By Oliver Sacks
Oliver Sacks vuelve a hacer gala de su singular talento como narrador, su sentido del humor y su inmensa cultura para plantear cuestiones que ponen en entredicho nuestra percepción del mundo y, muchas veces, nuestra propia identidad. Desde las visiones religiosas y su explicación fisiológica hasta el uso de drogas psicodélicas como puerta a una percepción inside que los sentidos nos niegan, los relatos del health practitioner Sacks van más allá del mero historial médico y constituyen una auténtica historia cultural de l. a. percepción, un estudio antropológico de una supuesta anormalidad que no es, en el fondo, más que el reverso de lo que normalmente conocemos como realidad. «Fascinante. los angeles comprensión del general practitioner Sacks hacia sus pacientes y su perspectiva filosófica transforman simples casos clínicos en relatos que iluminan las complejidades del cerebro humano y los misterios de los angeles mente humana» (Michiko Kakutani, big apple Times).
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Extra resources for Alucinaciones
Siva A. The spectrum of multiple sclerosis and treatment decisions. Clin Neurol Neurosurg. 2006;108:333–338. Tintore M, Rovira A, Rio J, et al. Baseline MRI predicts future attacks and disability in clinically isolated syndromes. Neurology. 2006;67:968–972. Villar LM, Garcia-Barragan N, Sadaba MC, et al. Accuracy of CSF and MRI criteria for dissemination in space in the diagnosis of multiple sclerosis. J Neurol Sci. 2008;266:34–37. 33 Further Reading This page intentionally left blank Chapter 5 This chapter will recapitulate, review, and attempt to consolidate the information presented in Chapters 2 through 4 with the intent of allowing the reader to have an algorithm for diagnosing MS.
Preliminary observations support this conclusion. While the most visible acute inﬂammation occurs in CNS white matter, recent observations show that inﬂammation also occurs in gray matter, both in cortex and in deep gray matter nuclei such as the thalamus. 11 These data suggest that different pathophysiologic processes are occurring concomitantly and may lead to different clinical outcomes. Cortical inﬂammation appears to be associated with more gray matter atrophy and more CHAPTER 3 Acute Inﬂammation 19 inﬂammation and degeneration.
9,10 However, decreases in brain volume over the short term may indicate a decrease in CNS inﬂammation and edema and thus may represent a beneﬁcial effect of a disease-modifying therapy. Nonconventional MRI Techniques New techniques are being developed that can provide further insights into the pathogenic tissue changes noted in MS. As of this writing these techniques are not routinely available due to the additional time needed to obtain the data, the complexity of data interpretation, the “research” nature of the techniques, and, perhaps most importantly, the lack of additional reimbursement for performing them.
Alucinaciones by Oliver Sacks