Revista de neurologia
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Neuromodulation for treating pain goes back to the times of the ancient Egyptians, who applied natural electric currents to modulate the painful sensation. Since then, this concept has been developed in parallel with the scientific and technological development, and various forms of neuromodulation with different indications and characteristics have originated. Chronic pain may produce significant disability, which leads to important physical, social and psychological consequences. Peripheral nerve, spinal cord, deep brain and motor cortex stimulation are safe and effective techniques that control pain and improve quality of life in selected patients.
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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.