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Spinal Cord Stimulation in Refractory Postherpetic Neuralgia in Portugal: A Cas...

Silva, Ana Inês; Barbosa, Margarida; Barbosa, Paula; Guimarães, Luís; Gomes, Armanda

Postherpetic neuralgia is one of the most severe complications after herpes zoster infection. Patients who experience persistent pain despite conservative treatment may benefit from interventional therapies, such as spinal cord stimulation. We present the case of a patient with severe refractory postherpetic neuralgia in the right T8 to L1 distribution who responded effectively to spinal cord stimulation. After...

Date: 2024   |   Origin: Acta Médica Portuguesa

Guidelines for the Diagnosis and Treatment of Spontaneous Intracranial Hypotension

Pinto, Maria João; Braz, Luís; Fonseca, José; Pereira, Paulo; Trigo Barbosa, Paula; Gomes, Armanda; Guimarães, Joana

Spontaneous intracranial hypotension (SIH) is a syndrome characterized by disabling orthostatic headache, due to reduced cerebrospinal fluid (CSF) volume probably caused by a CSF fistula. It affects mostly women of working-age, although it is probably underdiagnosed. The aim of this article is to present a practical approach to the diagnosis and treatment of SIH. After a description of its symptoms and signs, w...

Date: 2023   |   Origin: Acta Médica Portuguesa

Intrathecal Baclofen Infusion Pumps in the Treatment of Spasticity: A Retrospec...

Reis, Pedro Videira; Vieira, Catarina Rocha; Midões, Ana Cristina; Rebelo, Virginia; Barbosa, Paula; Gomes, Armanda

Introduction: Spasticity is a complex problem in patients with neurological disorders and may distress their quality of life. Intrathecal baclofen infusion pumps reduce spasticity with low doses and minimal side effects but are not free from complications. We aimed to evaluate the efficacy and safety of intrathecal baclofen infusion pumps as well as patients’ satisfaction.Material and Methods: Retrospective coh...

Date: 2019   |   Origin: Acta Médica Portuguesa

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