[PDF] Top 20 La evaluación de proyectos y procesos culturales

... IV immunoglobulin (IVIg), plasmapheresis, and glucocorti- coids have historically been applied as treatment for MFS and BBE. Study of treatment effectiveness is limited to retro- spective research in a small number of ... See full document

... 56-year-old woman with a recent diagnosis of primary light-chain (AL) (lambda type) amyloidosis complicated by mild infiltrative cardiomyopathy and autonomic neuropathy had sudden onset vertigo and ... See full document

... restless woman with pseudobulbar affect who was unable to provide a meaningful his- ...abnormalities. Mental status testing revealed a mild to moderate degree of encephalopathy including ... See full document

... The hallmark of encephalopathic behavior includes pronounced deficits in attention, concentration, memory, judgment, and level of consciousness. These may occur alone or in some combination, sometimes associated with ... See full document

... The patient was discharged to a subacute rehabilitation fa- cility, after being restarted on cART and with appropriate compliance. However, about 5 weeks after her initial pre- sentation, she returned to the hospital ... See full document

... and ataxia from dysfunction of brainstem, cerebellum, and spinal cord structures and ...intact mental status, strength, deep tendon reflexes, and pro- prioception, and the absence of aphasia or ... See full document

... A 33-year-old right-handed woman presented with a 1-week history of rapid cognitive decline. The behavioral changes emerged gradually, with the first sign marked by erratic driving resulting in ... See full document

... plicated as potential triggers of RCVS, including nasal decongestants, nicotine, amphetamines, cocaine, cannabis, triptans, and selective serotonin reuptake inhibitors. 1,9,10 We considered brain biopsy to evaluate for ... See full document

... Returning to the case. Disease-modifying therapy was not instituted and the patient was followed with fre- quent clinical and MRI examinations. He remained clinically and radiologically stable for 2 years before ... See full document

... Our patient’s mental status progressively deteriorated, eventually requiring intubation for airway protection. Six weeks into her disease process, her examination was sig- nificant for obtundation, extensive ... See full document

... Amplification and direct sequencing of genomic coding DNA and splicing regions, using DNA from the patient ’ s peripheral blood, confirmed the presence of the Arg271Gln mutation in heterozygosity. The pa- tient ’ s ... See full document

... sensory ataxia, with a positive Romberg sign, brisk deep tendon reflexes of the lower limbs, distal tactile hypoesthesia, without a clear sensory level, and altered sense of vibration and position of the ... See full document

... The patient presented with subacute onset of left hemi- ballism 1 month after head trauma in setting of multiple vascular risk factors, acute-on-chronic hyperglycemia, and history of cancer. Imaging was notable for ... See full document

... She had no complaints but could not explain why she was in the hospital. She was afebrile with normal blood pressure. She appeared well and had a normal postpartum abdominal examination. She was inat- tentive and abulic ... See full document

... She was known to the clinic, having presented the year prior with several years of progressive numbness and paraesthesias in the feet, lower legs, and hands. An EMG at that time revealed severe sensorimotor ... See full document

... cerebellar ataxia can be narrowed by the timing of clinical ...acute-onset ataxia include 3 categories of pathology: vascular, toxic, and ...Acute-onset ataxia can also result from exposure to ... See full document

... Case presentation. A 59-year-old woman with a history of hypertension developed acute bilateral flaccid leg weakness while watching television. She had shifted her weight while sitting on the couch ... See full document

... A 45-year-old woman presented with immobility and incontinence in July 2016. Her symptoms started 6 months prior to presentation, when she had multiple falls (without major injuries) at home because ... See full document

... The patient was treated with reinduction and consolidation therapy. Total body irradiation with a boost to the left brachial plexus provided marked im- provement in her symptoms, with complete resolu- tion of the ... See full document

... Her general examination, including orthostatic blood pressure, was normal. Her mental status was normal; visual acuity could be corrected to 20/20. Her pupils were symmetric with a sluggish re- sponse to ... See full document