Man-in-a-barrel syndrome (MBS) is a rare clinical condition in which patients present with bilateral brachial diplegia, with relatively spared strength in the lower limbs. This syndrome is typically attributed to hypoperfusion brain injury rather than spinal pathology. We describe the case of a 75-year-old man who presented with bilateral upper limb paresis. He had had two cardiorespiratory arrests with no docu...
Diabetic striatopathy is a rare entity typically associated with signal changes on brain magnetic resonance imaging (MRI) at the level of the basal ganglia. We report a case of a 67-year-old woman with a history of type 2 diabetes mellitus who presented to the emergency department due to the acute onset of hemiballistic movements. The laboratory work-up revealed hyperglycemia without ketoacidosis. A brain MRI (...
A ecografia intravascular coronária tem ganhado importância nos laboratórios de hemodinâmica pela evidência de impacto prognóstico positivo para os doentes. Este trabalho tem como objetivo caraterizar a utilização de ecografia intravascular em intervencões coronárias percutâneas em Portugal.
Background: We aimed to evaluate the impact of thrombus aspiration (TA) during primary percutaneous coronary intervention (P-PCI) in ‘real-world’ settings. Methods: We performed a retrospective study, using data from the National Registry of Interventional Cardiology (RNCI 2006–2012, Portugal) with ST-elevation myocardial infarction (STEMI) patients treated with P-PCI. The primary outcome, in-hospital mortality...
Introduction: MELAS (mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes) is a mitochondrial hereditary dysfunction in which the physiopathological mechanism of cerebral lesions is not totally understood as yet. Typically, these lesions are described as having normal to increased apparent diffusion coefficient (ADC), and this has been used to distinguish stroke-like lesions from ischemic ...