Escalas en NeurologÃa - Sociedade Galega de Neuroloxia

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20-ESCALAS (357-361) 3/6/08 12:56 Página 359 MISCELÁNEA enfermedades oncológicas o terminales (como insuficiencia renal). Existen publicaciones en español al respecto (Solsona et al, 2003) y se ha utilizado en validaciones de otras escalas (Serra-Prat et al, 2004) pero no se ha encontrado una versión en español por lo que se expone en inglés. Puntuación Descripción Escala 111. GUILLAIN BARRÉ SYNDROME SCORE* 0 Sano 1 Síntomas y signos menores; capaz de trabajo manual 2 Capaz de andar más de 10 m sin asistencia 3 Capaz de andar más de 10 m con asistencia (andador o ayuda) 4 Incapaz de andar más de 10 m con asistencia (andador o ayuda) (Encamado o en silla de ruedas) 5 Requiere ventilación asistida al menos parte del día 6 Muerto * Traducción propia de la escala de van der Meche y Schmitz (1992) � 359 �
20-ESCALAS (357-361) 3/6/08 12:56 Página 360 F. BERMEJO PAREJA Escala 112. MIASTHENIA MUSCULAR SCORE Maintain upper limbs horizontally outstretched 1 point per 10 secs Maximum 15 Minimum 0 Maintain lower limbs above bed plane while lying on back 1 point per 5 secs Maximunm 15 Minimum 0 Raise head above bed plane while lying on back Against resistance 10 Without resistance 5 Impossible 0 Sit up from lying position Without help of hands 10 Impossible 0 Extrinsic ocular musculature Normal 10 Ptosis 5 Double vision 0 Eyelid occlusion Complete 10 Incomplete with corneal covering 5 Incomplete without corneal covering 0 Chewing Normal 10 Weak 5 Impossible 0 Swallowing Normal 10 Impaired without aspiration 5 Impaired wih aspiration 0 Speech Normal 10 Nasal 5 Slurred 0 Escala 113. NURICK’S CLINICAL GRADING OF CERVICAL SPONDYLOTIC MYELOPATHY Grade 0 Sings or symptoms of root involvement but without evidence of spinal cord disease Grade 1 Signs of spinal cord disease but no difficulty in walking. Grade 2 Slight difficulty in walking prevents full-time employment . Grade 3 Difficulty in walking, which prevents full-time employment or the ability to do all housework but which is not so severe as to require someone else’s help to walk. Grade 4 Able to walk only with someone else’s help or with the aid of a frame. Grade 5 Chair-bound or bedridden. � 360 �
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Escalas en NeurologÃa - Sociedade Galega de Neuroloxia