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.
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Revista de neurologia · Feb 2008
Review[Adult learning, professional autonomy and individual commitment].
The concept of 'andragogy' is the basis of the adult education which is different from pedagogy in several aspects, particularly in the autonomy of the adult learner in choosing the educational programmes and the methodologies and sites in where learning occurs. This happens very often in the worksite. The professionals have to learn permanently during their active lives in order to maintain their competence updated. In this sense, continuing education correlates with continuing professional development, which is an attempt to enlarge the traditional domains of continuing education. Continuing education must be clearly differentiated from formal education, which is a requirement for granting professional degrees or titles. Very often it arises from the changing health needs and for this reason is necessary to avoid the institutionalization of continuing education programmes. ⋯ Professional associations should be actively involved in providing and accrediting continuing education-continuing professional development programmes, because this involvement is an essential component of the professionals' self-regulation in the context of the current medical professionalism ideology.
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Revista de neurologia · Feb 2008
Case Reports[Thalamic dementia secondary to acute bilateral paramedian thalamic infarcts after occlusion of the artery of Percheron].
The anterior and medial part of the thalamus is the responsible of multiples cognitive functions through the thalamus-cortical connections. A bilateral thalamic infarction can cause a secondary dementia and these are related to a thalamocortical deafferentation with a partial recovery. We report a case of sudden onset dementia caused by bilateral thalamus lesions. ⋯ The thalamic stroke can cause a thalamic dementia, commonly bilateral and preferable located in the anterior and medial nuclei. In our case, cranial SPECT showed frontal hypocaptation for diaschisis phenomenon.