RESUMEN
OBJECTIVES: To analyse the demand for neurologic care and the neurological resources in a health district. PATIENTS AND METHODS: Demographic, medical care aspects, neurologic care demands and neurological resources of the health district 11 of Madrid (University Hospital "12 de Octubre"), referred to 1996, were reviewed. RESULTS: The rate of aging (17%) and the consulting rates in the National Health System (86%) versus private care were high in this health district. The neurologic care demands were 17.5-18.1 and 36 consultations respectively per 1,000 inhabitants/year. There were 2 patient-care neurologists and 3.7 neurologic beds per 100,000 inhabitants. CONCLUSIONS: The neurologic care was considered high and with a tendency to increase. The available neurological resources were judged to be insufficient.
Asunto(s)
Necesidades y Demandas de Servicios de Salud/estadística & datos numéricos , Servicios de Salud/estadística & datos numéricos , Neurología , Áreas de Influencia de Salud , Femenino , Hospitales Universitarios , Humanos , Masculino , Derivación y Consulta , EspañaAsunto(s)
Neoplasias Encefálicas/diagnóstico por imagen , Neoplasias Encefálicas/patología , Neoplasias Neuroepiteliales/diagnóstico por imagen , Neoplasias Neuroepiteliales/patología , Adulto , Diagnóstico Diferencial , Femenino , Humanos , Imagen por Resonancia Magnética , Exametazima de Tecnecio Tc 99m , Tomografía Computarizada de Emisión de Fotón ÚnicoAsunto(s)
Enfermedades de los Ganglios Basales/inducido químicamente , Biperideno/efectos adversos , Fluoxetina/efectos adversos , Parasimpatolíticos/efectos adversos , Inhibidores Selectivos de la Recaptación de Serotonina/efectos adversos , Anciano , Depresión/tratamiento farmacológico , Humanos , MasculinoRESUMEN
We describe a severe case of meningoencephalitis and polyradiculoneuritis that occurred following rubella in an otherwise healthy 19-year-old man. The diagnosis was made serologically. To our knowledge this is the first reported case of extensive neurological involvement in an adult with rubella.
Asunto(s)
Meningoencefalitis/etiología , Polirradiculoneuropatía/etiología , Rubéola (Sarampión Alemán)/complicaciones , Adulto , Dexametasona/uso terapéutico , Electromiografía , Humanos , Masculino , Meningoencefalitis/diagnóstico , Meningoencefalitis/tratamiento farmacológico , Polirradiculoneuropatía/diagnóstico , Polirradiculoneuropatía/tratamiento farmacológico , Rubéola (Sarampión Alemán)/diagnósticoAsunto(s)
Granulomatosis Linfomatoide/patología , Nervios Periféricos/patología , Enfermedades del Sistema Nervioso Periférico/patología , Adulto , Humanos , Inmunosupresores/uso terapéutico , Granulomatosis Linfomatoide/diagnóstico , Granulomatosis Linfomatoide/terapia , Masculino , Metotrexato/uso terapéutico , Enfermedades del Sistema Nervioso Periférico/diagnóstico , Esteroides/uso terapéuticoRESUMEN
Changes in cerebral blood flow (CBF), arterial blood pressure (AP), and cardiac output (CO) were studied during stepwise blood losses in 12 unanesthetized goats. Bleeding was followed by a drop in CBF, AP and CO in a nearly parallel fashion. Control values (means +/- SE) for CBF, AP, and CO were 117 +/- 5.6 ml/min per 100 g, 105 +/- 3.1 mmHg, and 2,825 +/- 124 ml/min, respectively; and after bleeding, 66 +/- 3.9 ml/min per 100 g, 57 mmHg, and 1, 383 ml/min. Arterial blood samples obtained before bleeding, during the hypotensive state, and after reinfusion did not show any significant differences in pH, PCO2, and PO2 values. In phentolamine-treated animals, bleeding produced a drop in AP and CO similar to that observed in the nontreated animals; however, the decrease in CBF was less marked. These findings show that CBF follows pari passu the fall in AP, and they indicate that the alpha-adrenergic receptors of the cerebral vessels are involved in the cerebral blood flow changes in hemorrhage.