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CTA and CTP for Detecting Distal Medium Vessel Occlusions: A Systematic Review ...

Sousa, JA; Sondermann, A; Bernardo-Castro, S; Varela, R; Donato, H; Sargento-Freitas, J

Background: The optimal imaging method for detecting distal medium vessel occlusions (DMVOs) remains undefined. Purpose: The objective of this study is to compare the diagnostic performance of CTA with CTP in detecting DMVOs. Data sources: We searched PubMed, EMBASE, Web of Science Core Collection, and Cochrane Central Register of Controlled Trials up to March 31, 2023 (PROSPERO: CRD42022344006). Study selectio...


Diagnostic accuracy of CT angiography and CT perfusion imaging for detecting di...

Sousa, JA; Sondermann, A; Bernardo-Castro, S; Varela, R; Donato, H; Sargento-Freitas, J

Background: Distal medium vessel occlusions (DMVOs) represent 25-40% of all acute ischemic strokes (AIS). DMVO clinical syndromes are heterogenous, but as eloquent brain regions are frequently involved, they are often disabling. Since current intravenous fibrinolytic therapies may fail to recanalize up to two-thirds of DMVOs, endovascular treatment is progressively being considered in this setting. Nevertheless...


Blood Pressure Variability in Acute Ischemic Stroke: The Role of Early Recanali...

Martins, AI; Sargento-Freitas, J; Jesus-Ribeiro, J; Correia, I; Cardoso, L; Gomes, JP; Gonçalves, M; Costa, R; Silva, F; Galego, O; Nunes, C

We performed a retrospective study with the aim of investigating the association between blood pressure (BP) variability in the first 24 h after ischemic stroke and functional outcome, regarding arterial recanalization status. A total of 674 patients diagnosed with acute stroke and treated with revascularization therapies were enrolled. Systolic and diastolic BP values of the first 24 h after stroke were collec...


Pregnancy in women with neural tube fusion defects. Report of 3 cases with diff...

Pereira, J S; Gonçalves, V; Varela, R; Alves, M J; Corado, R

The advances in surgical technique for closure of myelomeningocele and its complications, mainly neurogenic bladder, have resulted not only in a increased lifespan and a better quality of life for these patients, but also a progressively higher number of women are reaching childbearing age and becoming pregnant. The reports of pregnancy in these women are still sporadic. In spite of that, obstetricians must be ...

Date: 1995   |   Origin: Acta Médica Portuguesa

Tubo-ovarian abscess. An analysis of 20 cases.

Varela, R; Gonçalves, V; Telhado, C; Hormigo, C; Tavares, C

The authors make a 3-year retrospective analysis of the tubo-ovarian abscess cases admitted to the Gynecology Ward of Dr Alfredo da Costa Maternity Hospital. In the period studied (1991 through 1993) there were 20 such cases. The incidence in nulliparous patients was 25%. A significant percentage (30%) of the patients had recently undergone uterine instrumentation. A prior history of pelvic inflammatory disease...

Date: 1995   |   Origin: Acta Médica Portuguesa

Abcesso Tubo-Ovárico. Análise de 20 Casos

Varela, R; Gonçalves, V; Telhado, C; Hormigo, C; Tavares, C

Os autores procedem à análise retrospectiva dos casos de abcesso tubo-ovárico, internados no Serviço de Ginecologia da Maternidade Dr. Alfredo da Costa, num período de 3 anos (1991-1993). O número total de casos foi 20. A incidência em nulíparas foi 25%. Uma percentagem significativa das doentes (30%) tinha sido recentemente submetida a técnicas de instrumentação uterina. Em apenas 15% dos casos havia anteceden...


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