Ugeskrift for laeger
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Ugeskrift for laeger · Sep 2009
Case Reports[Vagoglossopharyngeal neuralgia treated with vascular decompression].
This case report describes a 63-year-old man referred with right-sided glossopharyngeal neuralgia. Magnetic resonance imaging (MRI) demonstrated asymmetry of the PICA vessels. ⋯ An MRI now demonstrated an arterial loop at the site of the vagoglossopharyngeal complex leaving the brainstem. After another microvascular decompression, complete remission of symptoms was observed.
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With the reduction of administrative Regions in Denmark to a total of five, more focus has been given to prehospital services. Since access to and quality of prehospital treatment is not standardized, it may very well vary between regions. ⋯ There is considerable variation in the coverage of the physician-based prehospital units in Denmark. There are sound medical arguments for having a specialist in anaesthesiology staffing physician-based prehospital units. All administrative regions - except Region Nordjylland - offer advanced physician prehospital treatment on a 24-hours basis.
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Ugeskrift for laeger · Aug 2009
Comparative Study[Prehospital trauma triage before and after deployment of a physician-manned mobile emergency care unit in Nordsjaelland].
Prompt and correct triage to a facility capable of providing optimal care is important for survival and functional outcome after major trauma. This study compared the influence of on-scene deployment of physicians with medical telephone counselling of paramedics on the triage of trauma patients. ⋯ Prehospital, physician-based triage of trauma significantly reduced the need for secondary transfers to tertiary facilities.
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Catatonia is seen in various psychiatric disorders, but also rarely occurs in medical conditions with organic cerebral affection. We present a case of a previously mentally healthy male, who developed catatonia years after a stroke in the right hemisphere. ⋯ The condition responded to benzodiazepine and electroconvulsive therapy. Catatonia should be considered as a differential diagnosis when the described symptoms occur in patients with a known organic cerebral disorder.