Gac Med Mex
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Clinical Trial
[Efecto de la amigdalotomía e hipotalamotomía unilateral en pacientes con agresividad refractaria].
Neurosurgical treatment, although controversial, is considered a useful resource in the treatment of chronic psychiatric diseases such as refractory aggressiveness. ⋯ Symmetric and simultaneous unilateral lesions of the central nucleus of the amygdala and the posteromedial hypothalamus contralateral to motor dominance give the same clinical effect in the reduction of the pathological aggression that the bilateral lesions.
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Trigeminal neuralgia (TN) is a neuropathic disorder that can be treated surgically. This study aimed to present the surgical findings and the clinical outcomes of 26 patients with TN treated by minimally invasive asterional surgery. ⋯ The microvascular decompression surgery by an asterional approach is an alternative with similar results to the classic retrosigmoid approach to treat TN, but that adds the benefits of the principles of minimally invasive surgery. Constant efforts need to be made to optimize minimally invasive surgical techniques for TN.
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Atherosclerotic carotid artery disease (CAD) is a major risk factor for cerebrovascular disease. ⋯ In asymptomatic subjects without a history of ischemic stroke, age and hypertension were the most important risk factors for macrovascular disease. Diabetes mellitus was associated with microvascular disease. Obesity alone was not a major determinant of CAD or WMD.
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The promotion of health is carried out in preventive services of medical units, in educational programs and textbooks from the general perspective of the population. ⋯ The educational program implemented can promote empowerment in health from childhood.