Ciencias de la Salud

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    COMPLICACIONES NEUROLÓGICAS EN PACIENTES INFECTADOS CON VIRUELA DEL SIMIO: UNA REVISIÓN BIBLIOGRÁFICA
    (Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Medicina, 2024-06-10) Zurita Paredes, Katherine Melissa; Villacis Valencia, Sandra Elizabeth
    Monkeypox became a new health emergency, after a new outbreak appeared in places not usual for the disease, affecting the five continents with approximately 16,836 cases and occurring to a greater extent in men who have relationships with men. Having sexual contact as a new route of transmission. This zoonosis can present rare neurological complications, including encephalitis and meningitis. A bibliographic review of the scientific literature was developed considering articles published, during the last five years, in indexed journals visible in databases with regional and global coverage such as Scopus, WOS, Taylor and Francis and PubMed on neurological complications attributable to smallpox. ape considering its clinical nature. description to promote diagnosis, treatment, prognosis and effective prevention. The selected language was English and Spanish. The objective of this article is to develop a bibliographic review of the scientific literature of the last five years on monkeypox as a new global health emergency that provides relevant information for the clinical description of the neurological complications associated with it, favoring its diagnosis. treatment, prognosis and prevention.
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    Manejo de un absceso cerebral por neuronavegación, a propósito de un caso clínico
    (Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Medicina, 2022-10-24) Sola Villalva, María Victoria; Andrade Albán, Noemí Rocío
    Brain abscess is a focal area of membrane necrosis that changes within the brain parenchyma, the result of an infectious or traumatic process. Its worldwide incidence is 8% of intracranial masses, with four cases per million. The most dangerous route of spread is hematogenous, and the most common pathogens involved are streptococci and staphylococci. Endocarditis allows the development of brain abscesses, with around 107 cases found in Ecuador, where patients present with headache, fever and focal neurological deficit. Drainage guided by stereotactic intervention definitively diagnoses it and successful management requires antibiotic therapy plus surgical drainage. A descriptive, analytical and retrospective investigation of an unusual case of brain abscess resolved by neuronavigation was carried out. Scientific databases such as Pubmed, Medline, New England, UpToDate, Cochrane, Springer-Link and the repositories of the Pontificia Universidad Católica del Ecuador and the Universidad Central del Ecuador for the last 5 years were used. Qualitative methodology studies and studies not accessible to the full text were excluded. We present the case of a 26-year-old male patient, with a history of ventricular septal defect and tricuspid atresia undergoing medical treatment, who presented with intense throbbing headache of 24 hours' duration, located in the right frontotemporal region and accompanied by nausea that did not reach the vomiting, plus fever of 38°C. Holosystolic murmur in the mesocardium on cardiac auscultation. On neurological examination, anisochoric pupils. Magnetic resonance imaging of the brain plus tractography and spectroscopy indicated a right frontal parenchymal occupying process in relation to a brain abscess, so it was decided to establish antibiotic therapy with Ceftriaxone, an anti cerebral edema scheme and analgesia. The transthoracic echocardiogram shows vegetations in the aortic ring, thus identifying the etiology. It was decided to escalate to broad-spectrum antibiotic therapy with Vancomycin along with drainage of the brain abscess by neuronavigation. Due to the limited use of new technologies for the treatment of brain abscesses, it was decided to report this case to better understand this technique and encourage its use in the medical community for similar cases
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    Fístula por malformación arteriovenosa pial del surco angular izquierdo en paciente joven con cefalea
    (Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Medicina, 2021-10-01) Muñoz Coral, Nathaly Nicole; Lana Saavedra, Héctor Enrique Dr. Esp.
    Objective: To describe the case of a patient with pial arteriovenous fistula of the left angular groove, presenting headaches and hearing impairment, a neurological pathology difficult to diagnose, due to its presentation. Discussion: A case of a 25-year-old female patient is reported, initially presenting with a seizure accompanied by a headache that is difficult to control and hearing alterations. Neurocysticercosis was initially diagnosed with treatment for several years, despite which she continues to present recurrent headaches that are difficult to control despite analgesia, so more specific complementary tests are performed where the presence of a pial arteriovenous fistula is evidenced in the left angular groove. , for which surgical intervention and resolution of the clinical picture is performed. Materials and methods: A descriptive cross-sectional study based on clinical case analysis is carried out. Conclusions: The case studied is a rare form of presentation of pial arteriovenous fistulas, due to the age of the patient since it occurs in the first years of life or in childhood, for which a differential diagnosis is required with different pathologies that cause this symptomatology and support of imaging studies, once it has been diagnosed, we see that there is a specific treatment for this alteration, after which it presents an improvement in the clinical picture but not complete resolution.
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    “Relación de la presencia de los terceros molares y el desarrollo de cefaléas y cervicalgias recurrentes”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Terapia Física, 2020-02-01) Vásconez Astudillo, Thalía Mercedes; Peñafiel Luna , Andrea CarolinaLcda, Mg.
    Headaches and cervicalgia are the most recurrent symptoms in medical consultations, usually evolve favorably with conventional treatment; but sometimes its resolution is prolonged, becoming a chronic problem, which limits the autonomy of the person and produces a sensitive deterioration in the quality of life, so it has been proposed to relate the presence of the third molars and the development of headaches and recurrent cervicalgia, through the application to 30 patients with the presence of third molars, symptomatic or not; From a headache perception questionnaire and the cervical disability index questionnaire, patients were categorized by age and sex, according to the status of their third molars, the clinical characteristics of headache and cervicalgia pain were identified. The results revealed that 30% of the population had sprouted third molars, 20% retained and 50% extracted; the majority of the population were between 18 and 25 years of age; there is jaw pain associated with headache; that is unleashed when chewing; in the form of pressure; of intermittent type and of moderate intensity; While cervicalgia did not greatly alter the daily activities of the patients and presented at a moderate intensity, the correlation between the headache variable and third molars reveals a p value of 0.551; and cervicalgia 0.009; Therefore, it was concluded that the state of the third molars does not influence the presence of headaches; while in cervicalgias if they are related.
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    Carcinomatosis Meníngea secundaria A Tumor primario del Sistema Nervioso Central (Snc)
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-06-01) Buenaño Solís, María del Carmen; Lana Saavedra, Héctor Enrique Dr.
    Analysis of the clinical case of a female patient of 23 years with a history of brain tumor and incomplete removal thereof (Lymphoma Diffuse small and medium B cells) approximately 1 month and a half ago, appendectomy about 15 days ago. Who goes for about 8 days ago presents headache of moderate intensity, compression type, and abdominal pain holocraneana intensive, crampy, diffuse, accompanied by nausea, vomiting arriving on several occasions, asthenia and myalgia. The T / A 90/60 mmHg physical examination, FC 80 lpm, FR 20 rpm, T ° 37.7, awake, álgica, feverish, pale-oriented; Head scar + - 15 cm length in right frontotemporal region, ptosis left, mydriatic pupils + - 7 mm, anicteric sclera, pale conjunctive; neck, painful on palpation and movement in posterior region, marked rigidity, Brudzinski sign (+); soft, depressible painful mesogastrio, ureteral point and rights + middle and lower abdomen, slightly decreased RHA. Upper and lower members have pain on movement and tenderness, decreased tone, strength 4/5 not present edemas pulses, capillary refill <2 sec. neurological exam-oriented patient, Glasgow 15/15; higher mental functions preserved. Cranial nerve: N. Optical (II), alteration of bilateral visual acuity: oculomotor (III) Motor, left ptosis, bilateral mydriasis; Pathetic and Abducens (VI) preserved. Exam Engine: patient who remains in the supine position, can not assess progress. preserved superficial and deep sensitivity. Complementary tests: Leukocyte 8.61 x 103, 80.2% segmented, Mon 3.1, Lyn 16.3, Eos 0.3, 6.6 Urea, BUN 3 63 Glucose, Creatinine 0.69, PCR 69.3; CSF study: xanthochromic, slightly cloudy, 0xmm3 cells, glucose 1.0, 2908.1 proteins, LDH 283u / l, negative for malignancy cytology; Eco Abdominal: ileus, pyelonephritis investigate; TAC is requested thoraco abdominal and pelvic contrastadada reference to the third level. Treatment: Dexamethasone 8 mg IV c / 8h, Omeprazole 40 mg IV QD, Tramadol 200 mg IV in 24 h, Ondansetron 8 mg IV c/8 h. In HEEE, enter the service of Hematology diagnosed with lymphoma B cell diffuse small and medium post tumor resection and right frontoparietal Urinary Tract Infection; here is not performing Chemotherapy is achieved and reference is made to SOLCA Quito where state of the patient by two sessions of radiotherapy is done and maintained with palliative care until his death.