RESUMEN
BACKGROUND AND PURPOSE: Although migraine is the second most disabling condition worldwide, there is poor awareness of it. The objective was to assess the awareness of migraine and previous diagnostic and therapeutic consultations and treatments in a large international population of migraineurs. METHODS: This was a multicentre study conducted in 12 headache centres in seven countries. Each centre recruited up to 100 patients referred for a first visit and diagnosed with migraine. Subjects were given a structured clinical questionnaire-based interview about the perceptions of the type of headache they suffered from, its cause, previous diagnoses, investigations and treatments. RESULTS: In all, 1161 patients completed the study. Twenty-eight per cent of participants were aware that they suffered from migraine. Sixty-four per cent called their migraine 'headache'; less commonly they used terms such as 'cervical pain' (4%), tension headache (3%) and sinusitis (1%). Eight per cent of general practitioners and 35% of specialists (of whom 51% were neurologists and/or headache specialists) consulted for migraine formulated the correct diagnosis. Before participating in the study, 50% of patients had undergone X-ray, computed tomography and/or magnetic resonance imaging of the cervical spine and 76% underwent brain and/or cervical spine imaging for migraine. Twenty-eight per cent of patients had received symptomatic migraine-specific medications and 29% at least one migraine preventive medication. CONCLUSIONS: Although migraine is a very common disease, poor awareness of it amongst patients and physicians is still an issue in several countries. This highlights the importance of the promotion of migraine awareness to reduce its burden and limit direct and indirect costs and the risk of exposure to useless investigations.
Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Trastornos Migrañosos/diagnóstico , Trastornos Migrañosos/psicología , Adulto , Anciano , Encéfalo/diagnóstico por imagen , Estudios de Cohortes , Diagnóstico Diferencial , Errores Diagnósticos , Femenino , Cefalea/diagnóstico , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Trastornos Migrañosos/terapia , Médicos , Encuestas y Cuestionarios , Tomografía Computarizada por Rayos X , Adulto JovenRESUMEN
Se presentan 15 pacientes diagnosticados como neurolues entre los anos 1979 y 1982 en el Servicio de Neurologia y Neurocirugia del Hospital Barros Luco Trudeau. Se revisan las manifestaciones clinicas, destacando que las formas tradicionales no han desaparecido. Se analiza el diagnostico de laboratorio, haciendo hincapie en el uso de las pruebas treponemicas (FTA abs), por su mayor rendimiento en la lues tardia Se analiza el tratamiento, insistiendo en el uso de penicilina sodica parenteral en altas dosis, por tiempo prolongado y con controles seriados clinicos y de laboratorio
