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 an epilepsy program, where the sociodemographic and clinical characteristics and the survey for the assessment of relapse conditioners. A bivariate and multivariate analysis was performed using binary logistic regression. RESULTS:Clinical records between November 2014 and December 2016 where 145 patients with a diagnosis of juvenile myoclonic epilepsy who met the selection criteria were evaluated. The factors associated with crisis control were: health plan, accessibility, personal attitudes, history of consumption, drug resistance, and crisis number per month; of these, health plans, personal attitudes, and crisis number per month persist with statistical significance after the logistic regression analysis. CONCLUSION:Psychosocial factors not only impact on crisis control, added to clinical factors explain 40% of crisis control in patients with juvenile myoclonic epilepsy and therefore affect their long-term prognosis. TITLE:Factores clínicos y psicosociales asociados al control de crisis en pacientes con epilepsia mioclónica juvenil. :Objetivo. Identificar los factores clínicos y psicosociales de una cohorte colombiana de pacientes con epilepsia mioclónica juvenil y su relación con el control de las crisis. Pacientes y métodos. Estudio de cohortes retrospectivo de pacientes mayores de 14 años con diagnóstico de epilepsia mioclónica juvenil, con 12 meses de seguimiento en un programa de epilepsia, donde se evaluaron las características sociodemográficas y clínicas y la encuesta para la valoración de los condicionantes de recaída. Se realizó un análisis bivariado y multivariado mediante regresión logística binaria. Resultados. Registros de historias clínicas entre noviembre de 2014 y diciembre de 2016, donde se evaluó a 145 pacientes con diagnóstico de epilepsia mioclónica juvenil que cumplieron los criterios de selección. Los factores asociados al control de las crisis fueron: plan de salud, accesibilidad, actitudes personales, antecedente de consumo, farmacorresistencia y número mensual de crisis; de éstos, plan de salud, actitudes personales y número mensual de crisis persisten con significación estadística tras el análisis de regresión logística. Conclusión. Los factores psicosociales no sólo influyen en el control de las crisis sino que, sumados con algunos factores clínicos, podrían explicar el 40% del control de las crisis en los pacientes con epilepsia mioclónica juvenil y, por ende, influir en su pronóstico a largo plazo.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
Sánchez-Zapata P,Zapata-Berruecos JFdoi
10.33588/rn.6911.2019305subject
Has Abstractpub_date
2019-12-01 00:00:00pages
453-460issue
11eissn
0210-0010issn
1576-6578pii
rn2019305journal_volume
69pub_type
杂志文章abstract：INTRODUCTION:Protein-energy malnutrition continues to affect millions of human beings in developing countries. Children suffer most from the shortage of nutrients because at early ages malnutrition has an important impact on the central nervous system. The changes that malnutrition triggers in the brains of these child...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2007-03-02 00:00:00
abstract：OBJECTIVE:To determine clinical and pathological features with seizures associated brain tumors. PATIENTS AND METHODS:This was a retrospective study through of an Epilepsy Program Protocol where we studied fifty patients admitted at Hospital Universitário Cajuru of Curitiba, Brazil, in 1996-1997. RESULTS:We studied 3...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：1999-06-01 00:00:00
abstract：INTRODUCTION:The surgery of epilepsy is expanding considerably all over the world. It is becoming a standard treatment in patients who are resistant to conventional medical treatment. DEVELOPMENT:In this article we explain the methodology used by the authors and suggest concepts regarding the epileptogenous area. We a...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2000-06-16 00:00:00
abstract：INTRODUCTION:Recent studies indicate that decreased energy generation by mitochondria is a feature that is common across neurodegenerative diseases. PATIENTS AND METHODS:In order to obtain direct evidence that mitochondrial functioning is altered, we measured the hydrolytic activity of F0F1-ATPase and its capacity to ...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2005-01-16 00:00:00
abstract：INTRODUCTION:Significant progress in the understanding of the molecular genetics and pathophysiology of inherited neuropathies has been achieved during the last years. DEVELOPMENT:The causative genetic defects of most of the demyelinating forms are known and different chromosomal loci have been identified for the rare...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2001-01-16 00:00:00
abstract：: TITLE:Utilidad de la resonancia magnetica craneal para el diagnostico de la distrofia miotonica de tipo 1. : ...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2019-02-01 00:00:00
abstract：INTRODUCTION:Hirayama disease is a rare children's muscular atrophy that affects young Asian males, with muscular atrophy usually in one of the upper limbs that progresses slowly and later stabilises. It is diagnosed by means of electromyographic/electroneurographic with conduction speed studies (EMG/ENG-CS) and by mag...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2015-04-01 00:00:00
abstract：:The medical literature contains a wide body of evidence supporting genetic involvement in neurodevelopmental disorders. Advances made in genetics and technology have increased the diagnostic cost-effectiveness of current studies from 3-5% to 30-40% in patients with intellectual disability or autism spectrum disorders....
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2014-02-24 00:00:00
abstract：:Brainstem dysgenesis designates all those patients with congenital dysfunction of cranial nerves and muscle tone due to prenatal lesions or malformations of the brainstem. This generic term has the advantage over the eponyms Moebius 'expanded' or 'unrestricted', Robin, Cogan or Carey-Fineman-Ziter syndromes in that it...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2018-04-01 00:00:00
abstract：INTRODUCTION:Fractures of the odontoid process make up between 10 and 15% of all cervical fractures. The decision as to when to operate on them is still controversial; the dilemma as to whether to use surgical or conservative treatment is still a problem. PATIENTS AND METHODS:We designed a descriptive study, which was...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：INTRODUCTION:Glutaric aciduria type I is an autosomal recessive inborn error of metabolism that is due to a deficiency of the enzyme glutaryl-CoA dehydrogenase, which gives rise to an accumulation of glutaric and 3-hydroxyglutaric acids in biological fluids. Clinical features present as a sudden-onset severe neurologic...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2007-05-16 00:00:00
abstract：INTRODUCTION AND DEVELOPMENT:Psychostimulant drugs encompass amphetamines, natural alkaloids like cocaine, and methyl-xanthynes. These drugs induce a strong dependence, manifested as sensitization and tolerance at a neurobiological level. Sensitization is currently being studied experimentally, and it is made up of two...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2006-08-01 00:00:00
abstract：INTRODUCTION AND OBJECTIVE:Some medical factors related with cardiopulmonary resuscitation (CPR) outcome are known. Moreover, there are other factors, not strictly medical ones, as age, gender, race and socioeconomic status, that influence on decisions of CPR. The aim of this study was to analyse the influence of all t...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：1997-10-01 00:00:00
abstract：INTRODUCTION:Valproic acid (VPA) is a useful antiepileptic drug for controlling different types of epilepsy. It has several side effects and is associated to increased body weight, as well as metabolic and endocrine disorders, including metabolic syndrome. AIM:To determine the prevalence of obesity and metabolic syndr...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2015-09-01 00:00:00
abstract：:Luis Simarro is considered to be the great precursor of Spanish Neurology, Neurohistology and Psychology. Together with Cajal he was one of the most outstanding figures of the Spanish freemasons in the field of medicine, where he reached the highest rank: Grand Master of the Spanish Great Orient. These historical note...
journal_title：Revista de neurologia
pub_type： 传,历史文章,杂志文章
doi：
更新日期：2001-05-16 00:00:00
abstract：INTRODUCTION:Attention deficit disorder with or without hyperactivity (ADHD) is characterised by the patients' inability to pay attention in non selective activities, hyperactivity that is difficult to inhibit, impulsiveness with failure to control their reactions and an unstable personality, which gives rise to diffic...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2004-03-16 00:00:00
abstract：INTRODUCTION:Lesions of the pyramidal system are characterized by their effects on qualitative aspects of movement. One of the features of pyramidal defects is the presence of associated movements or synkinesis. CLINICAL CASE:We present a case with residual associated electromyographic (EMG) response in a patient who ...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：1999-06-01 00:00:00
abstract：:Traffic accidents (TA) are, after heart disease, cancer and stroke, the fourth death cause among the general population. Although the number of AT caused by diseases-excluding alcoholism- seems to be reduced, interaction between organic pathology and functional ability increases the importance of this problem. This pa...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：1995-03-01 00:00:00
abstract：INTRODUCTION AND AIMS:The dysexecutive questionnaire (DEX) has been used to study executive deficits in both clinical samples (both psychiatric and neurological) and non-clinical samples, although agreement on its factorial structure is lacking. The aim of this research is to study that structure in the self-administer...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2012-12-01 00:00:00
abstract：INTRODUCTION:Semi-structured questionnaires, based on clinical criteria are used in the diagnosis of headache, but none has been used to study the two commonest types of chronic headache. The first step, before clinical application, is to carry out a study of the questionnaire's validity and predictive value. OBJECTIV...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：AIM:The aim is to review the molecular and genetic aspects of the dystrophic and no dystrophic myotonias. BACKGROUND:Myotonic diseases are hereditary conditions of the skeletal muscle, classified in two groups depending on the symptoms. In the first group are the myotonic dystrophies, with the myotonic dystrophies typ...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2004-04-01 00:00:00
abstract：INTRODUCTION:Several studies have reported alterations in the cerebrospinal fluid biomarkers (Abeta-42, T-tau and P-tau proteins), both in Alzheimer's disease (AD) and in mild cognitive impairment (MCI). AIM:To perform a meta-analysis of the diagnostic yield of this technique for the prediction of patients with MCI wh...
journal_title：Revista de neurologia
pub_type： 杂志文章,meta分析
doi：
更新日期：2010-02-16 00:00:00
abstract：INTRODUCTION:Dystonia is defined as a sustained co-contraction of agonistic and antagonistic muscles that can cause twisting, twitching and abnormal postures. Occupational dystonias are included in a special group of pathologies that are secondary to a repeated effort related to the professional activity carried out by...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2003-10-01 00:00:00
abstract：INTRODUCTION:Both the moment and the way chosen to break the news that a child aged 0-6 years is suffering, or may suffer, from a developmental disorder or disability have an effect on the parents and on the familial system that goes beyond the actual fact of knowing about the circumstance in itself. It is a very signi...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2012-02-29 00:00:00
abstract：INTRODUCTION:Diabetes and dementia are growing problems throughout the world and especially in developing countries. AIM:To determine the risk of developing dementia in subjects with type 2 diabetes mellitus. PATIENTS AND METHODS:Diabetic elders free of dementia from the Mexican Health and Aging study, a prospective ...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2011-10-01 00:00:00
abstract：INTRODUCTION:Dreams are a universal human experience and studying them from the point of view of neuroscience, consciousness, emotions and cognition is quite a challenge for researchers. Thus, dreams have been addressed from a number of different perspectives ranging from philosophy to clinical medicine, as well as psy...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2012-07-16 00:00:00
abstract：INTRODUCTION:Piribedil is a D2 D3 dopamine agonist, which has been shown to be well tolerated and to improve Parkinsonian symptoms, particularly tremor. However, few studies have been published about this Dopamine Agonist as an adjunct to levodopa therapy in patients with Parkinson's disease (PD). This placebo controll...
journal_title：Revista de neurologia
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2004-04-16 00:00:00
abstract：INTRODUCTION AND AIM:After acute episode, a great number of individuals who survive a stroke have impairments that impede them to carry out with autonomy a set of basic activities of daily life and instrumental activities of daily life. The clinical evaluation health self perception is a useful element on patient's rec...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2006-06-01 00:00:00
abstract：INTRODUCTION:White matter lesions are more prevalent in migraine patients than in the general population, especially those with a high frequency of attacks. A patent foramen ovale has been described as a possible link between migraine and white matter lesions. AIM:To determine the existence of a possible relationship ...
journal_title：Revista de neurologia
pub_type： 杂志文章
doi：10.33588/rn.7010.2019435
更新日期：2020-05-16 00:00:00
abstract：:Taking the characteristics of the ideal antiepileptic drug as the standard, the advantages and disadvantages of the drugs commercially available in recent years-vigabatrin, lamotrigin, gabapentin, and felbamate-are considered from the point of view of their mode of action, pharmacokinetic properties, therapeutic spect...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：1996-11-01 00:00:00
