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Volumen 68 • N.º 3 Julio-septiembre 2012 - Ministerio de Defensa

Volumen 68 • N.º 3 Julio-septiembre 2012 - Ministerio de Defensa

Volumen 68 • N.º 3 Julio-septiembre 2012 - Ministerio de Defensa

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prevent and manage these disor<strong>de</strong>rs. Similarly, it is necessary to improve the professional profile of each individual inmissions abroad.KEY WORDS: Psychological adjustement, stress, operations area, military troop, ISAF (International Security AssistanceForce), Afghanistan.BRIEF COMMUNICATION1<strong>68</strong> Tako-tsubo syndrome: report of a caseMolero Silvero E., Borrego Jiménez P., Bartolomé Cela E., Rada Martínez I., Carretero Quevedo A.SUMMARY: This report presents the case of a 72 years-old woman, who was admitted in ICU with a diagnostic of non-STsegmentelevation acute coronary syndrome (NST-ACS). Cardiac catheterization showed a normal coronary angiogram, andthe final diagnostic was TakoTsubo Syndrome.KEY WORDS: Tako-tsubo, stress myocardial injury, Acute coronary syndrome.172 Brain abscess in patient with Rendu-Osler-Weber disease. Revision of the syndrome from an illustrative caseArcos Sánchez C., Salinas Vela FT., Echeandia Ajamil C., Olmedilla Gonzalez MN., Garrido Carrión A., Antón Barca R.,Molina Foncea AF.SUMMARY: Introduction: Rendu-Osler-Weber syndrome also known as hereditary hemorrhagic telangiectasia (THH) isconsi<strong>de</strong>red as a rare cause of stroke in young people. Also pulmonary arteriovenous malformations (MAVP) are related tobrain abscess. Method: We <strong>de</strong>scribe the case of a 52 years old female patient that, during a migraine attack, suffers a progressiveonset of weakness in left body with numbness. In the evolution there appear signs of altered consciousness and intracranialhypertension, due to a cerebral abscess caused by a septic embolism as a manifestation of PAVM. Results: Through the clinicalhistory we reached the diagnosis of THH confirm by genetic studies, our patient shows, by means of MLPA (MultiplexLigation-<strong>de</strong>pen<strong>de</strong>nt Probe Amplification), a complete <strong>de</strong>lection of one of the alelo of Endogline (ENG) gene. Conclusions:Rendu-Osler-Weber disease, although its low prevalence, should be consi<strong>de</strong>r as a cause of brain abscesses in patients with historyof pulmonary fistula. The follow of these patients with THH is very important to minimize the risk of fatal events. Thediagnostic criteria are clinic but molecular studies can confirm the presence of genetic mutations related to this disease.KEY WORDS: Brain abscess. Rare Stroke Syndromes. Arteriovenous malformations. Rendu-Osler-Weber syndrome. HereditaryHaemorrhagic Telangiectasia.TECHNICAL NOTE177 Positive assessment of drugs: 2 nd quarter <strong>2012</strong>García Luque A., Puerro Vicente M. Sánchez López P., Cabanes Mariscal MA.SUMMARY: The drugs assessed by the Spanish Agency for Medicines and Health Products ma<strong>de</strong> public in the second quarterof <strong>2012</strong>, and consi<strong>de</strong>red of interest to the healthcare professional, are reviewed. These are positive technical reports priorto the authorization and placing on the market of the product.KEY WORDS: Axitinib, Inlyta, Aclidinio Bromuro, Eklira, Bretaris Genuair, Glicopirronio, Bromuro, Enurev Breezhaler,Seebri Breezhaler, Tovanor Breezhaler, Catri<strong>de</strong>cacog, Novothirteen, Ceftarolina fosamil, Zinforo, Cobre ( 64 Cu) Cloruro <strong>de</strong>,Cuprymina, Dapaglifocina, Forxiga, Ferumoxytol, Rienso, Ivacaftor, Yervoy, Linagliptina/metformina hidrocloruro, Jentadueto,Perampanel, Fycompa, Ruxolitinib, Jakavi, Teduglutida, Revestive.REPORTS182 Spanish MEDEVAC system: The Afghanistan ExperienceMunayco Sánchez AJ., Navarro Suay R., <strong>de</strong> Nicolás Álvarez MA.SUMMARY: The purpose of this report is to show the experience gathered by the Medical Evacuation (MEDEVAC) teamsbetween 2005 and 2010, during the <strong>de</strong>ployment of the ROLE 2 in Herat Base, Afghanistan, carrying out tactical and advancedaeromedical evacuation. Deployed aircrafts, medical crew and the practised clinical skills are <strong>de</strong>scribed, as well as iconographyis shown to summarize the performed evacuations and their casuistics. Finally, a summary and future prospects are presented.KEY WORDS: ISAF, MEDEVAC, Aeromedical evacuation, ROLE 2.PICTURE PROBLEM185 Round cell tumor in a seven-old month dogGalán Torres JA., Ortega García MªV.HISTORY AND HUMANITIES187 Health coverage for a retreating army: the case of the Maneuver Army during the Maestrazgo campaign (April-July 1938)García Ferrandis X.193 Instructions for authors136 Sanid. mil. <strong>2012</strong>; <strong>68</strong> (3)

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