Revista de neurologia
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Revista de neurologia · May 2008
Case Reports[Idiopathic spinal epidural hematoma in patients with sudden paraplegia: a case report].
Spontaneous spinal epidural hematoma (SEH) represents 0.3-0.9% of spinal epidural space-occupying lesions, and most surgeons advocate aggressive and early surgical intervention. In this paper we describe a patient with SEH with sudden paraplegia. ⋯ The SHE is rare, with severe neurological consequences for patients and early surgical treatment persist as essential for motor recovery.
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Revista de neurologia · May 2008
Review[Can telemedicine re-establish geographic equity in the treatment of acute stroke?].
In acute stroke patients, urgent expert neurologic evaluation and thrombolytic treatment within the first hours alter onset are the only proven effective therapeutic measures. Patients living far from large hospitals do not have access to these measures. ⋯ Telemedicine systems allow around the clock specialized urgent evaluation of those patients arriving to hospitals lacking a neurologist on call. This may lead to the use of thrombolytic treatments in community hospitals under the supervision of an expert physician, reducing time to treatment and the number of unnecessary patient transfers to referral Stroke Centers.