{"id":57882,"date":"2007-10-04T00:00:00","date_gmt":"2007-10-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-clinico-y-neurofisiologico-en-pacientes-con-sindrome-de-piernas-inquietas-en-el-area-sanitaria-de-guadalajara-y-su-relacion-fisiopatologica-con-la-neuropatia-y-la-hiperalgesia\/"},"modified":"2007-10-04T00:00:00","modified_gmt":"2007-10-04T00:00:00","slug":"estudio-clinico-y-neurofisiologico-en-pacientes-con-sindrome-de-piernas-inquietas-en-el-area-sanitaria-de-guadalajara-y-su-relacion-fisiopatologica-con-la-neuropatia-y-la-hiperalgesia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/neurologia\/estudio-clinico-y-neurofisiologico-en-pacientes-con-sindrome-de-piernas-inquietas-en-el-area-sanitaria-de-guadalajara-y-su-relacion-fisiopatologica-con-la-neuropatia-y-la-hiperalgesia\/","title":{"rendered":"Estudio clinico y neurofisiologico en pacientes con sindrome de piernas inquietas en el area sanitaria de guadalajara y su relacion fisiopatologica con la neuropatia y la hiperalgesia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carolina Serrano Gonzalez <\/strong><\/h2>\n<p>Antecedentes: existe cada vez mayor evidencia que relaciona el s\u00edndrome de piernas inquietas (spi) con la neuropat\u00eda perif\u00e9rica (np). La ausencia de neuropat\u00eda es un criterio esencial para el diagn\u00f3stico de spi idiop\u00e1tico, pero las exploraciones neurofisiol\u00f3gicas no est\u00e1n incluidas de forma rutinaria en el proceso diagn\u00f3stico. Por otro lado, parece que en la fisiopatolog\u00eda del spi pueden participar mecanismos de sensibilizaci\u00f3n central. No obstante, hay pocos estudios que exploren la presencia de hiperalgesia en pacientes con spi. metodolog\u00eda: se incluyeron 53 pacientes con el diagnostico de spi seg\u00fan los criterios de la irlssg. Realizamos un estudio de corte transversal anal\u00edtico. Analizamos las caracter\u00edsticas  cl\u00ednicas y demogr\u00e1ficas de nuestros pacientes con spi y realizamos en todos ellos estudios de conducci\u00f3n nerviosa y pruebas sensitivas cuantitativas.  conclusiones: 1.\tEl spi de intensidad moderada- severa se asocia a la np, observ\u00e1ndose hasta en el 62% de nuestros pacientes. 2.\tEn los pacientes con spi y np se encuentran afectadas tanto la fibra mielinizada como la fina, observ\u00e1ndose predominio de la afectaci\u00f3n sensitiva de tipo axonal.  3.\tSe identifican algunas caracter\u00edsticas cl\u00ednicas del spi neuropatico: ausencia de antecedentes familiares de spi, presencia de s\u00edntomas simult\u00e1neos de spi en los pies y en las pantorrillas, curso r\u00e1pidamente progresivo, predominio del sexo masculino y comienzo tard\u00edo del spi. 4.\tLa hiperalgesia t\u00e9rmica esta presente hasta el 70 % de nuestros pacientes con predominio del sexo femenino y en pacientes de edad avanzada.  5.\tLa hiperalgesia t\u00e9rmica no se asocio a np en nuestros pacientes, lo que apoya la existencia de disfunci\u00f3n de os mecanismos de procesamiento somotosensitivo en el spi.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio clinico y neurofisiologico en pacientes con sindrome de piernas inquietas en el area sanitaria de guadalajara y su relacion fisiopatologica con la neuropatia y la hiperalgesia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio clinico y neurofisiologico en pacientes con sindrome de piernas inquietas en el area sanitaria de guadalajara y su relacion fisiopatologica con la neuropatia y la hiperalgesia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carolina Serrano Gonzalez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/04\/2007<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Melchor Alvarez De Mon Soto<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: agust\u00edn Albillos mart\u00ednez <\/li>\n<li>m. mercedes Gonz\u00e1lez hidalgo (vocal)<\/li>\n<li>cristina Franco carcedo (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Jimenez bustos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carolina Serrano Gonzalez Antecedentes: existe cada vez mayor evidencia que relaciona el s\u00edndrome de piernas inquietas (spi) [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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