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neurosurgery brazil

Luciano Ferreira de Holanda, Benedito Jamilson A Pereira, Rafael Rodrigues Holanda, José Targino Neto, Carlos Vanderlei M de Holanda, Miguel Giudicissi Filho, Nathalia Ribeiro Cunha de Oliveira, Jean G de Oliveira
OBJECTIVE: The objective of this study is to present a case series of nonmissile penetrating (NMP) injuries and to establish a workflow for an uncommon mechanism of traumatic head injury through the analysis of each case, classification of the type of lesion, management, and outcome score at follow-up. METHODS: From January 1991 to December 2008, 36,000 patients presenting with traumatic brain injury (TBI) were admitted in the Department of Neurosurgery, Hospital Antônio Targino, Campina Grande-PB, Brazil...
June 2016: World Neurosurgery
Nazel Oliveira Filho, Rodrigo L Alves, Adriano T Fernandes, Fernanda S P Castro, José Roberto Tude Melo, Norma S P Módolo
OBJECTIVE The acute elevation of blood glucose in perioperative pediatric patients subjected to cardiac surgery and in victims of head trauma is associated with higher rates of postoperative complications. Data on the occurrence of hyperglycemia and its association with unfavorable outcomes among patients who have undergone elective neurosurgery are scarce in the literature. This study aimed to determine whether the occurrence of hyperglycemia during the perioperative period of elective neurosurgery for the resection of tumors of the CNS in children is associated with increased morbidity...
May 2016: Journal of Neurosurgery. Pediatrics
Renato Antunes Dos Santos, Linda Snell, Maria do Patrocínio Tenório Nunes
CONTEXT AND OBJECTIVE: Training for specialist physicians in Brazil can take place in different ways. Closer liaison between institutions providing this training and assessment and health care services may improve qualifications. This article analyzes the impact of closer links and joint work by teams from the National Medical Residency Committee (Comissão Nacional de Residência Médica, CNRM) and the Brazilian Society of Neurosurgery (Sociedade Brasileira de Neurocirurgia, SBN) towards evaluating these programs...
April 2016: São Paulo Medical Journal, Revista Paulista de Medicina
Manoel Jacobsen Teixeira, Eberval Gadelha Figueiredo, Mario Augusto Taricco, José Píndaro P Plese, Camila Flores, Saulo A Teixeira, José Luzio
The history of neurosurgery at University of São Paulo comes from 1918, since its origins under the Department of Neurology from Chair of Psychiatric Clinic and Nervous Diseases. Professor Enjolras Vampré was the great inspiration for such medical specialty in the State of Sao Paulo. In 1929, the first neurosurgical procedures were performed in the recently (at time) organized Section of Neurosurgery. The official inauguration of the Division of Functional Neurosurgery occurred at June 1977, with the presence of worldwide well-known neuroscientists...
March 2014: Arquivos de Neuro-psiquiatria
Marcela B Alith, Milena C Vidotto, José R Jardim, Mariana R Gazzotti
OBJECTIVE: A survey of intensive care units (ICU) in São Paulo that care for patients with TBI and ICH using the hyperventilation technique. METHODS: A questionnaire was given to the physiotherapist coordinator at 57 hospitals in São Paulo, where 24-h neurosurgery service is provided. RESULTS: Fifty-one (89.5%) hospitals replied. From this total, thirty-four (66.7% perform the hyperventilation technique, 30 (85%) had the objective to reach values below 35 mmHg, four (11%) levels between 35 mmHg and 40 mmHg and one (3%) values over 40 mmHg...
January 2014: Clinical Neurology and Neurosurgery
Wilson Faglioni, Mario G Siqueira, Roberto S Martins, Carlos Otto Heise, Luciano Foroni
INTRODUCTION: Adult traumatic brachial plexus lesions are devastating injuries. Their real incidence is difficult to ascertain, but are certainly growing due to the increasing number of high-speed motor-vehicle accidents, especially in big cities. OBJECTIVES: Analysis of the epidemiological characteristics of patients with traumatic brachial plexus lesions in São Paulo, Brazil, the sixth largest city in the world. METHODS: This was a retrospective analysis of the epidemiological characteristics of patients submitted to surgical treatment of traumatic brachial plexus lesions in the Peripheral Nerve Surgery Unit of the Department of Neurosurgery of the University of São Paulo Medical School...
May 2014: Acta Neurochirurgica
Rodrigo Becco de Souza, Alexandre Bossi Todeschini, José Carlos Esteves Veiga, Nelson Saade, Guilherme Brasileiro de Aguiar
OBJECTIVE: To evaluate the epidemiology and prognostic factors associated with traumatic brain injury by a firearm projectile (FAP). METHODS: We reviewed the medical records of 181 patients in the Department of Neurosurgery of Santa Casa de São Paulo (São Paulo Holy House) diagnosed with traumatic brain injury (TBI) resulting from FAP from January 1991 to December 2005. Were evaluated: age, sex, Glasgow Coma Scale (GCS) on admission, brain region affected by the FAP, type of injury (penetrating or tangential), type of treatment and outcome, based on GCS...
July 2013: Revista do Colégio Brasileiro de Cirurgiões
Daniela Ponce, Caroline de Pietro Franco Zorzenon, Nara Yamane Dos Santos, Ubirajara Aparecido Teixeira, André Luís Balbi
OBJECTIVE: To compare the clinical features and outcomes of patients with and without acute kidney injury in an intensive care unit of a tertiary university hospital and to identify acute kidney injury and mortality risk factors. METHODS: This was a prospective observational study of a cohort including 564 patients followed during their stay in the intensive care unit of Hospital das Clinicas da Faculdade de Medicina de Botucatu (Botucatu, São Paulo, Brazil) between May 2008 and May 2010...
September 2011: Revista Brasileira de Terapia Intensiva
Tatiane Gomes de Araujo, Marcelo de Mello Rieder, Fernanda Machado Kutchak, João Wilney Franco Filho
OBJECTIVES: Identify patients at risk for intensive care unit readmission, the reasons for and rates of readmission, and mortality after their stay in the intensive care unit; describe the sensitivity and specificity of the Stability and Workload Index for Transfer scale as a criterion for discharge from the intensive care unit. METHODS: Adult, critical patients from intensive care units from two public hospitals in Porto Alegre, Brazil, comprised the sample. The patients' clinical and demographic characteristics were collected within 24 hours of admission...
March 2013: Revista Brasileira de Terapia Intensiva
Uwe Max Mauer, James M Ecklund, Khalaf Al Moutaery, Jacques Brotchi
In 2009, during the World Congress of Neurological Surgery in Boston, Massachusetts, the World Federation of Neurosurgical Societies (WFNS) Executive Committee decided to establish a Military Neurosurgeons Committee. A separate scientific session on military neurosurgery was held at the next WFNS Interim Meeting in September 2011 in Brazil. A further separate session on military neurosurgery will take place at the next WFNS Meeting in Seoul, South Korea.
May 2013: World Neurosurgery
Asdrubal Falavigna, Ricardo Vieira Botelho, Alisson Roberto Teles, Pedro Guarise da Silva, Helton Luiz Aparecido Defino
No abstract text is available yet for this article.
November 2013: World Neurosurgery
Atos Alves de Sousa, Marcos Dellaretti
No abstract text is available yet for this article.
March 2012: World Neurosurgery
Ana Flávia C Azevedo, Demócrito de B Miranda-Filho, Gustavo T Henriques-Filho, Alfredo Leite, Ricardo A A Ximenes
BACKGROUND: The lungs are involved in up to 70% of cases of leptospirosis. In the more severe forms-bleeding from the lungs and acute respiratory distress syndrome-the lethality is high. The treatment proposed for leptospirotic pneumonitis includes just care for patients in critical condition. Clinical and experimental studies point to the involvement of immunological mechanisms in the physiopathology of lung damage caused by leptospirosis. The aim of this study is to evaluate pulse treatment with methylprednisolone × placebo for leptospirotic pneumonitis...
2011: BMC Infectious Diseases
Ana Cláudia C Vieira, Hildo R C Azevedo-Filho, Saul Quinino, Moysés Loyola Ponte de Souza, Divaldo Câmara, Laécio Leitão, Gustavo Andrade
OBJECTIVE: To detect changes in speech, verbal fluency, and memory in patients with subarachnoid hemorrhage (SAH) caused by ruptured aneurysms and to analyze the results before surgical or embolization procedure. METHODS: During the period May 2007 to November 2009, 193 patients with anterior aneurysmal SAH admitted to the Department of Neurosurgery, Hospital da Restauração, Recife, Brazil, were tested for speech, verbal fluency, and memory disturbances after the first week of bleeding and compared with a control group with similar demographics...
May 2011: World Neurosurgery
Jaime Gasco, Sean M Barber, Leonardo Rangel-Castilla, Ian E McCutcheon, Peter M Black
INTRODUCTION: This article aims to objectively compare the complexity and diversity of the certification process in neurologic surgery in member societies of the World Federation of Neurosurgical Societies. METHODS: This study centers on the certification processes in the geographic regions of North, South, and Central America. It presents a subgroup analysis based on the responses provided to a 13-item survey. The data received were analyzed and three Regional Complexity Scores (RCSs) were designed...
July 2010: World Neurosurgery
Nelci Zanon
No abstract text is available yet for this article.
March 2011: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
A Giustina, M D Bronstein, F F Casanueva, P Chanson, E Ghigo, K K Y Ho, A Klibanski, S Lamberts, P Trainer, S Melmed
To determine whether peer-reviewed consensus statements have changed clinical practice, we surveyed acromegaly care in specialist centers across the globe, and determined the degree of adherence to published consensus guidelines on acromegaly management. Sixty-five acromegaly experts who participated in the 7th Acromegaly Consensus Workshop in March 2009 responded. Results indicated that the most common referring sources for acromegaly patients were other endocrinologists (in 26% of centers), neurosurgeons (25%) and primary care physicians (21%)...
June 2011: Pituitary
Jackson A Gondim, João Paulo Almeida, Lucas Alverne F de Albuquerque, Erika Gomes, Michele Schops, Tania Ferraz
OBJECT: Acromegaly is a chronic disease related to the excess of growth hormone (GH) and insulin-like growth factor–I secretion, usually by pituitary adenomas. Traditional treatment of acromegaly consists of surgery, drug therapy, and eventually radiotherapy. The introduction of endoscopy as an additional tool for surgical treatment of pituitary adenomas and, therefore, acromegaly represents an important advance of pituitary surgery in the recent years. The aim of this retrospective study is to evaluate the results of pure transsphenoidal endoscopic surgery in a series of patients with acromegaly who were operated on by a pituitary specialist surgeon...
October 2010: Neurosurgical Focus
Daniel D Cavalcanti, José Antonio D Guasti, Mark C Preul
In a family of 7 siblings in Rio de Janeiro, Brazil, 2 of the most remarkable national personalities decided to follow different fields at the beginning of the 20th century. Their life's work would, however, intersect in at least 2 respects: the quest for innovation and a passion for sinuosity. The achievements of Paulo and Oscar Niemeyer are landmarks in the history of neurosurgery and architecture in Brazil. Among his many innovations in neurosurgery, Paulo Niemeyer first described the transventricular amygdalohippocampectomy in 1957 and introduced the operating microscope to neurosurgery in Brazil in 1971...
November 2010: Neurosurgery
Eberval G Figueiredo
No abstract text is available yet for this article.
April 2010: World Neurosurgery
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