Revista de neurologia
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Revista de neurologia · Mar 2000
Review[Complex regional pain syndrome: the need for multidisciplinary approach].
The title complex regional pain syndrome is being introduced to cover the painful syndromes which formerly were described under the headings reflex sympathetic dystrophy and causalgia. The pain may be sympathetically maintained or sympathetically independent. The incidence of disease with respect to age shows a peak at 50 years, but may be present at any moment of live. ⋯ The mainstay of treatment, specially in severe cases, is a multidisciplinary approach. The goal is restoration of normal function. Treatment includes adequate pain relief, complete physical therapy program and psychiatric evaluation.
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Revista de neurologia · Mar 2000
[Accidents prevalence in a group of patients with the narcolepsy- cataplexy syndrome].
Recent studies have shown statistically that the proportion of accidents at work, at home and on the roads is greater in narcoleptic patients than in the general population. ⋯ This study has shown the greater risk of accidents in these patients and the need for diagnosis as soon as possible so as to establish suitable treatment and thus improve their own personal safety and that of those around them.
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Revista de neurologia · Mar 2000
Randomized Controlled Trial Clinical Trial[A controlled, double-blind, randomized pilot clinical trial of nicardipine as compared with a placebo in patients with moderate or severe head injury].
One of the factors involved in the occurrence of ischemic cerebral lesions following head injury is cerebral vasospasm. We analyze the effect of intravenous nicardipine on the prevention and treatment of posttraumatic cerebral vasospasm. ⋯ Nicardipine is effective in the reversal and prevention of increased Doppler flow velocity in patients with moderate or severe head injury.