Seizures in patients with respiratory disease - a retrospective single center study
Conclusions: Blood gas changes such as hypoxemia and respiratory acidosis were among the factors statistically associated with the development of symptomatic seizures in patients with respiratory diseases. Additionally, hypoxemia, hypercapnia, and respiratory acidosis were correlated with mortality in patients hospitalized for respiratory system diseases who requested consultations for seizures.RESUMO Objetivo: Convuls ões são uma condição neurológica comumente vivenciada durante o período de acompanhamento após distúrbios sistêmicos ou metabólicos. O objetivo do presente estudo foi determinar os fatores etio...
Source: Arquivos de Neuro-Psiquiatria - June 2, 2020 Category: Neurology Source Type: research

Biomarkers and aspects in acute stroke
(Source: Arquivos de Neuro-Psiquiatria)
Source: Arquivos de Neuro-Psiquiatria - June 2, 2020 Category: Neurology Source Type: research

Erratum
ABSTRACT Central alveolar hypoventilation syndrome has been known for decades as Ondine ’ s curse. It was named as such after a German myth. Although most of the stories resemble one another, word of mouth has led to misinterpretation of this tale among the medical community. The present paper reviews the original narrative, its characters, and how it is linked to the most relevant aspects of the disease.RESUMEN El s índrome de hipoventilación alveolar central (por sus siglas en inglés) se conoce desde hace décadas como la maldición de Ondine. Fue nombrado como tal por un antiguo mito alemán. Aunque la mayoría de ...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Adding pieces to the Alice in wonderland syndrome puzzle: a comment to the paper by Brooks and colleagues
ABSTRACT Central alveolar hypoventilation syndrome has been known for decades as Ondine ’ s curse. It was named as such after a German myth. Although most of the stories resemble one another, word of mouth has led to misinterpretation of this tale among the medical community. The present paper reviews the original narrative, its characters, and how it is linked to the most relevant aspects of the disease.RESUMEN El s índrome de hipoventilación alveolar central (por sus siglas en inglés) se conoce desde hace décadas como la maldición de Ondine. Fue nombrado como tal por un antiguo mito alemán. Aunque la mayoría de ...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Posterior cortical ribboning in the Heidenhain variant of Creutzfeldt-Jakob Disease
ABSTRACT Central alveolar hypoventilation syndrome has been known for decades as Ondine ’ s curse. It was named as such after a German myth. Although most of the stories resemble one another, word of mouth has led to misinterpretation of this tale among the medical community. The present paper reviews the original narrative, its characters, and how it is linked to the most relevant aspects of the disease.RESUMEN El s índrome de hipoventilación alveolar central (por sus siglas en inglés) se conoce desde hace décadas como la maldición de Ondine. Fue nombrado como tal por un antiguo mito alemán. Aunque la mayoría de ...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Ondine’s curse: the origin of the myth
ABSTRACT Central alveolar hypoventilation syndrome has been known for decades as Ondine ’ s curse. It was named as such after a German myth. Although most of the stories resemble one another, word of mouth has led to misinterpretation of this tale among the medical community. The present paper reviews the original narrative, its characters, and how it is linked to the most relevant aspects of the disease.RESUMEN El s índrome de hipoventilación alveolar central (por sus siglas en inglés) se conoce desde hace décadas como la maldición de Ondine. Fue nombrado como tal por un antiguo mito alemán. Aunque la mayoría de ...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Medical management after subthalamic stimulation in Parkinson’s disease: a phenotype perspective
In this study, we review the literature data on acute medical management after STN DBS in PD and propose a clinical algorithm on medical management focused on the patient ’ s phenotypic profile at the perioperative period. Overall, across the trials, the levodopa equivalent daily dose is reduced by 30 to 50% one year after surgery. In patients taking high doses of dopaminergic drugs or with high risk of impulse control disorders, an initial reduction in dopamine agonists after STN DBS is recommended to avoid the hyperdopaminergic syndrome, particularly hypomania. On the other hand, a rapid reduction of dopaminergic agoni...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Electrophysiological evaluation of carpal tunnel syndrome female patients after vitamin D replacement
Conclusion: In this study, it was shown that mild and moderate CTS patients had an improvement in pain and electrophysiological parameters after vitamin D replacement. Replacing vitamin D in early stages of CTS may be beneficial.Resumo Objetivo: Os efeitos da vitamina D no sistema nervoso central e perif érico continuam sendo investigados atualmente. Neste estudo, objetivamos avaliar a dor e a resposta eletrofisiológica em pacientes com síndrome do túnel do carpo (STC) submetidos a terapia de reposição devido à deficiência de vitamina D. Métodos: Cinquenta pacientes do sexo feminino diagn osticadas com STC le...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Evaluation of upper endoscopic findings in patients with restless legs syndrome and gastric complaints
Conclusions: The detection of increased severity of intestinal metaplasia, mucosal atrophy, and gastric inflammation in RLS/WED patients with dyspeptic complaints may entail the close gastrointestinal system evaluation of these patients. However, larger randomized and controlled trials are required on this subject where patients are evaluated by upper GIS endoscopic biopsy.Resumo Introdu ção: Os efeitos das doenças do sistema digestório sobre a Síndrome das Pernas Inquietas/doença de Willis-Ekbom (SPI/DWE) foram demonstrados previamente por testes sorológicos. No entanto, até o momento tal associação não foi ...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Diagnostic prediction model for levodopa-induced dyskinesia in Parkinson’s disease
Conclusion: Predicted probability of LID can be estimated with reasonable accuracy using a diagnostic clinical prediction model which combines age of PD onset, disease duration, initial motor symptom and use of dopaminergic agonists.Resumo Introdu ção: No momento, não há métodos para se predizer o desenvolvimento de discinesias induzidas por levodopa (DIL), uma frequente complicação do tratamento da doença de Parkinson (DP). Preditores clínicos e polimorfismos de nucleotídeo único (SNP) têm sido associados às DIL na DP. Objetiv o: Investigar a associação entre variáveis clínicas e genéticas com as DI...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Dopaminergic drugs alter beta coherence during motor imagery and motor execution in healthy adults
Conclusion: The administration of methylphenidate and risperidone was able to produce electrocortical changes of the cortical central regions, even when featuring antagonistic effects on the dopaminergic pathways. Moreover, the execution task allowed beta-band modulation increase.Resumo Introdu ção: A imagética motora (IM) representa o componente cognitivo do movimento e recruta os sistemas dopaminérgicos. Objetivo: Investigar o papel do sistema dopaminérgico por meio da ação do metilfenidato e da risperidona sobre a coerência em beta durante a execução, observação de ação e imagética motora. Métodos...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Combining neuropsychological tests to improve the assessment of arithmetic difficulties in children with ADHD
Conclusions: The present study detected arithmetic difficulties in Brazilian children with ADHD and the effects of methylphenidate. Given this improvement in sensitivity, combining tests could be a promising alternative when working with limited samples.Resumo Objetivo: Comparar as formas de avaliar as habilidades aritm éticas em crianças brasileiras com TDAH, combinando três testes neuropsicológicos validados, e verificar se são sensíveis ao tratamento com metilfenidato. Métodos: Quarenta e duas crianças (9 ‒ 12 anos) participaram deste estudo: 20 eram crian ças com TDAH (DSM-IV) e 22 eram controles paread...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Post-dural puncture headache incidence after cerebrospinal fluid aspiration. A prospective observational study
Conclusions: Aspiration of the CSF during LP was not associated with increased rates of PDPH compared to the standard method, particularly when larger amounts of CSF are required and ideal conditions are met. This is the first study looking into this matter, aiming to add safety to the procedure. Further randomized trials are required.Resumo Introdu ção: Cefaleia pós-punção dural (CPPD) é uma condição iatrogênica após punção lombar (LP). Incidência é variável; frequentemente associada a mulheres jovens. Características técnicas do procedimento (ex: calibre da agulha) foram investigadas; no entanto, não...
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Predicting levodopa-induced dyskinesia
(Source: Arquivos de Neuro-Psiquiatria)
Source: Arquivos de Neuro-Psiquiatria - May 1, 2020 Category: Neurology Source Type: research

Erratum
Abstract Currently, pyridostigmine bromide is an indispensable anticholinesterase agent used worldwide to treat patients with Myasthenia Gravis (MG). However, pyridostigmine bromide was unsuccessful in its “ pioneering trials ” to treat a series of MG patients. There are important historical landmarks before pyridostigmine bromide becomes useful, safe and indispensable for MG therapy. After 70 years of these “ pioneering trials ” , this article reviews some historical aspects related to them, as well as other preliminary trials using pyridostigmine bromide as therapy for MG patients.Resumo Atualmente, o brometo de...
Source: Arquivos de Neuro-Psiquiatria - April 27, 2020 Category: Neurology Source Type: research