Revista de neurologia
-
Revista de neurologia · Jun 2015
Environmental factors in the development of narcolepsy with cataplexy. A case-control study.
Epidemiological studies suggest the importance of environmental factors in the etiology of narcolepsy-cataplexy in genetically predisposed subjects. ⋯ Prospective studies regarding the interaction between environmental and genetic factors are warranted.
-
Revista de neurologia · Jun 2015
Review[Occipital nerve stimulation for refractory chronic migraine].
Occipital nerve stimulation (ONS) is an emerging and promising preventive treatment for refractory chronic migraine. ⋯ ONS is an effective, well tolerated and safe treatment for the prevention of chronic migraine and could emerge as a useful option for those patients with medically refractory chronic migraine.
-
Revista de neurologia · Jun 2015
Case Reports[Lymphocytic hypophysitis and hypertrophic pachymeningitis: description of a possible case associated to IgG4 pathologies].
Pathologies related to lymphocyte infiltration and inflammatory cells are classified, according to their topography, into idiopathic orbital pathology, idiopathic hypertrophic pachymeningitis, Tolosa-Hunt syndrome and lymphocytic hypophysitis. Here we review the case of a female patient who began with lymphocytic hypophysitis eight years ago and has since presented several episodes of hypertrophic pachymeningitis in a variety of locations. ⋯ The association of lymphocytic hypophysitis and hypertrophic pachymeningitis with IgG4-related pathologies have recently been reported. Although the diagnosis has not been confirmed in our patient, this relationship must be taken into account in these idiopathic cases and, above all, if they are associated with other systemic manifestations.
-
Revista de neurologia · Apr 2015
Review Case Reports[Recurring post-traumatic growing skull fracture].
Growing skull fracture, also known as post-traumatic bone absorption or leptomeningeal cyst, is a rare complication of traumatic brain injuries and occurs almost exclusively in children under 3 years of age. ⋯ Any child under 3 years of age with a post-traumatic cephalohaematoma should be checked periodically until the full resolution of the collection of fluid, especially if they present a fractured skull. The presence of a cephalohaematoma that remains more than two weeks after traumatic brain injury must make us suspect a growing fracture and reparation of the dura mater and a cranioplasty will be needed to treat it. The use of resorbable material allows it to be remodelled as the patient's skull grows, but its fragility increases the risk of recurrence. The use of a baby helmet after the operation could prevent complications.
-
Revista de neurologia · Apr 2015
Letter Case Reports[Carotid dissection as the cause of perinatal strokes].