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SM ISO690:2012 POPIL, Lilian, GAVRILIUC, Olga. Caz clinic: pacientă cu ataxie, dismetrie, dizartrie, tremor. o problemă de diagnostic diferențial. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 368. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||||
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Pag. 368-368 | |||||||
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Background. The 58-year-old patient had movement disorders such as dysmetria, ataxia, dysarthria and tremor. Objective of the study. Identifying the pathology that lead to the appearance of clinical manifestations with genesis and location difficult to establish. It is necessary to make a differential diagnosis to establish the exact cause of the disabilities in the given patient. Material and Methods. To establish the final diagnosis are used the patient's history, laboratory and imaging investigations over 5 years, but also dynamic monitoring of the patient. Results. FXN gene test and the serum cooper dosage exclude Friedrich Ataxia and Wilson disease. The most probable diagnostics are Multisystem atrophy(MSA) and Spinocerebellar ataxia (SCA). But if we look at the tremor we can notice that it is present both at the rest and during moving. This finding led us to assume that the lession is present both cerebellum and basal ganglia that is clinically relevant for Multisystem atrophy. Also the pacient shows signs of disautonomia manifested by decreased blood pressure in orthostatic position that represent one of the MSA criteria. Conclusion. The most likely diagnosis is Multisystem atrophy but monitoring in dynamics both clinicaly and paraclinicaly is very important in the establismhment of the definitive diagnosis |
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Cuvinte-cheie tremor, multisystem atrophy, Ataxia, dysathria, dysmetria, tremor, atrofie multisistemică, ataxie, dizartrie, dismetrie |
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