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Diagnostic Criteria of Acute Disseminated Encephalomyelitis (ADEM)

Acute Disseminated Encephalomyelitis (ADEM) is a brief but intense attack of inflammation (swelling) in the brain and spinal cord and occasionally the optic nerves that damages the brain’s myelin (the white coating of nerve fibers).

Continue reading “Diagnostic Criteria of Acute Disseminated Encephalomyelitis (ADEM)”

Diagnostic Criteria for Myocarditis

Myocarditis may present with a wide range of symptoms, ranging from mild dyspnea or chest pain that resolves without specific therapy to cardiogenic shock and death. Dilated cardiomyopathy with chronic heart failure is the major long-term sequela of myocarditis. Most often, myocarditis results from common viral infections; less commonly, specific forms of myocarditis may result from other pathogens, toxic or hypersensitivity drug reactions, giant-cell myocarditis, or sarcoidosis.  Continue reading “Diagnostic Criteria for Myocarditis”

Risk Factors for Contrast-Induced Nephropathy (CIN)

Contrast-induced nephropathy (CIN) is defined as the impairment of renal function and is measured as either a 25% increase in serum creatinine (SCr) from baseline or 0.5 mg/dL (44 umol/L) increase in absolute value, within 48-72 hours of intravenous contrast administration. Continue reading “Risk Factors for Contrast-Induced Nephropathy (CIN)”

Criteria for the Classification of Wegener’s Granulomatosis (WG)

Granulomatosis with polyangiitis (GPA), formerly known as Wegener’s granulomatosis, is a rare form of vasculitis. In this disorder, small-sized blood vessels in the nose, sinuses, ears, lungs and kidneys become inflamed and damaged. Continue reading “Criteria for the Classification of Wegener’s Granulomatosis (WG)”

Criterios Diagnóstico para Vértigo Posicional Paroxístico Benigno

Diagnostic Criteria for Benign Paroxysmal Positional Vertigo

  • Vertigo associated with a characteristic mixed torsional and vertical nystagmus provoked by the Dix-Hallpike test
  • A latency (typically of 1 to 2 seconds) between the completion of the Dix-Hallpike test and the onset of vertigo and nystagmus
  • Paroxysmal nature of the provoked vertigo and nystagmus (i.e., an increase and then a decline over a period of 10 to 20 seconds)
  • Fatigability (i.e., a reduction in vertigo and nystagmus if the Dix-Hallpike test is repeated)

Common Causes of Vertigo

Otologic disorders

  • Benign paroxysmal positional vertigo
  • Meniere´s disease (hydrops endolymphayic)
  • Vestibular neuronitis (labyrinthitis)

Neurologic disorders

  • Migraine-associated dizziness
  • Vertebrobasilar insufficiency
  • Panic disorders

Dix-Hallpike Maneover for Positional Nystagmus

Peripheral disorder Central disorder
Latent period before onset of positional nystagmus 2 to 20 seconds None
Duration of nystagmus Less than 1 minute Greater than 1 minute
Fatigability Fatiguing with repetition Nonfatiguing
Direction of nystagmus Only one type, usually horizontal/rotatory May change direction with a given head position
Intensity of vertigo Severe Less severe, sometimes none

 

References:

  1. Furman JM, Cass SP. Benign paroxysmal positional vertigo. N Engl J Med. 1999 Nov 18;341(21):1590-6. [Medline]

 

Created: Dic 23, 2005

 

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