Vascular Parkinsonism: Analysis Of Seven Cases

INTRODUCTION: Neuroimaging studies of elderly individuals reveal alterations in the white matter that are incompatible with the patient's parkinsonism, mistakenly classified as vascular parkinsonism (VP). METHOD: This study was conducted on a population composed of 20 patients with Parkinson's disease (PD) whose neuroimaging exams revealed vascular alterations in the white matter and seven patients with VP in order to compare diagnostic criteria. RESULTS: Age at disease onset of patients with PD was 55±12 years and patients with VP it was 62±13 years. Twelve patients with PD and five patients with VP presented arterial hypertension; three patients with VP and two patients with PD presented gait impairment; all patients with VP presented rigidity and bradykinesia, six of them presented resting tremor; 19 patients with PD presented tremor and 19 of them presented rigidity, while 17 presented bradykinesia. When the symptoms and evolution of both diseases were compared, the vascular alterations in the white matter were considered unspecific. CONCLUSION: Since clinical symptoms are unspecific, a differential diagnosis requires neuroimaging, good response to levodopa and clinical evolution. © 2006 Associação Arquivos de Neuro-Psiquiatria.6403:00:00Critchley, M., Arteriosclerotic parkinsonism (1929) Brain, 52, pp. 23-83Winikates, J., Jankovic, J., Clinical correlates of vascular parkinsonism (1999) Arch Neurol, 56, pp. 98-102Demirkiran, M., Bozdemir, H., Sarica, Y., Vascular parkinsonism: A distinct, heterogeneous clinical entity (2001) Acta Neurol Scand, 104, pp. 63-67Thanvi, B., Lo, N., Robinson, T., Vascular parkinsonism: An important cause of parkinsonism in older people (2005) Age Ageing, 34, pp. 114-119Zijlmans, J.C.M., Thijssen, H.O.M., Vogels, O.J.M., MRI in patients with suspected vascular parkinsonism (1995) Neurology, 45, pp. 2183-2188Bennet, D.A., Wilson, R.S., Gilley, D.W., Fox, J.H., Clinical diagnosis of Binswanger disease (1990) J Neurol Neurosurg Psychiatry, 53, pp. 961-965Hurtig, H.I., Vascular parkinsonism (1993) Parkinsonian Syndromes, pp. 81-83. , Stern MB, Koller WC (eds). New York: Marcel DekkerBaldereschi, M., Di Carlo, A., Rocca, W.A., Parkinson's disease and parkinsonism in a longitudinal study: Two-fold higher incidence in men (2000) Neurology, 55, pp. 1358-1363Foltynie, T., Barker, R., Brayne, C., Vascular parkinsonism: A review of the precision and frequency of diagnosis (2002) Neuroepidemiology, 21, pp. 1-7Benito-Leon, J., Bernejo-Pareja, F., Moralez-Gonzalez, J.M., Incidence of Parkinson's disease and parkinsonism in three elderly populations of central Spain (2004) Neurology, 62, pp. 734-741Bower, J.H., Dickson, D.W., Taylor, L., Maraganore, D.M., Rocca, W.A., Clinical correlates of the pathology underlyng parkinsonism: A population perpective (2002) Mov Disord, 17, pp. 910-916Zijlmans, J.C.M., Daniel, Se., Hughes, A.J., Révész, T., Lees, A.J., Clinicopathological investigation of vascular parkinsonism, including clinical criteria for diagnosis (2004) Mov Disord, 19, pp. 630-640Fazekas, F., Niederkorn, K., Schmidt, R., White matter signal abnormalities in normal individuals: Correlation with carotid ultrasound, cerebral blood flow measurements, and cerebrovascular disease risk factors (1988) Stroke, 19, pp. 1285-1288Larsen, J.P., Dupont, E., Tandberg, E., Clinical diagnosis of Parkinson's disease: Proposal of diagnostic subgroups classified at different levels of confidence (1994) Acta Neurol Scand, 89, pp. 242-251Elbaz, A., Bower, J.H., Maraganore, D.M., Risk tables for parkinsonism and Parkinson's disease (2002) J Clin Epidemiol, 55, pp. 25-31(1994) Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition, , American Psychiatric Association Washington, DC: American Psychiatric AssociationSibon, I., Fenelon, G., Quinn, N.P., Tison, F., Vascular parkinsonism (2004) J Neurol, 251, pp. 513-524Zijlmans, J.C.M., Katzenschlager, R., Daniel, S.E., Lees, A.J.L., The L-dopa response in vascular parkinsonism (2004) J Neurol Neurosurg Psychiatry, 75, pp. 545-547Piccini, P., Pavese, N., Canapichi, R., White matter hiperintensities in Parkinson's disease (1995) Arch Neurol, 52, pp. 191-194Murrow, R.W., Schweiger, G.D., Kepes, J.J., Koller, W.C., Parkinsonism due to basal lacunar state: A clinicopathological correlation (1990) Neurology, 40, pp. 897-90

Quality Of Life In Patients With Parkinson's Disease And Their Caregivers' Stress Levels

Introduction. The quality of life in patients with Parkinson's disease (PD) is related to the disease level, which also indicates the caregiver's quality of life. Methods. This study comprised 43 patients with PD (31 male) and their respective caregivers (35 female) in order to evaluate if these disease symptoms may change their quality of life. Results. There was a statistically significant correlation between quality of life and the disease level and caregiver stress. The higher the score of disease level, the worse the patients and caregivers' quality of life. Conclusion. The disease control improves the patients' quality of life and, consequently, the caregivers' quality of life.162113117Quagliato, L.B., Viana, M.A., Quagliato, E.M.A.B., Simis, S., Alterações do olfato na doença de Parkinson (2007) Arq Neuropsiq, 65 (3 A), pp. 647-652Anderson, R., Bury, M., (1988) Living with chronic illness: The experience of patients and their families, pp. 88-116. , London: Allen & UnwinJacoby, A., Backer, G.A., Smith, D.F., Dewey, M.E., Chadwick, D.W., Measuring the impact of epilepsy: The development of a novel scale (1993) Epi Res, 16, pp. 83-88Price, B., Illness cares: The chronic illness experience (1996) J Adv Nurs, 24, pp. 275-279Lima, S.S.P., Quagliato, E.M.A.B., Cagliari, L.C., Souza, E.A.P., (1997) Linguagem e isolamento social no Mal de Parkinson, 1 (2), pp. 5-13. , Rev Soc Bras FonoaudiolGray, A., McNamara, I., Aziz, T., Gregory, R., Bain, P., Wilson, J., Quality of life outcomes following surgical treatment of Parkinson's disease (2002) Mov Disord, 17 (1), pp. 68-75Silva EG, Viana MA, Quagliato EMAB. Pain in Parkinson's disease: analysis of 50 cases in a clinic of movement disorders. Arq Neuropsiquiatr 2008;66(1):26-9Souza, E.A.P., Guerreiro, M.M., (1996) Qualidade de vida, pp. 191-199. , Guerreiro CAM, Guerreiro MM. Epilepsia. São Paulo: LemosSouza, E.A.P., Questionário de qualidade de vida na epilepsia: Resultados preliminares (2001) Arq Neuropsiquiatr, 59 (3 A), pp. 540-544Martínez-Martín, P., An introduction to the concept of "Quality of Life in Parkinson's disease (1998) J Neurol, 245 (S1), pp. S2-S6De Boer, A.G.E.M., Sprangers, M.A.G., Speelman, H.D., De Haes, H.C.J.M., Predictors of Health Care Use in patients with Parkinson's disease: A longitudinal study (1999) Mov Disord, 14 (5), pp. 772-779Salgado, P.C.B., Souza, E.A.P., Qualidade de vida em epilepsia e percepção de controle de crises (2001) Arq Neuropsiquiatr, 59 (3 A), pp. 537-540Cardoso, F., Principais perguntas sobre parkinsonismo e doença de Parkinson. Beija-flor-São Paulo (2000), 47, pp. 6-8Schrag, A., Jahanshahi, M., Quinn, N., How does Parkinson's disease affect quality of life? A comparison with quality of life in the general population (2000) Mov Disord, 15 (6), pp. 1112-1118Hughes, A.J., Daniel, S.E., Kilford, L., Lees, A.J., Accuracy of clinical diagnosis of idiopathic Parkinson's disease: A clinicopathological study of 100 cases (1992) J Neurol Neurosurg Psychiatr, 55 (3), pp. 181-184Fahn S, Elton RL, and members of the UPDRS Development Committee. Unified Parkinson's disease rating scale. In: Fahn S, Marsden CD, Goldstein M, Calne DB (eds). Recent Development in Parkinson's disease. New Jersey: Florham Park, 1987,153-63Jenkinson, C., Fitzpatrick, R., Peto, V., Greenhall, R., Hyman, N., The Parkinson's Disease Questionnaire (PDQ-39): Development and validation of Parkinson's disease summary index score (1997) Age Ageing, 26 (5), pp. 353-357McRae C, Sherry P, Roper K. Stress in family functioning among caregiver of persons in Parkinson's disease. Parkinson Rel Dis 1999;5:69-75Zhang, Z., Roman, G.C., Worldwide occurrence of Parkinson's disease: An updated review (1993) Neuroepidemiol, 12, pp. 195-208Lee, K.S., Merriman, A., Owen, A., Chew, B., Tan, T.C., The medical, social and functional profile of Parkinson's disease patients (1994) Singap Med J, 35 (3), pp. 265-268Happe, S., Berger, K., The association between caregiver burden and sleep disturbances in partners of patients with Parkinson's disease (2002) Age and Aging, 31, pp. 349-354Silva, E.G., Viana, M.A., Quagliato, E.M.A.B., Diagnóstico de síndromes parkinsonianas em uma clínica brasileira de distúrbios do movimento. (2005) Rev Neurocienc, 13 (4), pp. 173-177Hankin, B.L., Abramson, L.Y., Development of gender differences in depression: An elaborate cognitive vulnerability-transactional stress theory (2001) Psychol Bull, 127, pp. 773-796Pasetti, C., Ferrario, S.R., Fornara, R., Picco, D., Foglia, C., Galli, J., Caregiving and Parkinson's disease (2003) Neurol Sci, 24, pp. 203-204De Boer, A.G.E.M., Wijker, W., Speelman, J.D., De Haes, J.C.J.M., Quality of life in patients with Parkinson's disease: Development of a questionnaire (1996) J Neurol Neurosur Psychiatr, 61, pp. 70-74Hobson, P., Holden, A., Meara, J., Measuring the impact of Parkinson's disease with Parkinson's disease Quality of Life Questionnaire (1999) Age and Aging, 28, pp. 341-346Mc Rae, C., O'Brien, C., Treed, C., Quality of life among persons receiving neural implants surgery for Parkinson's disease (1996) Mov Disord, 11, pp. 605-60

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Apresentação do segundo número do oitavo volume da Revista Sociologias Plurai

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Apresentação do primeiro número do oitavo volume publicado pela Revista Sociologias Plurai

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Journey presentation.Apresentação do primeiro número do sexto volume da Revista Sociologias Plurai

BRILHANTES DA CABEÇA, CASCALHOS NO BOLSO: NOTAS PARA UMA ANÁLISE SOCIOLÓGICA DA TRAJETÓRIA SOCIAL DE ASSIS CHATEAUBRIAND

O presente texto se debruça sobre uma parte da trajetória social de Assis Chateaubriand - o magnata das telecomunicações brasileira, que, por muitos anos comandou o conglomerado Diários Associados - com o objetivo de refletir sobre a viabilidade da análise dessa figura sob o conjunto de ferramentas que uma Sociologia focada na relação entre famílias, poder, instituições e relações de favorecimento. Após uma discussão sobre os parâmetros metodológicos necessários para uma análise criteriosa, este trabalho se aprofunda no principal ramo genealógico do grupo familiar ao qual Chateaubriand é filiado; em seguida, são analisados o período de formação de nosso investigado e o momento em que as dinâmicas de reconversão de capitais e utilização de recursos (simbólicos e financeiros) herdados o permitem construir o começo de sua fortuna e atuar em momentos decisivos da história do Brasil - especificamente, a revolução de 1930 e a formação da Aliança Liberal em torno de Getúlio Vargas. Assim, o artigo demonstra a complexa e intrincada ligação entre a construção de um grande patrimônio que transpassa diversas instituições e campos de competição social

Apresentação

Apresentação do terceiro número do sétimo volume da Revista Sociologias Plurais

Vascular Parkinsonism: Analysis Of Seven Cases.

Neuroimaging studies of elderly individuals reveal alterations in the white matter that are incompatible with the patients parkinsonism, mistakenly classified as vascular parkinsonism (VP). This study was conducted on a population composed of 20 patients with Parkinsons disease (PD) whose neuroimaging exams revealed vascular alterations in the white matter and seven patients with VP in order to compare diagnostic criteria. Age at disease onset of patients with PD was 55+/-12 years and patients with VP it was 62+/-13 years. Twelve patients with PD and five patients with VP presented arterial hypertension; three patients with VP and two patients with PD presented gait impairment; all patients with VP presented rigidity and bradykinesia, six of them presented resting tremor; 19 patients with PD presented tremor and 19 of them presented rigidity, while 17 presented bradykinesia. When the symptoms and evolution of both diseases were compared, the vascular alterations in the white matter were considered unspecific. Since clinical symptoms are unspecific, a differential diagnosis requires neuroimaging, good response to levodopa and clinical evolution.64568-7

Vascular parkinsonism - Analysis of seven cases

Introduction: Neuroimaging studies of elderly individuals reveal alterations in the white matter that are incompatible with the patient's parkinsonism, mistakenly classified as vascular parkinsonism (VP). Method: This study was conducted on a population composed of 20 patients with Parkinson's disease (PD) whose neuroimaging exams revealed vascular alterations in the white matter and seven patients with VP in order to compare diagnostic criteria. Results: Age at disease onset of patients with PD was 55 +/- 12 years and patients with VP it was 62 +/- 13 years. Twelve patients with PD and five patients with VP presented arterial hypertension; three patients with VP and two patients with PD presented gait impairment; all patients with VP presented rigidity and bradykinesia, six of them presented resting tremor; 19 patients with PD presented tremor and 19 of them presented rigidity, while 17 presented bradykinesia. When the symptoms and evolution of both diseases were compared, the vascular alterations in the white matter were considered unspecific. Conclusion: Since clinical symptoms are unspecific, a differential diagnosis requires neuroimaging, good response to levodopa and clinical evolution.643A56857

Pain in Parkinson's disease - Analysis of 50 cases in a clinic of movement disorders

Introduction: Pain is a common symptom in Parkinson's disease (PD), and is often related to the illness itself. Objective: To prospectively establish the ocurrence of pain in PD patients. Method: This study was conducted within a population composed of 50 patients with PD to evaluate the presence of pain. Results: Twenty-eight patients reported pain; comparing the group with pain and the group without pain, there were no differences related to the beginning of the illness and the motor symptoms of PD. However, many patients related an improvement of pain when antiparkinsonian therapy was initiated or adjusted. Conclusion: The use of techniques for analgesia and the adjustment of PD medication contribute to improve the manifestations of pain and the life quality of patients with PD.661262