6,279 results match your criteria: "Servicio de Neurologia; Hospital Universitario del Aire[Affiliation]"

Background: COVID-19-related restrictions led to an increase in overall loneliness and social isolation. Before the pandemic, care partners reported higher levels of loneliness and higher loneliness prevalence compared to non-care partners. Because of the spread and severity of the infections, and the access to support spread, we expect a different impact of the COVID-19 pandemic on LATAM care partners.

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Therapeutic Challenges Derived from the Interaction Among Apolipoprotein E, Cholesterol, and Amyloid in Alzheimer's Disease.

Int J Mol Sci

November 2024

Departamento de Medicina, Facultad de Ciencias de la Salud, Universidad de Oviedo, ES-33006 Oviedo, Spain.

The isoform E4 of the Apolipoprotein E (ApoE) represents one of the strongest genetic risk factors for late-onset Alzheimer's disease (AD). ApoE has key roles in cholesterol transport and amyloid-β (Aβ) metabolism, which are both central to AD pathogenesis. The E4 isoform has been implicated in reduced cholesterol homeostasis, increased Aβ aggregation, and heightened tau phosphorylation, contributing to amyloid plaques and neurodegeneration.

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Introduction: Diagnosis of neurological involvement in Lyme disease is based on two-step serological testing and cerebrospinal fluid pleocytosis. In Spain its incidence is much lower than in other European countries, being Asturias the region with the highest incidence. We tried to analyse the clinical and epidemiological aspects in the main hospital in Asturias.

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Background: The term rapidly progressive dementia (RPD) describes a disorder with rapid progression which leads to a major cognitive decline in less than 1 or 2 years. Neurosyphilis is an infectious cause of RPD and it is classified clinically into early and late forms. The latter affect the brain and spinal cord parenchyma.

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[Epidemiological and clinical aspects of Guilain-Barré syndrome, 2012-2022].

Rev Med Inst Mex Seguro Soc

November 2024

Secretaría de Salud, Instituto Nacional de Neurología y Neurocirugía, Departamento de Epidemiología. Ciudad de México, México.

Article Synopsis
  • Guillain-Barré syndrome (GBS) is an autoimmune disorder that often follows infections and is a major cause of paralysis globally, primarily affecting younger adult males.
  • A study reviewed 477 GBS cases from 2012 to 2022, finding a notable increase in incidence, with many patients experiencing gastrointestinal infections prior to onset and drug addiction being a common comorbidity.
  • The study noted a mortality rate of 2.5%, predominantly in cases of acute motor axonal neuropathy, and the findings correlate with previous research on GBS trends.
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Article Synopsis
  • Autoimmune encephalitis is a rare but serious condition that can lead to significant disability and potential death.
  • A study analyzed 44 patients with anti-NMDAR autoimmune encephalitis and found diverse electroencephalographic (EEG) patterns, with a range of functional outcomes at 3 months, including varying degrees of disability and some fatalities.
  • The findings indicated no clear link between abnormal EEG results and poorer functional outcomes, suggesting that further research is needed to explore the long-term implications of EEG abnormalities in these patients.
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Cognitive impact and brain structural changes in long COVID patients: a cross-sectional MRI study two years post infection in a cohort from Argentina.

BMC Neurol

November 2024

Centro Universitario de Imágenes Médicas (CEUNIM), Escuela de Ciencia y Tecnología, Universidad Nacional de Gral. San Martín, Campus Miguelete, 25 de Mayo 901, San Martín, Buenos Aires, 1650, Argentina.

Objective: Long COVID is a condition characterised by persistent symptoms after a SARS-CoV-2 infection, with neurological manifestations being particularly frequent. Existing research suggests that long COVID patients not only report cognitive symptoms but also exhibit measurable cognitive impairment. Neuroimaging studies have identified structural alterations in brain regions linked to cognitive functions.

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Multi-year enzyme expression in patients with mucopolysaccharidosis type VI after liver-directed gene therapy.

Med

November 2024

Department of Translational Medicine, "Federico II" University, 80131 Naples, Italy; Telethon Institute of Genetics and Medicine, 80078 Pozzuoli, Italy; Scuola Superiore Meridionale (SSM, School of Advanced Studies), Genomics and Experimental Medicine Program, University of Naples Federico II, 80138 Naples, Italy. Electronic address:

Background: Mucopolysaccharidosis type VI (MPS VI) is due to a deficiency of the lysosomal enzyme arylsulfatase B (ARSB) that results in multi-organ accumulation of glycosaminoglycans (GAGs). Limitations of current treatments prompted the development of a liver-directed gene therapy clinical trial for MPS VI.

Methods: We report the long-term follow-up of patients with MPS VI who discontinued enzyme replacement therapy (ERT) and received a single intravenous infusion of high-dose (6 × 10 genome copies/kg) recombinant adeno-associated virus serotype 8 (AAV8) vector expressing ARSB under the control of a liver-specific promoter (ClinicalTrials.

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[POEMS syndrome. Report of three cases and literature review].

Rev Med Inst Mex Seguro Soc

July 2024

Instituto Mexicano del Seguro Social, Hospital General de Zona No. 30, Servicio de Neurología. Ciudad de México, México.

Background: POEMS syndrome is a debilitating paraneoplastic disorder associated with plasma cell neoplasia. Clinically, it is characterized by predominantly demyelinating peripheral neuropathy that often starts in the pelvic limbs, organomegaly, endocrinopathy, skin changes, and elevated serum M protein. Diagnosis requires meeting a set of clinical criteria in which polyradiculoneuropathy and plasma cell disorder are the two mandatory criteria.

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Introduction: In emergency rooms (ERs), 5% of patients experiencing an acute ischemic stroke (AIS) receive an alternative diagnosis; these cases are known as stroke chameleons (SC). The percentage of SC treated with intravenous thrombolysis (IVT) and the characteristics have not been well described. We aimed at investigating the variables associated with the probability receiving IVT.

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Clinical outcomes of pediatric patients with congenital toxoplasmosis in a fourthlevel center Introduction. Congenital.

Biomedica

November 2024

Servicio de Infectología Pediátrica, Hospital Militar Central, Facultad de Medicina, Universidad Militar Nueva Granada, Bogotá, D. C., Colombia.

Introduction: Congenital toxoplasmosis is a highly prevalent parasitic disease worldwide, with a high burden of disease and neurodevelopmental involvement in pediatric patients.

Objective: To describe the clinical sequelae and neurodevelopmental state of pediatric patients with congenital toxoplasmosis at the Hospital Militar Central during 2013 to 2020.

Materials And Methods: We conducted an observational, descriptive, cross-sectional study with an analytical component, including pediatric patients diagnosed with congenital toxoplasmosis.

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[Miller-Fisher/Guillain-Barré overlap syndrome following COVID-19 vaccination].

Rev Med Inst Mex Seguro Soc

May 2024

Instituto Mexicano del Seguro Social, Hospital General de Zona No. 1, Servicio de Neurología. Tepic, Nayarit, México.

Background: Anti-GQ1B syndrome includes a group of diseases characterized by antibody-mediated polyneuropathy. Guillain Barre syndrome (GBS) and the Miller-Fisher syndrome (MFS) have been related to COVID-19 vaccine application.

Clinic Case: 48-year-old man, with history of Pfizer-BioNTech vaccination against COVID-19, 5 days prior to the symptoms, who assisted to the Emergency room with blurred vision and diplopia; adding dysarthria, facial diplegia and left upper limb weakness after 48 hours.

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[Dislipidemia en pacientes con alto riesgo cardiovascular. Resultados iniciales del estudio REMEXDIS-IMSS].

Rev Med Inst Mex Seguro Soc

May 2024

Instituto Mexicano del Seguro Social, Centro Médico Nacional "Manuel Ávila Camacho", Hospital de Especialidades de Puebla, Dirección de Educación e Investigación en Salud. Puebla, Puebla, México.

Background: Epilepsy affects from 0.5 to 1% of children worldwide and has a cognitive impact on the patient.

Objective: To assess cognitive characteristics in pediatric patients diagnosed with epilepsy.

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Introduction: Headache is common in the general population and a frequent reason for medical consultation.

Objectives: To describe the characteristics of patients attending the Emergency Department (ED) for headache.

Methods: A descriptive study with prospective collection of 100 consecutive patients over 15 years old who attended our ED due to headache as the main complaint.

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Article Synopsis
  • This study investigates the relationship between post-traumatic stress disorder (PTSD) and migraines, focusing on its prevalence in patients with episodic migraines (EM) and chronic migraines (CM).
  • The research involved 116 patients, finding that PTSD was more common in those with chronic migraines, and it significantly affected their quality of life and comorbidities like anxiety and depression.
  • The findings highlight the need for further studies to explore the impact of PTSD on migraines, particularly in cases linked to traumatic life events such as sexual violence.
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Background: Stroke chameleons (SC), are often diagnosed too late in their course to benefit from intravenous thrombolysis (IVT) treatment in the Emergency Room (ER). It remains unclear what proportion of this patient population would be a candidate for IVT. We sought to identify the proportion of SC patients with contraindications to IVT and to delineate what those contraindications are.

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Background: Motor multifocal neuropathy is an immunemediated neuropathy characterized by progressive and asymmetric weakness of the distal extremities, without sensory symptoms, and an important feature of conduction blocks. The objective of this study is to comprehensively describe the nosological and pathogenic implications of this neurodegenerative disorder, given the unclear diagnosis of MMN and the significant challenges it poses.

Clinical Cases: We present three clinical cases with a chronic clinical presentation, in which neuroconduction studies were performed, revealing the presence of anti-IgM GM1 antibodies, consistent with the diagnosis of motor multifocal neuropathy.

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Introduction: Dementia comprise a broad spectrum of cognitive declines affecting 47 million people worldwide, with numbers projected to reach 131 million by 2050. Predominantly associated with older adults, dementia can also impact younger individuals, having a significant impact on daily functioning of the affected patients, relatives, caregivers and the socioeconomic system. Recent research underscores the utility of social media, particularly X (previously designed as Twitter), in understanding public perceptions and sentiments related to neurological disorders.

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Background And Purpose: Parkinson disease (PD) is a complex and heterogeneous neurodegenerative disorder with a broad spectrum of clinical manifestations, determined by a complex interplay of environmental and genetic factors. This study aimed to investigate genetic variants associated with PD and assess their impact on the disease phenotype through genotype-phenotype correlations.

Methods: We employed a targeted resequencing panel to analyze 27 genes linked to PD in a cohort of 1185 PD patients from southern Spain.

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Thrombosis with thrombocytopenia syndrome following adenovirus vector-based vaccines to prevent COVID-19: Epidemiology and clinical presentation in Spain.

Neurologia (Engl Ed)

December 2024

División de Farmacoepidemiología y Farmacovigilancia, Departamento de Medicamentos de Uso Humano, Agencia Española de Medicamentos y Productos Sanitarios, Madrid, Spain.

Background: We describe the epidemiological and clinical characteristics of thrombosis with thrombocytopenia syndrome (TTS) cases reported in Spain.

Methods: We included all cases of venous or arterial thrombosis with thrombocytopenia following administration of adenoviral vector vaccines (AstraZeneca or Janssen) against COVID-19 disease between 1 February and 26 September 2021. We describe the crude rate and the standardised morbidity ratio.

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Increased Cytokine Levels in Seronegative Myositis: Potential Th17 Immune Response Implications.

Int J Mol Sci

October 2024

Centro Universitario de Ciencias de la Salud, Instituto de Investigación en Reumatología y del SistemaMúsculo-Esquelético (IIRSME), Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico.

Th17 cells are known for producing IL-17 and their role in the pathogenesis of various autoimmune diseases, including myositis. Likewise, the participation of the IL-23/IL-17 pathway in autoimmunity has been confirmed. In this study, we aimed to evaluate the behavior of cytokines in myositis, focusing on the autoantibodies profile and the myositis core set measures.

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Article Synopsis
  • * The 2017 McDonald diagnostic criteria, which prioritize MRI, are noted for their effectiveness but may lead to misdiagnosis if applied incorrectly, particularly in atypical cases.
  • * The article emphasizes emerging MRI markers and technologies like AI to improve MS diagnosis and treatment management, stressing the importance of standardized protocols and trained specialists to ensure accurate results.
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