ABSTRACT
Introducción: El síndrome doloroso regional complejo se caracteriza por hiperalgesia, dolor espontáneo o inducido, y alteraciones sensoriales, tróficas y motoras. Genera una limitación funcional severa y, en ocasiones, se asocia al inicio o la exacerbación del síndrome de túnel del carpo. Objetivo: Caracterizar la relación entre el síndrome de túnel del carpo y el síndrome doloroso regional complejo. Presentación de caso: Se describe el caso de una paciente del sexo femenino, con 54 años y antecedente de Síndrome de túnel del carpo en miembro superior derecho. Este se exacerbó por la aparición de un síndrome doloroso regional complejo secundario a celulitis. Conclusiones: La aparición y la exacerbación aguda del Síndrome de túnel del carpo se deben considerar complicaciones del síndrome doloroso regional complejo para manejar y reducir las secuelas funcionales.
Introduction: Complex regional pain syndrome is characterized by hyperalgesia, spontaneous or induced pain, and sensory, trophic, and motor alterations. It generates severe functional limitation and it is sometimes associated with the onset or exacerbation of carpal tunnel syndrome. Objective: To characterize the relationship between carpal tunnel syndrome and complex regional pain syndrome. Case report: We report the case of a 54-year-old female patient with a history of carpal tunnel syndrome in the right upper limb. This was exacerbated by the appearance of a complex regional pain syndrome secondary to cellulitis. Conclusions: The onset and acute exacerbation of carpal tunnel syndrome should be considered complications of complex regional pain syndrome to manage and reduce functional sequelae.
ABSTRACT
OBJECTIVE: Evaluating language development by comparing the Munich Development method to the Early Language Milestone scale for identifying both diagnostic tests' agreement and enriching neurodevelopmental consultation. METHODS: The clinical histories of a cohort of 129 children were evaluated, as prematurity is a risk factor for deviation in children's language development. The children had less than 40 weeks gestational age and 0 to 12 months corrected age. They were given both tests between 2008 and 2011. The results from both scales were compared regarding receptive and expressive language and visual response (Early Language Milestone scale) and evaluation of verbal response, vocal play, understanding and expression (Munich scale). Student's T-test was used for comparing means for paired samples. Results: A statistically significant correlation (p<0.05) was found between both tests and between them and corrected age. It was seen that the higher the corrected age, the greater correlation there was between tests. CONCLUSION: The Early Language Milestone and Munich Development scales, regarding their components dealing with language, both represent useful tools for following-up premature children's language development.
Subject(s)
Infant, Premature, Diseases/diagnosis , Language Development Disorders/diagnosis , Language Development , Language Tests , Child, Preschool , Female , Follow-Up Studies , Humans , Infant , Infant, Newborn , Infant, Premature , Male , Retrospective StudiesABSTRACT
Objetivo Evaluar el desarrollo del lenguaje mediante la comparacion de dos pruebas: el método del desarrollo de MUNICH y la escala de evaluación del lenguaje EARLY LANGUAGE MILESTONE, con el proposito de identificar la correspondencia de los dos test diagnosticos y enriquecer la consulta de neurodesarrollo. Método Teniendo en cuenta que La prematurez es un factor de riesgo para presentar desviaciones del desarrollo del lenguaje en el niño; se evaluaron las historias clínicas de una cohorte de 129 niños, con edad gestacional menor de 40 semanas y edad corregida de 0 a 12 meses, a quienes se les había aplicado los dos test, entre los años 2008 y 2011, se compararon los resultados de las dos escalas en lo que tiene que ves al lenguaje comprensivo, lenguaje expresivo y respuesta visual, de EARLY LANGUAJE MILESTONE, como la evaluacion de respuesta verbal, juego vocal, conprensión y expresión de la escala de MUNICH. Se realizo una comparación de medias mediante la prueba de T de Student para muestras paredas. Resultados Se encontró una correlación estadísticamente significativa (p<0,05) entre los dos test y entre estos con la edad corregida. Se evidenció que a mayor edad corregida existe mayor correlación entre las pruebas. Conclusión La escala de Early Language Milestone y el método diagnóstico funcional del desarrollo según M únich, en sus tópicos de lenguaje, son herramientas útiles para el seguimiento del desarrollo del lenguaje en los niños con antecedente de prematurez.
Objective Evaluating language development by comparing the Munich Development method to the Early Language Milestone scale for identifying both diagnostic tests' agreement and enriching neurodevelopmental consultation. Methods The clinical histories of a cohort of 129 children were evaluated, as prematurity is a risk factor for deviation in children's language development. The children had less than 40 weeks gestational age and 0 to 12 months corrected age. They were given both tests between 2008 and 2011. The results from both scales were compared regarding receptive and expressive language and visual response (Early Language Milestone scale) and evaluation of verbal response, vocal play, understanding and expression (Munich scale). Student's T-test was used for comparing means for paired samples. Results A statistically significant correlation (p<0.05) was found between both tests and between them and corrected age. It was seen that the higher the corrected age, the greater correlation there was between tests. Conclusion The Early Language Milestone and Munich Development scales, regarding their components dealing with language, both represent useful tools for following-up premature children's language development.
