Revista de neurologia
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Revista de neurologia · Nov 2011
Review[Transcranial Doppler ultrasound use in post-cardiac arrest coma].
Brain damage is the most common cause of morbidity and mortality after initial recovery of a cardiac arrest. ⋯ Using serial TCD examinations in comatose patients after initial recovery from cardiac arrest, to detect and treat early changes in cerebral hemodynamics, will decrease the likelihood of secondary neurological damage. In the first 24 hours, TCD could identify patients who have progressed to irreversible neurological damage, thus avoiding therapeutic futility.
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Revista de neurologia · Nov 2011
[Epicrania fugax: the clinical characteristics of a series of 18 patients].
Epicrania fugax is a recently reported condition consisting in brief painful paroxysms that begin in the posterior regions of the brain and irradiate towards the ipsilateral eye, nose or temple. ⋯ Our aim is to back the proposal of epicrania fugax as a new syndrome with a well-defined clinical spectrum. It does not appear to be an exceptional condition and further knowledge about it will probably give rise to the description of new series. Treatment is often necessary and, although further information and experience are needed, gabapentin and lamotrigine both play a promising role.