Arquivos de neuro-psiquiatria最新文献

{"title":"Aura and osmophobia are associated with the IL1A -889C > T (rs1800587) variant in migraine.","authors":"Amanda Brant Rocha, Giovana Ortiz Zendrini, Maria Paula Bertoletti Juliani, Regina Célia Poli Frederico, Valéria Aparecida Bello, Carlos Eduardo Coral de Oliveira, Edna Maria Vissoci Reiche, Aline Vitali-Silva","doi":"10.1055/s-0044-1791200","DOIUrl":"10.1055/s-0044-1791200","url":null,"abstract":"<p><strong>Background: </strong> Migraine belongs to the group of primary headaches, affecting 14.4% of the global population. The pathophysiological mechanisms of migraine involve the interplay between hypothalamic activation, cortical spreading depression, trigeminal stimulation, and inflammatory components with neurogenic inflammation or neuroinflammation.</p><p><strong>Objective: </strong> To assess the frequency of the <i>IL1A</i> -899C > T (rs1800587) genetic variant in patients with migraine and healthy controls, as well as its association with the clinical manifestations of migraine.</p><p><strong>Methods: </strong> We conducted a case-control study involving 92 migraine patients and 88 healthy controls matched for age, sex, body mass index (BMI), and ethnicity. Demographic, anthropometric, and clinical data were obtained. The <i>IL1A</i> -889C > T (rs1800587) variant was identified using real-time polymerase chain reaction.</p><p><strong>Results: </strong> The study comprised predominantly women and Caucasian individuals, with no significant differences in terms of age, sex, ethnicity, or BMI observed between the migraine and control groups. Within the migraine group, 57.6% had episodic migraines, and 45.7% experienced aura. The patients carrying the CT genotype showed stronger associations with the presence of aura (CT: 57.7%; TT: 27.5%; <i>p</i> = 0.027), and those carrying the CT and TT genotypes showed higher osmophobia rates when compared with the CC genotype (<i>p</i> = 0.003). The <i>IL1A</i> -889C > T genetic variant was not associated with migraine susceptibility, be it chronic or episodic, nor to other symptoms associated with migraine.</p><p><strong>Conclusion: </strong> The <i>IL1A</i> -889C > T genetic variant was associated with aura and osmophobia in migraine patients.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 10","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endolymphatic sac tumor mimicking an aneurysmal bone cyst.","authors":"Carlos Dier, Osorio Lopes Abath Neto, Bruno Policeni, Leonardo Furtado Freitas","doi":"10.1055/s-0044-1789202","DOIUrl":"10.1055/s-0044-1789202","url":null,"abstract":"","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 10","pages":"1-3"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-centered pregnancy planning in multiple sclerosis: evidence for a new era.","authors":"Elisa Matias Vieira de Melo, Bruno Cassis Antunes Rodrigues, Felipe Teijeiro Cabral, Luíza Alves Monteiro Torreão Villarim, Maria Fernanda Mendes","doi":"10.1055/s-0044-1791202","DOIUrl":"10.1055/s-0044-1791202","url":null,"abstract":"<p><p>A few decades ago, women diagnosed with multiple sclerosis were discouraged from becoming pregnant. However, with new knowledge about the disease and treatments, this recommendation has changed, and it is pregnancy after the diagnosis of the disease is no longer contraindicated, with family planning being essential in this process. This review aims to provide a comprehensive overview of the family planning process for people with multiple sclerosis.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 10","pages":"1-11"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of hyperventilation-induced heart rate variability and sudden unexpected death in epilepsy in drug-resistant epilepsy.","authors":"Demet Ilhan Algin, Oguz Erdinc","doi":"10.1055/s-0044-1791517","DOIUrl":"10.1055/s-0044-1791517","url":null,"abstract":"<p><strong>Background: </strong> Within the general epilepsy population, the incidence of Sudden Unexpected Death in Epilepsy (SUDEP) ranges from approximately 0.35 to 2.3 per 1,000 individuals per year.</p><p><strong>Objective: </strong> We aimed to evaluate the relationship between SUDEP risk factors and heart rate variability (HRV) parameters as a potential biomarker of SUDEP in patients with drug-resistant epilepsy (DRE).</p><p><strong>Methods: </strong> There were 52 patients diagnosed with DRE and under follow-up, and controls including 45 healthy subjects, included in the study. Hyperventilation-induced HRV (HRV_HV) parameters, including the standard deviation of all RR intervals (SDRR), mean heart rate (HR), root mean squares of successive differences (RMSSD), SD of mean NN intervals recordings (SDANN), and HRV triangular index, were assessed during resting. To predict the risk of SUDEP, the relationship between HRV parameters and SUDEP risks was evaluated using the Risk Assessment for Sudden Death in Epilepsy (SUDEP-7) Risk Inventory.</p><p><strong>Results: </strong> No statistically significant difference was found in sympathetic skin response (SSR) latency and amplitudes between the patient and control groups. In comparing healthy control subjects with patients experiencing DRE, we observed significant decreases in SDRR_HV and hyperventilation-induced RMSSD (RMSSD_HV) values, specifically within HRV_HV. Notably, a significant correlation emerged concerning the RMSSD_HV values (<i>p</i> < 0.01), when examining the correlation between the SUDEP-7 inventory and HRV_HV parameters.</p><p><strong>Conclusion: </strong> This correlation between RMSSD_HV and the SUDEP-7 Risk Inventory in patients with DRE represents a novel and consequential finding, suggesting its potential as an indicator of SUDEP risk.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 10","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Big data analysis of endovascular treatment for acute ischemic stroke: a study based on bibliometric analysis.","authors":"Xin Lu, Huiying Che, Hongjian Guan","doi":"10.1055/s-0044-1789228","DOIUrl":"10.1055/s-0044-1789228","url":null,"abstract":"<p><strong>Background: </strong> While bibliometric analyses are prevalent in the medical field, few have focused on ther endovascular treatment for acute ischemic stroke (AIS).</p><p><strong>Objective: </strong> To employ big data analysis to examine the research status, trends, and hotspots in endovascular treatment for AIS.</p><p><strong>Methods: </strong> We conducted a comprehensive search using the Web of Science (WOS) database to identify relevant articles on the endovascular treatment for AIS from 1980 to the present. We used various tools for data analysis, including an online platform (https://bibliometric.com/app), the Citespace software, the Vosviewer software, and the ArcMap software, version 10.8. A number of bibliometric indicators were collected and analyzed, such as publication date, country where the studies were conducted, institutions to which the authors were affiliated, authors, high-frequency keywords, cooperative relationship etc. RESULTS:  A total of 5,576 articles were retrieved. A substantial increase in the number of articles occurred after 2010. High-frequency keywords included terms such as <i>large vessel occlusion</i>, <i>reperfusion</i>, <i>outcome</i>, and <i>basilar artery occlusion</i>. Among the top 10 most productive authors, Raul G. Nogueira ranked first, with 136 published articles. Among the journals, <i>The New England Journal of Medicine</i> ranked first, with 5,631 citations. The United States has the closest collaborative ties with other nations.</p><p><strong>Conclusion: </strong> In the present study, we found that the reports of endovascular treatment for AIS gradually increased after 2010. Among them, Raul G. Nogueira was the most productive author in this field. <i>The New England Journal of Medicine</i> was the most cited, and it had the greatest impact. The Multicenter Randomized Clinical Trial of Endovascular Treatment of Acute Ischemic Stroke in the Netherlands (MR CLEAN) trial study was the most cited, and it was a landmark study. There are many interesting studies on endovascular treatment for AIS, such as ischemic penumbra, collateral circulation, bridging therapy etc.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 10","pages":"1-13"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe and unclassifiable tremor.","authors":"Marcos Serrano-Dueñas","doi":"10.1055/s-0044-1790196","DOIUrl":"10.1055/s-0044-1790196","url":null,"abstract":"<p><strong>Background: </strong> Patients often exhibit very severe or disabling forms of tremor that cannot be clearly characterized.</p><p><strong>Objective: </strong> To present a series of 37 cases of tremor considered <i>unclassifiable</i>. Patients diagnosed with essential tremor according to criteria of the International Parkinson Disease and Movement Disorder Society (IPDMDS), who had been previously studied, were included as controls. All patients underwent a battery of tests between 2019 and 2022, which enabled us to compare them.</p><p><strong>Methods: </strong> Relevant demographic and clinical information were collected. The following tools were applied: the Mini-Mental State Examination (MMSE); the Hospital Anxiety and Depression Scale (HADS); the Fahn-Tolosa-Marín Tremor Rating Scale (TRS); and the Quality of Life in Essential Tremor (QUEST). A simple brain magnetic resonance imaging (MRI) scan was performed for all patients. The categorical variables were compared using the Chi-squared test and the <i>t</i>-test with Fisher correction if appropriate, and the quantitative variables were compared through the two-tailed Student <i>t</i>-test. Values of <i>p</i> ≤ 0.01 were considered statistically significant.</p><p><strong>Results: </strong> The cases presented higher scores on the anxiety and depression subscales of the HADS than the controls (<i>p</i> ≤ 0.006 and 0.000 respectively). In all domains of the TRS, the cases scored significantly higher, as well as in the QUEST. History of enolism was higher among the controls, and history of orthostasis and rest tremor was higher among the cases (<i>p</i> ≤ 0.000). Cerebellar atrophy was present in every patient in the case group, and in 24 subjects in the control group. Dystonia was observed in 7 subjects in the case group, and in none of the patients in the control group.</p><p><strong>Conclusion: </strong> There are patients with unclassifiable and extremely disabling tremors who respond poorly to the pharmacological therapy options.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 10","pages":"1-5"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An uncommon cause of diplopia: do not forget Brown syndrome.","authors":"Caio César Diniz Disserol, Amanda Maieski, Samia Talise El Horr de Moraes, James Yared","doi":"10.1055/s-0044-1787798","DOIUrl":"10.1055/s-0044-1787798","url":null,"abstract":"","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 10","pages":"1-2"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A hiatus in the rivalry between Pierre Marie and Jules Dejerine: a collaborative study on sensory disorders by Andre Pierre Marie and Gustave Roussy.","authors":"Carlos Henrique Ferreira Camargo, Emanuel Cassou, Francisco Manoel Branco Germiniani, Hélio Afonso Ghizoni Teive","doi":"10.1055/s-0044-1788270","DOIUrl":"10.1055/s-0044-1788270","url":null,"abstract":"<p><p>Personal and professional rivalries involving prominent neurologists mark the history of nineteenth-century French neurology. One of the great examples is the feud between Pierre Marie and Jules Dejerine. The dispute between the two, nevertheless, did not prevent Pierre Marie's son, André Marie, and Gustave Roussy - one of Dejerine's favorite pupils, from collaborating on significant research that led to the doctoral dissertation by Andre Marie regarding sensory disturbances associated with painful hemiagnosia found in thalamic lesions.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 10","pages":"1-4"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141722925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening for atrial fibrillation after stroke: is targeted patient selection the key?","authors":"Thaís Leite Secchi, Luciano A Sposato","doi":"10.1055/s-0044-1791750","DOIUrl":"10.1055/s-0044-1791750","url":null,"abstract":"","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 10","pages":"1-2"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing an online screening tool for epilepsy surgery evaluation.","authors":"Bianca Cecchele Madeira, Suzana Veiga Schönwald, Pablo Brea Winckler, Kelin Cristine Martin, Carolina Machado Torres, Jorge Wladimir Junqueira Bizzi, Marino Muxfeldt Bianchin","doi":"10.1055/s-0044-1791659","DOIUrl":"10.1055/s-0044-1791659","url":null,"abstract":"<p><strong>Background: </strong> Epilepsy surgery is recognized for its effectiveness in controlling seizures in a significant number of patients with drug-resistant epilepsy. Despite this, there remains a notable deficiency in referring these patients for video-electroencephalogram (EEG) monitoring and surgical evaluation. Addressing this gap, the Canadian Appropriateness of Epilepsy Surgery (CASES), an online tool for epilepsy surgery evaluation (www.epilepsycases.com), was developed to aid physicians in the referral process of patients with refractory epilepsy to surgical assessments.</p><p><strong>Objective: </strong> The present study aimed to evaluate the utility of CASES in identifying candidates for epilepsy surgery, thereby facilitating clinical decision-making for patients with drug-resistant epilepsy.</p><p><strong>Methods: </strong> A cross-sectional analysis was conducted using the CASES platform to assess surgical candidacy among individuals with epilepsy. Participants were selected among those receiving care at the Epilepsy Clinic of the Neurology Service, Hospital de Clínicas de Porto Alegre, Brazil, over a 3-month period. The study cohort included 211 patients. Data were systematically extracted from patient medical records or collected during clinical appointments.</p><p><strong>Results: </strong> Of the evaluated cohort, 59.6% were identified as potential candidates for video-EEG monitoring and subsequent surgical evaluation. Factors significantly associated with recommendations for video-EEG and surgical assessment included seizure frequency, the number of antiseizure medications (ASMs) trialed, and the occurrence of drug-related adverse effects.</p><p><strong>Conclusion: </strong> The CASES showed significant potential in guiding recommendations for video-EEG monitoring and facilitating referrals for epilepsy surgery. This tool may not only enhance patient treatments and outcomes but also contribute to cost savings in epilepsy management in both the short and long term.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 10","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}