{"id":26668,"date":"2025-06-03T09:57:00","date_gmt":"2025-06-03T07:57:00","guid":{"rendered":"https:\/\/www.icscyl.com\/mileon\/?p=26668"},"modified":"2025-05-31T18:05:04","modified_gmt":"2025-05-31T16:05:04","slug":"sesion-clinica-9-2025-esclerosis-lateral-amiotrofica","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2025-06-03\/sesion-clinica-9-2025-esclerosis-lateral-amiotrofica\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 9\/2025: esclerosis lateral amiotr\u00f3fica"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"640\" src=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/12\/question_mark_3d_font_issue_symbol_question_puzzles_problem-1378223.jpgd_-1024x640.jpeg\" alt=\"\" class=\"wp-image-25975\" style=\"width:175px;height:auto\" srcset=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/12\/question_mark_3d_font_issue_symbol_question_puzzles_problem-1378223.jpgd_-1024x640.jpeg 1024w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/12\/question_mark_3d_font_issue_symbol_question_puzzles_problem-1378223.jpgd_-300x188.jpeg 300w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/12\/question_mark_3d_font_issue_symbol_question_puzzles_problem-1378223.jpgd_-768x480.jpeg 768w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/12\/question_mark_3d_font_issue_symbol_question_puzzles_problem-1378223.jpgd_-624x390.jpeg 624w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/12\/question_mark_3d_font_issue_symbol_question_puzzles_problem-1378223.jpgd_.jpeg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p>La sesi\u00f3n cl\u00ednica del 7 de mayo de 2025, presentada por la Dra. Lara Victoria Calvo (R4 de Medicina Interna) y el Dr. Nistal de Paz, donde se abord\u00f3 el caso de un paciente con debilidad muscular progresiva de varios meses de evoluci\u00f3n, con predominio en cinturas escapulares, p\u00e9rdida de peso de 10 kg y episodios de ca\u00eddas. Llamaba la atenci\u00f3n la ausencia de s\u00edntomas sensitivos, la presencia de fasciculaciones y la debilidad proximal con amiotrofiA. Ante este cuadro, se consideraron m\u00faltiples diagn\u00f3sticos diferenciales: miopat\u00edas inflamatorias, enfermedades de la placa motora, causas paraneopl\u00e1sicas o metab\u00f3licas, y miopat\u00edas inducidas por d\u00e9ficit de vitamina D. No obstante, la combinaci\u00f3n de fasciculaciones, debilidad progresiva y ausencia de alteraciones sensitivas orient\u00f3 la sospecha hacia una enfermedad de motoneurona, concretamente ELA. El electromiograma fue determinante, mostrando signos de denervaci\u00f3n aguda y cr\u00f3nica en m\u00faltiples grupos musculares, lo que apoy\u00f3 el diagn\u00f3stico de ELA. Su presentaci\u00f3n conjunta est\u00e1 disponible a continuaci\u00f3n.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-fbdd3c1e-7fc7-40ae-b69b-999f835544d4\" href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/05\/Dres-Calvo-y-Nistal-sesclin-May25-1.pdf\">Dres Calvo y Nistal sesclin May25<\/a><a href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/05\/Dres-Calvo-y-Nistal-sesclin-May25-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-fbdd3c1e-7fc7-40ae-b69b-999f835544d4\">Descarga<\/a><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La sesi\u00f3n cl\u00ednica del 7 de mayo de 2025, presentada por la Dra. Lara Victoria Calvo (R4 de Medicina Interna) y el Dr. Nistal de Paz, donde se abord\u00f3 el caso de un paciente con debilidad muscular progresiva de varios meses de evoluci\u00f3n, con predominio en cinturas escapulares, p\u00e9rdida de peso de 10 kg y [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[1099,958],"class_list":["post-26668","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-calvo","tag-nistal"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26668","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=26668"}],"version-history":[{"count":3,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26668\/revisions"}],"predecessor-version":[{"id":26672,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26668\/revisions\/26672"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=26668"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=26668"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=26668"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}