After more than 50 years since Fisher and Adams’original description in 1964,1 transient global amnesia(TGA)is still a puzzling syndrome.Over time,several mechanisms have been proposed for TGA pathogenesis,including ...After more than 50 years since Fisher and Adams’original description in 1964,1 transient global amnesia(TGA)is still a puzzling syndrome.Over time,several mechanisms have been proposed for TGA pathogenesis,including venous congestion,cortical spreading depression,seizures and arterial ischaemia.2–4 A sufficient amount of studies in favour and against each of these mechanisms has emerged,fostering uncertainty regarding aetiology as well as prognosis.To this extent,most of the controversy stands on whether TGA represents a risk factor for stroke,or whether this is just as benign as originally thought.展开更多
Purpose of the work was to quantify the workloads and the neurologist’s commitment in ER, to verify the management of urgencies and appropriateness of neurological counseling requests. Neurologic emergencies are freq...Purpose of the work was to quantify the workloads and the neurologist’s commitment in ER, to verify the management of urgencies and appropriateness of neurological counseling requests. Neurologic emergencies are frequent in elderly patients and are associated with high morbidity and mortality. Due to the aging population, neurologic pathologies in emergency room (ER) are widely expected to increase. The role of the neurologist in this context is controversial. Methods: in 14 operative units of neurology a prospective collection of neurological evaluations in ER was carried out using boards of detection of the most frequent neurological clinical pictures seen in the course of a week. Data were collected from 738 cases. Attention was focused on cerebrovascular diseases (CVD), impairment of consciousness, epilepsy, headache, dizziness, head trauma and disorders of the peripheral nervous system (PNS). Achievements: neurological consultations were on average 5% of total accesses to ER. The most common pathology seen was ischemic stroke. After counseling most patients were discharged home. The CVD required the greatest commitment to the specialist. The usefulness of the specialized neurological “filter” has been confirmed in a non-simple operative context, aimed at optimizing the appropriateness of the hospitalization and the economy of the diagnostic path.展开更多
文摘After more than 50 years since Fisher and Adams’original description in 1964,1 transient global amnesia(TGA)is still a puzzling syndrome.Over time,several mechanisms have been proposed for TGA pathogenesis,including venous congestion,cortical spreading depression,seizures and arterial ischaemia.2–4 A sufficient amount of studies in favour and against each of these mechanisms has emerged,fostering uncertainty regarding aetiology as well as prognosis.To this extent,most of the controversy stands on whether TGA represents a risk factor for stroke,or whether this is just as benign as originally thought.
文摘Purpose of the work was to quantify the workloads and the neurologist’s commitment in ER, to verify the management of urgencies and appropriateness of neurological counseling requests. Neurologic emergencies are frequent in elderly patients and are associated with high morbidity and mortality. Due to the aging population, neurologic pathologies in emergency room (ER) are widely expected to increase. The role of the neurologist in this context is controversial. Methods: in 14 operative units of neurology a prospective collection of neurological evaluations in ER was carried out using boards of detection of the most frequent neurological clinical pictures seen in the course of a week. Data were collected from 738 cases. Attention was focused on cerebrovascular diseases (CVD), impairment of consciousness, epilepsy, headache, dizziness, head trauma and disorders of the peripheral nervous system (PNS). Achievements: neurological consultations were on average 5% of total accesses to ER. The most common pathology seen was ischemic stroke. After counseling most patients were discharged home. The CVD required the greatest commitment to the specialist. The usefulness of the specialized neurological “filter” has been confirmed in a non-simple operative context, aimed at optimizing the appropriateness of the hospitalization and the economy of the diagnostic path.
