Leonardo Furtado Freitas, Eduardo J Labat, Robert T Wicks, Charif Sidani, Kevin J Abrams
{"title":"When the brain fades before the eye: encephalopathy as a rare presentation of direct carotid-cavernous fistula.","authors":"Leonardo Furtado Freitas, Eduardo J Labat, Robert T Wicks, Charif Sidani, Kevin J Abrams","doi":"10.1055/s-0045-1809932","DOIUrl":"https://doi.org/10.1055/s-0045-1809932","url":null,"abstract":"","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 12","pages":"1-2"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diego Jordão Lino Dias, Camilla Akemi Felizardo Yamada, Carmen Lucia Penteado Lancellotti, Lázaro Luíz Faria do Amaral
{"title":"Double calcification in PLNTY: an unusual presentation of a rare tumor in young patients.","authors":"Diego Jordão Lino Dias, Camilla Akemi Felizardo Yamada, Carmen Lucia Penteado Lancellotti, Lázaro Luíz Faria do Amaral","doi":"10.1055/s-0045-1809933","DOIUrl":"https://doi.org/10.1055/s-0045-1809933","url":null,"abstract":"","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 11","pages":"1-2"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rafael Tuzino Leite Neves Maffei, Bruna Gutierres Gambirasio, Murillo Silva Catito, Sebastião Boanerges de Araujo Neto, Adrialdo José Santos
{"title":"Isolated complete oculomotor nerve palsy as a presentation of adult medulloblastoma.","authors":"Rafael Tuzino Leite Neves Maffei, Bruna Gutierres Gambirasio, Murillo Silva Catito, Sebastião Boanerges de Araujo Neto, Adrialdo José Santos","doi":"10.1055/s-0045-1809883","DOIUrl":"https://doi.org/10.1055/s-0045-1809883","url":null,"abstract":"","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 10","pages":"1-2"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Calcitonin gene-related peptide monoclonal antibodies and medication overuse headache: is stopping excessive pain medication still necessary?","authors":"João José Freitas de Carvalho","doi":"10.1055/s-0045-1809658","DOIUrl":"10.1055/s-0045-1809658","url":null,"abstract":"<p><p>Recent studies demonstrate a significant paradigm shift concerning migraine patients suffering from medication overuse (MO). Traditionally, doctors used to demand that patients who overused medications be withdrawn before beginning any preventive therapy; however, such a belief has recently been challenged by emerging evidence about the benefit of calcitonin gene-related peptide monoclonal antibodies (CGRP mAbs), which have shown similar effectiveness in several clinical trials and real-world studies, regardless of whether a patient has previously stopped taking excessive medications. The data indicates that patients undergoing CGRP mAb therapy naturally decreased their acute medication consumption as migraine frequency diminished without requiring forced discontinuation. Furthermore, safety analyses have confirmed favorable tolerability profiles when CGRP mAbs are administered concurrently with various acute medications. This new evidence-based approach offers several clinical advantages, including enhanced treatment adherence and reduced risk of withdrawal complications. These findings support transitioning from mandatory detoxification protocols toward more individualized treatment strategies, representing a significant advancement in clinical migraine management.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 9","pages":"1-3"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In the era of monoclonal antibodies targeting the calcitonin gene-related peptide pathway, is it still necessary to stop taking excessive pain medication?","authors":"Renata Gomes Londero","doi":"10.1055/s-0045-1809333","DOIUrl":"10.1055/s-0045-1809333","url":null,"abstract":"<p><p>Medication-overuse headache (MOH) was first described in 1951 with ergotamine overuse. Since then, much has been studied about its risk factors, pathophysiology, prevention, and treatment. Despite this, many people still suffer from this condition. Even for those who reach medical care, the path to maintaining significant improvement is neither short nor easy. Here, we propose the ubiquitous individualization of headache treatment. The more we study the condition, the more it becomes evident that different groups of patients benefit from different approaches: starting prophylactic medication immediately or postponing it, providing a bridge treatment or not, and advising patients to either stop medication overuse immediately or reduce it gradually.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 9","pages":"1-2"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lídia Laura Salvador Ramos, Iago Resende Carvalho, Diogo Fernandes Dos Santos, Andrea de Martino Luppi, Bruno de Carvalho Dornelas
{"title":"Erdheim-Chester manifesting purely as a neurological disease.","authors":"Lídia Laura Salvador Ramos, Iago Resende Carvalho, Diogo Fernandes Dos Santos, Andrea de Martino Luppi, Bruno de Carvalho Dornelas","doi":"10.1055/s-0045-1809403","DOIUrl":"10.1055/s-0045-1809403","url":null,"abstract":"","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 9","pages":"1-2"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Calcitonin gene-related peptide monoclonal antibodies and medication-overuse headache: stopping excessive pain medication is still necessary.","authors":"Pedro Augusto Sampaio Rocha-Filho","doi":"10.1055/s-0045-1809332","DOIUrl":"10.1055/s-0045-1809332","url":null,"abstract":"<p><p>Medication-overuse headache affects 1 to 2% of the global population and is often associated with chronic migraine. This condition significantly impacts the lives of patients, as well as their families, and it poses a major economic burden due to lost productivity and medical costs. The present narrative review is part of a controversy session. We argue that reversing the behavior of overusing symptomatic pain medications is important for the treatment of this type of headache. To support this argument, the article reviews and critically analyzes the relevant literature on the subject.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 9","pages":"1-4"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raul Medina-Rioja, Juan Carlos Lopez-Hernandez, Enrique Piña-Rosales, Brenda Dzul-García, Andres Mercado-Pompa
{"title":"Chessboard stroke attributed to intracranial atherosclerosis.","authors":"Raul Medina-Rioja, Juan Carlos Lopez-Hernandez, Enrique Piña-Rosales, Brenda Dzul-García, Andres Mercado-Pompa","doi":"10.1055/s-0045-1809406","DOIUrl":"10.1055/s-0045-1809406","url":null,"abstract":"","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 8","pages":"1-2"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catarina Dantas Corrêa, Camila Emi Fujiwara Murakami, Isabelle Pastor Bandeira, Carlos Roberto M Rieder, Hélio Afonso Ghizoni Teive
{"title":"Lively contributions: 156 years after the death of Jan Evangelista Purkyně.","authors":"Catarina Dantas Corrêa, Camila Emi Fujiwara Murakami, Isabelle Pastor Bandeira, Carlos Roberto M Rieder, Hélio Afonso Ghizoni Teive","doi":"10.1055/s-0045-1809402","DOIUrl":"10.1055/s-0045-1809402","url":null,"abstract":"<p><p>Jan Evangelista Purkyně, born on December 17, 1787, in Bohemia (now part of the Czech Republic), was a prominent scientist renowned for his discoveries in eye, brain, and heart physiology. To honor him 156 years after his death, the present article explores Purkyně's history, from the struggles of his youth to the main legacies he left in medicine, especially neurology.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 8","pages":"1-4"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144336292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mateen Sheikh, Ibrahim Thein, Kevin J Abrams, Leonardo Furtado Freitas
{"title":"The hidden burden of lysosomal dysfunction: visual decline and microphthalmia in Hunter syndrome.","authors":"Mateen Sheikh, Ibrahim Thein, Kevin J Abrams, Leonardo Furtado Freitas","doi":"10.1055/s-0045-1809405","DOIUrl":"10.1055/s-0045-1809405","url":null,"abstract":"","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 7","pages":"1-3"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}