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Approach to the Main Primary Headaches and Neuralgias in the Emergency Room: Gu...

Palavra, Filipe; Salgado, Paula; Oliveira, Renato; Machado, Sara

Headache is one of the most common neurological symptoms and one of the most common complaints in the emergency setting. While it is essential to recognize headache red flags and potential secondary headaches, it is equally important to adequately manage primary headaches, often overlooked and under-treated in this sector. This is valid for both the adult and children populations. Acutely, medication such as tr...

Date: 2026   |   Origin: SINAPSE

Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin

Sousa, Ana L; Salgado, Paula; Alves, José E; Silva, Sara; Ferreira, Sofia; Magalhães, Marina

Background: Chronic hepatic disease can present with extrapyramidal symptoms. We describe two cases that presented with highly unusual movement disorders: ballism and gait freezing. Case report: Patient 1 is a 42-year-old man with previous episodes of hepatic encephalopathy (HE) who presented with upper limb dystonia and generalized chorea that progressed to ballism. Patient 2 is a 55-year-old woman who present...


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