Assuntos
Hemorragia Subaracnóidea , Vasoespasmo Intracraniano , Feminino , Humanos , Pessoa de Meia-Idade , Hemorragia Subaracnóidea/diagnóstico , Hemorragia Subaracnóidea/patologia , Hemorragia Subaracnóidea/fisiopatologia , Tomografia Computadorizada por Raios X , Ultrassonografia Doppler Transcraniana , Vasoespasmo Intracraniano/diagnóstico , Vasoespasmo Intracraniano/patologia , Vasoespasmo Intracraniano/fisiopatologiaRESUMO
A 55-year-old man with hearing loss presented with vertigo and vomiting. CT tomography and MRI demonstrated a cerebellopontine angle mass with foci of haemorrhage. An angiomatous tumour, with large abnormal veins adhering to the capsule, was completely removed. Histologically, the tumour was an acoustic neuroma with abnormal vascularisation and limited intratumoral haemorrhage.
Assuntos
Hemorragia/diagnóstico , Malformações Arteriovenosas Intracranianas/diagnóstico , Neuroma Acústico/diagnóstico , Perda Auditiva Neurossensorial/etiologia , Hemorragia/complicações , Humanos , Malformações Arteriovenosas Intracranianas/complicações , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Neuroma Acústico/complicações , Tomografia Computadorizada por Raios X , Vertigem/etiologia , Vômito/etiologiaRESUMO
OBJECTIVES: To find if there is a connection between health education activities (HEA), and breast-feeding (BF) and the introduction of supplementary feeding. To assess the impact of post-delivery groups on BF. DESIGN: Crossover study. SETTING: Primary care. Trinidad-Jesús Cautivo Health Centre, Málaga. PATIENTS AND OTHER PARTICIPANTS: Of the 379 children born in the district between January 1992 and December 1993, the 240 children (63.3%) monitored under the healthy child programme up to at least 6 months of age were included. MEASUREMENTS AND MAIN RESULTS: Of the 240 mothers in the sample, 107 (44.6%) received HE classes. 81.3% of the mothers who had received HE breast-fed during the first month, against 66.9% of those who did not receive HE. This difference was maintained up to the sixth month of BF. The post-delivery groups were the HE activities with most influence on BF practice. Supplementary feeding was begun before the fifth month by 34.6% of those who had not received HE, versus 21.5% of those who had received it. CONCLUSIONS: Attendance at HE classes was significantly linked to BF up to six months and to starting supplementary feeding at a later date. Post-delivery groups were the basic factor in maintaining BF for six months; ante-natal education was an influence from the third month of pregnancy.