Subject(s)
Polyneuropathies/complications , Polyneuropathies/therapy , Spastic Paraplegia, Hereditary/complications , Adolescent , Brain Mapping , Electroencephalography , Female , Follow-Up Studies , Humans , Neuropsychological Tests , Polyneuropathies/diagnosis , Rare Diseases , Risk Assessment , Severity of Illness Index , Spastic Paraplegia, Hereditary/diagnosis , Spastic Paraplegia, Hereditary/therapy , Sri LankaSubject(s)
Acanthocytes , Movement Disorders/diagnosis , Adult , Humans , Male , Movement Disorders/bloodSubject(s)
Leptospirosis/diagnosis , Adult , Humans , Leptospirosis/complications , Male , Myelitis, Transverse/etiology , Papilledema/etiologyABSTRACT
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.
Subject(s)
Medical Audit , Stroke/therapy , Humans , Retrospective Studies , Sri LankaSubject(s)
Brain Stem , Hyperventilation/etiology , Brain Diseases/complications , Fatal Outcome , Female , Humans , Middle AgedSubject(s)
Cerebral Infarction/etiology , Hemianopsia/etiology , Hemoglobinuria, Paroxysmal/complications , Hyperhomocysteinemia/complications , Paresis/etiology , Protein C Deficiency/complications , Stroke/etiology , Adult , Age Factors , Causality , Cerebral Infarction/diagnosis , Echocardiography , Hemianopsia/diagnosis , Hemoglobinuria, Paroxysmal/diagnosis , Hemoglobinuria, Paroxysmal/genetics , Humans , Hyperhomocysteinemia/diagnosis , Hyperhomocysteinemia/genetics , Male , Paresis/diagnosis , Protein C Deficiency/diagnosis , Protein C Deficiency/genetics , Stroke/diagnosis , Tomography, X-Ray ComputedABSTRACT
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.
Subject(s)
Foot Ulcer/etiology , Hereditary Sensory and Autonomic Neuropathies/diagnosis , Neurons, Afferent/pathology , Action Potentials , Child , Diagnosis, Differential , Hereditary Sensory and Autonomic Neuropathies/complications , Hereditary Sensory and Autonomic Neuropathies/pathology , Hereditary Sensory and Autonomic Neuropathies/physiopathology , Humans , Hypohidrosis/etiology , Male , Nerve Fibers, Myelinated/pathology , Sural Nerve/physiopathology , Ulnar Nerve/physiopathologyABSTRACT
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.
Subject(s)
Angiostrongylus cantonensis , Central Nervous System Helminthiasis/diagnosis , Central Nervous System Helminthiasis/parasitology , Eosinophilia , Meningitis/diagnosis , Meningitis/parasitology , Adult , Animals , Central Nervous System Helminthiasis/cerebrospinal fluid , Diagnosis, Differential , Eosinophilia/blood , Eosinophilia/cerebrospinal fluid , Humans , Male , Meningitis/cerebrospinal fluid , Spinal PunctureABSTRACT
Observations are presented on 3 patients, including one autopsy report, with peripheral neuropathy due to perhexilene maleate (Pexid). Clinically and biochemically perhexilene neuropathy presents features unusual for a drug-induced neuropathy. Patients liable to develop neuropathy can be recognised from clinical criteria or by the use of routine electrophysiological determinations of nerve conduction velocities. At this stage the neuropathy is readily reversible if perhexilene therapy is discontinued. We have sought to examine the problems entailed in the future safety of perhexilene and allied drugs.
