Baclofen is a structural analog of gamma-aminobutyric acid, primarily used as a skeletal muscle relaxant for treatment of spasticity and dystonia. The clinical picture of baclofen intoxication includes reduction or loss of consciousness and manifestations such as sleepness, coma or even death. Electroencephalograms performed in these cases have consistently shown the so-called burst-suppression pattern. The case of a female patient who suddenly presented difficulty to still-standing and mutism and later evolved into coma, is presented. A detailed study was performed in the emergency department, including an electroencephalogram compatible with a continuous burst-suppression pattern. The patient was treated with dialysis in the face of a possible baclofen intoxication and, in a period of five days, the clinical symptoms reverted and the electroencephalographic activity was normalized.

Cystocerebral syndrome was first described in 1990 by Blackburn and Dunn, in elderly males with acute confusion syndrome and urinary retention, who after bladder drainage experienced full resolution of the clinical picture. We report the case of an elderly male patient with Cystocerebral syndrome and symptoms such as a rapid decrease in consciousness level, myoclonies, hypotension, bradycardia and acute urinary retention who, after bladder drainage presented a complete remission of the clinical picture. The potential mechanisms involved in the origin of this syndrome are described, as well as its underlying hemodynamic and autonomic alterations. Cystocerebral syndrome should be considered in the differential diagnosis of patients with  a confusional syndrome and cognitive impairment, diagnosed with prostatic hypertrophy and presenting, in addition, an episode of acute urinary retent...

Objetivo: El objetivo principal del presente estudio fue determinar la asociación existente entre la Violencia Basada en Género y la Depresión Post-Parto en el Hospital San Bartolomé; así mismo, se describieron los factores predictores de depresión post-parto y las características sociodemográficas y del parto de las puérperas participantes del estudio. Metodología: El tipo de estudio fue observacional de corte transversal, cuyo número de muestra fue constituida por 100 mujeres de 1-12 meses de tiempo puerperal. A quienes se les aplicó, previa firma de consentimiento informado, una ficha de datos sociodemográfica y del parto, la Escala de Depresión Post-Natal de Edimburgo (EDPE), el Inventario Revisado de Factores Predictores de Depresión Post-Parto de Beck y el Instrumento de Detección de Violencia Basada en Género. Posteriormente se catalogaron operacionalmente los cas...

Introduction: Dementia due to vitamin B12 deficiency is a reversible condition which occurs more frequently in the elderly. Clinical cases: We present three elderly patients who were diagnosed with dementia and low serum B12 levels, and they received therapy with hydroxocobalamin. Two patients clinically improved and only one had normalized his vitamin B12 blood levels with no clinical improvement, possibly because of the coexistence of Alzheimer’s disease.

Introducción: La demencia por deficiencia de vitamina B12 es una causa de demencia reversible que se presenta principalmente en adultos mayores. Casos clínicos: Presentamos tres pacientes quienes fueron diagnosticados de demencia, con niveles séricos bajos de vitamina B12 y recibieron tratamiento de reposición con hidroxicobalamina. Dos pacientes tuvieron mejoría clínica y uno, solo normalizó los niveles séricos de vitamina B12 sin mejoría clínica, posiblemente por una coexistencia con enfermedad de Alzheimer.