Prime linee guida da Iss e 20 società scientifiche
Search Results for: Linee guida aggiornate per la gestione dell’osteoartrosi dell’anca e del ginocchio.
Here's what we've found for you
Linee guida sulla riduzione graduale delle benzodiazepine
Sviluppata attraverso la collaborazione di dieci società mediche e professionali, […]
Più qualità assistenziale al nuovo ospedale di Campiglione Fermo
Con sistemi di gestione digitale BIM-based
Linee guida per la gestione dei pazienti con sindromi coronariche acute
Lo scopo di questa linea guida è quello di incorporare […]
Microematuria: linee guida
Sono state pubblicate le linee guida aggiornate per la diagnosi, […]
Cancro al seno avanzato: diagnosi e trattamento
Questa linea guida pubblicata da NICE, riguarda l’assistenza e il supporto per […]
Linee guida sulla degenerazione maculare legata all’età
La forma neovascolare della degenerazione maculare legata all’età (AMD) è […]
Malattie rare senza diagnosi, Bambino Gesù guida Rete nazionale
In Italia oltre 100mila con patologie rare non diagnosticate
Tumori, nasce la prima rete Ue su risorse mediche hi-tech
Il Cnao di Pavia guida l’area sulle radioterapie innovative
Gestione farmacologica degli adulti con dislipidemia: linee guida
Questa linea guida pubblicata dall’American Association of Clinical Endocrinology, è […]
Epilessie nei bambini, nei giovani e negli adulti: linea guida
Questa linea guida pubblicata da NICE, riguarda la diagnosi e la […]
Cancro ovarico: Standard di qualità
Nice ha provveduto ad aggiornare e a sostituire la versione […]
Sovrappeso,guida dei pediatri per parlarne coi figli senza paure
Sip, ‘il focus deve spostarsi dal peso alla salute’
Nuove linee guida ACP sulla prevenzione dell’emicrania
L’American College of Physicians (ACP) ha sviluppato nuove raccomandazioni per […]
Abstract TP262: Fibrocartilaginous embolism: a rare cause of ischemic myelopathy
Stroke, Volume 56, Issue Suppl_1, Page ATP262-ATP262, February 1, 2025. Introduction:Fibrocartilaginous embolism (FCE) is a rare etiology of spinal cord infarction that occurs when nucleus pulposus material from intervertebral discs spontaneously embolizes into a spinal artery. Younger patients are at higher risk because arterial vascularization of the nucleus pulposus is present from early life through adolescence after which it regresses.Methods:Case reportResults:An 11yo F presented with sudden onset back pain and lower extremity sensory disturbances following an ATV ride that quickly evolved into an ascending paralysis with associated urinary retention. Exam showed 4/5 strength in proximal UEs, 2/5 grip strength on the right, and 0/5 strength in LEs with associated areflexia and decreased sensation to light touch and pinprick but preserved vibratory sense. CSF studies were unremarkable with no albuminocytologic dissociation or lymphocytic pleocytosis. EMG/NCS revealed absent F-waves consistent with possible early demyelinating polyradiculopathy. She was started on IVIG given concern for AIDP. Extensive work-up including TSH, ESR, CRP, B1, B12, heavy metals, C. jejuni Ag, stool cx, blood cx, ANCA vasculitis panel, RMSF and Arbovirus Abs, and AchR and MuSK Abs was unremarkable. MRI revealed diffusion restriction in the cervicothoracic cord without enhancement (Fig 1). She had no improvement of her symptoms after completing 5 days of IVIG. She also developed long-tract signs including +Babinski on the left and LE spasticity. Repeat imaging 4 days from prior revealed adjacent vertebral body with area of T2 hyperintensity concerning for bony infarct (Fig 2). Given her rapid onset of symptoms, lack of improvement after treatment with IVIG, and development of long-tract signs, she was given a diagnosis of spinal cord infarction. FCE was deemed the etiology given the presence of adjacent bony infarct suggesting embolic phenomenon and the lack of evidence of CNS inflammation, infection, or other etiology. Repeat EMG/NCS showed evidence of severe reduction in the amplitudes of the compound motor action potentials which can be seen in compromise of the motor neuron population due to spinal cord infarction (Fig 3). She was discharged to inpatient rehab.Conclusion:This report alerts clinicians to FCE as a rare etiology of ischemic myelopathy that should be considered in patients who present with sudden, painful onset followed by “stroke-in-evolution” pattern of progression that may resemble the ascending paralysis seen in AIDP.
Linee guida per la prevenzione e la gestione della riattivazione del virus dell’epatite B
I ricercatori hanno aggiornato le linee guida per la pratica clinica su […]