ABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Lymphohistiocytosis, Hemophagocytic/etiology , Brain Diseases/complications , Lymphohistiocytosis, Hemophagocytic/diagnosis , Lymphohistiocytosis, Hemophagocytic/epidemiology , Brain Diseases/diagnosis , Splenomegaly/diagnostic imaging , Positron-Emission Tomography , Disease Progression , Diagnosis, DifferentialABSTRACT
BACKGROUND: This study assesses the lifetime and active prevalence of epilepsy in Spain in people older than 18 years. METHODS: EPIBERIA is a population-based epidemiological study of epilepsy prevalence using data from three representative Spanish regions (health districts in Zaragoza, Almería, and Seville) between 2012 and 2013. The study consisted of two phases: screening and confirmation. Participants completed a previously validated questionnaire (EPIBERIA questionnaire) over the telephone. RESULTS: A total of 1741 valid questionnaires were obtained, including 261 (14.99%) raising a suspicion of epilepsy. Of these suspected cases, 216 (82.75%) agreed to participate in phase 2. Of the phase 2 participants, 22 met the International League Against Epilepsy's diagnostic criteria for epilepsy. The estimated lifetime prevalence, adjusted by age and sex per 1,000 people, was 14.87 (95% CI: 9.8-21.9). Active prevalence was 5.79 (95% CI: 2.8-10.6). No significant age, sex, or regional differences in prevalence were detected. CONCLUSIONS: EPIBERIA provides the most accurate estimate of epilepsy prevalence in the Mediterranean region based on its original methodology and its adherence to ILAE recommendations. We highlight that the lifetime prevalence and inactive epilepsy prevalence figures observed here were compared to other epidemiological studies.
Subject(s)
Epilepsy/epidemiology , Adult , Age Factors , Female , Humans , Male , Middle Aged , Population Surveillance , Prevalence , Spain/epidemiology , Young AdultABSTRACT
Descriptive epidemiology research involves collecting data from large numbers of subjects. Obtaining these data requires approaches designed to achieve maximum participation or response rates among respondents possessing the desired information. We analyze participation and response rates in a population-based epidemiological study though a telephone survey and identify factors implicated in consenting to participate. Rates found exceeded those reported in the literature and they were higher for afternoon calls than for morning calls. Women and subjects older than 40 years were the most likely to answer the telephone. The study identified geographical differences, with higher RRs in districts in southern Spain that are not considered urbanized. This information may be helpful for designing more efficient community epidemiology projects.
Subject(s)
Interviews as Topic/methods , Motivation , Population Surveillance/methods , Adolescent , Adult , Data Collection/methods , Epidemiologic Studies , Female , Humans , Male , Middle Aged , Spain/epidemiology , Young AdultABSTRACT
Se presenta un caso de una mujer de 43 años que presentaba una zona de anhidrosis localizada en la parte superior izquierda del tronco y extremidad superior ipsolateral. Se asociaba a una pupila tónica de Adie y a una zona de hiperhidrosis compensatoria en el lado contralateral. Tras 9 años de seguimiento, las alteraciones han permanecido estables. Estas alteraciones del sistema nervioso autónomo corresponden a un síndrome de Ross con expresión incompleta
We present the case of a 43-year-old woman who presented with a localized area of anhidrosis on the upper left trunk and ipsilateral upper limb. It was associated with Adie's tonic pupil and an area of compensatory hyperhidrosis on the contralateral side. After 9 years of follow up, the alterations have remained stable. These alterations of the autonomous nervous system correspond to an incompletely expressed Ross syndrome
Subject(s)
Female , Adult , Humans , Hypohidrosis/physiopathology , Tonic Pupil/physiopathology , Hyperhidrosis/physiopathology , Adie Syndrome/physiopathology , Autonomic Nervous System Diseases/physiopathology , Diagnosis, DifferentialABSTRACT
We present the case of a 43-year-old woman who presented with a localized area of anhidrosis on the upper left trunk and ipsilateral upper limb. It was associated with Adie's tonic pupil and an area of compensatory hyperhidrosis on the contralateral side. After 9 years of follow up, the alterations have remained stable. These alterations of the autonomous nervous system correspond to an incompletely expressed Ross syndrome.
