Hiperparatiroidismo secundario recurrente tras paratiroidectomía con autotrasplante. Gammagrafía de paratiroides con 99mTc-MIBI SPECT/TC / Recurrent secondary hyperparathyroidism following parathyroidectomy with autotransplantation. Parathyroid scintigraphy with 99mTc-MIBI SPECT/CT

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[Diagnosis of stroke due to cocaine and its complications]. / Diagnostico del ictus por cocaina y sus complicaciones.

INTRODUCTION. Cocaine is an independent cerebrovascular risk factor both for ischaemic and haemorrhagic events, above all among persons under 55 years of age. CASE REPORT. A case report of stroke due to the consumption of cocaine is used to review its pathophysiology and the complexity involved in the management and diagnosis of the associated complications. One of these complications reported in relation to the consumption of cocaine is vasospasm. This condition shares findings observed in ultrasound imaging studies with other conditions, such as early-onset post ischaemic hyperperfusion. Yet, there are important differences between the two as regards their treatment and prognosis. CONCLUSIONS. The consumption of cocaine is associated with cerebrovascular disease through a number of different mechanisms, which each give rise to different complications. By identifying these complications, correct management can be implemented.

TITLE: Diagnostico del ictus por cocaina y sus complicaciones.Introduccion. La cocaina es un factor de riesgo cerebrovascular independiente, tanto para eventos isquemicos como hemorragicos, sobre todo entre los menores de 55 años. Caso clinico. A traves de un caso clinico de ictus por consumo de cocaina, se revisa su fisiopatologia y la complejidad en el manejo y diagnostico de las complicaciones asociadas. Una de estas complicaciones descritas en relacion con el consumo de cocaina es el vasoespasmo. Esta entidad comparte con otras entidades, como la hiperperfusion postisquemica precoz, los hallazgos en estudios ecograficos. Sin embargo, ambas presentan importantes diferencias en cuanto a tratamiento y pronostico se refiere. Conclusiones. El consumo de cocaina se asocia con la enfermedad cerebrovascular a traves de multiples mecanismos, de los que se derivan diferentes complicaciones. Identificar estas complicaciones permite su correcto abordaje.