RESUMO
Epilepsy is a complex, common disorder with severe consequences for patients. The authors believe that a significant percentage of patients are receiving suboptimal care. The national standard of care needs to be upgraded to include the notion that patients with less than total seizure control or those suffering from any medication side-effects should be given the opportunity to receive specialty care by physicians with specific expertise in the field of epilepsy.
Assuntos
Epilepsia/terapia , Medicina , Neurologia , Qualidade da Assistência à Saúde , Especialização , Medicina Estatal/normas , Promoção da Saúde , Humanos , Reino UnidoRESUMO
Although duplex carotid imaging is a safe diagnostic procedure, 3 neurologic and 2 cardiac adverse events have been associated with its performance in the past twenty-five years. This is a report of a man who had a transient cerebral ischemic attack during duplex imaging. An intraarterial digital subtraction angiogram showed 50% stenosis of the left internal carotid artery and 30% stenosis of the right internal carotid artery. Magnetic resonance imaging showed multiple small infarctions in both cerebral hemispheres and the brainstem. At left carotid endarterectomy, the atherosclerotic plaque removed had several small ulcers.
