Search

Copyright of Acta Neurológica Colombiana is the property of Colombian Association of Neurology / Asociacion Colombiana de Neurologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The third cause of morbidity and mortality in many countries is cerebrovascular accident (CVA), the incidence is higher in hemodialysis patients. The presence of hemorrhagic stroke is associated with worse results; early diagnosis and treatment are essential due to its rapid expansion, which causes neurological detriment, up to a fatal outcome. The case of a 52-year-old woman is presented, admitted for emergency service on 05/23/23 with a history of three-weekly renal replacement therapy, arterial hypertension, diabetes mellitus; clinical picture with sudden headache of moderate intensity, accompanied by drowsiness, numbness at the level of the cervicodorsal spine, paraparesis in the lower extremities and hypertension; skull tomography with pre-brain stem hemorrhagic stroke; he was admitted to the Intensive Care Unit (ICU) for monitoring and management, however despite the treatment he evolved torpidly and died on 06/11/2023. [ABSTRACT FROM AUTHOR]

The reversible cerebral vasoconstriction syndrome is a variable, segmental, and multifocal constriction of brain arteries, usually with a benign course. We describe the case of a 49-year-old woman who presented with headaches, visual symptoms, and seizures. Three days after admission, vasoconstriction areas were found in at least two vascular territories in two segments of the same arteries. The patient was admitted to the intensive care unit where her blood pressure was monitored and she received medical treatment. Surprisingly, the patient presented an unpredicted evolution in developing malignant cerebral edema on the seventh day after admission. She then suffered brain death and was taken to organ donation. A guided nervous system necropsy was later performed. The pathology discarded vasculitis and exhibited hemorrhage areas in the cerebral convexity. Herein, we discuss the most relevant aspects of cases with fulminant evolution reported in the literature. The reversible cerebral vasoconstriction syndrome is usually associated with fatal outcomes when patients exhibit focalization, their first neuroimaging typically shows disturbances, and a rapid clinical deterioration occurs. It is crucial to identify factors linked to poor prognosis and set intervention strategies and early prevention. [ABSTRACT FROM AUTHOR]

Objective: To determine potentially factors related with mortality and disabilities of patients with diagnosis of spontaneous intraparenchymal cerebral hemorrhage. Methods: A descriptive study was carried out of patients admitted in "Gustavo Aldereguía Lima" Hospital (Cienfuegos Province) in two years (2009 and 2010) with cranial CT scan diagnosis of spontaneous intraparenchymal cerebral hemorrhage. Main variables assessed related with mortality and neurological disabilities were: age, hematoma volume, intraventricular hemorrhage, Glasgow coma sc ale on admission, National Institutes of Health (NIHSS) value, final Barthel index, systolic and diastolic blood pressure value, arterial hypertension, diabetes mellitus, and delay time between hospitality arrival and symptoms onset. Results: 63 patients have the inclusion criteria. Age (68.8 ±11.8) did not show significant differences between groups (p=0.05). These results not occurred with hematoma volume where dead had an average of 22.96 ±17.02 cm3 (p=0.02), with a directly proportional correlation (R=0.30). GS and NIHSS showed an average for dead of 13.0 ±2.3 (p<0.0001) and 16.7 ±4.9 (p<0,001), respectively. GS showed an inversely proportional correlation (R=-0.62) and NIHSS a directly proportional correlation (R=50). Factors with significant relation to neurological disability were: hematoma volume (p=0.03), age (p=0.01), and GS (p<0.001). Conclusions: GS value, hematoma volume and NIHSS on admission were key indicators related with survival. High hematoma volume and low GS were the main prognostic factors related to mortality and disabilities of patients with spontaneous intraparenchymal cerebral hemorrhage. [ABSTRACT FROM AUTHOR]

A descriptive and cross-sectional study was conducted in 106 patients with brain hemorrhage, admitted to the Department of Cerebrovascular Diseases of "Saturnino Lora Torres" Provincial Teaching Hospital in Santiago de Cuba during 2011, in order to analyze the main clinical and pathological characteristics of this condition. Age group of 61 years and over (29.2 %), black patients, male sex (71.6 %), hypertension as main risk factor (67.0 %) prevailed in the case material, besides bacterial bronchopneumonia and brain edema as non-neurological and neurological complications (36.0 and 29.0 %, respectively). [ABSTRACT FROM AUTHOR]