[Early subdural haematoma as the first symptom of intracranial hypotension syndrome: results from magnetic resonance imaging].

Introduction: Subdural haematoma associated to intracranial hypotension syndrome (IHS) is an infrequent complication. Its sudden early appearance in this female patient allowed us to diagnose and treat the syndrome at an early stage of development.

Case Report: We describe the case of a 29-year-old patient who had a caesarean with spinal anaesthesia and, 48 hours afterwards, presented IHS accompanied by focal neurological symptoms as a consequence of a subdural haematoma.

[Cost effectiveness of the diagnostic study of dementia in an extra-hospital Neurology service].

Aim: The purpose of this study was to analyse the cost effectiveness of the complementary tests in the diagnosis of reversible causes of dementia in an extra-hospital Neurology service.

Patients And Methods: Patients referred to the Neurology service from Primary Care with a diagnosis of dementia according to DSM-III-R criteria. The following routine complementary tests were performed: 1.

[Dilation of the ventriculus terminalis, an infrequent cause of lower back pain. Magnetic resonance findings].

Introduction: Ventriculus terminalis is the name given to a congenital disorder that consists in the appearance of a small oval ependymal cystic cavity in the conus medullaris. It is formed during embryogenesis as a result of the differentiation between the canalisation and regression of the spinal cord. The aim of this study is to describe the findings obtained by magnetic resonance (MR) imaging concerning the dilation of the ventriculus terminalis in a symptomatic patient.

[Descriptive epidemiology of ambulatory neurological care in the Vega Baja (Alicante) area].

Aims: The aim of our work is to analyse ambulatory neurological care in the area of Vega Baja, which is located in the province of Alicante (Spain), in order to find out: a) the demographic characteristics of the population that visits the neurologist; b) the motives that led to the visit; c) the diagnoses carried out.

Patients And Methods: A prospective two year study of patients over the age of 14 sent to the Neurology department. The reasons for the visit were classified into 15 categories and the diagnoses were given a code according to the criteria set out in the International Classification of Diseases 9th edition.

[Amaurosis fugax as the sole manifestation of a dural arteriovenous fistula].

Introduction: Ophthalmologic disorders caused by arteriovenous malformations (AVM) are generally related with alterations in the cavernous sinus or papilloedema. However, the appearance of amaurosis fugax (AF) as the sole clinical manifestation of an AVM has very rarely been reported in the literature.

Case Report: We present the case of a 64 year old male patient who displayed recurring episodes of temporary monocular blindness (AF) as a consequence of the haemodynamic disorders triggered off in the course of a dural AVM.

[First adult seizures].

This review analyses the diagnostic, prognostic and therapeutic aspects of a first epileptic crisis occurring in adult patients. Although it is generally accepted that a cranial CT scan is indicated after the first crisis in order to rule out a structural cerebral lesion after the first crisis, the need for cerebral MR studies in such cases is debatable. The decision to begin anticonvulsant treatment is very controversial, mainly because of the difficulty in assessing the risk of recurrence in any given person.