A liga de meditação e saúde na educação, prevenção e terapêutica de profissionais de saúde e pacientes

The present work aims to report the experiences associated with the League of Meditation and Health (LIMEDS), at the Faculty of Medicine of USP, from its foundation in March 2018, to the present moment. As an Academic League, the project plays a fundamental role in the areas of teaching, research and extension, advancing in the sense of contributing to professional training in the field of health and, through its theoretical and practical activities and assistance, to act in the prevention and therapeutics of patients and health professionals. In response to the expansion of meditative practices in Brazil and in the world, including its valorization in scientific circles, LIMEDS is committed to combating and preventing psychosomatic disorders, in the development of peace, compassion and empathy, as well as in the reorientation of professional practices that benefit the public health. Student testimonials reveal great satisfaction with the experiences and positive changes in their physical and mental health.O presente trabalho visa relatar as experiências associadas à Liga de Meditação e Saúde (LIMEDS), na Faculdade de Medicina da USP, desde sua fundação, em março de 2018, até o presente momento. Como Liga Acadêmica, o projeto exerce papel fundamental nas esferas de ensino, pesquisa e extensão, avançando no sentido de contribuir para a formação profissional no campo da saúde e, por meio de suas atividades teórico-práticas e assistenciais, atuar na prevenção e terapêutica de pacientes e profissionais de saúde. Em resposta à expansão das práticas meditativas no Brasil e no mundo, incluindo sua valorização em meios científicos, a LIMEDS assume o compromisso no combate e prevenção aos distúrbios psicossomáticos, no desenvolvimento da paz, compaixão e empatia, bem como na reorientação de práticas profissionais que beneficiem a saúde pública. Depoimentos de alunos revelam grande satisfação com as experiências e mudanças positivas em sua saúde física e mental

Non epileptogenic Rasmussen`s encephalitis: a case report

Introduction: Rasmussen's encephalitis (RE) is a very rare chronic inflammatory unilateral encephalopathy with still unknown etiology. It predominantly affects children under the age of 10, but can also affect adolescents and adults. Current evidence on possible etiologies are divided in two main theories. The first one is based on brain inflammation caused by a reaction to a foreign antigen. The second one is based on an autoimmune disease that is limited to a single hemisphere of the brain. The common presentation is intractable and frequent focal motor seizures, often associated with progressive neurological decline, and progressive unilateral focal cortical atrophy. Progression of the inflammatory process in MRI is considered a good biomarker in RE. Objectives: Report a rare case of a female infant presenting atypical manifestations of uncommon symptoms without seizures caused by Rasmussen's encephalitis. Case Report: A ten-year-old right-handed female presented to the emergency department with sudden onset of abnormal involuntary movements of the right upper and lower limbs, face paresia of the same side and loss of attention without loss of consciousness. The involuntary contractions were brief, random, irregular, and worsened with activity, along with a positive milkmaid grip sign. She also displayed reduced movement speed and hyperactive biceps, triceps, patellar and ankle jerk reflexes. Associated with the motor abnormalities, the girl presented with a recent but progressive decrease in cognitive functions, which caused a decline in school performance and impaired reasoning, and affective blunting. She had no sign of previous neuropsychomotor development abnormality. She was taken to a quaternary hospital where a MRI and a CT of the brain were performed. MRI showed atrophy of the left cerebral hemisphere, predominantly in the operculum and head of the caudate nucleus, hypersignal in the insular cortex and adjacent white matter. CT presented with hypoattenuation of the left frontal lobe and parieto-occipital white matter associated with atrophy of the head of the caudate nucleus of the same side and enlargement of the adjacent fissures and sulcus. A subsequent PET-CT showed a left cerebral hemisphere hypometabolism, predominantly in the basal ganglia, temporal, frontal and insular lobes. Functional evaluation detected diffuse unilateral disorganization of brain electric activity, but no epileptic paroxysmal discharges were found on the electroencephalogram. After hospitalization, human immunoglobulin at the dose 2g/kg/day was used for five days. The girl remained stable, with no complications. After sixteen days, she was discharged with a rehabilitation program and follow-up care