Neurological impairment after neuraxial anesthesia is very uncommon, but with possible severe consequences. We report the case of a 30-year-old patient scheduled for elective surgery under spinal anesthesia who presented pain during the procedure and neurological impairment in the lower extremities durin...
Atrial fibrillation is the most prevalent arrhythmia in clinical practice and has different strategies for its control. Of these strategies, the percutaneous ablation of the pulmonary veins stands out, with robust results in relation to drug treatment. It is an invasive procedure and, therefore, not free...
Resumen | La enfermedad de Erdheim-Chester es una condición extremadamente rara en la edad pediátrica. Se presenta el caso de una niña de 12 años con diagnóstico histológico y radiológico de enfermedad de Erdheim-Chester multisistémica y mutación en el gen BRAF, que requirió tratamiento con dab...
Noro, Fabio;
Alves-Leon, Soniza Vieira;
Fontes-Dantas, Fabricia Lima;
Valle Bahia, Paulo Roberto;
Andreiuolo, Rodrigo Ferrone;
Rueda Lopes, Fernanda Cristina;
Pereira, Valeria Coelho Santa Rita;
Abi-Haila, Livia de Almeida Afonso;
Coutinho, Renan Amaral;
Araujo, Amanda Dutra de;
Marchiori, Edson.
ABSTRACT Background: The genetic predisposition to multiple sclerosis (MS) is associated with HLA alleles, especially HLA-DRB1*15:01. Objective: To identify associations between findings in magnetic resonance imaging (MRI) and genetic features in a Brazilian cohort of patients with MS. Methods: We retros...
Alelos,
Frecuencia de los Genes,
Genes MHC Clase II,
Predisposición Genética a la Enfermedad,
Cadenas alfa de HLA-DQ/genética,
Cadenas beta de HLA-DQ,
Cadenas HLA-DRB1/genética,
Imagen por Resonancia Magnética,
Esclerosis Múltiple/diagnóstico por imagen,
Esclerosis Múltiple/genética,
Estudios Retrospectivos
ABSTRACT Background: Although epilepsy is primarily known as a cortical disorder, there is growing body of research demonstrating white matter alterations in patients with epilepsy. Objective: To investigate the prevalence of white matter hyperintensities (WMH) and its association with seizure characteri...
ABSTRACT Objective: Contrast-enhanced brain magnetic resonance imaging (MRI) is routinely performed in children with central precocious puberty (CPP). We evaluated the value of a dedicated sellar MRI protocol without contrast enhancement in girls with CPP. Subjects and methods: This study included 261 ...
SUMMARY Ovarian adrenal rest tumors (OARTs) are very rare. We describe a case of a young woman with uncontrolled classical congenital adrenal hyperplasia (CCAH), presenting with bilateral OARTs, successfully treated with steroid replacement. A 20-year-old woman, known to have 21OH-CCAH, presented with se...
Resumen La trombosis venosa cerebral (TVC) es una presentación clínica poco común del tromboembolismo venoso caracterizada por cefalea, crisis convulsivas, déficits neurológicos focales y papiledema. El diagnóstico es confirmado con Tomografía axial computarizada (TAC) de cráneo y Resonancia magn...
El leiomiosarcoma (LMS) es un tipo de tumor de células fusiformes de muy baja incidencia, que tiene un comportamiento agresivo, con alta tasa de mortalidad, por lo que el manejo debe ser quirúrgico, con una resección amplia de la lesión. No está claro el papel de la radio ni de la quimioterapia en s...
