17 documents found, page 1 of 2
Telemedicine use among neurologists before and during COVID-19 pandemic
Aquino,Emanuelle Roberta da Silva; Domingues,Renan Barros; Mantese,Carlos Eduardo; Fantini,Francisca Goreth Malheiro Moraes; Nitrini,RicardoABSTRACT Background: After the public health emergency due to COVID-19 was declared in Brazil, the federal government temporarily regulated and authorized the use of telemedicine services for patient consultation, monitoring, and diagnosis. For more than a decade, neurologists have recognized the benefits of telemedicine in the acute management of stroke patients. However, as the use of telemedicine was restric...
Telemedicine in neurology: current evidence
Domingues,Renan Barros; Mantese,Carlos Eduardo; Aquino,Emanuelle da Silva; Fantini,Francisca Goreth Malheiro Moraes; Prado,Gilmar Fernandes doABSTRACT Background: Telemedicine was first introduced in Neurology as a tool to facilitate access to acute stroke treatment. More recently, evidence has emerged of the use of telemedicine in several other areas of Neurology. With the advent of the COVID-19 pandemic and the need for social isolation, Brazilian authorities have expanded the regulation of the use of telemedicine, thus allowing the treatment of ma...
The cerebrospinal fluid in multiple sclerosis: far beyond the bands
Domingues,Renan Barros; Fernandes,Gustavo Bruniera Peres; Leite,Fernando Brunale Vilela de Moura; Tilbery,Charles Peter; Thomaz,Rodrigo BarbosaABSTRACT The cerebrospinal fluid analysis has been employed for supporting multiple sclerosis diagnosis and ruling out the differential diagnoses. The most classical findings reflect the inflammatory nature of the disease, including mild pleocytosis, mild protein increase, intrathecal synthesis of immunoglobulin G, and, most typically, the presence of oligoclonal bands. In recent years, new biomarkers have emer...
Early respiratory evaluation should be carried out systematically in patients w...
Taveira,Fernanda Machado; Teixeira,Antônio Lúcio; Domingues,Renan BarrosThe present study aimed at evaluating respiratory parameters in multiple sclerosis (MS). The sample comprised 30 patients with MS diagnosis and 30 healthy subjects, matched by gender and age. Neurological assessment, expanded disability status scale (EDSS), manovacuometry, and peak flow (PEF) were performed. Patients with MS had lower values of maximum inspiratory (MIP) and expiratory (MEP) pressures and PEF co...
Nearly one-half of Brazilian patients with multiple sclerosis using natalizumab...
Fragoso,Yara Dadalti; Mendes,Maria Fernanda; Arruda,Walter Oleschko; Becker,Jefferson; Brooks,Joseph Bruno Bidin; Carvalho,Margarete de JesusObjective Natalizumab is a new and efficient treatment for multiple sclerosis (MS). The risk of developing progressive multifocal leukoencephalopathy (PML) during the use of this drug has created the need for better comprehension of JC virus (JCV) infection. The objective of the present study was to assess the prevalence of JCV-DNA in Brazilian patients using natalizumab. Method Qualitative detection of the JCV...
Multiple sclerosis starting before the age of 18 years: the Brazilian experience
Fragoso,Yara Dadalti; Ferreira,Maria Lucia Brito; Morales,Nivea de Macedo Oliveira; Arruda,Walter Oleschko; Brooks,Joseph Bruno BidinMultiple sclerosis (MS) starting in childhood and adolescence poses a challenge for diagnosis and management of the disease. The aim of the present study was to assess the characteristics of early onset MS in Brazilian patients. Methods Retrospective data collection from specialized MS units. Results From 20 MS units in 11 Brazilian states, 117 cases of MS starting before the age of 18 years were collected. The...
Cognitive impairment is correlated with reduced quality of life in patients wit...
Anhoque,Carolina Fiorin; Biccas-Neto,Laurentino; Domingues,Simone Cristina A.; Teixeira,Antônio Lúcio; Domingues,Renan BarrosOBJECTIVE: To evaluate the quality of life (QoL) and potential QoL determinants in patients with clinically isolated syndrome (CIS). METHODS: Eighteen CIS patients and eighteen controls were submitted to QoL evaluation with Functional Assessment of Multiple Sclerosis QoL instrument (FAMS). Cognition was evaluated with specific battery tests; Anxiety and depression with Beck Anxiety (BAI) and Depression (BDI) In...
Cognitive impairment in migraine:A systematic review
Araújo,Caroline Martins de; Barbosa,Izabela Guimarães; Lemos,Stela Maris Aguiar; Domingues,Renan Barros; Teixeira,Antonio LucioABSTRACT Patients with migraine often report cognitive complaints, especially regarding attention and memory. Objective: To perform a systematic review of the studies available on cognitive evaluation in patients with migraine. Methods: We evaluated all articles containing the key words: "Migraine", "Cognition" and "Cognitive Impairment." Results: The search strategy resulted in 23 articles. Fifteen out of the ...
Cognitive impairment in patients with clinically isolated syndrome
Anhoque,Carolina Fiorin; Biccas Neto,Laurentino; Domingues,Simone Cristina Aires; Teixeira,Antônio Lúcio; Domingues,Renan BarrosABSTRACT Cognitive abnormalities have been extensively studied in Multiple Sclerosis (MS). However, little is known about the cognitive involvement in patients with Clinically Isolated Syndrome (CIS). Objective: This study aimed to investigate cognitive impairment in patients with CIS compared with healthy subjects. Methods: 18 CIS patients and 18 controls were subjected to the Wechsler memory scale, Rey Audito...
Anxiety and depressive symptoms in clinically isolated syndrome and multiple sc...
Anhoque,Carolina Fiorin; Domingues,Simone Cristina Aires; Carvalho,Thiago; Teixeira,Antônio Lúcio; Domingues,Renan BarrosDepression and anxiety have been reported in patients with multiple sclerosis (MS) and in patients with clinically isolated syndrome (CIS). However, the precise mechanisms that lead to depressive and anxiety symptoms in these patients are still unclear. In this study we evaluated with the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI) patients with MS and CIS and compared them to controls....