Publicación Oficial de la Sociedad Ecuatoriana de Neurología, de la Liga Ecuatoriana Contra la Epilepsia y de la Sociedad Iberoamericana de Enfermedad Cerebrovascular

immunomodulatory therapy

 

Esclerosis Multiple en un Hospital del Litoral Ecuatoriano.

Objective: An observational study was conducted in 45 patients with Multiple Sclerosis in a hospital in the Ecuadorian Coast, in order to characterize the disease in our environment.

Methods: During the period of 8 years (2002 – 2010), demographic and clinical characteristics, disability status using the modified Kurtzke, assessment of functional systems and response to immunomodulatory treatment are evaluated.

Results: Of the 45 patients studied 58% were women, the most common age group was between 30 – 39 years. The predominating type was relapsing remitting (RR) followed by secondary progressive (SP). It is determined that the nuclear magnetic resonance (RM) is the complementary method of choice for diagnosis and monitoring of patients and the relapse rate was low using immunomodulatory therapy.

Conclusions: The study suggests that the presentation of the disease in a hospital in the Ecuadorian coast is lower than in the inter-Andean region probably due to demographics or other factors yet to be determined, but that the clinical features, the subtypes of the disease and immunomodulatory treatment response is similar to the series found in countries of the same characteristics.

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Propuesta Pedagógica para la Compensación de la Memoria Viso-Espacial en Pacientes con Secuelas Neurológicas.

During the perception of an object, a complex system of temporary connections, which reflects the links and relationships between objects, their parts and properties in the brain, appears.

Objective: To determine how the designed pedagogical proposal influences in the compensation of the viso- space memory in people with neurological sequels.

Material and method: A pre pedagogical experiment in a group of 20 patients was carried out. A neuropsychological battery was used evaluating visual memory, viso-construction, perceptual and motor speed, care, executive functions and verbal intelligence (NEUROPSI) both initial and final to verify the memory deficit. Results were compared and the percentage is reported.

Results: The studied group age range was between 21 and 55 years. The main feature found was the inaccuracy in the reproduction of the model due to the latent attention deficit. The disorders of the mechanism to fixate memories were one of the greatest difficulties presented. An improvement in each variable was observed.

Conclusion: The designed pedagogical proposal influenced positively the visospace memory compensation in the group of patients under investigation.

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