Neurología : publicación oficial de la Sociedad Española de Neurología
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Case Reports
[Anterior spinal artery syndrome caused by cervical disc protrusion. Diagnosis by magnetic resonance].
The syndrome of the anterior spinal artery is a rare disease with a diagnosis based an its characteristic clinical features. Until the widespread use of the Magnetic Resonance (MR) the lesional confirmation required an anatomopathological study. We report a 49-years-old male with lacinating interscapular pain and sudden asymmetrical tetraparesia, in whom MR scan disclosed a plurisegmental anterior spinal lesion and a posterolateral disk protrusion at C6-C7 level. We discuss the etiological and pathogenetical relation between degenerative vertebral disk disease and spinal infarctions.
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Case Reports
[Episodic ++paroxysmal hemicrania or chronic paroxysmal hemicrania in pre-chronic state?].
Two women suffered from strictly unilateral, periocular headaches for many years. The clinical characteristics of headaches were those described in chronic paroxysmal hemicrania. However, both patients showed an episodic evolution of pain. ⋯ The patient has been free of pain without treatment for the last three years. This second observation can be considered as an example of episodic paroxysmal hemicrania. In the episodic cases the response of pain to indomethacin can be difficult to be ascertained.
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Editorial Comparative Study
[Research by the Fondo de Investigación Sanitaria in the neurosciences and its impact in European programs].