Brain vascular disease presenting as first manifestation of temporal arteritis: report of two cases

Made available in DSpace on 2019-09-12T16:56:54Z (GMT). No. of bitstreams: 0 Previous issue date: 2001Brain vascular disease as the first presentation of temporal arteritis is unusual. We present two cases in which the diagnosis emerged from the anamnesis. A 54 years old woman has had a left cerebral infarct 3 months ago. She was getting better when severe visual loss occurred and the family decided to get a second opinion. The patient have had right hemiparesis, aphasia and a left visual disturbance in the first episode; now she had severe bilateral visual disturbance. We suspected temporal arteritis was the etiology. HSR was 97 mm and fundoscopy disclosed severe ischemic optic neuritis. A 75 years old man presented Wallemberg syndrome. The history disclosed temporal headache and the examination showed inflammation in temporal artery. HSR was 70 mm and biopsy confirmed the diagnosis. "Tecnolatry" is affecting medical practice; it's necessary to FLIP back in the center the clinical sovereignty., Univ Hosp, Serv Neurol & Neurocirurg; UNITA

Acidente vascular cerebral ou doença encéfalo vascular ?: Revendo a designação e respeitando a anatomia

Desde que a doença vascular que acomete o sistema nervoso central de localização intracraniana pode comprometer estruturas supra ou/e infratentoriais, propomos a mudança de "Acidente vascular cerebral" para "Doença encéfalo vascular"

Headache among medical and psychology students

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Headaches occur frequently and thus are a key component of sociocentric medical education. Objective: To study headaches among students of medicine and psychology in a single university. Method: This was a questionnaire-based survey of a cohort of students of medicine and psychology. Results: The overall lifetime prevalence of headache was 98% and over the last year, 91%. Tensional headache accounted for 59% and migraine 22% in medicine; and 48.5% and 32% respectively in psychology. Forty-five percent reported that headaches had a variable sporadic impact on their productivity. The self-medication rate was 77%. Thirty-six percent reported worsening since admission to the university. Conclusion: The prevalence of headaches was very high. Tension-type headaches predominated in males and migraine in females. Tension-type was more frequent among medical students than among psychology students; migraine was more frequent in psychology (more females) than in medicine. Both kinds of students reported that headaches caused low interference with daily activities. The students reported that their symptoms had worsened since admission to the university.693502508Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)FAPESP [05/00795-7, 05/00796-3

The most frequent neurologic disturbances: a contribution to the definition of topics for the programmatic content to the program of neurology in medical graduation

Made available in DSpace on 2019-09-12T16:56:53Z (GMT). No. of bitstreams: 0 Previous issue date: 2000Introduction: Knowledge accumulation is overfilling the thematic content of medical graduation. Medical Schools must be alert to define a minimal content related with the most frequent disturbs. We intent to suggest topics for the minimal content, to the program of Neurology in medical graduation. Method: 1. To identify the places where young doctors are working outside the School Hospital (SH): we analysed the answers of the letters sent to 6415 resident - doctors (RD) in Sao Paulo's State and we made personal interview with 201 RD. 2. To verify the most frequent neuropsichiatric disturbs (ND) in the population: we made the analysis of the patient's diagnostic records in emergency room of three institutions: Municipal of Taubate-SP Municipal of Sao Jose dos Campos-SP and Faculty of Medicine of Sao Paulo Santa Caza de Misericordia. Results: 1, The RD are young and, outside the SH, they work in other emergency services.',. The mast frequent diagnosis in institutions were listed: alcoholism, cerebrovascular disease, corns, cranial trauma, dementia, dizziness, epilepsy, facial paralysis, faint, headache, hemiplegia or paraplegia, meningitis, others paralysis, periferical neuropathy and psychiatric disordes. Conclusions Those diagnostics most frequent are relevant topics of the programmatic content to the program of Neurology in medical graduation.Universidade de Taubaté (Unitau), Disciplina Neurol & Neurocirurgia, Dept Med; Univ Sao Paulo, Fac Med, Sao Paulo, Brazil; FCM, Med Acad, Sao Paulo, Brazi

Consumo abusivo de álcool em mulheres

Este estudo descritivo, exploratório, objetivou caracterizar as mulheres atendidas em um Hospital de Ensino do Noroeste do Paraná, por abuso de álcool, nos anos de 1999 a 2008, segundo variáveis sociodemográficas e dados da intoxicação. Dos 823 atendimentos, a faixa etária mais frequente foi dos 20 aos 49 anos (58,32%). 13 (1,58%) mulheres estavam grávidas; 12,5% apresentavam de 9 a 12 anos de estudo. Os destilados foram a principal bebida utilizada, e a ingestão foi mais prevalente no período noturno. Cerca de 156 (18,96%) mulheres necessitaram de internamento hospitalar. Evasão hospitalar foi observada em 8,5% dos casos. Conclui-se que a população feminina representa um subgrupo da população suscetível ao abuso do álcool, e, com o perfil descrito neste estudo, foi possível descrever as áreas de impacto na saúde da mulher, possibilitando a implementação de medidas preventivas para diminuir a ocorrência, as complicações e a reincidência nessa população.