Neurología : publicación oficial de la Sociedad Española de Neurología
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Review Meta Analysis
[Review of the economic evidence on the use of deep brain stimulation in late stage Parkinson's disease].
The purpose of this article is to present the results of a systematic review on the costs and the efficiency of Deep Brain Stimulation (DBS) on patients suffering advanced Parkinson's disease. ⋯ The available evidence is not strong enough to conclude whether DBS' direct medical costs are higher or lower than the costs of traditional therapy. Key words: Parkinson's disease. Deep brain stimulation. Subthalamic stimulation. Cost analysis. Economic evaluation.
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Evoked Potentials (EP) are a neurophysiological tool that makes it possible for us to make an extensive study of the cerebral cortex, the brainstem and the spinal cord. Different techniques can be applied while performing the EPs, such as Visual Evoked Potentials (VEPs), Somatosensory Evoked Potentials (SSEPs), Long Latency Somatosensory Evoked Potentials (LLSEPs), Brainstem Auditory Evoked Potentials (BAEPs), Middle Latency Auditory Evoked Potentials (MLAEPs), Long Latency Auditory Evoked Potentials (LLAEP) and Mismatch Negativity (MMN). ⋯ There are also studies that propose using EPs as a monitoring tool of the SNC. We present an up-dated review on the principal aspects of EP neuromonitoring in Intensive Care Unit (ICU) patients.
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Letter Case Reports
[Sudden headache after lumbar puncture: pneumoencephalus].
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Ultrasound tests are used in the cerebrovascular evaluation of stroke patients. However, the use of Transcranial Doppler (TCD) and carotid duplex ultrasound (CD) within the first hours after stroke onset in the Emergency Service is not a common practice. ⋯ TCD and CD are excellent diagnostic tools that might be used in all acute stroke patients for immediate evaluation of arterial patency. They make it possible to select treatment and enhance reperfusion after tPA. Carotid and transcranial ultrasound are an essential part of vascular neurology training and practice.
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There is an on-going debate on questions of authorship in the scientific publications. Adherence to the International Committee of Medical Journal Editors (ICMJE) recommendations for medical journals is low, which should be cause for reflection. ⋯ Authorship criteria for our journal include demonstration of their relevance in the development of the research and manuscript as well as the responsibility in it. This line is not as restrictive as that of the ICMJE criteria, whose recommendations may not be easy to adapt to the current organization of the multidisciplinary research groups.