Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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A woman in her fifties, with a long history of side-locked unilateral headache, was hospitalized for left-sided side-locked paroxysmal headache (attacks with 10-20 min duration). Clinical and neurological examinations, and brain MRI revealed normal findings. She responded well to indomethacin (50 mg three times daily). ⋯ A retrospective review of her medical history showed 15 years of unsuccessfully treated unilateral headache, until she responded completely to rofecoxib. Ipsilateral cranial autonomic symptoms also supported the diagnosis of hemicrania continua, although these symptoms presented before indomethacin was tried. Diagnostic delay and misdiagnoses of unilateral headaches, as illustrated by this case, shows the clinical controversies and difficulties in diagnosing and treating this condition.
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SOD1 mutations account for less than 25 % of cases with familial amyotrophic lateral sclerosis and may cause atypical phenotypes. ⋯ The H46R SOD1 mutation in this case of familial amyotrophic lateral sclerosis causes a slowly progressive lower motor neuron disease that remains restricted to the legs for years or even decades.
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Tidsskr. Nor. Laegeforen. · Feb 2011
Comparative Study[The Norwegian Cruciate Ligament Registry has a high degree of completeness].
In 2010 the Norwegian Cruciate Ligament Registry (NCLR) achieved status as a national medical quality registry. The study aimed at evaluating completeness of reporting on anterior cruciate ligament surgery to NCLF as compared to the Surgical Logbooks-Electronic Patient Journal (SL-EPJ) and the Norwegian Patient Registry (NPR). ⋯ The result confirms that NCLR has a high degree of registration completeness two years after establishment, and that data from the registry can be used in future research.