Se describe el caso de un paciente con púrpura trombocitopénica idiopática refractario al tratamiento, quien ingresó por cefalea, exotropía del ojo derecho, ptosis palpebral, trombocitopenia severa, requiriendo transfusión. Se realizó resonancia cerebral contrastada que evidenció hemorragia subaracnoidea en el opérculo frontal derecho, con perfil infeccioso, carencial, de autoinmunidad y vasculítico negativos, con perfil para síndrome antifosfolípido positivo. Se consideró posible mecanismo fisiopatológico, trombosis de la vasa nervorum, lo que favoreció la parálisis incompleta del tercer par craneal. Se inició anticoagulación con warfarina, se ajustó terapia inmunomoduladora de enfermedad de base, con evolución favorable del paciente.
{"title":"Parálisis del Nervio Oculomotor en paciente con Púrpura Trombocitopénica y Síndrome Antifosfolípido","authors":"Neiby Johana Rivera Rojas, Karen Marcela Muñoz Martínez, Andrea Catalina Nassar Tobón","doi":"10.37467/gkarevmedica.v10.3120","DOIUrl":"https://doi.org/10.37467/gkarevmedica.v10.3120","url":null,"abstract":"Se describe el caso de un paciente con púrpura trombocitopénica idiopática refractario al tratamiento, quien ingresó por cefalea, exotropía del ojo derecho, ptosis palpebral, trombocitopenia severa, requiriendo transfusión. Se realizó resonancia cerebral contrastada que evidenció hemorragia subaracnoidea en el opérculo frontal derecho, con perfil infeccioso, carencial, de autoinmunidad y vasculítico negativos, con perfil para síndrome antifosfolípido positivo. Se consideró posible mecanismo fisiopatológico, trombosis de la vasa nervorum, lo que favoreció la parálisis incompleta del tercer par craneal. Se inició anticoagulación con warfarina, se ajustó terapia inmunomoduladora de enfermedad de base, con evolución favorable del paciente.","PeriodicalId":346083,"journal":{"name":"MEDICA REVIEW International Medical Humanities Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127517750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-24DOI: 10.37467/gkarevmedica.v10.3217
Guilherme Messas
{"title":"Entrevista com o psiquiatra Guilherme Messas","authors":"Guilherme Messas","doi":"10.37467/gkarevmedica.v10.3217","DOIUrl":"https://doi.org/10.37467/gkarevmedica.v10.3217","url":null,"abstract":"","PeriodicalId":346083,"journal":{"name":"MEDICA REVIEW International Medical Humanities Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132834537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-25DOI: 10.37467/gkarevmedica.v9.3015
Andrea Catalina Nassar Tobón, María Cristina Geney, Fabio Heliodoro Martínez Pacheco, David Vinyes, Montserrat Muñoz-Sellart
Primary headaches (PHs) are common health complaints with a high impact on health-related quality of life (HRQOL). Treatment is multifactorial, including pharmacological and non-pharmacological strategies. Neural therapy (NT) is a regulatory treatment system that uses local anesthetic injections in chosen points to treat pain. This study aims to evaluate the effect of NT on the HRQOL of patients with PHs. Quasi-experimental prospective study involving 93 patients treated. The impact on HRQOL was evaluated through the SF-36 health, before and after treatment. Seven out of the eight items measured on the SF-36 scale improved after the intervention (p<0.001).
{"title":"Improving the Quality of Life of Patients with Headache Treated with Neural Therapy","authors":"Andrea Catalina Nassar Tobón, María Cristina Geney, Fabio Heliodoro Martínez Pacheco, David Vinyes, Montserrat Muñoz-Sellart","doi":"10.37467/gkarevmedica.v9.3015","DOIUrl":"https://doi.org/10.37467/gkarevmedica.v9.3015","url":null,"abstract":"Primary headaches (PHs) are common health complaints with a high impact on health-related quality of life (HRQOL). Treatment is multifactorial, including pharmacological and non-pharmacological strategies. Neural therapy (NT) is a regulatory treatment system that uses local anesthetic injections in chosen points to treat pain. This study aims to evaluate the effect of NT on the HRQOL of patients with PHs. Quasi-experimental prospective study involving 93 patients treated. The impact on HRQOL was evaluated through the SF-36 health, before and after treatment. Seven out of the eight items measured on the SF-36 scale improved after the intervention (p<0.001).","PeriodicalId":346083,"journal":{"name":"MEDICA REVIEW International Medical Humanities Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124905521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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