVTZ calculations, and these results indicate that the complex is quite weak in the gas phase, with a long N-S distance of 3.02 angstrom. Several vibrational NVP-LDE225 bands of the complex were observed in nitrogen and argon matrices. For the principle isotopomer, the SO2 asymmetric stretch was observed at 1345 cm(-1) in solid nitrogen and 1342 cm(-1) in argon. The SO2 symmetric VX 809 stretch was observed at 1156 cm(-1) in nitrogen, and 1148 cm(-1) in argon. Also, the SO2 bend was observed at 527 cm(-1) in nitrogen,

and 520 cm(-1) (tentative assignment) in sold argon. In “matrix-free” spectra of solid CH3CN/SO2 thin films, the SO2 asymmetric stretch is the only SO2-localized mode appreciably shifted relative to the corresponding matrix frequencies, by about 20 cm(-1) to the red, but the band is essentially coincident that observed in a low temperature, bulk sample of pure SO2. Calculated frequencies (B3PW91/aug-cc-pVTZ) for the gas-phase CH3CN-SO2 complex show some larger discrepancies, but not to the degree that would imply any significant medium-induced structural changes. The N-S distance potential was also mapped in the gas phase via several density functional methods. and also for dielectric media (epsilon = 1.5-80) via PCM/B3LYP/6-311+G(2fd,p) calculations. The computational results are quite consistent with the structural implications of the experiments, and collectively, these data indicate that condensed-phase

media induce at most only minimal changes in the GSI-IX ic50 structural properties of CH3CN-SO2. (C) 2008 Elsevier B.V. All rights reserved.”
“Background: Acute confusional migraine (ACM) is considered a rare migraine variant primarily seen in children and adolescents.\n\nPatients and Methods: We present a series of eight adults and two adolescents suffering from migraine attacks associated with transient confusional states.\n\nResults: Eight patients reported two or more such attacks. One of them reported mild head trauma in the past. One patient reported mild head trauma as a possible trigger. Further investigations were unremarkable in all patients and did not suggest underlying structural abnormalities, epilepsy or cerebrovascular disease. In none of these patients did we find another cause to explain the observed phenomenon.