[Carpal tunnel syndrome].
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Biomedical subjects
Publications and source records attributed to J Roquer.
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A case of multiple sclerosis and Hashimoto's thyroiditis confirmed by cytology is reported. The association of multiple sclerosis with other autoimmune diseases is infrequent but supports the immune hypothesis of the pathogenesis of multiple sclerosis. The authors suggest the inclusion of immunological tests in the screening of all patients diagnosed as having multiple sclerosis.
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We present a case of Moya-Moya syndrome in a 28-year-old female patient with an unusual debut in the form of mirror-image writing. The patient was studied by CAT, conventional cerebral angiography, MRI and angio-MRI. The results obtained show a very good correlation between the images of conventional angiography and those obtained by angio-MRI. Angio-MRI requires no contrast, is noninvasive and rapid, promising to be a first class alternative in the diagnosis and follow-up of Moya-Moya syndrome.
A 80-year-old woman with a 25-year history of seropositive, erosive rheumatoid arthritis (RA) presented with a neurological clinical picture consistent with cervical cord compression, secondary to a hemangioblastoma with medulla, cerebellum and spinal cord involvement, with associated syringomyelia and syringobulbia. We present a review of the literature remarking the low frequency of this tumor (1%-2% of all intracranial tumors) and its exceptional presentation over the age of 70. We have not been able to find no cases of hemangioblastoma associated with rheumatoid arthritis, thus, we think, this association may be casual. Nevertheless, it emphasizes the need for careful evaluation of patients with rheumatoid arthritis and neurological symptoms before ascribing them to complications due to the rheumatoid disease itself.
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Three cases of anterior choroid artery are reported, representing 0.80% of all strokes admitted to our Service in the last 3 years. Their clinical features were manifold and only motor involvement was common to the 3 patients, although with varying intensity and topography. In one case there was pure motor hemiparesis. Only one patient had sensory impairment, whereas none had defects in the fields of vision. In the 3 patients, CT showed the characteristic hypodense image limited to the posterior limb of the internal capsule, whereas EEG was normal in the 3 patients. The clinical outcome was very satisfactory in one patient and fair in the other two, with persisting sequelae which did not prevent an autonomous lifestyle.
We report two cases of pronator teres syndrome (bilateral in one case) diagnosed in our Department by electromyographic studies during the last three years. The infrequency of this syndrome (1 case/201 cases of carpal tunnel syndrome), combined with the unspecified and inconsistent symptomatology (tenderness over the pronator teres, paresthesias and weakness of flexor pollicis longus, abductor pollicis brevis and opponens pollicis) frequently induced diagnostic mistakes. The electromyographic study is very useful showing a delay in proximal motor latency of the median nerve, diminution of motor nerve conduction in the proximal forearm segment of this nerve with normality of distal motor latency and sensory latency. Corticoid infiltration is the treatment of choice keeping in reserve surgery only for resistant cases.
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