88 documents found, page 1 of 9
Decompressive hinge craniectomy with linear durotomies for ischemic stroke: a p...
Andrade,Almir Ferreira; Silva,Saul Almeida da; Iglesio,Ricardo Ferrareto; Nespoli,Vitor Salviato; Noleto,Gustavo; Telles,João Paulo MotaSUMMARY OBJECTIVE: Decompressive craniectomy may be a life-saving measure in ischemic stroke patients, who still have several associated complications. The objective of this study is to evaluate a novel decompressive surgery technique for severe hemispheric ischemic stroke. METHODS: For the hinge decompressive craniectomy (HDC), linear durotomies were performed. Vertical (one or two frontal and two parietal), a...
Brazilian version of the Rivermead Post-Concussion Symptoms Questionnaire
Nagumo,Marcia Mitie; Ferretti-Rebustini,Renata Eloah de Lucena; Balbinotti,Marcos Alencar Abaide; Silva,Daniele Vieira da; Hayashi,Cintya YukieABSTRACT Background: After a traumatic brain injury, post-concussion symptoms are commonly reported by patients. Although common, these symptoms are difficult to diagnose and recognize. To date, no instruments evaluating post-concussion symptoms have been culturally translated or adapted to the Brazilian context. Objective: To culturally adapt the Rivermead Post-Concussion Symptoms Questionnaire for use in Braz...
Eficácia do topiramato como terapia adicional em pacientes com estado epiléptic...
Welling,Leonardo Christiaan; Rabelo,Nícollas Nunes; Yoshikawa,Marcia Harumy; Telles,João Paulo Mota; Teixeira,Manoel JacobsenRESUMO Objetivo: Identificar evidências atuais sobre topiramato para o estado de mal epiléptico refratário. Métodos: Foi revisada a literatura para investigar a eficácia do topiramato no tratamento de estado de mal epiléptico refratário. Os termos de busca utilizados foram: “status epilepticus”, “refractory”, “treatment” e “topiramate”. Não se empregaram restrições. Resultados: A busca identificou 487 artigos q...
Pharmacological treatment of central neuropathic pain: consensus of the Brazili...
Oliveira,Rogério Adas Ayres de; Baptista,Abrahão Fontes; Sá,Katia Nunes; Barbosa,Luciana Mendonça; Nascimento,Osvaldo José Moreira do; Listik,ClariceABSTRACT Background: Central neuropathic pain (CNP) is often refractory to available therapeutic strategies and there are few evidence-based treatment options. Many patients with neuropathic pain are not diagnosed or treated properly. Thus, consensus-based recommendations, adapted to the available drugs in the country, are necessary to guide clinical decisions. Objective: To develop recommendations for the trea...
Quantitative sensory testing in elderly: longitudinal study
Silva,Luciana Alvarenga da; Jaluul,Omar; Teixeira,Manoel Jacobsen; Siqueira,José Tadeu Tesseroli de; Jacob Filho,WilsonABSTRACT Objective: To evaluate elderly patients in a geriatric service, along with their sensory characteristics and their association with clinical aspects. Methods: This was a descriptive longitudinal study. We enrolled 36 healthy participants of both sexes in this study. The following instruments were used and evaluations performed: clinical evaluation, Mini-Mental State Exam, and quantitative sensory testi...
Clinical evidence on visceral pain. Systematic review
Kraychete,Durval Campos; Siqueira,José Tadeu Tesseroli de; Garcia,João Batista; Sakata,Rioko Kimiko; Sousa,Ângela Maria; Andrade,Daniel Ciampi deABSTRACT BACKGROUND AND OBJECTIVES: Visceral pain is induced by abnormalities of organs such as stomach, kidneys, bladder, gallbladder, intestines and others and includes distension, ischemia, inflammation and mesenteric traction. It is responsible for physical and psychic incapacity, absenteeism and poor quality of life. This study aimed at discussing major aspects of visceral pain with regard to prevalence, e...
Reliability and safety of a new upper cervical spine injury treatment algorithm
Joaquim,Andrei Fernandes; Brock,Roger Schmidt; Guirado,Vinicius Monteiro de Paula; Sandon,Luis Henrique; Silva,Otávio Turolo da; Taricco,Mário AugustoABSTRACT In the present study, we evaluated the reliability and safety of a new upper cervical spine injury treatment algorithm to help in the selection of the best treatment modality for these injuries. Methods Thirty cases, previously treated according to the new algorithm, were presented to four spine surgeons who were questioned about their personal suggestion for treatment, and the treatment suggested acco...
Cerebral hemodynamic and metabolic changes in fulminant hepatic failure
Paschoal Junior,Fernando Mendes; Nogueira,Ricardo de Carvalho; Oliveira,Marcelo de Lima; Paschoal,Eric Homero Albuquerque; Teixeira,Manoel JacobsenABSTRACT Intracranial hypertension and brain swelling are a major cause of morbidity and mortality of patients suffering from fulminant hepatic failure (FHF). The pathogenesis of these complications has been investigated in man, in experimental models and in isolated cell systems. Currently, the mechanism underlying cerebral edema and intracranial hypertension in the presence of FHF is multi-factorial in etiolo...
Transtemporal amygdalohippocampectomy: a novel minimally-invasive technique wit...
Flores,Juan Antonio Castro; Sanders,Felipe Hada; Figueiredo,Eberval Gadelha; Teixeira,Manoel JacobsenABSTRACT Mesial temporal sclerosis creates a focal epileptic syndrome that usually requires surgical resection of mesial temporal structures. Objective: To describe a novel operative technique for treatment of temporal lobe epilepsy and its clinical results. Methods: Prospective case-series at a single institution, performed by a single surgeon, from 2006 to 2012. A total of 120 patients were submitted to minim...
Could pain understanding by patients help the assessment of trigeminal neuralgia?
Siqueira,Silvia Regina Dowgan Tesseroli de; Teixeira,Manoel Jacobsen; Siqueira,José Tadeu Tesseroli deABSTRACT BACKGROUND AND OBJECTIVES: To observe the efficacy of pain management by means of an educational proposal to address patients with trigeminal neuralgia, which is a chronic pain with high daily activity limitation rates. METHODS: Eight patients being treated of trigeminal neuralgia participated in weekly meetings on pain in a general reference hospital. Patients had uncontrollable pain in spite of treat...