Intracranial hypotension syndrome in a pediatric patient with Marfan syndrome
We present the case of an 11-year-old boy, with medical history of Marfan syndrome, with orthostatic headache and persistent vomiting (12 hours) following a fall on the sacrococcygeal region. Magnetic resonance showed extradural fluid collections at dorsal and lumbosacral levels, compatible with CSF leak. The condition was resolved with treatment, but the patient had two new episodes during the follow-up period. Thus, an epidural blood patch was performed two years after the first episode. Although HIS is uncommon in children, it should be suspected in patients with orthostatic headache, particularly if the patient present...
Source: Anales del Sistema Sanitario de Navarra - May 19, 2023 Category: General Medicine Authors: Amelia Moreno S ánchez David Molina Herranz Armando S ánchez Andrés Lorena Monge Galindo Source Type: research

Corticoid treatment and SARS-CoV-2 variants: two independent factors associated with COVID-19 mortality in a Spanish regional hospital
CONCLUSIONS: This study confirms the therapeutic utility of glucocorticoids to reduce in-hospital mortality due to COVID-19. Heterogeneous mortality rates between the different COVID-19 waves suggest a direct role of viral variants as determinants of lethality, regardless of the patient's history.PMID:37203319 | PMC:PMC10205026 | DOI:10.23938/ASSN.1017 (Source: Anales del Sistema Sanitario de Navarra)
Source: Anales del Sistema Sanitario de Navarra - May 19, 2023 Category: General Medicine Authors: Juan Salas Jarque Javier Moreno D íaz Cristina Bustos Morell Javier Pereira Boan Antonio Dur án Portella Francisco Ruiz Montes Jos é Velilla Marco Source Type: research

Design and reliability study of a parental knowledge, attitude, and practice questionnaire on prevention and management of acute bronchiolitis of children under two years of age
CONCLUSION: The Parental knowledge, attitude, and practice questionnaire on prevention and management of acute bronchiolitis at home obtained an excellent Content Validity Index score by the expert committee and an acceptable internal consistency. Our questionnaire may reinforce the weak knowledge areas regarding the measures to apply.PMID:37203315 | PMC:PMC10206607 | DOI:10.23938/ASSN.1032 (Source: Anales del Sistema Sanitario de Navarra)
Source: Anales del Sistema Sanitario de Navarra - May 19, 2023 Category: General Medicine Authors: Elena Delgado-Castillejo Mar ía Carratalá-Tejada Francisco Molina-Rueda Source Type: research

Multiple myeloma with laryngeal affectation: an uncommon cause of dysphonia
We report the case of a 70-year-old man with disphonia after a recent diagnosis of multiple myeloma. Radiological and immunohistochemical studies showed laryngeal involvement. The patient is currently under treatment with lenalidomide, dexamethasone, and bortezomib.PMID:37203316 | PMC:PMC10208389 | DOI:10.23938/ASSN.1034 (Source: Anales del Sistema Sanitario de Navarra)
Source: Anales del Sistema Sanitario de Navarra - May 19, 2023 Category: General Medicine Authors: Andr és González Fernández Maider Berasategui Fuertes Ignacio Sanhueza Torres Alba Larrea Ram írez Source Type: research

Avascular necrosis of the proximal epiphysis of the first metatarsal bone in childhood. Long-term outcome
An Sist Sanit Navar. 2023 Apr 25;46(1):e1030. doi: 10.23938/ASSN.1030.ABSTRACTTen-year old boy with an 8-month history of limping for pain in the dorsomedial region of the right midfoot. At examination, there were signs of local swelling and tenderness to palpation, as well as antalgic gait with internal rotation. X-ray results showed widening of the proximal epiphysis of the first metatarsal. One month later, local fragmentation with hypodense and sclerotic areas was observed. MRI showed fragmentation, sclerosis, and collapse in the proximal epiphysis consistent with avascular necrosis of the proximal epiphysis of the fir...
Source: Anales del Sistema Sanitario de Navarra - May 19, 2023 Category: General Medicine Authors: Seraf ín García Mata Source Type: research