Abstract：
INTRODUCTION:The implementation of an on-call neurology service at our hospital prompted us to analyse the health care it offers. PATIENTS AND METHODS:We conducted a retrospective descriptive study by reviewing the status report of the on-call services performed between 15 April 2002 and 14 April 2003. The data collected included the age, sex, day of the week, month, requesting service, destination and pathology grouped under different codes to facilitate their later analysis. RESULTS:A total of 1910 patients were attended with a mean age of 53 and with no differences between sexes. The service that most often requested evaluation was casualty with over 80% of cases. The most frequently involved pathologies were headaches (19.7%), followed by ischemic strokes (16.1%) and epilepsy (13.4%). In 12.3% of cases no neurological pathology was observed. The percentage of direct hospital discharges was 29.16%, while that of admissions to neurology was lower (23.56%). Patients requiring further follow-up visits to Neurology were remitted normally (12.56%), compared to those who were in need of preferential treatment (4.45%). CONCLUSIONS:The need for a duty neurologist has provided our hospital with a better evaluation of neurological pathologies and a more rational use of complementary tests. Many of the patients who were evaluated were given a direct hospital discharge. This has led to a drop in the number of admissions to Neurology by almost 30% and a reduction in the mean length of time spent in hospital.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
Jiménez-Caballero PE,Marsal-Alonso C,Alvarez-Tejerina Asubject
Has Abstractpub_date
2004-07-16 00:00:00pages
120-4issue
2eissn
0210-0010issn
1576-6578pii
rn2003634journal_volume
39pub_type
杂志文章abstract：AIMS:Given the diversity of criteria regarding the use of the midlatency auditory evoked potential (MLAEP) for diagnostic purposes, we carry out a review of the subject and highlight areas such as the generators of fundamental components, the conditions in which responses are obtained, factors that can modify results a...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2003-09-16 00:00:00
abstract：:At the present time corpus callosotomy is a valuable option in the management of some patients with drug-resistant epilepsy who are not candidates for resective procedures. The records of six patients who underwent callosotomy at 'Hospital Virgen de las Nieves' (Granada, Spain) in the past four years were retrospectiv...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：1996-05-01 00:00:00
abstract：INTRODUCTION:Most patients with Parkinson's disease have cognitive and behavior disorders during the course of their illness. OBJECTIVE:In this study we consider practical aspects of the treatment of patients with Parkinson's disease who have such problems. DEVELOPMENT:Better understanding of both normal and abnormal...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：1999-07-16 00:00:00
abstract：OBJECTIVE:The atherosclerosis is the most common cause of death and disability in developed countries by causing ischemic cardiopathic and stroke. The ischemic atherotrombotic stroke is the most frequent form of the last one. In this sense we review herein the mechanisms underlying the artherosclerotic process. DEVELO...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2002-09-01 00:00:00
abstract：INTRODUCTION:The description of Upper Airway Resistance Syndrome (UARS) let us to recognize the importance of the pair 'respiratory effort-arousal' on sleep-disordered breathing pathophysiology. DEVELOPMENT:First part of this paper reviews knowledge about respiratory arousal pathophysiology. Arousal response is normal...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：1999-03-16 00:00:00
abstract：INTRODUCTION:'Sword stroke' linear scleroderma, which is better known as linear scleroderma en coup de sabre (LSCS), is a rare disease with an uncertain causation that is characterised by progressive craniofacial focal atrophy and is, at least in part, different from Parry-Romberg syndrome (PRS). CASE REPORTS:Here, we...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2005-11-01 00:00:00
abstract：INTRODUCTION:Thymectomy is a surgical procedure which is generally accepted for treatment of myasthenia gravis. OBJECTIVE:To describe the long-term evolution of 217 myasthenic patients who had had thymectomies in the Hospital Clinico Quirurgico Hermanos Ameijeiras in La Habana, Cuba. PATIENTS AND METHODS:We determine...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2000-05-01 00:00:00
abstract：INTRODUCTION:Lamotrigine (LTG) is a new antiepileptic drug indicated in all kinds of partial and generalised clonic-tonic seizures, both in monotherapy and polytherapy. Between 20 and 30% of epileptic patients have poor control over their seizures despite adequate treatment. AIMS:We report on our experience regarding ...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2004-02-16 00:00:00
abstract：INTRODUCTION:Almost three out of every four people in the world who suffer a fatal stroke live in developing countries. A number of different tropical diseases may appear in Europe in the coming years as a consequence of the demographic change that is being brought about by migratory flows. We review the main infectiou...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2007-06-16 00:00:00
abstract：AIM:To identify the clinical and psychosocial factors of a Colombian cohort of patients with juvenile myoclonic epilepsy and its relation to crisis control. PATIENTS AND METHODS:Retrospective cohort study of patients over 14 years of age with a diagnosis of juvenile myoclonic epilepsy, with 12 months of follow-up in a...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：10.33588/rn.6911.2019305
更新日期：2019-12-01 00:00:00
abstract：INTRODUCTION AND CLINICAL CASE:We present a case of extra-pontine myelinolysis caused by acute hypernatraemia in which a complex picture of late onset extrapyramdial features, choreodystonia and parkinsonism developed. Repeated physical examinations, neurophysiological and neuroimaging studies using magnetic resonance ...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：1998-02-01 00:00:00
abstract：INTRODUCTION:Cultural manifestations are frequently used as a source of descriptors in the field of the health sciences. The story of Odysseus (Ulysses) is one of the oldest and most influential works of world literature and has given rise to many subsequent creations, with strong roots in popular culture. AIMS:To con...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：10.33588/rn.7103.2020187
更新日期：2020-08-01 00:00:00
abstract：AIMS:The study reviews language disorders in children. Taking their normal development as the starting point, the work puts forward a differential diagnosis based on the symptoms presented in the moment the patient visited the physician. It also suggests an approach for children with language disorders from the neuropa...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2013-09-06 00:00:00
abstract：INTRODUCTION AND DEVELOPMENT:Deep brain stimulation (DBS) is a surgical technique based on the placement of a programmable electrode into certain areas of central nervous system. DBS is nowadays a well established treatment for patients with Parkinson's disease (PD) and motor complications. However, there are controver...
journal_title：Revista de neurologia
pub_type： 共识发展会议,杂志文章,实务指引
doi：
更新日期：2009-09-16 00:00:00
abstract：INTRODUCTION:Non-verbal learning disorder (NVLD) is the name given to a complex group of difficulties with a well-defined biological substrate. Their clinical manifestations affect the motor area, visuospatial organisation and the social competencies. AIM:To analyse the semiology that differentially identifies NVLD by...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2009-02-27 00:00:00
abstract：INTRODUCTION:Wallenberg's syndrome is one of the most common clinically recognized conditions due to brain stem infarct, which can nowadays be identified thanks to modern neuro-imaging techniques. We present a retrospective study of 25 cases admitted to our hospital in the past eight years, to evaluate epidemiological ...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：1997-10-01 00:00:00
abstract：:Chronic migraine (that is to say, cases where migraine is suffered on 15 or more days per month) is an illness that affects approximately 0.5-2.5% of the population, depending on the statistics that are analysed and the definition of chronic migraine used. The incidence of transformation from episodic to chronic migra...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2012-04-10 00:00:00
abstract：INTRODUCTION:Inappropriate admissions to a hospital service generate unnecessary costs for our health care service. Most admissions to a hospital service come from the emergency department. The presence of a neurologist to attend hospital emergencies would be an important factor allowing admission criteria to be stream...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2006-12-16 00:00:00
abstract：INTRODUCTION AND OBJECTIVE:The hereditary ataxias form a large, complex group of entities whose recognition is essential for correct genetic assessment, satisfactory clinical control and in some cases a suitable therapeutic approach. The clinico-semiological variety and advances in molecular biology have made the hered...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2000-08-01 00:00:00
abstract：INTRODUCTION:Akinetic mutism is considered as an alteration of the motivational state of the person, which the patient is unable to initiate verbal or motor responses voluntary, even with preserved sensorimotor and surveillance functions. CASE REPORT:A 43 year-old male involved in a cerebellum arteriovenous fistula co...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2017-01-16 00:00:00
abstract：INTRODUCTION:Attention deficit hyperactivity disorder (ADHD) is a common neuropsychiatric disorder in the adulthood. It's diagnosis is a complex process in which a screening tool can be useful. AIM:To analyze the six-question Adult ADHD Self-Report Scale (ASRS v. 1.1) validity in an outpatient clinical context. SUBJE...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2009-05-01 00:00:00
abstract：AIM:To report one patient with slowly progressive encephalopathy, ataxia, central hypomyelination, hypodontia and hypogonadotropic hypogonadism, the 4H syndrome. This clinical picture has been described recently and there are only four patients reported previously. CASE REPORT:A girl with a previously normal early psy...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2008-08-16 00:00:00
abstract：:It was recently suggested that lacunar strokes presenting with headache may be due to large intracranial artery disease. From the stroke database of the Neurology department, Hospital Sta Maria, we retrieved all lacunar strokes who had investigations of the intracranial circulation. Forty seven of the 208 lacunar stro...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：1995-07-01 00:00:00
abstract：INTRODUCTION:Neuronal ceroid lipofuscinosis (NCL), represents a group of inherited neurodegenerative disorders. Based on the age of the patient at onset, clinical course and ultrastructural morphology it has been identified three clinical types for the pediatric group: 1) Infantile NCL (INCL); 2) Late infantile NCL (LI...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2004-01-01 00:00:00
abstract：INTRODUCTION:Colloid cysts are intracranial lesions with an estimated incidence of three individuals per million people per year. They are benign tumours in the anterosuperior portion of the third ventricle. The normal flow of cerebrospinal fluid may be interrupted by a large cyst that obstructs the foramen of Monro. T...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2003-05-01 00:00:00
abstract：INTRODUCTION AND AIMS:Mental retardation (MR) affects approximately 2-3% of the general population and around 75% of the known causes of MR are thought to have a genetic origin. The aim of this work is to describe a standardised model of diagnostic approach to patients with mental retardation of a genetic origin (MRGO)...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2006-01-07 00:00:00
abstract：INTRODUCTION:The term 'frontotemporal lobar dementia' (FTLD) covers a group of neurodegenerative diseases that are very heterogeneous in their clinical expression, genetic component and histopathological features, and this has traditionally made it difficult to study and classify them. Patients usually present a progre...
journal_title：Revista de neurologia
pub_type： 历史文章,杂志文章,评审
doi：
更新日期：2008-12-01 00:00:00
abstract：INTRODUCTION:The Kamayura tribe is made up of 300 persons living in the Alto Xingu in Mato Grosso, Brazil. Their traditional system of health care is based on the pajé, a witch doctor who uses plants and prayers for treatment. MATERIAL AND METHODS:Field work was done in the Kamayura village holding successive intervie...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：INTRODUCTION:Attention deficit hyperactivity disorder (ADHD) is one of the most frequent reasons for visits to neuropaediatric services. Although the clinical criteria are well established, the medical history is probably not examined with enough care and the most decisive symptoms go unnoticed. AIM. To review a clinic...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2008-01-01 00:00:00
abstract：INTRODUCTION:Cystinosis is a hereditary disease with clinical symptoms that are caused by the accumulation of cystine crystals in different tissues. Distal vacuolar myopathy has been reported as one of its later complications. CASE REPORT:Here, we present the case of a 20-year-old male diagnosed with cystinosis at the...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2005-02-01 00:00:00
