Asunto(s)
Adolescente , Mapeo Encefálico , Electroencefalografía , Femenino , Estudios de Seguimiento , Humanos , Pruebas Neuropsicológicas , Polineuropatías/complicaciones , Enfermedades Raras , Medición de Riesgo , Índice de Severidad de la Enfermedad , Paraplejía Espástica Hereditaria/complicaciones , Sri LankaAsunto(s)
Adulto , Humanos , Leptospirosis/complicaciones , Masculino , Mielitis Transversa/etiología , Papiledema/etiologíaRESUMEN
OBJECTIVE: To audit the process of stroke care. DESIGN: Retrospective case record evaluation using an audit package designed by the Royal College of Physicians of London. SETTING: Institute of Neurology, National Hospital of Sri Lanka, Colombo. PATIENTS: 263 patients with stroke admitted over a period of 3 years. MEASUREMENTS: Documentation of 60 audit items related to 13 aspects of stroke care. RESULTS: The process of care was considered 'very good' for only 11 (18.3%), and 'good' for only 9 (15%) of the audit items. Care was 'average' for 5 (8.3%), 'poor' for 9 (15%) and 'very poor' for 26 (43.3%) of the items. CONCLUSIONS: Stroke care was suboptimal in many aspects. Care related to rehabilitation oriented neurological assessments, initiation of secondary preventive measures, rehabilitation planning and discharge planning were especially deficient. Competing interests: none declared. Some of the data reported in this paper have been presented at the Annual Scientific Sessions of the Sri Lanka Medical Association, 1998.
Asunto(s)
Humanos , Auditoría Médica , Estudios Retrospectivos , Sri Lanka , Accidente Cerebrovascular/terapiaAsunto(s)
Adulto , Factores de Edad , Causalidad , Infarto Cerebral/diagnóstico , Ecocardiografía , Hemianopsia/diagnóstico , Hemoglobinuria Paroxística/complicaciones , Humanos , Hiperhomocisteinemia/complicaciones , Masculino , Paresia/diagnóstico , Deficiencia de Proteína C/complicaciones , Accidente Cerebrovascular/diagnóstico , Tomografía Computarizada por Rayos XAsunto(s)
Adulto , Humanos , Masculino , Persona de Mediana Edad , Destreza Motora , Temblor , EscrituraRESUMEN
We describe a case of hereditary sensory and autonomic neuropathy (HSAN) type II in a child with a penetrating foot ulcer, acral sensory impairment, and anhidrosis. This is the first documentation of HSAN in Sri Lanka.
Asunto(s)
Potenciales de Acción , Niño , Diagnóstico Diferencial , Úlcera del Pie/etiología , Neuropatías Hereditarias Sensoriales y Autónomas/complicaciones , Humanos , Hipohidrosis/etiología , Masculino , Fibras Nerviosas Mielínicas/patología , Neuronas Aferentes/patología , Nervio Sural/fisiopatología , Nervio Cubital/fisiopatologíaRESUMEN
A case of eosinophilic meningitis is reported, a condition not previously reported from Sri Lanka. We propose Angiostrongylus cantonesis to be the most likely causative agent in this patient.