[PDF] Top 20 Objetos de aprendizaje para la enseñanza de derivadas direccionales: diseño, implementación y evaluación

... for distortions of vision in terms of size (micropsia or macropsia), shape (meta- morphopsia), and color (dyschromatopsia) is broad and can localize to the orbit itself or alternatively to the occipital ... See full document

... A 64-year-old man was referred for evaluation of double vision in March 2009. Four months prior, he experi- enced daily pain in the region of the right forehead and right eye. Two months ... See full document

... corresponding improvement in MRC strength to 5/5 in all lower extremity muscle groups except for hip flexors, still at 2/5. Given the residual weakness, he underwent autologous stem cell transplantation with high-dose ... See full document

... vealed increased left optic nerve enlargement, with extension into the chiasm and pathologic enhance- ment. At another institution, a presumptive diagno- sis of a left optic nerve glioma was made on the basis of ... See full document

... with visual cues and is thought to be caused by deficits in functional networks involving the fron- tal lobes, basal ganglia, brainstem, and dorsomedial cerebellar locomotor ... See full document

... Because of these imaging findings, neurosurgery, ophthal- mology, and endocrinology were consulted. Endocrinology recommended starting hydrocortisone 50 mg IV every 6 hours to support the hypothalamic–pituitary axis, as ... See full document

... examination showed no relative afferent defect and visual fields were full. He was found to have bilateral abducens palsy with an esotropia of 30 D and a left hy- pertropia of 2 D with notable mild right head ... See full document

... Mental state examination was unremarkable and he followed 3-step commands with ease. Extraocular eye movements were intact. Visual acuity and visual fields were unremarkable and the pupils reacted briskly. ... See full document

... Our patient was treated with rivastigmine with no clear benefit. Over the following year, he experienced several freezing episodes and could no longer ambulate independently. A trial of carbidopa/levodopa (half of ... See full document

... An 18-year-old man presented to the emergency department after 3 weeks of intermittent headaches. He had experienced dull episodic central-parietal pain occurring 1 to 2 times a day and lasting for ... See full document

... A 56-year-old man presented with progressive neuro- logic symptoms that developed more than 14 years ago. His symptoms started with numbness in the toes, followed by slowly progressive lower ... See full document

... slow clinical course, autoimmune-prone history, absence of fasciculations, absence of neuropathic fea- tures in the muscle biopsy, and the knowledge that in IBM, the EMG may show a neurogenic process and that the ... See full document

... of these findings were present in our patient, but when present, they might also confuse the diagnosis of neurosarcoidosis and multiple sclerosis (MS) be- cause both diseases present similarly. As clinical pre- ... See full document

... A 57-year-old man presented with spasms of his left jaw. Two years prior, he had developed left-sided facial numb- ness followed by development of left-sided shock-like pain and then involuntary and ... See full document

... 79-year-old man was referred to the neuromuscular clinic for evaluation of severe ...One year ago, he began tripping over his feet due to ankle weakness, resulting in falls on several ... See full document

... the clinical in- volvement of the flexor muscle of the third finger (innervated by the median nerve) and the absence of sensory symptoms, usually expected in an ulnar ... See full document

... A detailed neuro-ophthalmologic history and exami- nation is critical for evaluation of double vision (table). First, it should be established whether double vision is monocular (persists with the fellow eye closed) or ... See full document

... 65-year-old man with well-controlled diabetes presented with 3 months of progressive left- side predominant weakness accompanied by painless paresthesias of his bilateral upper and lower ... See full document

... Vietnamese man presented to the hospital with rapid cognitive ...of clinical improvement and extension of T2 hyperintense signal on repeat MRI, detailed ... See full document

... with clinical, laboratory, and radiologic features of a myriad of infectious, immune-mediated, and malignant etiolo- ...factors, clinical findings, and supporting laboratory ... See full document