共查询到20条相似文献,搜索用时 15 毫秒
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《Neurología (Barcelona, Spain)》2022,37(2):83-90
IntroductionRestless legs syndrome (RLS) is a disorder characterised by an irresistible urge to move the legs, usually accompanied by unpleasant sensations. It is more frequent in patients with multiple sclerosis (MS) than in the general population.ObjectivesTo evaluate the prevalence of RLS, defined according to the 4 essential requirements included in the diagnostic criteria proposed by the International Restless Leg Syndrome Study Group, in a cohort of patients with MS; and to identify potential risk factors and the clinical impact of RLS.ResultsThe sample included 120 patients with MS, with a mean age of symptom onset of 40 years and an average disease duration of 46 months. The prevalence rate of RLS was 23.3%. MS progression time was significantly shorter in patients with RLS (P = 0.001). A recent relapse, and symptoms of anxiety, depression, and neuropathic pain were significantly associated with risk of RLS (P = 0.001, P < 0.001, P < 0.001, and P = 0.001, respectively). In addition, patients with RLS had a greater risk of poor sleep quality, fatigue, daytime sleepiness, and poor quality of life than those without RLS (P = 0.002, P = 0.017, P = 0.013, and P = 0.009, respectively).ConclusionsRLS should be considered in the neurological evaluation of patients with MS; early diagnosis and treatment would improve the quality of life of patients with MS presenting RLS. 相似文献
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《Neurocirugía (Asturias, Spain)》2020,31(2):64-75
ObjectiveTo assess the effectiveness and safety of vancomycin powder as surgical site infection (SSI) prophylaxis in posterior bilateral elective spinal surgery.Materials and methodsSingle-center quasi-experimental pre and postintervention comparative cohort study. The post-intervention group received standard intravenous antibiotic prophylaxis plus 1 g of vancomycin powder into the surgical field before wound closure, and the pre-intervention group only the intravenous prophylaxis.Results150 patients were included in each group. Twelve SSI (7 superficial and 5 deep) occurred in the post-intervention group and 16 SSI (7 superficial and 9 deep) in the pre-intervention group. The risk of deep SSI decreased from 6.0% to 3.3% (OR 0,54, 95%CI 0.17-1.65, p = 0.411) with vancomycin powder. The percentage of deep SSI due to gram negative-positive germs were 80%-20% and 33%-67% for the post- and pre-intervention groups, respectively (p = 0.265). No local or systemic adverse effects occurred attributable to vancomycin powder.ConclusionIn posterior elective spinal surgery, prophylaxis with vancomycin powder did not result in a significantly reduced incidence of superficial and deep SSI. There was a trend towards a higher incidence of deep SSI caused by gram negative microorganisms among those treated with vancomycin. 相似文献
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《Neurocirugía (Asturias, Spain)》2000,11(2):137-139
The clinical data of two patients operated for ganglion of the peroneal nerve are presented. They first carne in with peroneal mononeuropathy in which a tumor around the nerve was palpable. This finding was further confirmed during surgery and a diagnosis of ganglion was established through biopsy. This kind of ganglions, unlike extraneural ganglions, are not commonly found. Sorne cornments are made on the surgical procedures recommended to avoid relapsing, which is often associated with high post-operative morbidity. The diagnostic value of ultrasonogram is also highlighted. 相似文献
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P. Pazos Y. Leira C. Domínguez J.M. Pías-Peleteiro J. Blanco J.M. Aldrey 《Neurología (Barcelona, Spain)》2018,33(9):602-613
Introduction
Periodontal disease and dementia are very prevalent, especially in elderly populations. Multiple studies have shown a link between these diseases; however, the conditions are highly heterogeneous and so is the diagnostic methodology, which may hinder interpretation and comparison of the results. The aim of this article is to provide a critical review of the literature linking these 2 processes.Development
We retrieved 22 studies, most of which were retrospective, and analysed various methodological variables including study population, diagnosis of periodontitis, definition of dementia, adjusted variables, and results. The different aetiopathogenic mechanisms that may affect the progression and interaction of these 2 conditions were also analysed.Conclusions
Although available evidence indicates a positive association between periodontitis and dementia, both the strength of that association and the presence of a causal relationship have yet to be determined. 相似文献13.
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Pedro David Delgado-López Javier Sánchez-Jiménez Ana Isabel Herrero-Gutiérrez María Teresa Inclán-Cuesta Eva María Corrales-García Javier Martín-Alonso Ana María Galacho-Harriero Antonio Rodríguez-Salazar 《Neurocirugía (Asturias, Spain)》2018,29(4):187-200
Objective
To describe pros and cons of some radiation protection measures and the implications on the design of a neurosurgery operating room.Material and methods
Concurring with the acquisition and use of an O-arm device, a structural remodeling of our neurosurgery operating room was carried out. The theater was enlarged, the shielding was reinforced and a foldable leaded screen was installed inside the operating room. Radiation doses were measured in front of and behind the screen.Results
The screen provides whole-body radiation protection for all the personnel inside the theater (effective dose <5 μSv at 2,5 m from the gantry per O-arm exploration; 0,0 μSv received behind the screen per O-arm exploration; and undetectable cumulative annual radiation dose behind the screen), obviates the need for leaded aprons and personal dosimeters, and minimizes the circulation of personnel. Enlarging the size of the operating room allows storing the equipment inside and minimizes the risk of collision and contamination. Rectangular rooms provide greater distance from the source of radiation.Conclusion
Floor, ceiling and walls shielding, a rectangular-shaped and large enough theater, the presence of a foldable leaded screen, and the security systems precluding an unexpected irruption into the operating room during irradiation are relevant issues to consider when designing a neurosurgery operating theater. 相似文献15.
I. López-de-Uralde-Villanueva A. Gil-Martínez P. Candelas-Fernández J. de Andrés-Ares H. Beltrán-Alacreu R. La Touche 《Neurología (Barcelona, Spain)》2018,33(8):505-514
Introduction
The self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) scale is a tool designed to identify patients with pain with neuropathic features.Objective
To assess the validity and reliability of the Spanish-language version of the S-LANSS scale.Methods
Our study included a total of 182 patients with chronic pain to assess the convergent and discriminant validity of the S-LANSS; the sample was increased to 321 patients to evaluate construct validity and reliability. The validated Spanish-language version of the ID-Pain questionnaire was used as the criterion variable. All participants completed the ID-Pain, the S-LANSS, and the Numerical Rating Scale for pain. Discriminant validity was evaluated by analysing sensitivity, specificity, and the area under the receiver operating characteristic curve (AUC). Construct validity was assessed with factor analysis and by comparing the odds ratio of each S-LANSS item to the total score. Convergent validity and reliability were evaluated with Pearson's r and Cronbach's alpha, respectively.Results
The optimal cut-off point for S-LANSS was ≥ 12 points (AUC = .89; sensitivity = 88.7; specificity = 76.6). Factor analysis yielded one factor; furthermore, all items contributed significantly to the positive total score on the S-LANSS (P < .05). The S-LANSS showed a significant correlation with ID-Pain (r = .734, α = .71).Conclusion
The Spanish-language version of the S-LANSS is valid and reliable for identifying patients with chronic pain with neuropathic features. 相似文献16.
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Beatriz Mansilla Alberto Isla María Román de Aragón Borja Hernández Pablo García Feijoo Alexis Palpán Flores Susana Santiago 《Neurocirugía (Asturias, Spain)》2018,29(5):240-243
Objective
Intraneural cysts are benign lesions located within the epineurium of some peripheral nerves and their aetiopathogenesis is controversial. Most are located at the level of the lower limbs. In the upper limbs, the most frequently affected nerve is the ulnar nerve. Suprascapular nerve entrapment syndrome due to the formation of an intraneural cyst is rare. In this article, we show a new case and perform a literature review of intraneural cysts located in the suprascapular nerve.Methods
We present a 49-year-old woman with pain in the lateral shoulder region of several months’ evolution. A brachial plexus MR showed a tumour of approximately 2 × 1.5 cm, with a cystic appearance, in relation to the upper trunk of the right brachial plexus.Results
We used a supra-infraclavicular approach. The cystic tumour affected the suprascapular nerve. After locating a zone on the surface without nervous fascicles, we performed a partial resection of the capsule and emptying of the cyst, with a xanthochromic gelatinous content. The anatomopathological examination confirmed the diagnosis of intraneural cyst.Conclusion
The suprascapular nerve is a mixed nerve, coming from the upper trunk. It provides the motor branches to the supraspinatus and infraspinatus muscle. Compression of the suprascapular nerve leads to atrophy of these muscles. This entity is one of the differential diagnoses in a patient with pain irradiating to the shoulder, and its correct treatment often results in complete remission of symptoms. 相似文献20.
C. González-Oria R. Belvís M.L. Cuadrado S. Díaz-Insa A.L. Guerrero-Peral M. Huerta P. Irimia J.M. Láinez G. Latorre R. Leira A. Oterino J. Pascual J. Porta-Etessam P. Pozo-Rosich M. Sánchez del Río S. Santos-Lasaosa 《Neurología (Barcelona, Spain)》2021,36(3):229-240
IntroductionMedication overuse headache is a secondary headache in which the regular or frequent use of analgesics can increase the frequency of the episodes, causing the transition from episodic to chronic headache. The prevalence of medication overuse headache is approximately 1-2%, with higher rates among women aged 30-50 years and with comorbid psychiatric disorders such as depression or anxiety, or other chronic pain disorders. It is important to be familiar with the management of this disease. To this end, the Spanish Society of Neurology's Headache Study Group has prepared a consensus document addressing this disorder.DevelopmentThese guidelines were prepared by a group of neurologists specialising in headache after a systematic literature review and provides consensus recommendations on the proper management and treatment of medication overuse headache. The treatment of medication overuse headache is often complex, and is based on 4 fundamental pillars: education and information about the condition, preventive treatment, discontinuation of the drug being overused, and treatment for withdrawal symptoms. Follow-up of patients at risk of recurrence is important.ConclusionsWe hope that this document will be useful in daily clinical practice and that it will update and improve understanding of medication overuse headache management. 相似文献