RESUMO
We present a 61-year old patient with diagnosis of progressive supranuclear palsy. 2 years after the beginning of her complaints the diagnosis was based on the results of neurological examination. The ENG examination (among others vertical gaze paralysis) and the MR examination (2 of 3 criteria were met). The course of the disease was complicated by epilepsy and the treatment with carbamazepine was commenced. A significant improvement of her neurological and mental status was observed. The authors suggest checking this observation on larger number of patients with PSP.
Assuntos
Anticonvulsivantes/uso terapêutico , Carbamazepina/uso terapêutico , Paralisia Supranuclear Progressiva/tratamento farmacológico , Eletroencefalografia , Feminino , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Paralisia Supranuclear Progressiva/diagnóstico , Tomografia Computadorizada de Emissão de Fóton ÚnicoRESUMO
The patient, a women aged 52, with a three-year history of treatment for arterial hypotension, was admitted to hospital because of progressing worsening of symptoms. The whole clinical syndrome made possible the recognition of multiple system atrophy as the cause of her symptoms. In view of failures in previous treatment it was decided to give her erythropoietin injections for four weeks. The treatment led to improvement of her status. The authors discuss the probable action mechanism of erythropoietin in this case.
Assuntos
Eritropoetina/uso terapêutico , Atrofia de Múltiplos Sistemas/tratamento farmacológico , Feminino , Hospitalização , Humanos , Pessoa de Meia-Idade , Atrofia de Múltiplos Sistemas/reabilitaçãoRESUMO
The authors describe a case of basilar migraine in 35-year old woman. The diagnostic examinations performed in accordance with our expectations did not show abnormalities. Like other authors we think that the symptoms are caused by disturbances of vascularisation in basilar artery area.
