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artículo
Objective: To determine clinical and neurophysiological characteristics of carpal tunnel syndrome Material and Methods: We made a clinical-electrophysiological correlation of 381 hands pertaining to 308 patients, during four years in patients of the Neurophisiological service, Guillermo Almenara Irigoyen National Hospital (electromyography of wrist thumb short abductor, nervous conduction velocity: median nerve motor and sensitivity, nervous conduction to carpal level). Results: About 81% of patients were between 30 an 60 year-old, 53% were female, 50% had manual occupation. Symptoms and signs were parestesia, pain and Tinel syndrome. Electromyography was considered normal in 80% of cases; 50% of patients showed over 6 msec latency or inexcitability. Nervous conduction velocity of carpal level was 12,5 m/sec average. Sensitive distal latency was severely compromised in 40% of patients. C...
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artículo
Publicado 2019
Enlace
Enlace
Multiple Sclerosis (MS) is a chronic disease of the central nervous system, for which there is still no definitive cure; but there is a diverse variety of therapies with the objective of modifying the course of the disease, which promotes the constant inclusion of new therapeutic strategies. Objective: The Peruvian Society of Neurology, as requested by the Peruvian Health Ministry, convened a committee of experts with the purpose of elaborating a clinical practice guideline for the diagnosis and treatment of MS. Method: Clinical practice guidelines were searched and evaluated according to the AGREE II methodology, choosing the Catalan Clinical Practice Guide as a model. The clinical questions not related to treatment were solved through a systematic review. The clinical treatment questions were assessed under the PICO format and were solved with a meta-analysis of clinical trials availab...
