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Directory of Open Access Journals Sweden. Se midieron los cambios en la amplitud de la onda H del reflej Un ensayo clinico. Una de las terapias alternativas con las que se trata es la terapia con perros. Does botulinum toxin improve the function of the patient with spasticity after stroke? Full Text Available Post-stroke spasticity is an important cause of disability in adults, due to muscle hyperactivity, which results in limb stiffness and muscle spasm.
The prognosis for these patients depends on several features such as early management and adequate physical therapy to avoid muscle shortening, pain, and their consequences. Although several papers have shown that intramuscular injections of botulinum toxin type A BT-A decreases spasticity in post-stroke patients, few authors have demonstrated functional improvement after this therapy.
In order to assess if individualized BT-A injections improves upper limb function in post-stroke spastic patients, we prospectively followed 20 consecutive patients of 18 years of age or more with spastic hemiparesis secondary to stroke. Fulg-Meyer scale modified for upper limbs, measure of functional independence MFI, Ashworth modified scale, and goniometry were applied in the beginning of the investigation and in the 16th and 32nd weeks.
BT-A was applied at baseline and in the 16th week. All subjects were submitted to rehabilitation therapy. La espasticidad muscular es un signo descrito desde hace siglos.
Se define como un aumento del reflejo de estiramiento muscular el cual depe Full Text Available The main purpose of the study was to evaluate the patterns of the developed ground reaction forces in the two — legged countermovement jumping, performed by persons affected by tetraparesis with ataxia, tetraparesis with athetosis, tetraparesis with spasticity, diplegia with spasticity, right and left hemiplegia and, finally, right and left hemiparesis.
After twenty subjects jumped on the surface of a force plate analysis of the ground reaction force — time trend took place. The obtained results confirm the accomplishment of the biomechanical principle of the initial force as in the case of persons not affected by neurological disorders. Finally the calculated ratio between the breaking impulse and the acceleration impulse is very near to optimum values. Sin embargo la evidencia no es concluyente. Los datos fueron recolectados con siete familias, entre marzo y abril del , por medio de entrevista semiestructurada.
Paciente inmunocompetente con criptococosis cerebral : reporte de un caso. A year-old female, presenting sudden and progressive holocraneal headache along with incoercible vomiting arrived to emergency room. Acute confusional state and meningoencephalitis syndrome where identified. Brain computed tomography-scan with normal results was performed. China-Ink and Criptococcus neoformans culture both positive. Viral, lupus-anticoagulant, and HIV tests negative.
Hereby we present a Cryptococcus spp. Para su tratamiento se ha utilizado el concepto Bobath. Durante el mismo, tuvo una frecuencia de tres sesiones por semana de 45 minutos durante cuatro meses.
El paciente mostraba como problema principal, un pie con gran tendencia al equ Estudio preliminar controlado y aleatorizado. Seychelles Full Text Available Fundamento: el deterioro cognitivo y la alta comorbilidad son problemas de salud frecuentes en pacientes con enfermedad cerebrovascular. Objetivo: describir el comportamiento del deterioro cognitivo y de la comorbilidad en pacientes con infarto cerebral hospitalizados.
Cerebral palsy is the most frequent physical disability in childhood. In spite of this, it is often difficult to diagnose it. An updating on the diagnostic evaluation of the child with cerebral palsy was provided in this paper. The diagnosis is essentially clinical, which comprises a detailed description of risk factors and the psychomotor development of the affected child in addition to a neuromotor exam.
The application of a series of instruments to determine the level of functional limitation and associated disturbances is required. Among the supplementary tests, neuroimaging is the most important to search for likely causes and to determine the moment of cerebral injure. Other tests electroencephalogram, genetic, metabolic and coagulation studies, etc have specific indications.
For a comprehensive assessment of these children, the participation of many medical, psychoeducational and social specialties is. Cerebral venous thrombosis: treatment with local fibrinolysis plus alteplase; Trombosis venosa cerebral. Tratamiento mediante fibrinolisis local con alteplasa. Cerebral venous thrombosis is a rare entity with widely variable clinical signs: thus, a high degree of suspicion is required for diagnosis.
It affects the dural sinuses and may or may not invade cerebral veins. The diagnosis has usually been based on an angiographic study although, at the present time, new noninvasive imaging techniques, such as computed tomography, magnetic resonance and magnetic resonance angiography are being employed in a growing number of cases.
Treatment should involve symptomatic and etiologic therapy. Although anti coagulation would appear to be a reasonable option in these patients, it remains controversial. As in other processes such as pulmonary embolism and coronary thrombosis, the introduction of novel and increasingly safe fibrinolytic drugs, together with technical innovations in the field of interventional neuroradiology, is changing the perspectives for the management of these patients.
We present the case of a year-old woman with right sinus thrombosis who was treated with local thrombolysis plus alteplase tissue plasminogen activator. The authors describe the technique employed and review the literature. Author 16 refs. Eficacia de la acupuntura en la espasticidad del paciente que ha padecido un ictus.
Estudio de caso. La escuela debe hacer las adaptaciones Este Podcast es una entrevista por radio con la Dra. En este trabajo se presenta un paradigma basado en un juego de realidad virtual para guiar la actividad mental del paciente que sirve a dos fines: estudiar su capacidad de imaginar movimientos e implicar y motivar al paciente en el entrenamiento de dicha capacidad.
Cerebral aspergillosis due to Aspergillus fumigatus in AIDS patient: first culture - proven case reported in Brazil Aspergilosis cerebral causada por Aspergillus fumigatus en paciente con SIDA: primer reporte de caso demostrado por cultivo en Brasil.
The patient, a 26 year-old male with human immunodeficiency virus HIV infection and history of pulmonary tuberculosis and cerebral toxoplasmosis, had fever, cough, dyspnea, and two episodes of seizures.
The brain computerized tomography CT showed a bi-parietal and parasagittal hypodense lesion with peripheral enhancement, and significant mass effect. There was started anti-Toxoplasma treatment.
Three weeks later, the patient presented mental confusion, and a new brain CT evidenced increase in the lesion. He underwent brain biopsy, draining 10 mL of purulent material. The direct mycological examination revealed septated and hyaline hyphae.
There was started amphotericin B deoxycholate. The culture of the material demonstrated presence of the Aspergillus fumigatus. The following two months, the patient was submitted to three surgeries, with insertion of drainage catheter and administration of amphotericin B intralesional. Three months after hospital admission, his neurological condition suffered discrete changes. However, he died due to intrahospital pneumonia. Brain abscess caused by Aspergillus fumigatus must be considered in the differential diagnosis of the brain expansive lesions in AIDS patients in Brazil.
Evaluamos calidad de los estudios utiliza Un estudio de caso. El objetivo de este estudio fue doble. En primer lugar, comprobar si era posible convertir el dispositivo conocido como Makey-Makey Mk-Mk , inicialmente concebido La enteroparasitosis fue diagnosticada por examen directo de heces y examen de Graham, en forma seriada.
Malaria cerebral Cerebral malaria. Is the most common complication of P. Currently there are four hypotheses that explain pathogenesis of CM: cytoadherence and sequestering of parasitized red blood cells to cerebral capillaries; rosette formation and parasitized red blood cells agglutination; production of cytokines and activation of second messengers and opening of the blood-brain barrier.
However the main question remains to be answered; how the host-parasite interaction in the vascular space interferes transiently with cerebral function? Recently, the beta amyloid precursor peptide has been employed as marker of neural injury in CM. It is expected that the beta amyloid precursor peptide will help to understand the pathogenesis of CM in complicated patients of endemic areas of Colombia.
Estudio descriptivo retrospectivo. Sobrecarga dos cuidadores de idosos com acidente vascular cerebral Sobrecarga de los cuidadores de ancianos con accidente cerebrovascular Burden on caregivers of elderly victims of cerebrovascular accident. Trata-se de estudo transversal feito com 62 idosos com AVC e seus cuidadores.
A maioria dos cuidadores era adultos, filhos, casados e do sexo feminino. Estudio transversal con 62 ancianos con ACV y sus cuidadores. El promedio de puntaje de Zarit fue 34,92 15,8. The aim was to. La familia, principalmente la madre, debe recibir apoyo de los profesionales para enfrentar el problema.
Constatamos que las madres presentan. Cerebral palsy CP is secondary to a static lesion of the developing brain. The need to perform exams and surgical procedures to correct deformities, under anesthesia or sedation, is common in these patients. The need for monitoring of the hypnotic state in anesthetized patients has increased; patients with cerebral palsy can be included in this group of patients.
The objective of this. Observamos como ela, de um momento inicial em que apresentava apenas fragmentos de enunciados, passou a estruturar narrativas mais completas. Estudio piloto experimental. A longitudinal and prospective descriptive study was made in 22 patients with ischemic ictus that were admitted to "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba from January, to the same month of , aimed at establishing a prognosis of functional recovery from the cerebral mapping.
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