A5039778322- Acute Ischemic Stroke Management
- Moyamoya disease diagnosis and treatment
- Stroke Rehabilitation and Recovery
- Systemic Sclerosis and Related Diseases
- Head and Neck Surgical Oncology
- Pain Mechanisms and Treatments
- Peripheral Neuropathies and Disorders
- Neurological Complications and Syndromes
- Cardiovascular Disease and Adiposity
- Multiple Sclerosis Research Studies
- Botulinum Toxin and Related Neurological Disorders
- Cardiovascular Function and Risk Factors
- Cardiovascular Effects of Exercise
- Brain Metastases and Treatment
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Cardiac Imaging and Diagnostics
- Genetic and rare skin diseases.
- Parkinson's Disease Mechanisms and Treatments
- Vasculitis and related conditions
- Sarcoidosis and Beryllium Toxicity Research
- Palliative and Oncologic Care
- Neurosurgical Procedures and Complications
- Pain Management and Treatment
- Thyroid and Parathyroid Surgery
- Cerebrovascular and genetic disorders
Universidade Estadual Paulista (Unesp)
2017-2024
AC Camargo Hospital
2023
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2021-2022
Hospital de Santa Marta
2022
Instituto do Câncer do Estado de São Paulo
2017
Associazione Italiana Sclerosi Multipla
2006-2014
Universidade de São Paulo
2013
Sociedade Brasileira de Educação Matemática
2013
Hospital Garcia de Orta
2006
The Brazilian Practice Guidelines for Stroke Rehabilitation - Part II, developed by the Scientific Department of Neurological Academy Neurology (Academia Brasileira de Neurologia, in Portuguese), focuses on specific rehabilitation techniques to aid recovery from impairment and disability after stroke. As I, II is also based recently available evidence randomized controlled trials, systematic reviews, meta-analyses, other guidelines. covers disorders communication, dysphagia, postural control...
Motor neuron diseases (MND) represent a group of disorders that evolve with inexorable muscle weakness and medical management is based on symptom control. However, deeper characterization non-motor symptoms in these patients have been rarely reported.This cross-sectional study aimed to describe MND their impact quality life functional status, focus pain sensory changes. Eighty (31 females, 55.7 ± 12.9 years old) underwent neurological examination, pain, mood, catastrophizing psychophysics...
Neuroendocrine neoplasms (NENs) are a rare group of cancers with heterogeneous behaviour and mostly unknown aetiology. Excluding some infrequent hereditary cancer syndromes, the extent clinical significance mutations in other predisposing genes (CPGs) not known. We aimed to investigate frequency pathogenic likely germline variants (GPVs) known CPGs young adults NEN molecular characteristics these patients. recruited 108 patients lung or digestive diagnosed between 18 50 years performed...
The aim of the study was to evaluate frequency oedema lower limbs in multiple sclerosis (MS) patients utilizing a multidisciplinary approach. A total 205 with definite MS were included study. Seventy-five male and 130 female, mean age 50.53, Expanded Disability Status Scale (EDSS) score 5.27 disease duration 16.6 years. Seventy-one had relapsing-remitting (RR) course, 85 secondary progressive (SP) 49 primary (PP). Ninety-three (45%) showed at examination. EDSS, but not gender, statistically...
Rapidly progressive dementia (RPD) is typically defined as a cognitive decline progressing to severe impairment in less than 1-2 years, within weeks or months. Accurate and prompt diagnosis important because many conditions causing RPD are treatable. Neurosarcoidosis often cited an unusual reversible cause of RPD.We report two cases neurosarcoidosis presenting RPD.Case 1: A 61-year-old woman developed associated with visual loss. In seven months she was dependent for self-care. Magnetic...
A 43-year-ol d female had a cerebellar pilocytic astrocy-toma operated 27 years ago. Reoperation and radiation ther-apy were employed in recurrence 13 One week before admission, progressive drowsiness, disorientation time space, slurred speech worsening of residual right hemiparesis begun. Cerebrospinal ˜ uid (CSF) analysis electroencephalography (EEG) unremarkable. She improved without speci˚ c therapy.Recently recognized stroke-like migraine attacks after therapy (SMART) is syndrome which...
Background and Purpose Primary palliative care (PC) aims to improve the quality of life for patients with acute ischemic stroke but is often misinterpreted as withdrawal care. The self-fulfilling prophecy bias feared in this context PC’s early implementation. This study evaluates who died hospital determine impact PC evaluation. Methods A retrospective descriptive analysis from was conducted. included aged ≥18 years admitted Stroke Unit a quaternary Brazil January 2017 December 2018....
Objectives To evaluate the determining factors of severe functional impairment (SFI) outcome at discharge and in-hospital mortality in patients who had an acute ischaemic stroke thus favouring early implementation primary palliative care (PC). Methods A retrospective descriptive study by analysis 515 admitted unit, aged≥18 years, from January 2017 to December 2018. Previous clinical status data, National Institute Health Stroke Scale (NIHSS) on admission, data related evolution during...
Case report: Woman, 34 years old, with paresis that started four ago during pregnancy, predominantly distal in the lower limbs and progression to upper limbs. No involvement of cranial nerves sensitivity. Initially considered a diagnosis Myasthenia Gravis clinical gain was observed use pyridostigmine. After few months, patient’s symptoms recurred asymmetric flaccid tetraparesis, limbs, associated global areflexia oral immunosuppressive therapy initiated, improvement. Electroneuromyography...
Case report: Male, 32-year-old, diagnosed with COVID-19 (coronavirus disease) in January 2022 and two weeks later present progressive vertigo, gait instability, binocular diplopia right facial palsy. Three months he was sent for investigation our service. Magnetic resonance imaging (MRI) showed a FLAIR-hyperintense lesion the pontomesencephalic transition gadolinium enhancement. Cerebrospinal fluid (CSF) analysis shows increase protein level (83 mg/dL). In this moment, considering infectious...
pts with (3/26, 11%) and without (6/78, 8%) recent history of acute lung edema, in those awaiting bypass surgery (5/38, 13%) NYHA class III/IV (4/42, 10%).By contrast, it was more likely to occur the presence (6/31, 19%) than absence (3/73, 4%, p=0.015) ExE-induced wall motion abnormalities.Conclusion: During exercise, significant worsening MR is rare only correlates exercise-induced ischemia.Given low prevalence LV ischemic dysfunction, does not seem appropriate recommend a widespread use...
Abstract Funding Acknowledgements Type of funding sources: None. Introduction Myocardial deformation parameters, derived from three-dimensional (3D) speckle-tracking echocardiography (3DSTE) are useful tools to determine left ventricular (LV) systolic function, and often abnormal before a decline in ejection fraction (EF). Aims To study the correlation between function evaluated by myocardial parameters obtained 3DSTE functional capacity patients with HCM. Methods HCM seen prospectively at...
Introduction Spontaneous intracranial hypotension (SIH) is a secondary cause of headache often misdiagnosed and underdiagnosed disorder. The main presentation orthostatic headache. An uncommon symptom cranial nerve palsy. We described case SIH that presented to our service with sixth Case Report Female, 39 years old, no relevant medical past or history trauma, awoke due intense holocranial headache, associated vomiting photophobia, worsening in orthostasis. In the general emergency...
Small bowel transplantation (SBT) is the best and often only therapeutic option for patients with severe intestinal failure limitations use of total parenteral nutrition (TPN). Despite results SBT in last ten years, complications such as strong rejection infections still restrict usual indication this procedure. HC-FMUSP one world pioneer two cases performed sixties by living legend CIRTA 2015 awarded Prof. Okumura, reference public Hospital Brazil complex nutritional rehabilitation recently...
Background: stroke is the second leading cause of death and disability worldwide. The most significant factors for early mortality are age, severity (NIH scale), atrial fibrillation (AF) hypertension. Objective: elucidate correlated with unfavorable outcome after ischemic stroke. Design/Setting: retrospective descriptive study conducted at Botucatu Medical School Hospital. Methods: this included 515 patients, aged least 18, admitted to ICU stroke-unit between January/2017-December/2018....
Context: Arteriovenous dural fistulas are the most common spinal vascular malformations and constitute a reversible cause of progressive myelopathy. This disease affects elderly men classically found at thoracolumbar region. Case report: A 69year-old man was admitted to Neurology outpatient clinic with weakness in his left inferior limb for past 10 years; 2 years before evaluation, progressed also right limb, causing inability walk, 1 year after patient noticed urinary incontinence sexual...