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González-García R, Albanell-Fernández M, Aranda L, Gelis S, Bartra J, Soy Muner D, López-Cabezas C. Evaluation of desensitization protocols to betalactam antibiotics. J Clin Pharm Ther 2021; 47:592-599. [PMID: 34820864 DOI: 10.1111/jcpt.13578] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Revised: 11/03/2021] [Accepted: 11/11/2021] [Indexed: 11/27/2022]
Abstract
WHAT IS KNOWN AND OBJECTIVE Betalactam antibiotics are the most frequent cause of hypersensitivity reactions. Rapid drug desensitization (RDD) is a technique that induces temporary tolerance to a drug allowing a patient to receive the optimal agent. The increased use of RDD and the lack of standardization among available protocols in terms of formulation, starting dose, number of steps and dosing frequency make it essential to determine the safety and appropriate management of these protocols, especially regarding reconstitution, diluents, stability and drug administration in order to guarantee reproducibility. We reviewed betalactam desensitization protocols in a tertiary hospital, in accordance with currently published practices and evaluated its use on patients over a period of three years. METHODS (a) We performed a literature search in PubMed, MEDLINE and Google Scholar databases for case reports and/or systematic reviews describing desensitization protocols for betalactam antibiotics. Pharmacokinetic parameters and physicochemical stability were checked for each antibiotic. (b) We retrospectively reviewed inpatients undergoing our antibiotic desensitization protocols from February 2018 to January 2021. Data and outcomes of desensitization procedures were analysed. RESULTS We developed nine RDD protocols: meropenem, ceftriaxone, ceftazidime, ampicillin, ceftolozane/tazobactam, cloxacillin, piperacillin/tazobactam, amoxicillin/clavulanate and penicillin G sodium. Five antibiotics have RDD protocols for two different doses, adjusted to patients with impaired renal function. Detailed data (diluent, total dose, volume, concentrations, duration and stability) of the protocol of each antibiotic used are provided. 28 desensitizations were performed in 17 patients, three of them with confirmed allergies by skin test. 26 out of 28 (92.9%) of them were successfully completed, including those three with positive skin results. The pathogens most frequently involved were E. faecalis and P. aeruginosa; both frequently associated with bacterial resistance. Meropenem, ceftriaxone and ceftazidime were the antibiotics most desensitized. 25 out of 26 (96.1%) procedures were successful in resolving the infection. WHAT IS NEW AND CONCLUSIONS Detailed information about compounding, dilution and stability is crucial to ensure safe and successful desensitization processes, as well as good coordination between the Allergy and Pharmacy departments. The increase in bacterial resistance to many of the commercially available antibiotics limits the therapeutic options for treating multidrug-resistant infections; in those situations, antibiotic desensitization may be a key therapeutic option. Although there is a broad consensus in limiting the use of RDD to patients with confirmed allergy, in usual clinical practice its application in those strongly suspected of having type I hypersensitivity is still observed. Our betalactam desensitization protocols have shown themselves to be safe and effective, as evidenced by data from the 17 patients on whom they have been tested.
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Affiliation(s)
- Rubén González-García
- Pharmacy Service, Division of Medicines, Clínic de Barcelona, University of Barcelona, Barcelona, Spain
| | - Marta Albanell-Fernández
- Pharmacy Service, Division of Medicines, Clínic de Barcelona, University of Barcelona, Barcelona, Spain
| | - Laura Aranda
- Pharmacy Service, Division of Medicines, Clínic de Barcelona, University of Barcelona, Barcelona, Spain
| | - Sonia Gelis
- Allergology Section, Pneumology Service, ICR. ARADYAL, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain
| | - Joan Bartra
- Allergology Section, Pneumology Service, ICR. ARADYAL, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain
| | - Dolors Soy Muner
- Pharmacy Service, Division of Medicines, Clínic de Barcelona, University of Barcelona, Barcelona, Spain
| | - Carmen López-Cabezas
- Pharmacy Service, Division of Medicines, Clínic de Barcelona, University of Barcelona, Barcelona, Spain
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Monje A, Aranda L, Diaz KT, Alarcón MA, Bagramian RA, Wang HL, Catena A. Impact of Maintenance Therapy for the Prevention of Peri-implant Diseases: A Systematic Review and Meta-analysis. J Dent Res 2015; 95:372-9. [PMID: 26701350 DOI: 10.1177/0022034515622432] [Citation(s) in RCA: 162] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
At the present time, peri-implantitis has become a global burden that occurs with a frequency from 1% to 47% at implant level. Therefore, we aimed herein at assessing the impact of peri-implant maintenance therapy (PIMT) on the prevention of peri-implant diseases. Electronic and manual literature searches were conducted by 3 independent reviewers using several databases, including MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and Cochrane Oral Health Group Trials Register, for articles up to June 2015 without language restriction. Articles were included if they were clinical trials aimed at demonstrating the incidence of peri-implant diseases under a strict regime or not of PIMT. Implant survival and failure rate were studied as secondary outcomes. A meta-analysis was conducted to evaluate the influence of PIMT and other reported variables upon peri-implant diseases. Thirteen and 10 clinical trials were included in the qualitative and quantitative analysis, respectively. Mucositis was affected by history of periodontitis and mean PIMT at implant and patient levels, respectively. Similarly, significant effects of history of periodontal disease were obtained for peri-implantitis for both implant and patient levels. Furthermore, mean PIMT interval was demonstrated to influence the incidence of peri-implantitis at implant but not patient level. PIMT interval showed significance at both levels. For implant survival, implants under PIMT have 0.958 the incident event than those with no PIMT. Within the limitations of the present systematic review, it can be concluded that implant therapy must not be limited to the placement and restoration of dental implants but to the implementation of PIMT to potentially prevent biologic complications and hence to heighten the long-term success rate. Although it must be tailored to a patient's risk profiling, our findings suggest reason to claim a minimum recall PIMT interval of 5 to 6 mo. Additionally, it must be stressed that even in the establishment of PIMT, biologic complications might occur. Thus, patient-, clinical-, and implant-related factors must be thoroughly explored.
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Affiliation(s)
- A Monje
- Department of Periodontics and Oral Medicine, University of Michigan, Ann Arbor, MI, USA
| | - L Aranda
- Department of Periodontology and Implant Dentistry, Cayetano Heredia Peruvian University, Lima, Perú
| | - K T Diaz
- Department of Oral Implantology, Cayetano Heredia Peruvian University, Lima, Perú
| | - M A Alarcón
- Department of Periodontology and Implant Dentistry, Cayetano Heredia Peruvian University, Lima, Perú
| | - R A Bagramian
- Department of Periodontics and Oral Medicine, University of Michigan, Ann Arbor, MI, USA
| | - H L Wang
- Department of Periodontics and Oral Medicine, University of Michigan, Ann Arbor, MI, USA
| | - A Catena
- Department of Experimental Psychology, University of Granada, Granada, Spain
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Lawson B, Santin J, Aranda L, Godoy J, Mesa T. [Behavior disorder of the REM sleep in 2 documented cases with polysomnography]. Rev Med Chil 1999; 127:71-4. [PMID: 10436682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
Abstract
We report a 69 years old male with a parkinsonian syndrome and a 50 years old female without neurological problems who showed violent behavior during REM sleep. Polysomnography showed that both bad tonic or phasic muscular activity during REM sleep and a REM sleep behavior disorder was diagnosed. Clonazepam was used in both, with good clinical response. This condition is frequently unrecognized and confused with nightmares, nocturnal delirium or other parasomnias.
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Affiliation(s)
- B Lawson
- Centro Médico del Sueño, Hospital Clínico Universidad Católica de Chile
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Lasso J, Godoy J, Santin J, Aranda L, Mesa T. 4-50-04 Correlation between daytime hypersomnia, body mass index with the occurrence of respiratory events in different positions in obstructive sleep apnea syndrome. J Neurol Sci 1997. [DOI: 10.1016/s0022-510x(97)86205-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Godoy J, Torrealba G, Aranda L, Huete I, Idiáquez J, Fantín A. [Foramen ovale electrodes in the study of temporal lobe epilepsy]. Rev Med Chil 1992; 120:1134-9. [PMID: 1341775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Corticograms of the mesial structures of the temporal lobe may be obtained with the recently developed foramen ovale electrodes. Since their installation is easy and of low risk, they will probably displace other invasive techniques routinely used up to the moment for the localization and lateralization of epileptic foci originated in the temporal lobe. For the first time in our country, we have used this technique in 7 patients with medically intractable complex partial epilepsy. In all the patients, the study allowed to clear doubts about the laterality of the start of ictal activity and to define irritative foci not found with conventional continuous superficial electroencephalographic recordings. The procedure was uneventful and the implanted electrodes were optimally tolerated. Foramen ovale electrodes are an effective diagnostic method for temporal lobe epilepsies and their features are specially appropriate for our milieu.
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Affiliation(s)
- J Godoy
- Departamento de Neurología-Neurocirugía, Escuela de Medicina, Pontificia Universidad Católica de Chile
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Mèndez J, Aranda L, Del Villar S, Maturana G. [A different route for introducing the cardiac catheter of Heyer-Shulte through the atrioventricular valve]. Acta Neurol Latinoam 1972; 18:173-5. [PMID: 4679410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Mena I, López G, Horiuchi K, Aranda L. [The blood-brain barrier and the trace elements: manganese]. Rev Med Chil 1972; 100:171-4. [PMID: 5011619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Rojas G, Asenjo A, Chiorino R, Aranda L, Rocamora R, Donoso P. [Cellular and subcellular structure of the ventrolateral nucleus of the thalamus in Parkinson's disease. Iron deposits]. Rev Med Chil 1971; 99:436-8. [PMID: 5561162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Asenjo A, Rojas G, Aranda L, Weinstein V, Oberhauser E. [Cytosiderosis and deposits of iron in the ventrolateral nucleus of the thalamus in Parkinson's disease. Clinical and experimental study]. Rev Neurol (Paris) 1969; 121:581-92. [PMID: 4996065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Aranda L, Jara O. [Electromyographic study of the bulbocavernous reflex in normal and pathological conditions]. Neurocirugia (Astur) 1969; 27:248-50. [PMID: 5394085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Weinstein V, Oberhauser E, Asenjo A, Rojas G, Aranda L. [Effects of dimethyl sulfoxide on experimental cytosiderosis]. Neurocirugia (Astur) 1969; 27:56-60. [PMID: 5385659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Aranda L, Asenjo A, Rojas G. [Extrapyramidal syndrome caused by iron overloading. Experimental study]. Neurocirugia (Astur) 1968; 26:211-6. [PMID: 4981626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Chiorino R, Donoso P, Diaz G, Aranda L, Asenjo A, Garcia C. [Findings on stereotaxic surgery in the treatment of epilepsy, apropos of a new technic: the campotomy]. Neurocirugia (Astur) 1968; 26:143-7. [PMID: 4979800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Asenjo A, Oberhauser E, Weinstein V, Rojas G, Aranda L. Cytosiderosis of the central nervous system in Parkinson's disease. Neurocirugia (Astur) 1968; 26:90-3. [PMID: 4983535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Diaz Perez G, Chiorino R, Donoso P, Aranda L, Asenjo A. [Posterior hypothalamotomy using the stereotaxic method in the treatment of erethism and aggressiveness]. Neurocirugia (Astur) 1968; 26:12-8. [PMID: 4904004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Asenjo A, Imbernón S, Aranda L. [Stereotaxic technic with the Asenjo-Ibernón apparatus applied to different thalamic and hypothalamic nuclei]. Neurocirugia (Astur) 1966; 24:99-128. [PMID: 4865845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Varleta J, Asenjo A, Vecchiola A, Weinstein V, Oberhauser I, Aranda L. [Experimental cytosiderosis (preliminary communication)]. Neurocirugia (Astur) 1966; 24:131-2. [PMID: 5989760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Rocamora R, Aranda L, Asenjo A, Chiorino R, Donoso P. Electrophysiological studies of the thalamic nuclei. Confin Neurol 1966; 27:253-7. [PMID: 5334018 DOI: 10.1159/000103963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Asenjo A, Rocamora A, Chiorino R, Donoso R, Aranda L. [Treatment of cystic craniopharyngioma with radioactive phosphorus, with a stereotaxic technic]. Neurocirugia (Astur) 1965; 23:121-6. [PMID: 5338769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Donoso P, Rocamora R, Chiorino R, Flandes B, Asenjo A, Aranda L. Clinical study and results of stereoencephalotomy in the treatment of Parkinsonism. Neurocirugia (Astur) 1965; 23:109-11. [PMID: 5338768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Asenjo A, Imbernón A, Rocamora R, Chiorino R, Aranda L, Rojas G. The Asenjo-Imbernón stereotactic apparatus. Confin Neurol 1965; 26:382-8. [PMID: 5329842 DOI: 10.1159/000104084] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Donoso P, Chiorino R, Flandes B, Asenjo A, Rocamora R, Aranda L. Clinical study and results of stereoencephalotomy in the treatment of Parkinsonism. Confin Neurol 1965; 26:411-5. [PMID: 5329846 DOI: 10.1159/000104057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Aranda L, Rocamora R, Asenjo A, Chiorino R. The topography of motor fibres in the internal capsule. Neurocirugia (Astur) 1965; 23:112-4. [PMID: 5877378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Rojas G, Asenjo A, Chiorino R, Aranda L, Rocamora R, Donoso P. Cellular and subcellular structure of the ventrolateral nucleus of the thalamus in Parkinson disease. Deposits of iron. Confin Neurol 1965; 26:362-76. [PMID: 5888264 DOI: 10.1159/000104083] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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26
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Rojas G, Asenjo A, Chiorino R, Aranda L, Rocamora R, Donoso P. [Cellular and subcellular structure of the ventrolateral nucleus of the thalamus. Deposits of iron]. Neurocirugia (Astur) 1965; 23:5-14. [PMID: 5877387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Aranda L, Rocamora RJ, Bassauri L. [Macular representation in the visual cortex. Electrophysiological analysis in man]. Neurocirugia (Astur) 1965; 23:41-3. [PMID: 5877384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Aranda L, Asenjo A, Rocamora R, Díaz G, Chiorino R. [Posterior hypothalamotomy in a case of erethitic behavior and idiocy]. Neurocirugia (Astur) 1965; 23:118-20. [PMID: 5339280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Aranda L, Jara R, Fierro J, Rocamora R. [Electrostimulation of the bladder. Experimental study in animals and in paraplegic patients]. Neurocirugia (Astur) 1965; 23:101-2. [PMID: 5298135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Chiorino R, Asenjo A, Rocamora R, Aranda L, Donoso P. Anatomo-physiological considerations in surgery for Parkinsonism, with special reference to the internal capsule. Neurocirugia (Astur) 1965; 23:106-8. [PMID: 5877377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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