Resumen Objetivo: Determinar los efectos de la fisioprofilaxis (PP) sobre las concentraciones de lactato en sangre (BL) tras la prueba de esfuerzo incremental máximo, considerando que se trata de la aplicación de técnicas en fisioterapia deportiva para reducir los signos de fatiga muscular que pueden desencadenar lesiones por sobrecarga. Materiales y métodos: Estudio cuantitativo, tipo experimental, sección longitudinal en 12 jugadores universitarios. El grupo se divide en un grupo control (GC) con recuperación en reposo sin PP y otro grupo experimental (GE) al que se aplica PP al final de la prueba. El lactato sanguíneo se registra con Accutrend Plus al inicio de la prueba, (1) cinco minutos después de finalizar la prueba (2) y después de la PP (3) en dos momentos diferentes para el análisis intra-sujeto. Resultados: Se obtuvieron los siguientes datos con respecto al aclaramiento de lactato en sangre, Momento 1: Sin Plan (WoP) 4.86 ± 1.4 y Con Plan (WP) 8.85 ± 1.25 (p <0.05), Momento 2: (WoP) 5.6 ± 1.76 y (WP) ) 7,8 ± 1,3 (p <0,05) en mmol / L, e intra-sujeto: (WoP): 5,25 ± 1,58; (WP): 8,35 ± 1,33 (p <0,05). Conclusiones: El aclaramiento de lactato en sangre a los 30 minutos post prueba de esfuerzo en el GE es mayor que en el GC, debido a que se recuperaron con el plan fisioprofiláctico.

Abstract Objective: To determine the effects of physioprophylaxis (PP) on blood lactate (BL) concentrations after maximal incremental stress test, considering that this is the application of techniques in sports physiotherapy to reduce signs of muscle fatigue that can trigger injuries due to overload. Materials and Methods: Quantitative study, experimental type, longitudinal section in 12 university players. The group is divided into one control group (CG) with recovery at rest without PP and another experimental group (EG) to which PP is applied at the end of the test. Blood lactate is recorded with Accutrend Plus at the beginning of the test, (1) five minutes after finishing the test (2) and after the PP (3) at two different moments for intra-subject analysis. Results: The following data were obtained regarding blood lactate clearance, Moment 1: Without Plan (WoP) 4.86±1.4 and With Plan (WP) 8.85±1.25 (p<0.05), moment 2: (WoP) 5.6±1.76 and (WP) 7.8±1.3 (p<0.05) in mmol/L, and intra-subject: (WoP): 5.25±1.58; (WP): 8.35±1.33 (p<0.05). Conclusions: The clearance of lactate in the blood at 30 minutes post stress test in the EG is bigger than the CG, because they recovered with the physioprophylactic plan.

Abstract The research addresses the study carried out in the annexed classrooms of "Caxila I", of the Comandante Cowboy School, Ondjiva Commune, Cunene Province, with the aim of developing educational actions to strengthen sexual education in 8th grade students. Among the shortcomings detected in the diagnosis are the few sexual education actions carried out with adolescents who are the most vulnerable to contracting sexually transmitted diseases. 12 educational actions are proposed to promote communication, weighting and promotion of knowledge and habits in the training of students on sexual education. During the research, methods were used: historical-logical, analytical-synthetic, inductive-deductive, observation, interviews, statistical-mathematical and documentary review.

Resumen La investigación aborda el estudio realizado en las aulas anexas de “Caxila I”, de la Escuela Comandante Cowboy, Comuna de Ondjiva, Provincia Cunene, con el objetivo de elaborar acciones educativas para fortalecer la educación sexual en los alumnos de 8vo grado. Dentro de las insuficiencias detectadas en el diagnóstico se encuentran las pocas acciones de educación sexual que se realizan con los adolescentes que son los más vulnerables a contraer enfermedades de transmisión sexual. Se proponen 12 acciones educativas que permiten fomentar la comunicación, ponderación y promoción de los conocimientos y hábitos en la formación de los alumnos sobre la educación sexual. Durante la investigación fueron utilizados métodos: histórico-lógico, analítico-sintético, inductivo-deductivo, observación, entrevistas, estadístico-matemático y Revisión documental.

Abstract Background: Decreased levels of vitamin D influence on the control and severity of asthma. Objective: To evaluate the relationship between vitamin D serum levels and asthma control, as well as nutritional status, quality of life and patient comorbidities. Methods: Cross-sectional, observational, descriptive study of 43 asthmatic patients older than 18 years of age. Multiple logistic and multiple linear regression multivariate analyses of variance were performed; a p-value ≤ 0.05 was considered to be statistically significant. Results: Insufficient vitamin D levels were determined in 83.7 % of patients; 93 % had at least one asthma exacerbation in the previous year. There was no relationship between vitamin D serum levels and asthma control as measured by ACT and FEV1. There was a significant association between body mass index and vitamin D levels (p = 0.013). With a quality of life questionnaire for asthmatic adults, 76.7 % were recorded to have a poor quality of life. Conclusions: No relationship was observed between vitamin D serum levels and asthma control in the patients. Most patients had insufficient vitamin D serum levels, uncontrolled asthma, and poor quality of life. Overweight and grade I obesity were associated with vitamin D insufficient levels.

Resumen Antecedentes: Los niveles disminuidos de vitamina D influyen en el control y la gravedad del asma. Objetivo: Evaluar la relación entre niveles séricos de vitamina D y control del asma, así como estado nutricional, calidad de vida y comorbilidades del paciente. Métodos: Estudio transversal, observacional y descriptivo de 43 pacientes asmáticos mayores de 18 años. Se realizó análisis de varianza multivariados de regresión logística múltiple y lineal múltiples; se consideró estadísticamente significativa una p ≤ 0.05. Resultados: Se determinaron niveles insuficientes de vitamina D en 83.7 % de los pacientes; 93 % presentó al menos una exacerbación asmática en el último año. No se evidenció relación entre los niveles séricos de vitamina D y control del asma medido por el Asthma Control Test (ACT) y el volumen espiratorio forzado el primer segundo (FEV1). Se obtuvo asociación significativa entre el índice de masa corporal y niveles de vitamina D (p = 0.013). Con un cuestionario de calidad de vida en adultos asmáticos se registró que 76.7 % tenía mala calidad de vida. Conclusiones: No se observó relación entre los niveles séricos de vitamina D y el control del asma en los pacientes. La mayoría de los pacientes tenía niveles séricos de vitamina D insuficientes, asma descontrolada y mala calidad de vida. El sobrepeso y la obesidad grado I se asociaron con niveles insuficientes de vitamina D.

Abstract Background: Chronic urticaria (CU) manifests itself with hives and sometimes angioedema. Physical and social discomfort worsens patient quality of life. CU has an important impact on patients’ economy. Objective: To evaluate the relationship of quality of life (QoL) with economic burden and chronic urticaria control of in patients treated at our center. Methods: Cross-sectional, descriptive, observational study. We included CU-diagnosed adult patients. The CU-Q2oL and UCT questionnaires in Spanish and the economic burden and comorbidities questionnaire developed by our center were applied. A sample size of 36 patients was calculated. Results: 36 patients were included, out of which 58.3% were females. Mean age was 39.9 ± 15.6 years. Regarding QoL, 66.7% of patients reported being "A little" affected, 25% "Somewhat" and 8.3% "A lot", and its relationship with monthly income yielded a p-value of 0.017. 38.9% of patients reported having a monthly income of less than $ 5000 pesos. When disease control was compared with the CU-Q2oL, a significant difference was obtained for questions concerning itching. Conclusion: There was association between the quality of life of patients with chronic urticaria and monthly income, the lower the income, the more will the quality of life be affected. Furthermore, greater CU control was observed to reduce the negative effects on quality of life caused by itching.

Resumen Antecedentes: La urticaria crónica se manifiesta con erupciones y ocasionalmente con angioedema. La molestia física y social empeora la calidad de vida de los pacientes, quienes, además, enfrentan importantes gastos. Objetivo: Evaluar la relación de la calidad de vida con la carga económica y el control de la urticaria crónica. Métodos: Estudio transversal, descriptivo y observacional. Se incluyeron adultos con diagnóstico de urticaria crónica. Se aplicaron los cuestionarios CU-Q2oL y UCT en español y un cuestionario sobre carga económica y enfermedades coexistentes. Se calculó un tamaño de muestra de 36 pacientes. Resultados: Se incluyeron 36 pacientes, 58.3 % fue del sexo femenino. La edad fue de 39.9 años ± 15.6. Respecto a la calidad de vida, 66.7 % reportó poca afectación, 25 % bastante y 8.3 % mucha; la relación con el ingreso económico mensual obtuvo p = 0.017; 38.9 % refirió ingresos mensuales menores a $5000. Al comparar el control de la enfermedad con el CU-Q2oL se obtuvo diferencia significativa para las preguntas referentes a prurito. Conclusiones: Existió asociación entre calidad de vida de los pacientes con urticaria crónica e ingreso familiar mensual: a menor ingreso, más afectación de la calidad de vida. A mayor control de la enfermedad, menor afectación.

RESUMO O objetivo deste trabalho é verificar se existem evidências empíricas de Ciclos Político-Econômicos para os governos estaduais do Brasil, analisando-se as políticas fiscais e os resultados eleitorais no período de 1995 a 2013. Busca-se averiguar se os governos estaduais manipulam os gastos públicos como medida de sinalizar competência diante dos eleitores para com isso ampliar as chances de vitória eleitoral do governante/partido no poder. Secundariamente será verificado se os gastos são afetados por razões ideológico-partidárias. Foi utilizado como referencial teórico os postulados propostos na Teoria de Ciclos Políticos Econômicos assentados fundamentalmente por Nordhaus (1975), Rogoff (1990), Hibbs (1977) e Alesina (1987). Os resultados evidenciaram a presença de CPE nos gastos públicos a nível estadual no Brasil, seguindo, em termos gerais, os pressupostos delineados pelo modelo oportunista. Os gastos públicos são ampliados nos anos eleitorais em comparação com os demais anos dos mandatos, confirmando-se a hipótese adotada. A presença da influência do calendário eleitoral na evolução dos gastos públicos foi observada de forma mais contundente em algumas funções despesas específicas, quais sejam, despesas de capital, investimentos, obras e urbanismo. Observou-se que não há uma diferença importante que distinga grupos ideológicos na política fiscal dos Estados no Brasil.

ABSTRACT The goal of the article is to investigate the relationship between political and economic cycles (PEC) and state governments in Brazil, analyzing tax policies and election results from 1995 to 2013. Therefore, the article analyzes state governments manipulation of public spendings in order to indicate government competence to voters and, therefore, to increase the chances of electoral victory of the ruling party. In addition, the article investigates whether expenditures are influenced by ideological-partisan reasons. As theoretical reference the article uses postulates proposed by the Theory of Economic Political Cycles settled fundamentally by Nordhaus (1975), Rogoff (1990), Hibbs (1977) and Alesina (1987). As empirical results the article reveals the presence of CPE in state expenditures in Brazil following, in general, the assumptions outlined by the opportunistic model. Public spending is expanded in electoral years compared to the other years of the mandates, confirming the hypothesis outlined in the article. The presence of the influence of the electoral calendar on the evolution of public spending was observed more forcefully in some specific expenditure functions, such as capital expenditures, investments, works and urbanism. It was observed that there is not an important difference that distinguishes ideological groups in the fiscal policy of the States in Brazil.

RESUMEN El artículo verifica si hay evidencias empíricas de Ciclos Político-Económicos (CPE) para los gobiernos estaduales de Brasil, analizando las políticas fiscales y los resultados electorales entre 1995 y 2013. Se busca averiguar si los gobiernos estaduales manipulan los gastos públicos como medida de señalar capacidad ante los electores para con ello ampliar las posibilidades de victoria electoral del gobernante/partido en el poder. Secundariamente se verificará si los gastos se ven afectados por razones ideológicas-partidarias. Se utilizó como referencial teórico los postulados propuestos en la Teoría de Ciclos Políticos Económicos asentados fundamentalmente por Nordhaus (1975), Rogoff (1990), Hibbs (1977) y Alesina (1987). Los resultados evidenciaron la presencia de CPE en los gastos públicos a nivel estadual en Brasil, siguiendo, en términos generales, los presupuestos delineados por el llamado modelo oportunista. Los gastos públicos se amplían en los años electorales en comparación con los demás años de los mandatos, confirmándose la hipótesis adoptada. La presencia de la influencia del calendario electoral en la evolución del gasto público fui observada de forma más contundente en algunas funciones gastos específicos, como gastos de capital, inversiones, obras y urbanismo. Se observó que no hay una diferencia importante que distinga grupos ideológicos en la política estadual.

RÉSUMÉ L’objectif de cet article est vérifier l’existence des évidences empiriques de cycles politico-économiques pour les gouvernements des états brésiliens en analysant les politiques fiscales et les résultats des élections entre 1995 et 2013. On veut vérifier si les gouvernements des états manipulent les dépenses publiques pour présenter ses aptitudes aux électeurs de façon à augmenter ses chances électorales et de son parti. Deuxièmement, on veut établi si les dépenses sont affectées par des raisons idéologiques et partisanes. Les postulats proposés par la Théorie des cycles politico-économiques établie par Nordhaus (1975), Rogoff (1990), Hibbs (1977) et Alesina (1987) sont utilisés comme référence théorique. Les résultats mis en évidence la présence de CPE dans les dépenses de les états au Brésil, à la suite, en général, des hypothèses exposées par le modèle opportuniste. Les dépenses publiques sont augmentées les années électorales par rapport aux autres années de mandat, confirmant l’hypothèse. La présence de l’influence du calendrier électoral sur l’évolution des dépenses publiques est observée notamment dans des dépenses spécifiques comme l’investissement en capital, financiers, en la construction publique et en l’urbanisme. Par contre, il n’existait pas des différences importantes entre les groupes idéologiques dans la politique fiscale des états au Brésil.

Background: the certification of causes of death is one of the most ancient procedures in medical practice. A correct certification has a great importance since regional and international actions derive from its analysis for raising the quality of life of people by means of health programs. Objective: to asses the quality of the statistics of mortality in Camagüey province in the last 15 years from the quantification of undesirable or imprecise basic causes of death recorded on the medical death certificates. Method: a descriptive, cross-sectional, retrospective study of the statistics of mortality was conducted in the province of Camagüey including the universe of medical death certificates between the years 2000 and 2014. A documentary review was made and the quality indicators were defined by code groups assigned to the basic cause of death. Results: in Camagüey province, in the studied 15 years (2000-2014), 85 770 deaths happened according to residence; the 6, 74 % of them were codified as undesirable or imprecise basic cause of death. The five-year period 2005-2009 presented the greatest incidence in the certification of this type of basic cause with a tendency to increase in the last five years. Of the 15 years studied, in five years the ratio of change was higher than 1, 30 when analysing the precise value of every year with respect to the rate year (2000), i.e. that it increased in more than a 30 % with respect to the rate year. Conclusions: the medical certification of the undesirable or imprecise basic causes of death in Camagüey province is low and has presented a tendency to decrease in the last five-year period.

Fundamento: la certificación de las causas de muerte es uno de los procederes más antiguos que existen en la práctica médica. Una correcta certificación reviste una gran importancia pues a partir de su análisis se derivan acciones desde regionales hasta internacionales para a través de programas de salud elevar la calidad de vida de la población. Objetivo: evaluar la calidad de las estadísticas de mortalidad en la provincia Camagüey en los últimos 15 años, a partir de la cuantificación de causas básicas de muerte imprecisas o no deseadas consignadas en los certificados médicos de defunción. Métodos: se realizó un estudio descriptivo transversal retrospectivo de las estadísticas de mortalidad en la provincia Camagüey, que abarcó el universo de certificados médicos de defunción registrados entre los años 2000 y 2014. Se realizó una revisión documental y se definieron los indicadores de calidad por grupos de códigos asignados a la causa básica de muerte. Resultados: en la provincia Camagüey en los 15 años estudiados (2000-2014) ocurrieron 85 770 defunciones según residencia, de ellas el 6,74 % fueron codificadas con causa básica de muerte imprecisa o no deseada. El quinquenio 2005-2009 fue el de mayor incidencia en la certificación de este tipo de causa básica, con una tendencia al descenso para los últimos cinco años. Al analizar el valor puntual de los 15 años estudiados, solo en cinco la razón de cambio respecto al año índice (2000) fue superior a 1,30 o sea, que se incrementó en más de un 30 % respecto al año índice. Conclusiones: la certificación médica de las causas básicas de muerte imprecisas o indeseadas en la provincia Camagüey es baja y ha presentado una tendencia a la disminución en el último quinquenio.

Objetivo: Este estudo tem como objetivo investigar a existência de diferença da espessura corneana central (ECC) em pacientes com glaucoma de pressão normal (GPN), glaucoma crônico simples (GCS) e pacientes normais (Controle). Métodos: Foram avaliados 113 pacientes dos quais 40 apresentavam GPN, 51 eram normais (Controles) e 22 apresentavam GCS. Todos os pacientes foram submetidos a exame oftalmológico completo e tiveram aferidas sua Po (Goldmann) e ECC (Topcon SP-2000P). Resultados: A média da espessura corneana central (ECC) dos pacientes com GPN foi de 500,95 µ (d.p. 28,65 µ), o grupo controle teve média de 521,11 µ (d.p. de 43,30 µ) e o grupo de GCS apresentou média de 522,23 µ (d.p. de 27,87 µ.). O grupo de GPN apresentou uma ECC significativamente menor quando comparado com os grupo controle (p = 0,01) e GCS (p=0,006). Entre os grupos controle e GCS não houve diferença estatística significativa (p = 0,91). Conclusão: Observou-se que numa amostra da população brasileira a ECC dos olhos com GPN é significativamente menor do que a ECC dos pacientes com GCS e do grupo controle.

Purpose: To determine if there is a significant difference in central corneal thickness (CCT) among patients with normal tension glaucoma (NTG), primary open angle glaucoma (POAG) and normal patients. Methods: One hundred and thirteen patients were evaluated; 40 had NTG, 51 were normal and 22 had POAG. IOP (Goldmann) and CCT (Topcon SP-2000P) were measured in all patients. Results: The CCT mean in NTG patients was 500.95 µ (SD = 28.65µ); in normal patients the CCT mean was 521.11µ (SD = 43.30µ); and in the POAG group the CCT mean was 522.23µ (SD = 27.87µ). By statistical analysis (ANOVA, 95% confidence interval) the CCT in NTG was significantly lower than in normal patients and in the POAG group (p= 0.01 and p=0.006), but no differences was found between normal patients and the POAG group (p= 0.91). Conclusions: In this study we concluded that in a Brazilian population sample the NTG patients tend to present significantly lower ECC measurements when compared with normal and POAG patients.

Objetivo: Apresentar a importância do uso da tabela de Ishihara para o diagnóstico das discromatopsias congênitas e avaliação da incidência em motoristas, observando-se os erros mais comuns no teste da Caixa de Cores. Além disso, abordar a relação entre discromatopsias congênitas, condução de veículo e acidentes de tráfego. Métodos: Foram examinados 523 motoristas, seguindo as normas da resolução 734/89 do Contran. Os motoristas foram submetidos ao teste de cores com a Tabela de Ishihara, e os que tinham discromatopsias foram submetidos ao teste da Caixa de Cores, com luzes dispostas como em um semáforo. Resultados: Encontrou-se uma incidência de discromatopsias de 5,5% (29 pacientes). Destes, 3 pacientes foram excluídos do estudo, 16 possuíam o grau forte e 10, o grau moderado. Desse último grupo, 7 apresentaram-se com deuteranomalia e 3 com protanomalia. Dos 7 com deuteranomalia, 3 apresentaram alterações no teste da Caixa de Cores. Dos 3 com protanomalia, 1 paciente teve exame alterado. Dos pacientes de grau forte, 14 possuíam deuteranopia e 2 protanopia, sendo que todos apresentaram alterações no teste da Caixa de Cores. Conclusão: Todos os pacientes com discromatopsias de grau forte e metade dos pacientes com grau moderado cometeram erros no teste da Caixa de Cores. Conclui-se que não haveria necessidade de ser realizado o teste para diferenciar as cores, desde que se faça o uso da tabela de Ishihara para diagnosticar as discromatopsias congênitas.

Purpose: To determine the importance of the Ishihara test for the diagnosis of congenital dyschromatopsias and evaluate their incidence in a population of drivers, to assess the most common mistakes in the Color Box test and to study the relationship between dyschromatopsia, driving and traffic accidents. Methods: 523 drivers were examinated, in conformity with Contran resolution 734/89. The drivers were submitted to the color test with Ishihara plates, and those who had dyschromatopsia were submitted to the Color Box test (red, yellow and green), with LEDs as used in a traffic light. Results: An incidence of 5.5% (29 patients) of dyschromatopsias was observed. Of these patients, 3 were excluded from the study, 16 had severe disease and 10 had mild disease. In the latter group, 7 presented deuteranomaly and 3 protanomaly. Of those with deuteranomaly, 3 presented alterations in the Color Box test and 4 did not. Of those with protanomaly, 1 patient had abnormal results and 2 were normal. Of the patients with severe disease, 14 presented deuteranopia and 2 protanopia. All of them had an abnormal Color Box test. Conclusion: All patients with severe disease and half of those with moderate disease, made mistakes in the Color Box test. This study concludes that the Color Box test does not need to be performed in those patients who had the Ishihara Plate test done to diagnose congenital dyschromatopsias.

Os autores descrevem um caso de síndrome de Moebius associada a artogripose múltipla congênita, uma situação rara, sem relatos prévios na literatura latino-americana. A síndrome de Moebius é caracterizada por paralisia dos VII e VI pares cranianos, geralmente associada a outras anomalias ósseas e musculares, mais freqüentemente localizadas na parte distal das extremidades. A artrogripose múltipla congênita consiste de um grupo heterogêneo de alterações, sendo caracterizada por extrema rigidez e contratura das articulações, associada a hipoplasia ou ausência de desenvolvimento muscular e de tecidos moles. Pode ser parte de um complexo de anomalias congênitas multissistêmicas. Uma criança do sexo masculino, de cor branca, 3 anos, apresentava estrabismo convergente, oftalmoplegia, paralisia do VII par craniano e disgenesia da musculatura lingual, alterações compatíveis com a síndrome de Moebius. Associada às alterações oculares, foram encontradas alterações músculo-esqueléticas - mãos e antebraços em flexão e hipotrofia da cintura escapular - compatíveis com artrogripose. Foi realizado o tratamento cirúrgico do estrabismo com boa evolução pós-operatória. Sugerimos que, nos pacientes que apresentam síndrome de Moebius associada a alterações congênitas ósseas e musculares de extremidades, seja investigada a presença de artrogripose, pois acreditamos que tal síndrome não está sendo bem diagnosticada por ser pouco conhecida.

The authors describe a case of Moebius syndrome associated with arthrogryposis multiplex congenita, a rare presentation, with no previous reports in the South American literature. The Moebius syndrome consists of VII and VI cranial nerves paralysis, usually associated with other musculoskeletal anomalies, often situated in the extremities. Arthro- gryposis multiplex congenita is generally characterized by rigidity and contracture of multiple joints and sometimes is associated with other congenital anomalies. The patient was a 3-year-old boy, presenting with convergent strabismus, ophthalmoplegia, VII cranial nerve paralysis and tongue musculature deficiencies, alterations consistent with Moebius syndrome. Associated with these alterations, musculoskeletal abnormalities consistent with arhrogryposis were found: hands and forearms in flexion and scapular muscular dystrophy. Surgical treatment was performed in order to correct convergent strabismus, with good follow-up. The authors suggest arthrogryposis investigation in all patients that present with Moebius syndrome, because this association is possibly being underdiagnosed.

Os autores descrevem um caso de otite média aguda pós-perfuração de membrana timpânica, que evoluiu com trombose de seio transverso esquerdo, paresia facial central à direita e paresia troclear bilateral assimétrica. O exame oftalmológico mostrou hipofunção do OS e hiperfunção do OI nos dois olhos, mais intensas no olho direito. O sinal de Bielchowsky era positivo à direita e negativo à esquerda. A acuidade visual estava preservada, além de ausência de papiledema à fundoscopia. A arteriografia cerebral revelou unicamente trombose do seio transverso à esquerda. O tratamento instituido foi antibioticoterapia via oral e cumarínico. Após seis meses de evolução a diplopia persistia apenas em infralevoversão, porém persistia a paresia facial central à direita. Não se encontrou na literatura relato semelhante ao descrito.

The authors describe a case of a 30 year old, male patient, with acute otitis media after timpanic perforation, progres- sing with left transverse sinus thrombosis, right facial palsy of central origin and asymmetric bilateral trochlear palsy. The ophthalmologic examination showed SO hypofunction and IO hyperfunction in both eyes, although more markedly in the right eye. There was a positive Bielschowsky sign to the right. Vision was preserved, and there was no papille- dema. The cerebral angiography showed left transverse sinus thrombosis, without any concomitant anomaly. The patient was treated with oral antibiotics and a coumarinic drug. After six months, diplopia was present only in left-downgaze. The facial palsy was still present. No similar report was found in the literature.