Revista de neurologia
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Revista de neurologia · Aug 2004
Review[Analysis of the aetiologies of headaches in a paediatric emergency service].
Headaches are a frequent cause of children's visits to different health care services but the epidemiological profile varies widely according to whether the sample is taken from among visits to hospital clinics, neuropaediatric units or emergency services. ⋯ Our study confirmed the existence of a wide and varied range of aetiologies causing headaches, with a clear predominance of extracranial disorders and a low percentage of serious intracranial causes. Non-classifiable headaches made up 10.8% of the sample. Brain imaging studies were performed in 9.7% of cases, which is a considerably lower percentage than that of other series and demonstrates a rational use of this resource.
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Revista de neurologia · Jun 2004
Multicenter Study Clinical Trial[Safety of levetiracetam as adjunctive therapy in epilepsy: the SKATE trial in Spain].
To continue assessing safety and to evaluate the efficacy of levetiracetam and to assess the optimal dose in community based practice. ⋯ These data confirm and provide additional support of levetiracetam safety and efficacy demonstrated in phase III trials.
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Revista de neurologia · Jun 2004
Case Reports[Locked-in syndrome due to a vertebral dissection and therapeutic options with intraarterial fibrinolysis in acute phase].
Dissection of vertebral artery is an unusual pathology but sometimes is the cause of stroke in young patients. Since last years, and with the rise of some chiropractic technics, some authors have related these ones with the dissection of vertebral artery. ⋯ We discuss the relationship between cervical manipulation as an aetiology of vertebral dissection, locked-in syndrome and therapeutic options in these patients
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Revista de neurologia · Jun 2004
Review[Relationship between body temperature and prognosis, and neuroprotective effect of hypothermia in acute stroke patients].
We review the relationship between body temperature and severity of acute stroke, and evaluate published evidence about the possible neuroprotective effect of hypothermia in these patients. ⋯ Hyperthermia is deleterious in acute stroke patients and must be treated. Hypothermia should not be considered a routine procedure in these patients until its safety and efficacy has been demonstrated in large trials. Patients with induced hypothermia should be closely monitorized to reduce the risk of adverse effects related to the procedure.
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Revista de neurologia · May 2004
Review Historical Article[Vestibular nerves and nuclei throughout history].
Throughout the evolution of the concepts concerning the peripheral nerves, different ideas have dominated at different moments in history. The studies and demonstrations conducted in an attempt to further our knowledge of our own constitution and working at the same time enabled us to gain a better understanding of the make-up and specific functioning of the vestibular nerves, together with their central connecting elements in the brainstem: the vestibular nuclei. ⋯ Another century went by before attempts were made to clarify the role it plays in balance and not in hearing. The differences between the distinct vestibular nuclei situated between the medulla oblongata and the pons were established in the 19th and 20th centuries when a number of authors, backed by previous microscopic studies, contributed to clarifying the fuzzy limits of cells separating the four classic nuclear groups and four others taken as being accessory.