Revista de neurologia
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Revista de neurologia · Oct 2012
[Botulinum toxin A in chronic refractory migraine: premarketing experience].
Chronic migraine is very disabling, with medication overuse commonly associated. The recent approval of botulinum toxin-A -OnabotulinumtoxinA (OnabotA)- means a hallmark. ⋯ OnabotA disclosed efficacy as prophylactic treatment of chronic migraine. It is mainly expressed as a reduction of pain intensity. Medication overuse also descended. Adverse events were sparse.
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Revista de neurologia · Sep 2012
[Hemicrania continua: characteristics and therapeutic experience in a series of 36 patients].
Hemicrania continua is characterised by a continuous unilateral pain, which frequently gets worse in association with autonomic symptoms. It is probably little known and underdiagnosed. Its diagnosis requires a response to indomethacin, which is not always well tolerated. ⋯ Hemicrania continua is not an infrequent diagnosis in a headache clinic and, because it is a treatable condition, further knowledge on the subject is needed. Anaesthetic blockades of the supraorbital or greater occipital nerves or a trochlear injection of corticoids are the therapeutic options that must be taken into consideration when indomethacin is not well tolerated.
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Revista de neurologia · Aug 2012
[Myofascial trigger points, pain, disability and quality of sleep in patients with chronic tension-type headache: a pilot study].
INTRODUCTION. The referred pain induced by myofascial trigger points (MTP) and sleep disorders can be factors that contribute to chronic tension-type headache. AIM. ⋯ CONCLUSIONS. Quality of sleep and active MTP can be different factors contributing to chronic tension-type headache. Nevertheless, the presence of MTP could also be an epiphenomenon of the pain.
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Revista de neurologia · Aug 2012
Historical Article[Deficiency, disability, neurology and literature].
Literature has always been attracted to neurological pathologies and the numerous works published on the subject are proof of this. Likewise, a number of physicians have been fiction writers and have drawn on their scientific knowledge to help develop their stories. ⋯ Literature has helped to offer a realistic vision of neurologically-based pathologies and the healthcare professionals who work with them; there are many examples that portray the experiences of the patients themselves and the importance of support from the family is a feature that is constantly underlined.
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Revista de neurologia · Jul 2012
[Cardioembolic stroke in atrial fibrillation and new anticoagulation criteria: a therapeutic dare].
Atrial fibrillation (AF) increases five times the risk of stroke. The new risk stratification scheme for establishment of oral anticoagulation CHA2-DS2-VASc performs better in risk stratification of stroke compared to the prior CHADS2 scale. ⋯ In our study, we found low compliance scales of thromboembolic risk stratification in patients with AF for an optimal treatment strategy. It should be increased its use for primary prevention of stroke and optimization of anti-coagulant therapy in patients with AF.