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Swallowing disorders after ischemic stroke
Remesso,Gabriela Camargo; Fukujima,Márcia Maiumi; Chiappetta,Ana Lúcia de Magalhães Leal; Oda,Adriana Leico; Aguiar,Alexandre SantosOBJECTIVE: To investigate occurrences of swallowing disorders after ischemic stroke. METHOD: This was a retrospective study on 596 medical files. The inclusion criterion was that the patients needed to have been hospitalized with a diagnosis of ischemic stroke; the exclusion criteria were the presence of associated cardiac problems and hospital stay already more than 14 days. RESULTS: 50.5% were men and 49.5% w...
Factors relating to depressive symptoms among elderly people with chronic vesti...
Gazzola,Juliana Maria; Aratani,Mayra Cristina; Doná,Flávia; Macedo,Camila; Fukujima,Márcia Maiumi; Ganança,Maurício Malavasi; Ganança,Fernando FreitasOBJECTIVE: To identify factors relating to depressive symptoms among elderly people with chronic vestibular dysfunction. METHOD: This was a cross-sectional study in which 120 elderly people with chronic vestibular dysfunction answered the Geriatric Depression Scale questionnaire. Multivariate linear regression analysis was performed (p<0.05 and 95% CI). RESULTS: The patients presented a mean score of 12.86 ± 6....
Verbal language spontaneous recovery after ischemic stroke
Remesso,Gabriela Camargo; Chiappetta,Ana Lúcia de Magalhães Leal; Aguiar,Alexandre Santos; Fukujima,Márcia Maiumi; Prado,Gilmar Fernandes doOBJECTIVE: To analyze the spontaneous recovery of the verbal language on patients who have had an ischemic stroke. METHOD: Retrospective analysis of 513 medical records. We characterize referring aspects for data identification, language deficit, spontaneous recovery and speech therapy. RESULTS: The average age was 62.2 years old (SD= ±12.3), the average time of academic experience was 4.5 years (SD=±3.9), 245 ...
Predictive factors for spasticity among ischemic stroke patients
Moura,Rita de Cássia dos Reis; Fukujima,Márcia Maiumi; Aguiar,Alexandre Santos; Fontes,Sissy Veloso; Dauar,Rafi Felício Bauab; Prado,Gilmar Fernandes doSpasticity is a determining for functional loss following ischemic stroke. OBJECTIVE: To detect possible predictive factors for its occurrence. METHOD: Demographic, clinical and tomographic data on 146 stroke patients were analyzed. RESULTS: Spasticity was noted more frequently among patients who underwent physiotherapy (p<0.0001; OR=19.4; 95% CI: 4.4-84.5), those who underwent such treatment for long periods (...
Cerebral venous thrombosis and hepatitis: case report
Felício,André Carvalho; Fukujima,Márcia Maiumi; Fiorot Jr,Jose Antônio; Prado,Gilmar Fernandes do; Carvalho Filho,Roberto José deAmong the many infective causes of cerebral venous thrombosis (CVT), viral hepatitis is been regarded as a rare associated condition. We report on a 56-years-old man presenting CVT associated with hepatitis B and C coinfections outlining probable pathogenic mechanisms. We suggest that virus B and C serology should be performed in the cases of cerebral venous thrombosis with unknown etiology.
Clinical impact of transesophageal echocardiography in patients with stroke wit...
Tatani,Solange Bernardes; Fukujima,Márcia Maiumi; Lima,João Augusto Costa; Ferreira,Luiz Darcy Cortez; Ghefter,Claudia G. Monaco; Prado,Gilmar FernandesOBJECTIVE: The purpose of this study is to evaluate the impact of transeophageal echocardiography on management of patients at low-risk for cardiogenic embolism to prevent new potential cardiovascular sources of emboli. METHODS: We studied 69 patients with ischemic stroke at low-risk for cardiogenic embolism. Transeophageal echocardiography was performed to access: left atrium enlargement; communication or aneu...
Exames subsidiários preditivos de crises epilépticas após acidente vascular cer...
Fukujima,Márcia Maiumi; Cardeal,José OsmarNa tentativa de detectar fatores preditivos para ocorrência de crises epilépticas após acidente vascular cerebral isquêmico (AVCI), estudamos exames laboratoriais de glicemia, hematócrito, colesterol total e frações e triglicérides, além de eletrocardiograma, eletrencefalograma (EEG), líquido cefalorraquiano e tomografia computadorizada do crânio (TC) em 35 pacientes com AVCI que evoluíram com crises epiléptica...
Características das crises epilépticas após acidente vascular cerebral isquêmico
Fukujima,Márcia Maiumi; Cardeal,José OsmarOs infartos cerebrais constituem uma das mais importantes causas de epilepsia de início tardio. Foram estudados 35 pacientes que apresentaram crises epiléptica com início 24 horas após a instalação do acidente vascular cerebral isquêmico (AVCI) e que tiveram pelo menos 1 recorrência da crise, a fim de definir as principais características dessas crises e correlacioná-las aos principais achados clínicos e labora...
Gravidez, puerpério e doença vascular cerebral
Fukujima,Márcia Maiumi; Oliveira,Roberto de Magalhães Carneiro de; Shimazaki,Jean Carlos; Lima,José Geraldo de CamargoForam estudadas seis pacientes com doenças cerebrovasculares no período gravídico-puerperal. Uma apresentou hemorragia cerebral, três apresentaram infarto cerebral e duas trombose de seio venoso cerebral. A associação de fatores clínicos ao estado peculiar produzido pela gravidez parece ter resultado nas doenças apresentadas, com especial ênfase à doença de Chagas presente em todos os infartos cerebrais.
Características sócio-econômicas de pacientes com acidente vascular cerebral
Santana,Benedita Aparecida Souza de; Fukujima,Márcia Maiumi; Oliveira,Roberto de Magalhães Carneiro deEstudo de aspectos sócio-econômicos de 206 pacientes com AVC, atendidos no ambulatório de Doenças Neurovasculares no período de 1991 a 1992. Os principais achados foram: 23% dos pacientes apresentavam idade inferior a SO anos; o estado civil casado era significantemente mais frequente nos homens; 82% dos pacientes eram analfabetos ou semianalfabetos e 60% vivem com renda familiar de 1 a 2 salários mínimos. O im...