RESUMEN
We report on the preliminary clinical and electrophysiological aspects of an in-patient possibly presenting epilepsia partialis continua (Koshevnikov). We discuss the different etiologies and emphasize on the possible idiopathic form in this case
Asunto(s)
Humanos , Adulto , Femenino , Epilepsia Parcial Continua/fisiopatología , Epilepsia Parcial Continua/etiologíaRESUMEN
We report on the clinical characteristics of amyotrophic lateral sclerosis (ALS) in Fortaleza (Northeastern Brazil). For this, we analyzed retrospectively (from 1980 to 1999) 78 cases of ALS from the Service of Neutrology of the University Hospital of Fortaleza diagnosed clinically and laboratorially (EMG, muscle biopsy, myelography, blood biochemistry, muscle enzymes and cranio-cervical X-ray). The results showed that they were mostly sporadic ALS (76/78), and they were divided into definite (n=36), probable (n=20), possible (n=15) and suspected (n=7), according to the level of diagnostic certainty. They were also subdivided into juvenile (n=17), early-onset adult (n=18), age-specific (n=39) and late-onset (n=4) groups. Clinically, they presented as initals symptoms, principally, asymmetrical (30/78) and symmetrical (24/78) weakness of extremities, besides bulbar signs, fasciculations, and atrophy. Curiously, pain as first symptom occurred in an expessive fashion (17/78). The predominant initial anatomic site, in this series, was the spinal cord, and mainly affecting the arms. As to the symptom accrual from region to region, this occurs more quickly in contiguous areas, and fasciculations are predominant when bulbar region was associated.
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Persona de Mediana Edad , Esclerosis Amiotrófica Lateral/diagnóstico , Esclerosis Amiotrófica Lateral/fisiopatología , Brasil , Estudios RetrospectivosAsunto(s)
Humanos , Programas Informáticos , Cardiología , Medicina Interna , Diagnóstico Diferencial , Estudio de EvaluaciónRESUMEN
Os autores relatam um caso clínico de associaçäo de polimiosite com miastenia gravis, dissertando sobre as características específicas de cada patologia assim como a possibilidade e significado etiopatológico da associaçäo das duas. Enfatizam as medidas terapêuticas tomadas e seus resultados, e a forma rara de polimiosite seguida posteriormente de miastenia