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Use of Cerebrospinal Fluid for the Diagnosis of Neuroinvasive Dengue, Zika, and...

Mello,Cíntia da Silva; Cabral-Castro,Mauro Jorge; Faria,Luiz Claudio Silva de; Peralta,José Mauro; Puccioni-Sohler,Marzia

Abstract INTRODUCTION: Cerebrospinal fluid analysis contributes to the diagnosis and neuropathogenesis of neuroinvasive arboviruses. Neurological complications caused by dengue, Zika, and chikungunya infections have high clinical relevance because of their high potential to cause death or neurological deficits. We aimed to evaluate the use of cerebrospinal fluid assays for diagnostic support in neurological dis...

Date: 2021   |   Origin: Oasisbr

Current evidence of neurological features, diagnosis, and neuropathogenesis ass...

Puccioni-Sohler,Marzia; Poton,André Rodrigues; Franklin,Milena; Silva,Samya Jezine da; Brindeiro,Rodrigo; Tanuri,Amilcar

Abstract Recent reports indicate that besides respiratory and systemic symptoms among coronavirus disease (COVID-19) patients, the disease has a wide spectrum of neurological manifestations (encephalitis, meningitis, myelitis, acute disseminated encephalomyelitis, metabolic and acute hemorrhagic necrotizing encephalopathy, cerebrovascular diseases, Guillain-Barré syndrome, polyneuritis cranialis, dysautonomia, ...

Date: 2020   |   Origin: Oasisbr

A comparison of nontreponemal tests in cerebrospinal fluid for neurosyphilis di...

Versiani,Isadora; Cabral-Castro,Mauro Jorge; Puccioni-Sohler,Marzia

ABSTRACT Syphilis is a re-emerging sexually-transmitted infection, caused by the spirochete Treponema pallidum, that may penetrate early into the central nervous system. The venereal disease research laboratory test (VDRL) on the cerebrospinal fluid (CSF) is the most widely used for neurosyphilis diagnosis. We evaluated the performance of two other nontreponemal tests (rapid plasma reagin [RPR] and unheated ser...

Date: 2019   |   Origin: Oasisbr

Dengue infection in the nervous system: lessons learned for Zika and Chikungunya

Puccioni-Sohler,Marzia; Roveroni,Natalia; Rosadas,Carolina; Ferry,Fernando; Peralta,Jose Mauro; Tanuri,Amilcar

ABSTRACT Dengue, Zika and Chikungunya are emerging arboviruses and important causes of acute febrile disease in tropical areas. Although dengue does not represent a new condition, a geographic expansion over time has occurred with the appearance of severe neurological complications. Neglect has allowed the propagation of the vector (Aedes spp), which is also responsible for the transmission of other infections ...

Date: 2017   |   Origin: Oasisbr

Muscular weakness represents the main limiting factor of walk, functional indep...

Caiafa,Renata Costa; Orsini,Marco; Felicio,Lilian R.; Puccioni-Sohler,Marzia

ABSTRACT HTLV-1-associated myelopathy is a progressive disabling disease associated with gait abnormalities. Objective To identify and quantify the main muscles affected by weakness and spasticity, their impact on gait, functional capacity and on quality of life of HTLV-1-associated myelopathy patients. Method We evaluated lower limbs muscular strength according to the Medical Research Council scale, spasticity...

Date: 2016   |   Origin: Oasisbr

Advances and new insights in the neuropathogenesis of dengue infection

Puccioni-Sohler,Marzia; Rosadas,Carolina

Dengue virus (DENV) infects approximately 390 million persons every year in more than 100 countries. Reports of neurological complications are more frequently. The objective of this narrative review is to bring up the advances in the dengue neuropathogenesis. DENV can access the nervous system through blood-brain barrier disturbance mediated by cytokine. The blood-cerebrospinal fluid (CSF) barrier seems to be a...

Date: 2015   |   Origin: Oasisbr

Neurological complications in dengue infection: a review for clinical practice

Puccioni-Sohler,Marzia; Rosadas,Carolina; Cabral-Castro,Mauro Jorge

Dengue is an important global public health problem. The World Health Organization estimates that 2/5 of entire world population are in risk of dengue infection. Almost 50 millions cases occur annually, with at least 20 thousand deaths. The etiological agent of this acute febrile disease is a single-strand positive-sense RNA virus of Flavivirus genus. It is an arboviral disease transmitted by Aedes sp. mosquito...

Date: 2013   |   Origin: Oasisbr

HAM/TSP: association between white matter lesions on magnetic resonance imaging...

Puccioni-Sohler,Marzia; Gasparetto,Emerson; Cabral-Castro,Mauro Jorge; Slatter,Carla; Vidal,Cecilia M.; Cortes,Romeu Domingues; Rosen,Bruce R.

OBJECTIVE: To investigate the association between clinical data, white matter lesions and inflammatory cerebrospinal fluid (CSF) findings in HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). METHOD: We studied brain and cervical spinal cord on magnetic resonance imaging (MRI) and CSF examinations of 28 Brazilian HAM/TSP patients. RESULTS: The majority of patients had severe neurological incap...

Date: 2012   |   Origin: Oasisbr


Difficulties in HAM/TSP diagnosis

Slater,Carla Maria Sena Andrade; Ribeiro,Luiz Claudio Pereira; Puccioni-Sohler,Marzia

The World Health Organization recommends the use of Osame's criterion (1990) for the diagnosis of HTLV-I-associated myelopathy (HAM/TSP). In 2006, a group of neurologists developed a Brazilian criterion that can diagnose HAM/TSP from its onset. OBJECTIVE: It was to test the agreement between both criteria. METHODS: The study included evaluation of clinical and laboratory findings of 35 patients. The ELISA, West...

Date: 2012   |   Origin: Oasisbr

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