Neurología : publicación oficial de la Sociedad Española de Neurología
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Many authors believe that there are biases in scientific publications. Editorial biases include publication bias; which refers to those situations where the results influence the editor's decision, and editorial bias refers to those situations where factors related with authors or their environment influence the decision. ⋯ Editorial biases exists. Authors, when submitting their manuscript, should analyse different journals and decide where their article will receive adequate treatment.
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Letter Case Reports
Atypical migraine progressing from nummular headache to epicrania fugax.
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Continuous levodopa delivery by enteral infusion (Duodopa(®)) is an alternative to deep brain stimulation and subcutaneous apomorphine to control motor fluctuations and dyskinesias in advanced Parkinson's disease (PD). We report our experience with Duodopa(®) therapy in 11 patients with advanced PD. ⋯ Intraduodenal infusion of levodopa offers an important alternative in treating patients with advanced Parkinson disease.
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Surgical activity is one of the major causes of iatrogeny. All surgery carries an inherent risk of complications, whether in emergency surgery or in simpler elective procedures. Because of the progressive increase in life expectancy, surgical techniques are increasingly used in the elderly, with a consequent rise in the possibility of catastrophic complications. ⋯ The present article reviews the most frequent neurological complications of anesthetic techniques and the types of surgery most commonly associated with central or peripheral nervous system complications. Neurologists are well versed in the complications associated with neurosurgery and carotid artery surgery. Other types of surgery, such as cardiac surgery, liver transplantation, bariatric surgery or aortic aneurism surgery, are also potential sources of complications.
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Neurologists should anticipate and recognize the onset of respiratory failure in patients with neuromuscular diseases. Symptoms vary according to the speed of onset of respiratory muscle weakness. Catastrophic situations usually occur in three clinical scenarios: 1) incorrect management of acute respiratory failure of neuromuscular origin, autonomic dysfunction or during general anaesthesia of patients with neuromuscular diseases ; 2) incorrect prognosis and treatment due to the lack of a correct diagnosis. This situation is more common in ventilated patients with associated muscular weakness, acute neuropathies or motor neuron disease, and 3) inappropriate medical intervention in patients with neuromuscular disease with a definitive diagnosis but longstanding disease (amyotrophic lateral sclerosis, spinal muscular atrophy, myotonic dystrophy and other muscular dystrophies).