17 documents found, page 1 of 2
High-output heart failure in a newborn.
Mascarenhas, MI; Moniz, M; Ferreira, S; Goulão, A; Barroso, RHigh-output cardiac failure is rare in newborns. Emergent diagnosis and management of this pathology is crucial. We report the case of a child, currently 12-months old; obstetric background is non-contributory. Clinic observation on D1 was normal except for the presence of a systolic cardiac murmur; cardiological evaluation revealed mild ventricular dysfunction of the right ventricle. On the third day of life, ...
Multiple Dural Arteriovenous Fistulas Presenting as Rapidly Progressive Dementia
Mendonça, N; Santos, G; Duro, D; Machado, E; Goulão, A; Santana, IINTRODUCTION:Dural arteriovenous fistulas (DAVFs) are important causes of neurological dysfunction and are many times misdiagnosed. Particularly in older populations, DAVFs may present with a selective cognitive dysfunction. CASE REPORT: The authors describe a 70-year-old woman presenting with a rapidly progressive dementia, very similar in presentation to prion disease. Neuroimaging showed multifocal DAVFs ass...
Zinc Therapy of Neurological Wilson's Disease in a Woman with Two Foetus with A...
Murinello, A; Tomé, T; Goulão, A; Cohen, A8A>C>86A G:EDGI: A patient diagnosed Wilson’s disease (WD) 22 years previously, successfully treated initially with zinc, developed neuropsychiatric disease after years of irregular therapy. Reassuming zinc therapy was successful. After a normal pregnancy, she had two therapeutic abortions for corpus callosum agenesis, and a missed abortion. We review the genetics, physiopathology, clinics and imagiologic respo...
Angiographic evaluation and embolization of cervico-cranial tumors -- juvenile ...
Matias, S; Vilela, P; Goulão, AINTRODUCTION: The goal of pre-operative embolization is tumoral desvascularization, with decrease of intraoperative hemorrhage and shortening of operation time and, consequently, decrease operative morbility. The authors review their experience in angiographic evaluation and preoperative embolization of paragangliomas and juvenile nasopharyngeal angiofibroma (JNA). PATIENTS AND METHODS/RESULTS: There were revie...
A Ressonância Magnética no Diagnóstico Pré-Natal de Anomalias do SNC. A Propósi...
Grilo, I; Machado, AI; Cohen, A; Correia, J; Ribeiro, C; Goulão, A; Levy, AA ressonância magnética nuclear (RMN) é um meio complementar de diagnóstico que só recentemente começou a ser utilizado na investigação de patologia fetal. São enormes as suas potencialidades sobretudo no esclarecimento de dificuldades de diagnóstico suscitadas pela ecografia e perante situações de risco acrescido de anomalias congénitas do sistema nervoso central. Os autores efectuaram uma avaliação retrospect...
Fetal magnetic resonance.
Vilela, P; Duarte, J; Goulão, AThe increasing use of magnetic resonance imaging (MRI) in fetal evaluation is due to its excellent structural and morphological resolution. We report nine fetal MRI examinations and discuss some of the technical issues related to this technique.We report nine fetal MRI done in the MRI Center in Caselas, Portugal, between January 1999 and March 2000. The fetal ages ranged from 24 and 33 weeks of gestation.The MR...
Cerebrovascular disease in pregnancy and puerperium.
Vilela, P; Duarte, J; Goulão, ACerebrovascular diseases are the main causes of neurological events occurring during pregnancy and puerperium.We retrospectively reviewed the clinical records and imaging scans of females presenting with stroke during pregnancy or puerperium. We selected the cases with abnormal initial CT and/or MRI and a radiological follow-up until stabilization of the neurological condition.Eleven patients with ages ranging ...
Magnetic resonance imaging of aqueductal flow in patients with normal hydroceph...
Matias, S; Ferreira, T; Vilela, P; Secca, M; Goulão, AThe treatment of patients with the so-called Normal Pressure Hydrocephalus (NPH) consists of ventricular shunting, but only in some cases is there clinical improvement. The selection of patients for ventricular shunting is usually based on the response to the evacuating lumbar punctures of the cerebrospinal fluid (CSF), but new MRI techniques of flow measurement have been used successfully. In this study, a gro...
Behçet's disease. Assessment with magnetic resonance of involvement of the cent...
Vilela, P; Duarte, J; Goulão, ABehçet's disease is a chronic multisystemic inflammatory disease that usually presents in the young adult. Central nervous lesions occur in 5 to 7% of patients and are the most severe manifestations of this disease.We retrospectively reviewed the MR images of patients with neurological manifestations of Behçet's disease evaluated in the Neuroradiology Department of Garcia de Orta Hospital and the MRI center of ...
A posttraumatic visual defect with late exacerbation associated with an aneurys...
Lima, A; Branco, G; Costa, J; Goulão, A; Maurício, C; Vital, PA posttraumatic visual deficit which worsened eleven weeks later, with sudden visual loss, is reported. The neuro-ophthalmologic examination was suggestive of central retina artery occlusion. The intra-arterial angiography revealed a traumatic pseudo-aneurysm of the ipsilateral high extracranial portion of the internal carotid artery. Based upon the clinical examination, the hypothesis of embolization has been ...