Gasca-Salas, C. (C.)

Filtering

2011 - 20123

Settings

Author search.filters.isAuthorOfPublication.88f6e259-0bd0-4fd1-9cd0-56bcc1d9e934

Search Results

Now showing 1 - 3 of 3
  • Thumbnail Image
    Utilidad de las secuencias potenciadas en susceptibilidad paramagnética (SWI) para diferenciar crisis somestésicas de accidentes isquémicos transitorios en un paciente con angiopatía amiloide cerebral
    (Gobierno de Navarra. Departamento de Salud, 2011) Garcia-de-Eulate, R. (Reyes); Gasca-Salas, C. (C.); Pastor, P. (Pau)
    Background. Cerebral amyloid angiopathy (CAA) is characterized by the deposit of β-amyloid on the walls of small and medium-sized arteries of the cerebral cortex and leptomeninges causing cerebral bleeding. Clinical presentations may include transient neurological events for which differential diagnosis can be difficult. Case report. We report a subject with a medical history of recent stroke who presented somesthetic seizures mimicking transient ischemic attacks owing to CAA microbleeding. Antiplatelet treatment was reduced and after lamotrigine was commenced the episodes disappeared. Susceptibility-weighted magnetic resonance imaging was very helpful for diagnosis (SWI-MRI). Conclusions. CAA microbleeding can be manifested in the form of seizures mimicking focal transient sensitive neurological deficits that can be erroneously attributed to cerebral ischemia. The present case report suggests that, despite the presence of a past medical history of strokes, neurologists should consider CAA microbleeding as a possible cause of pseudo-transient ischemic attacks. High-resolution neuroimaging including SWIMRI imaging can be helpful in identifying cortical microbleedings. In this way, the start or increase of antiplatelet treatment can be avoided, and the risk of potentially fatal complications minimized
  • Thumbnail Image
    Monitorización con vídeo-EEG y ECG simultáneo para el diagnóstico diferencial de trastornos de conciencia transitorios. A propósito de un caso
    (Gobierno de Navarra. Departamento de Salud, 2012-01) Carmona-Abellán, M.M. (María del Mar); Gomez-Ibañez, A. (Asier); Gasca-Salas, C. (C.); Carmona-Iragui, M. (M.); Martin, B. (B.); Viteri, C. (César)
    We present the case of a 36 year-old woman, with history of transient consciousness disorders with vegetative state, interpreted as epileptic crises and treated with valproate for two years. After nine asymptomatic years, they reappeared associated with migraine, vomiting and some generalized convulsions. Electroencephalogram and cerebral magnetic resonance turned out normal, and treatment with zonisamide was started, without beneficial results. Later cardiological studies objectified a blockage of the left branch that coincided with dizziness. The study was completed with Video-EGG monitoring, where there was an episode that showed temporary right epileptiform activity, with a diagnosis established of focal epilepsy of unknown cause. At present, she remains asymptomatic with oxycarbazepine.
  • Thumbnail Image
    Insuficiencia venosa cerebroespinal crónica y esclerosis múltiple: revisión y actualización del tema
    (Viguera, 2011) Gomez-Ibañez, A. (Asier); Gasca-Salas, C. (C.)
    The aetiology of multiple sclerosis remains unknown at the present time, although the most likely explanation is that it has an autoimmune inflammatory origin. During the history of this disease a vascular pathophysiology was once proposed, and it has recently re-emerged as a result of the work by Paolo Zamboni with the name of 'chronic cerebrospinal venous insufficiency'. Following this hypothesis, Zamboni puts forward a curative treatment for multiple sclerosis by means of endovascular treatment of the internal jugular vein and the azygos vein. However, several teams have attempted to replicate his findings without success. In this review, we offer a chronological description of the studies carried out by Zamboni and the later attempts to replicate his work. Our main conclusion is that, given the results we currently have available, we should be cautious and, for the time being, it would be advisable not to recommend the systematic use of this treatment for our patients.