Arquivos de neuro-psiquiatria最新文献_第2页

Predictors of poor outcome in the acute phase after a first-ever stroke in a population-based study in Matão, Brazil.

IF 1 4区医学

Arquivos de neuro-psiquiatria Pub Date : 2025-02-01 Epub Date: 2025-03-19 DOI: 10.1055/s-0045-1804924

Cesar Minelli, Esther Maria Langhi Chiozzini, Liliana Tiene Ujikawa, Geraldo Cassio Dos Reis, Millene Rodrigues Camilo, Octavio Marques Pontes-Neto

{"title":"Predictors of poor outcome in the acute phase after a first-ever stroke in a population-based study in Matão, Brazil.","authors":"Cesar Minelli, Esther Maria Langhi Chiozzini, Liliana Tiene Ujikawa, Geraldo Cassio Dos Reis, Millene Rodrigues Camilo, Octavio Marques Pontes-Neto","doi":"10.1055/s-0045-1804924","DOIUrl":"10.1055/s-0045-1804924","url":null,"abstract":"Background: The data on predictors of poor outcomes for stroke patients in middle-income countries are lacking.Objective: To identify in the acute phase after a first-ever stroke (FES) predictors of a poor outcome within 3 months and 1 year in a population-based study in the town of Matão, state of São Paulo, Brazil.Methods: We prospectively investigated the characteristics of patients with FES in Matão, from a prospective study, in a population-based stroke registry, from 2015 to 2020. Poor outcome was defined as a modified Rankin scale (mRS) score of 3 to 6, assessed at 3 months and 1 year of follow-up. The association between predictors and poor outcome was analyzed by logistic regression analysis.Results: Of the 783 patients, the final sample consisted of 378 subjects for analysis. The mean age was 69.2(± 14.3) years, and 43.1% of patients were female. At 3 months and 1 year after a FES, 50.4% and 47.1% of stroke patients were classified as poor prognosis, respectively. Older age, female gender, hemiplegia, aphasia, subarachnoid hemorrhage, and comorbidities present in the acute phase were the predictors associated with a poor outcome.Conclusion: Non-modified and potentially modified predictors increase the risk of a poor FES prognosis in a population-based study from a middle-income country. Interventions focusing on these target populations and improving access to prevention and stroke management in the acute phase are necessary.","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 2","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662267","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}

引用次数: 0

Autobiographical memory impairment in genetic generalized epilepsies: neurocognitive and pathophysiological determinants.

IF 1 4区医学

Arquivos de neuro-psiquiatria Pub Date : 2025-02-01 Epub Date: 2025-03-25 DOI: 10.1055/s-0045-1804923

Panayiotis Patrikelis, Eleni Loukopoulou, Elvira Masoura, Vasiliki Folia, Grigoris Kiosseoglou, Lambros Messinis, Sonia Malefaki, Giuliana Lucci, Vasileios Kimiskidis

{"title":"Autobiographical memory impairment in genetic generalized epilepsies: neurocognitive and pathophysiological determinants.","authors":"Panayiotis Patrikelis, Eleni Loukopoulou, Elvira Masoura, Vasiliki Folia, Grigoris Kiosseoglou, Lambros Messinis, Sonia Malefaki, Giuliana Lucci, Vasileios Kimiskidis","doi":"10.1055/s-0045-1804923","DOIUrl":"https://doi.org/10.1055/s-0045-1804923","url":null,"abstract":"The neuropsychological breakdowns of autobiographical memory (AM) in adults suffering from genetic generalized epilepsy (GGE) are far from being understood and largely neglected.We aimed at identifying AM impairments in GGE by analyzing neurocognitive deficits in illness-related variables possibly affecting AM.Patients with GGE were compared to healthy controls (HCs), through semistructured interviews on AM, as well as neuropsychological measures to identify potential determinants of AM impairment.A single GGE group was formed by including patients with juvenile myoclonic epilepsy (JME), juvenile absence epilepsy (JAE), and epilepsy with generalized tonic-clonic seizures alone (EGTCA). Both GGE patients and HCs were tested for differential impairments in autobiographical episodic memory (AEM) and/or autobiographical semantic memory (ASEM), as well as other episodic- and/or semantic-memory and executive-function domains.The GGE patients exhibited overall impairment in autobiographical episodic and semantic information retrieval compared to HCs, both regarding childhood and the recent past. Furthermore, GGE patients demonstrated significantly poorer performance in immediate and delayed episodic recall, visuospatial working memory, visuoperceptual organization, face recognition memory, and verbal-executive functions compared to HCs. A distinct visuoperceptual involvement in retrieving childhood autobiographical episodic and semantic information has emerged, suggesting a potential connection between the latter AM systems and visual cognition.","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 2","pages":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708293","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}

引用次数: 0

Cognitive functioning and soccer heading: one-year longitudinal assessment among professional players.

IF 1 4区医学

Arquivos de neuro-psiquiatria Pub Date : 2025-02-01 Epub Date: 2025-03-19 DOI: 10.1055/s-0045-1805051

Giovanni Batista Palma, Mariana Drummond Martins Lima, Ana Carolina Oliveira Rodrigues, Clarisse Vasconcelos Friedlaender, Celso Furtado de Azevedo Filho, Rodrigo Campos Pace Lasmar, Paulo Caramelli

{"title":"Cognitive functioning and soccer heading: one-year longitudinal assessment among professional players.","authors":"Giovanni Batista Palma, Mariana Drummond Martins Lima, Ana Carolina Oliveira Rodrigues, Clarisse Vasconcelos Friedlaender, Celso Furtado de Azevedo Filho, Rodrigo Campos Pace Lasmar, Paulo Caramelli","doi":"10.1055/s-0045-1805051","DOIUrl":"10.1055/s-0045-1805051","url":null,"abstract":"Background: Soccer is the most popular sport worldwide, and the only one in which players purposely and repetitively use their head to hit the ball. In recent years, more attention has been given to subconcussive impacts, which are characterized by a cranial impact that does not result in known or diagnosed concussion on clinical grounds.Objective: To investigate the effects of soccer heading on cognitive functioning among professional soccer players.Methods: In a longitudinal case-control study, 22 professional soccer players were compared with 37 non-athletes on 2 occasions (T0 and T1) separated by a 1-year interval. The cognitive assessment consisted of computerized neuropsychological tests and the Brief Neuropsychological Assessment Battery (NEUPSILIN).Results: There was no evidence of cognitive impairment among athletes, who actually outperformed the controls in terms of score, accuracy, and reaction time in certain tests. Moreover, the estimates of heading exposure did not correlate with the cognitive performance of players. The intragroup analyses revealed that while the controls improved their performance on three cognitive variables from T0 to T1, no improvement occurred among players. However, within-group variation in performance from T0 to T1 was similar.Conclusion: Although the present study has not shown an association between soccer heading and cognitive impairment, subconcussive impacts may have a negative effect on brain function, as improvement in cognitive performance was not observed among athletes. Future and longer longitudinal investigations are needed to clarify the relationship between soccer heading and cognition.","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 2","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662264","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}

引用次数: 0

Psychometric properties of the Epworth Sleepiness Scale in Brazilian medical students.

IF 1 4区医学

Arquivos de neuro-psiquiatria Pub Date : 2025-02-01 Epub Date: 2025-03-19 DOI: 10.1055/s-0045-1804921

Renato Canevari Dutra da Silva, Anderson Garcez, Adriana Vieira Macedo Brugnoli, Marcos Pascoal Pattussi, Maria Teresa Anselmo Olinto

{"title":"Psychometric properties of the Epworth Sleepiness Scale in Brazilian medical students.","authors":"Renato Canevari Dutra da Silva, Anderson Garcez, Adriana Vieira Macedo Brugnoli, Marcos Pascoal Pattussi, Maria Teresa Anselmo Olinto","doi":"10.1055/s-0045-1804921","DOIUrl":"10.1055/s-0045-1804921","url":null,"abstract":"Background: Excessive daytime sleepiness (EDS) refers to the propensity to become drowsy or fall asleep when the intention and expectation would be to stay awake, and the Epworth Sleepiness Scale (ESS) is an easy-to-apply instrument that can be used to assess the presence of EDS.Objective: To evaluate the psychometric properties of the ESS, including its construct validity and internal consistency, in a population of university students.Methods: Two samples of 400 students from the medicine program of a university located in the Midwest of Brazil were randomly selected from a cross-sectional academic study conducted in 2018. Construct validity was examined through exploratory and confirmatory factor analysis of the eight items of the ESS, and the internal consistency was evaluated using the Cronbach's α coefficient (α).Results: It was found that factor analyses revealed better adjustment measures when considering the ESS to be two-dimensional, grouped into two main factors: the first factor referring to the evaluation of sleepiness at rest, and the second referring to drowsiness in activity (standardized root mean square residual [SRMR] = 0.053; root mean square error of approximation [RMSEA] = 0.095; Comparative Fit Index [CFI] = 0.937; and Tucker-Lewis Index [TLI] = 0.908; p < 0.05). Moreover, the ESS presented an adequate internal consistency (α = 0.75).Conclusion: The present study showed general psychometric properties adequate for the ESS in medical students, including an acceptable construct validity and internal consistency. Thus, the ESS may be suitable to assess EDS in university students, especially medical students.","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 2","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662268","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}

引用次数: 0

Sixty years of the first studies by Horácio Martins Canelas on Wilson's disease.

IF 1 4区医学

Arquivos de neuro-psiquiatria Pub Date : 2025-02-01 Epub Date: 2025-02-24 DOI: 10.1055/s-0045-1802553

Egberto Reis Barbosa, Jacy Bezerra Parmera, Rubens Gisbert Cury, Eduardo Luiz Rachid Cançado, Patrícia Áurea Andreucci Martins Bonilha, Hélio Afonso Ghizoni Teive

引用次数: 0

Heading the ball, why does the neurologist need to know about it?

IF 1 4区医学

Arquivos de neuro-psiquiatria Pub Date : 2025-02-01 Epub Date: 2025-03-10 DOI: 10.1055/s-0045-1801864

Renato Anghinah

引用次数: 0

Comment on "Stroke awareness in a Brazilian Northeastern capital city and the burden of the COVID-19 pandemic".

IF 1 4区医学

Arquivos de neuro-psiquiatria Pub Date : 2025-02-01 Epub Date: 2025-02-04 DOI: 10.1055/s-0045-1802310

Diogo Gonçalves Dos Santos Martins, Thiago Gonçalves Dos Santos Martins

引用次数: 0

Professor Sérgio Augusto Pereira Novis (1940-2024).

IF 1 4区医学

Arquivos de neuro-psiquiatria Pub Date : 2025-02-01 Epub Date: 2025-03-19 DOI: 10.1055/s-0045-1805050

Luiz Eduardo Novis, Maria Lúcia Vellutini Pimentel, Hélio Afonso Ghizoni Teive

引用次数: 0

Aerobic physical exercise improves quality of life in temporal lobe epilepsy.

IF 1 4区医学

Arquivos de neuro-psiquiatria Pub Date : 2025-02-01 Epub Date: 2025-03-19 DOI: 10.1055/s-0045-1804919

Shai Oisiovici Laks, Nathalia Volpato, Nikolas Coelho, Mateus Henrique Nogueira, Pamela Regina Henning, Aline de Fatima Dias, William Souza Martins Ferreira, Clarissa Lin Yasuda, Luciana Ramalho Pimentel-Silva, Fernando Cendes

{"title":"Aerobic physical exercise improves quality of life in temporal lobe epilepsy.","authors":"Shai Oisiovici Laks, Nathalia Volpato, Nikolas Coelho, Mateus Henrique Nogueira, Pamela Regina Henning, Aline de Fatima Dias, William Souza Martins Ferreira, Clarissa Lin Yasuda, Luciana Ramalho Pimentel-Silva, Fernando Cendes","doi":"10.1055/s-0045-1804919","DOIUrl":"10.1055/s-0045-1804919","url":null,"abstract":"Background: A prior study showed that people with temporal lobe epilepsy (TLE) with an active lifestyle present a better quality of life (QoL), but the influence of aerobic physical exercise (APE) in the QoL of these patients is still unclear. As pharmacoresistance is commonly associated with TLE, the possibility of seizures during the activities might prevent patients from benefiting from APE.Objective: To analyze the influence of APE in the QoL of TLE patients and also focus on the seizure worry subitem of the QoL in epilepsy 31 (QoLIE-31) questionnaire.Methods: We analyzed data from 25 individuals with TLE who participated in a 6-month APE program under the supervision of a board-certified physical trainer. TLE patients were divided into training (TLE-training) and control (TLE-control) groups. The TLE-training group underwent an APE program of 6 months, while the control group was oriented to keep their routine. We assessed all patients with the QoLIE-31 at baseline and after 6 months. We used a mixed-between-subjects ANOVA to assess the APE intervention compared with TLE-control pre- and postintervention on the QoL.Results: We found a significant interaction between intervention groups and APE-time (p = 0.0005), showing that only patients in the TLE-training group presented higher QoL after the intervention (p = 0.001). We found no significant differences between groups for seizure worry (p = 0.50).Conclusion: There was improvement in QoL due to APE, with no increase in seizure worry, which might be a feature of concern for both patients and healthcare practitioners. Further studies should focus on long-term interventions to evaluate the impact of APE in QoL.","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 2","pages":"1-5"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662262","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}

引用次数: 0

Validity and reliability of the Turkish version of the Innsbruck RBD-9 diagnostic inventory (IRBD-9-TR).

IF 1 4区医学

Arquivos de neuro-psiquiatria Pub Date : 2025-01-01 Epub Date: 2025-01-28 DOI: 10.1055/s-0044-1800816

Kezban Aslan-Kara, Ayşın Kısabay Ak, Ayşegül Şeyma Sarıtaş, Hikmet Yılmaz, Kübra Mehel Metin, Burcu Gökçe Çokal, Kadriye Ağan, Murat Aksu, Utku Oğan Akyıldız, Aylin Bican Demir, Betül Çevik, Ahmet Yusuf Ertürk, Derya Karadeniz, İbrahim Öztura, Gülin Sünter, Selma Tekin, İrsel Tezer, Deniz Tuncel Berktaş, Nazlı Totik, Gülçin Benbir Şenel

{"title":"Validity and reliability of the Turkish version of the Innsbruck RBD-9 diagnostic inventory (IRBD-9-TR).","authors":"Kezban Aslan-Kara, Ayşın Kısabay Ak, Ayşegül Şeyma Sarıtaş, Hikmet Yılmaz, Kübra Mehel Metin, Burcu Gökçe Çokal, Kadriye Ağan, Murat Aksu, Utku Oğan Akyıldız, Aylin Bican Demir, Betül Çevik, Ahmet Yusuf Ertürk, Derya Karadeniz, İbrahim Öztura, Gülin Sünter, Selma Tekin, İrsel Tezer, Deniz Tuncel Berktaş, Nazlı Totik, Gülçin Benbir Şenel","doi":"10.1055/s-0044-1800816","DOIUrl":"https://doi.org/10.1055/s-0044-1800816","url":null,"abstract":"Background: Isolated rapid eye movement (REM) sleep behavior disorder (iRBD) is characterized by loss of the normal atonia of REM sleep accompanied by repetitive motor and behavior phenomena of dream content.Objective: To evaluate the reliability and validity of the Turkish version of the original form of the Innsbruck Rapid Eye Movement Sleep Behavior Disorder Diagnostic Inventory (IRBD-9) scale (IRBD-9-TR) and ensure that this screening test can be easily used in the Turkish language.Methods: The present is a multicenter and prospective study involving 184 patients: 51 with iRBD and 133 healthy controls. The iRBD patients were not diagnosed before submitted to video polysomnography (vPSG) and filling out the IRBD-9-TR.Results: The optimal cut-off value for the IRBD-9-TR symptom score was of 0.28, with a sensitivity of 0.941 and a specificity of 0.947, and 94.4% of the patients were correctly diagnosed. The rotated factor loadings for the diagnostic accuracy of each individual question showed that the short version of the IRBD-9-TR (questions 1, 2, 3, 6, and 8) presented higher specificity and excellent discrimination of iRBD patients from healthy controls. The Cronbach's α coefficient for the symptom section of the IRBD-9-TR was of 0.857, and the Kappa coefficient, of 0.885.Conclusion: The short version of the IRBD-9-TR presents good validity and reliability to be used as a screening test to assess iRBD patients. It is convenient and potentially useful in both outpatient clinical and epidemiologic research settings.","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"83 1","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057875","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}

引用次数: 0