ABSTRACT
Status epilepticus causes significant morbidity and mortality. A case of generalized status epilepticus followed by massive pulmonary aspiration, acute respiratory failure and transient central diabetes insipidus is presented. Seizures were promptly controlled, but the patient required mechanical ventilation and correction of polyuria with desmopressin acetate. During hospitalization mental status improved, diabetes insipidus spontaneously remitted and he was discharged without neurologic sequelae. The clinical and pathophysiological features of this case are discussed.
Subject(s)
Diabetes Insipidus/complications , Pneumonia, Aspiration/complications , Status Epilepticus/etiology , Acute Disease , Adult , Humans , Male , Respiratory Insufficiency/complications , Vasopressins/metabolismABSTRACT
Os autores apresentam um caso de condrocalcinose em joelhos, cujo aspecto clinico e radiologico poderia sugerir uma artropatia neurogenica. Fazem revisao da literatura e discutem a importancia da existencia ou nao de uma artropatia neurologica em razao das possibilidades terapeuticas
Subject(s)
Arthropathy, Neurogenic , ChondrocalcinosisABSTRACT
Os autores estudaram a aplicacao da plasmaferese em 15 casos de artrite reumatoide definida. Por facilidade tecnica, opinaram pela remocao diaria de 500ml de sangue com a reposicao dos elementos figurados. O metodo nao exige reposicao de plasma, e relativemente inocuo e apresentou resultados satisfatorios a curto e medio prazo
