["Pseudo-stroke" hemiplegic type multiple sclerosis, a rare form of debut].
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Biomedical subjects
Publications and source records attributed to M Romero Acebal.
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Cases of status epilepticus (SE) require rapid diagnosis and treatment, including simultaneous, coordinated clinical and neurophysiological assessment. The EEG is the essential diagnostic support that confirms the presence of SE and allows for its differentiation from other processes, and the characterization of type and evolutionary phase, while elucidating situations such as covert SE and nonconvulsive SE whose clinical expression is scarce and diagnosis and management difficult. Finally, EEG monitoring serves to guide treatment and recognize when crises have passed, evaluate drug response and monitor the differed evolutionary control of SE.
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For over half a century the electroencephalogram (EEG) has been and continues to be the main tool aiding clinical diagnosis, definition and classification of epilepsy, and the best means with which to orient therapy and base prognosis. The EEG is, along general lines, a diagnostic procedure that is easy to perform, low-cost and comfortable for the patient, such that it meets the criteria for frequent and sometimes excessive use, sometimes for inappropriate expectations given that the EEG has known limitations of sensitivity and specificity. Recent years have seen the development of new ways of conducting this classic neurophysiological test. We provide practical considerations on the main techniques for performing EEGs to manage patients with partial epilepsy, with reference to validation of results and protocols to follow.
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Neurological involvement in Q Fever is unusual. We present a case of encephalitis due to Coxiella Burnetii with neuroradiologic findings on CT not described previously, consisting in areas of decreased absorption coefficient in the subcortical white matter of both hemispheres, predominantly in the right. Differential diagnosis must be established from viral encephalitis, of similar clinical presentation, which may show similar CT lesions to those in this case.