Revista de neurologia
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Revista de neurologia · Nov 2004
[Functional outcome at discharge of patients with severe traumatic brain injury admitted to a brain damage unit].
Severe traumatic brain injuries (TBI) are linked to high morbidity and mortality rates and have important individual and social costs, not only because of the high incidence of deaths they cause but also owing to the large number of individuals who are left with some kind of disability. ⋯ Despite the severity of the sequelae left by serious TBI, the functional outcome at discharge, associated with the high rate of reintegration into home life, justifies admission of these patients to a brain damage unit for neurorehabilitation therapy.
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Revista de neurologia · Sep 2004
[Factors affecting the arrival time of cerebrovascular disease patients at the emergency department of a Peruvian hospital].
The implementation of stroke units and of thrombolysis as treatment in cerebrovascular disease (CVD) brought about a radical change in its management, but which is influenced by the time patients take to reach the health centre following the onset of symptoms. ⋯ An important number of CVD patients (22.58%) reach the Emergency Department shortly after the onset of symptoms. Recognition of the symptoms by the person accompanying the patient and taking them to hospital by taxi are linked to early arrival, which are factors that should be taken into account when implementing an stroke unit in our area.
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Revista de neurologia · Sep 2004
Case Reports[Hereditary sensory and autonomic neuropathies. The neurophysiological and pathological aspects of two cases with congenital insensitivity to pain].
Two patients suffering from congenital insensitivity to pain were studied. They corresponded to types IV and V of the 'hereditary sensory and autonomic neuropathies' (HSAN) classification. ⋯ So far there haven't been described BR abnormalities in patients with congenital insensitivity to pain, which should be related to a trigeminal sensory impairment, which could explain the corneal ulcers that suffered these cases. BR studies should be included in the neurophysiological evaluation of the suspected small fibre neuropathies even when there are no facial symptoms shown.