Burch's procedure in addition to urachus-cystopexy was better for the treatment of SUI and UUI than Burch's procedure alone in a long term clinical follow-up. Surgical fixation of the urachus to the anterior abdominal wall provides extra support to the bladder and probably reduces its displacement during strength, avoiding tension of urethral and bladder neck fixations and increasing the efficacy of Burch's procedure.
La neuropatía axonal sensorial y motora aguda (AMSAN) es un subtipo del síndrome de Guillain-Barré descrito recientemente. Se caracteriza por la aparición aguda de debilidad distal, pérdida de los reflejos tendinosos profundos y síntomas sensoriales. Los estudios electrofisiológicos muestran velocidades de conducción nerviosa levemente reducidas y marcada reducción de la acción muscular y de los potenciales de acción de los nervios sensoriales. Este caso corresponde a un paciente masculino de 8 años, quien debutó con marcha equina y caídas espontáneas hacia adelante, sin antecedentes infecciosos o traumáticos, de 6 semanas de evolución.
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