Ischemic lumbosacral plexopathy secondary to an acute aortic dissection is a rare condition that is usually unilateral and frequently accompanied by a simultaneous spinal cord infarction. The functional prognosis relies on the severity of the nervous system involvement being usually worse when the spinal cord is involved. We present a case of a 46-year-old man who suffered an acute type B aortic dissection presenting as acute paraplegia due to bilateral ischemic lumbosacral plexopathy treated with thoracic endovascular aortic repair. An up-to-date review of the literature on ischemic lumbosacral plexus injury is provided.

Estudiar la prevalencia de trastornos del ánimo en pacientes con epilepsia y su relación con el control de crisis. Se realizó un estudio observacional y transversal de pacientes epilépticos atendidos en nuestro centro desde enero del 2017 hasta junio del 2019. Se clasificó a los pacientes en 2 grupos según el control de crisis: buen control (≤ 1 crisis/mes) y mal control (> 1 crisis/mes) y se compararon entre ambos grupos las variables demográficas (edad, sexo, estado laboral y civil), clínicas (tipo epilepsia, tipo crisis, años evolución de epilepsia), terapéuticas (fármacos antiepilépticos, antidepresivos y ansiolíticos), presencia de depresión (escala NDDI-E), ansiedad (escala GAD7) y calidad de vida (QOLIE-10). Los datos fueron recogidos por médicos y enfermeras tras la firma del consentimiento informado. Participaron 152 pacientes, el 53% de ellos fueron varones con edad media de 44 ± 11 años. El 68% (n = 103) tenía buen control de crisis y el 32% (n = 49) mal control. El 37,6% tuvo depresión (NDDI-E > 15) y el 42% ansiedad (GAD > 10). El 60% de los pacientes con depresión y el 54% con ansiedad no recibían tratamiento antidepresivo o ansiolítico. Los factores asociados a un mal control de crisis fueron la presencia de depresión (OR 2,3, p = 0,02) y una peor calidad de vida (OR 1,8, p = 0,01). La presencia de alteración del estado del ánimo en pacientes con epilepsia es frecuente. En nuestra serie, la depresión y una peor calidad de vida se relacionaron con peor control de crisis. To study the prevalence of mood disorders in patients with epilepsy and their relationship with seizure control. We conducted an observational and cross-sectional study of epileptic patients treated in our centre from January-2017 to June-2019. We classify patients into 2 groups according to crisis control: good control (≤1 crisis / month) and poor control (> 1 crisis / month) and we compare the demographic variables (age, sex, employment status and civil status), clinics (epilepsy type, crisis type, years of evolution of epilepsy), therapeutic (antiepileptic, antidepressant and anxiolytic drugs), presence of depression (NDDI-E scale), anxiety (GAD7 scale) and quality of life (QOLIE10). The data was collected by doctors and nurses after informed consent was signed. 152 patients participated, 53% were men with a mean age of 44 ± 11 years. Sixty-eight percent (n = 103) had good crisis control and 32% (n = 49) poor control. Thirty-six point 6 percent had depression (NDDI-E> 15) and 42% anxiety (GAD> 10). Sixty percent of patients with depression and 54% with anxiety did not receive antidepressant and / or anxiolytic treatment. The factors associated with poor crisis control were the presence of depression (OR 2.3, P=.02) and a worse quality of life (OR 1.8, P=.01). The presence of altered mood in patients with epilepsy is frequent. In our series, depression and a worse quality of life were related to worse crisis control.

Residents and Fellows Headache Rounds: Orthostatic Headache Complicated by Transient Right Hemisensory Loss Anna Planas-Ballvé MD, Corresponding Author Anna Planas-Ballvé MD annaplanasb@gmail.com Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainAddress all correspondence to A.P. Ballvé, Hospital Universitari Germans Trias i Pujol – Neurology, Carretera de Canyet, S/N Badalona Barcelona 08916, Spain.Search for more papers by this authorCarlos Da Silva MD, Carlos Da Silva MD Hospital Universitario Lucus Augusti, Lugo, Galicia, SpainSearch for more papers by this authorLorena Martin MD, Lorena Martin MD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorJoaquin Broto MD, Joaquin Broto MD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorA.M. Crespo-Cuevas MD, A.M. Crespo-Cuevas MD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorElena López-Cancio MD, PhD, Elena López-Cancio MD, PhD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorJosep Munuera MD, PhD, Josep Munuera MD, PhD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorMónica Millán MD, Mónica Millán MD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorAntoni Dávalos MD, PhD, Antoni Dávalos MD, PhD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this author Anna Planas-Ballvé MD, Corresponding Author Anna Planas-Ballvé MD annaplanasb@gmail.com Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainAddress all correspondence to A.P. Ballvé, Hospital Universitari Germans Trias i Pujol – Neurology, Carretera de Canyet, S/N Badalona Barcelona 08916, Spain.Search for more papers by this authorCarlos Da Silva MD, Carlos Da Silva MD Hospital Universitario Lucus Augusti, Lugo, Galicia, SpainSearch for more papers by this authorLorena Martin MD, Lorena Martin MD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorJoaquin Broto MD, Joaquin Broto MD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorA.M. Crespo-Cuevas MD, A.M. Crespo-Cuevas MD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorElena López-Cancio MD, PhD, Elena López-Cancio MD, PhD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorJosep Munuera MD, PhD, Josep Munuera MD, PhD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorMónica Millán MD, Mónica Millán MD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this authorAntoni Dávalos MD, PhD, Antoni Dávalos MD, PhD Department of Neurology, Hospital Universitari Germans Trias i Pujo, Badalona, Barcelona, SpainSearch for more papers by this author First published: 27 January 2017 https://doi.org/10.1111/head.13015 Conflict of Interest: The authors report no relevant conflicts of interest. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Volume57, Issue2February 2017Pages 302-308 This article also appears in:Spontaneous Cerebrospinal Fluid Leaks RelatedInformation