RESUMO
The development of the anatomical-clinical method was a huge advance for modern medicine since it revealed a new approach to understanding diagnostic procedures. This change in medical thinking towards a more scientific basis has gradually evolved over several centuries, reaching its brilliant zenith with the contributions of the French school. There are certain similarities between the guidelines of the anatomical-clinical method and René Descartes' philosophical principles, so it is fair to consider him as one of the major precursors in this new line of thinking that definitely influenced the historical course of medicine.
Assuntos
Medicina Clínica , Neurologia , Filosofia/história , Pensamento , Medicina Clínica/história , Medicina Clínica/métodos , Guias como Assunto , História do Século XVII , Humanos , Neurologia/história , Neurologia/métodosRESUMO
El desarrollo del método anatomoclínico supuso un gran avance para la medicina moderna, ya que fue una nueva forma de entender el proceso diagnóstico. Este cambio de pensamiento hacia una forma más científica fue desarrollándose gradualmente durante varios siglos y culminó de forma brillante con las aportaciones de la escuela francesa. Hay ciertas similitudes entre el planteamiento del método anatomoclínico y el método filosófico propuesto por René Descartes, por lo que parece justo considerar a Descartes como uno de los precursores de una forma de pensar que cambió para siempre la medicina (AU)
The development of the anatomical-clinical method was a huge advance for modern medicine since it revealed a new approach to understanding diagnostic procedures. This change in medical thinking towards a more scientific basis has gradually evolved over several centuries, reaching its brilliant zenith with the contributions of the French school. There are certain similarities between the guidelines of the anatomical-clinical method and René Descartes philosophical principles, so it is fair to consider him as one of the major precursors in this new line of thinking that definitely influenced the historical course of medicine (AU)
Assuntos
História do Século XVII , Humanos , Medicina Clínica/história , Medicina Clínica/métodos , Neurologia/história , Neurologia/métodos , Filosofia/história , Pensamento , Guias como AssuntoRESUMO
OBJECTIVE: To study acute cerebrovascular ischemia in young persons in our environment. PATIENTS AND METHODS: A retrospective study was made of 68 patients, aged between 15 and 45, with transient ischemic accidents (TIA) or cerebral infarcts. Etiological factors, clinical features, diagnostic groups according to the TOAST classification and prognosis were analyzed. RESULTS: In our series there was a ratio of 1.26 in favor of the women. TIAs made up 29.4% of the cases. The most commonly affected territory was that of the carotid artery. In persons over the age of 30 there was greater prevalence of this pathology and of the risk factors diabetes, arterial hypertension and dyslipaemia. There was a significant association with migraine in those aged under 30. The biggest diagnostic group was that of infarct of unknown origin (39.7%), probably because of the specificity of the classification. The functional condition on follow-up was good: only 4.4% of the patients had a score greater than 3 on the Rankin scale. There were no deaths either during the acute phase or subsequently. Recurrences were seen in 10.2% of the patients. CONCLUSIONS: The results obtained in our series are similar to those published in the literature. In acute cerebrovascular ischaemia in young persons, full diagnostic investigations should be carried out in order to give suitable treatment.
