A5103031452- Traumatic Brain Injury and Neurovascular Disturbances
- Traumatic Brain Injury Research
- Trauma and Emergency Care Studies
- Cerebrospinal fluid and hydrocephalus
- Neurosurgical Procedures and Complications
- Intracerebral and Subarachnoid Hemorrhage Research
- Spinal Fractures and Fixation Techniques
- Cardiac Arrest and Resuscitation
- Intracranial Aneurysms: Treatment and Complications
- Vascular Malformations Diagnosis and Treatment
- Trauma Management and Diagnosis
- Head and Neck Surgical Oncology
- Neurological Complications and Syndromes
- Traumatic Ocular and Foreign Body Injuries
- Epilepsy research and treatment
- Stroke Rehabilitation and Recovery
- Acute Ischemic Stroke Management
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cognitive Functions and Memory
- Palliative and Oncologic Care
- Neurological and metabolic disorders
- Advanced Radiotherapy Techniques
- Surgical Simulation and Training
- Anatomy and Medical Technology
- Case Reports on Hematomas
Universidade de São Paulo
1969-2024
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2000-2023
Hospital Samaritano de São Paulo
2016
Hospital São Paulo
2016
Universidade Brasil
2001
Sociedade Brasileira de Neurociências e Comportamento
1999
Background: In a time when the incidence of severe traumatic brain injury (TBI) is increasing in low- to middle-income countries (LMICs), it important understand behavior predictive variables an LMIC's population. There are few previous attempts generate prediction models for TBI outcomes from local data LMICs. Our study aim design and compare series mortality on new cohort patients Brazil using Machine Learning. Methods: A prospective registry was set São Paulo, Brazil, enrolling all with...
The evaluation of patients in the emergency room department (ER) through more accurate imaging methods such as computed tomography (CT) has revolutionized their assistance early 80s. However, despite technical improvements seen during last decade, surgical planning ER not followed development image acquisition methods. authors present experience with DICOM processing a navigation method ER. 18 treated Emergency Department Hospital das Clínicas University Sao Paulo. All were submitted to...
Photobiomodulation using low-level laser therapy (LLLT) has been tested as a new technique to optimize recovery of patients with traumatic brain injury (TBI). The aim this study is evaluate inhibitory attentional control after 18 sessions active LLLT and compare the placebo group (sham LLLT). Our exploratory analysis will efficacy on verbal visuospatial episodic memory, executive functions (working fluency, processes), anxiety depressive symptoms compared sham group. A randomized...
Abstract Background/objective Multivariable prognostic scores play an important role for clinical decision-making, information giving to patients/relatives, benchmarking and guiding trial design. Coagulopathy has been implicated on trauma critical care outcomes, but few studies have evaluated its traumatic brain injury (TBI) outcomes. Our objective was verify the incremental value of routine coagulopathy parameters in addition CRASH-CT score predict 14-day mortality TBI patients. Methods...
PURPOSE: To evaluate the clinical applications of magnetic resonance imaging (MRI) in patients with acute traumatic brain injury (TBI): to identify type, quantity, severity; and improvement clinical-radiological correlation. METHOD: Assessment 55 who were imaged using CT MRI, 34 (61.8%) males 21 (38.2%) females, (0 5 days) closed TBI. RESULTS: Statistical significant differences (McNemar test): ocurred fractures detected by 29.1% MRI 3.6% patients; subdural hematoma 10.9% 36.4 %; diffuse...
Paiva, Wellingson Silva MD; Andrade, Almir Ferreira MD, PhD; Sterman Neto, Hugo Amorim, Robson Luis Oliveira de Caldas, Jose Guilherme Teixeira, Manoel Jacobsen PhD Author Information
Background: Mild traumatic brain injury (MTBI) represents 70-80% of all treated injuries. A considerable proportion MTBI patients experience post-concussion symptoms for a prolonged period after MTBI, and these are diagnosed as persistent syndrome (PPCS). PPCS is defined range physical, cognitive emotional symptoms. However, memory executive dysfunction seems to be one the most debilitating Recently, non-invasive stimulation has been studied potential treatment method (TBI) patients....
Virtual reality for the treatment of posttraumatic disorders Thiago Mazzoli Moraes,1 Almir Ferreira de Andrade,2 Wellingson Silva Paiva2,3 1Division Psychology, 2Division Neurosurgery, University São Paulo Medical School, Paulo, SP, Brazil; 3Neurology Center, Samaritano Hospital, BrazilWe read with great interest recent study by Botella et al1 published in journal Neuropsychiatric Disease and Treatment. (VR) technology has allowed neuropsychological rehabilitation patients many...
Extradural hematoma (EDH) is considered to be a rare complication of head trauma in children, and represents serious urgent pathology from which complete recovery can expected if specialized treatment instituted time. In this article, the authors report potential danger hydrocephalic shunted child who was apparently asymptomatic at time hospital admission with mild injury developed an EDH venous origin. This had rapid (time interval decerebrate posture about 2 h), atypical (remained most...
We describe a series of 10 children with intracranial hypertension complicating fulminant hepatic failure submitted to pressure (ICP) monitoring for intensive care and transplantation management.Information from pediatrics patients acute liver admitted our hospital was collected in standard protocol form. analyzed data patients, medium age 5.2 years old. In this period we studied aspects as ICP transducer used, number days complications monitoring.Hepatitis A diagnosed five hepatitis B two...
We report the case of a 19-year old male patient initially admitted to our service after motor vehicle accident with normal neurologic evaluation and CT scan that revealed no abnormalities. Nineteen months later, he was readmitted subtle headache episode, followed by brief loss consciousness. He submitted complete evaluation, which abnormalities (even in ophthalmologic exams). A performed revealing diffuse subarachnoid hemorrhage. Contrast enhancement displayed right paraselar lesion, first...
Abstract There is currently no available drug to prevent the development of post-traumatic epilepsy. insufficient evidence regarding effect biperiden in preventing epilepsy after TBI. The combined variables known have an impact on likelihood developing late seizures and its unbalanced frequency different groups aspect be considered underpins need for larger studies. Highlights Prior research suggests anticholinergics may was biperiden’s role PTE TBI Variable underscores broader studies Graphical
Resumo A embolia gordurosa é constituída pela presença de glóbulos gordura dentro da microcirculação periférica e pulmonar, com ou sem quadro clínico. Há uma fase precoce, representada por obstrução mecânica, tardia, um fenômeno inflamatório, que se inicia aproximadamente 48 a 72 horas após mecânica. O diagnóstico clínico síndrome pode ser auxiliado pelos critérios Gurd-Wilson deve suspeitado em doentes traumatismo fraturas ossos longos deterioração neurológica forma inexplicada. É...
Abstract Traumatic brain injury (TBI) is a major public health problem in Western countries. A TBI brings many negative consequences, including behavioral and cognitive changes, which affect social adjustment the performance of functional activities. Cognitive evaluation after complex issue what pertains to definition most appropriate questionnaires for clinical use comprehensive analysis condition patient. In this paper, we described critical review main assessment tests currently used...