Apresenta-se o caso clínico de uma rapariga de 9 anos de idade, com antecedentes irrelevantes, que adoeceu com um síndrome febril, alteração do estado geral, esplenomegália e exantema na face e mãos. Após 1 mês e meio de evolução da doença surgiu um quadro neurológico do tipo neuropatia periférica com disfunção do esfincter vesical.Dos exames efectuados destaca-se presunção de infecção recente por citomegalovir...
Urinary retention in women is not a common complaint. The main causes are structural or functional, which means that urological and neurological reviews are mandatory. Fowler's Syndrome has been described in 1988 and has stablished an association between urinary retention, electromyographic abnormality of the striated urethral sphincter and polycystic ovaries pathologies. Even though its phisiopathology is not ...
Spondylodiscitis is a rare cause of spinal cord lesion. Although this kind of infection is known to have a low incidence; it reflects cases of major clinical interest, since early diagnosis and treatment are determinant reducing morbi-mortality and in improving functional prognosis.To analyse demographic and clinical data; the diagnostic investigations, the rehabilitation programme and the outcome in hospitalis...
The neuromotor techniques do not have good results in severe spasticity prevention and treatment (Ashworth Scale > or = 3). High doses of oral Baclofen are required, thus intrathecal baclofen is a current alternative.To assess the effectiveness of treatment, the eight Spinal Cord Injury (SCI) patients with a intrathecal baclofen pump are controlled in a specific consultation in the Rehabilitation Service of C.H...
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