FERNANDO CAMPOS GOMES PINTO
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
82 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 82
- Orthotic treatment of positional brachycephaly associated with osteogenesis imperfecta(2017) MATARAZZO, Carolina G.; SCHREEN, Gerd; LAGO-RIZZARDI, Camilla D. do; PECCIN, Maria Stella; PINTO, Fernando C. G.Background: Osteogenesis imperfecta is an inherited disorder of the connective tissue characterized primarily by fractures with no or small causal antecedents and extremely variable clinical presentation. The disorder requires a global and, therefore, multidisciplinary therapeutic approach that should aim, among other aspects, at the prevention and treatment of deformities resulting from osteogenesis imperfecta. Due to limitations related to bony deformities, it can be difficult to place these infants in a variety of positions that would help remediate skull deformities, so a cranial orthosis becomes the therapy of choice. The aim of this study was to demonstrate the results obtained during treatment with a cranial remolding orthosis (helmet) in babies with osteogenesis imperfecta. Case Description and Methods: For the first time in the scientific literature, this study describes the use of a cranial orthosis for the treatment of infants with osteogenesis imperfecta. Both children had severe asymmetrical brachycephaly documented by laser digital scanning and were submitted to treatment with a cranial remolding orthosis. Outcomes and Conclusion: The study showed that there was a significant improvement in cranial proportion and symmetry, with a reduction in the cephalic index at reevaluation. It is concluded that the orthotic therapy is an effective therapeutic modality to improve the proportion and minimize the asymmetry in children with osteogenesis imperfecta. Clinical relevance The clinical relevance of such a description is that children with osteogenesis imperfecta may have numerous deformities and minimizing them can be an important factor. This report showed a beneficial result as the orthotic therapy modality improved the proportions and minimized the asymmetry. This treatment offers too high levels of satisfaction to parents and brings these children closer to normal indices.
conferenceObject Efficacy, safety and cost analysis of the Sphera Pro Valve in the treatment of NPH patients(2022) REIS, Rodolfo C.; YAMASHITA, Renata H. G.; SOLLA, Davi J. F.; RAMIN, Lais F.; TEIXEIRA, Manoel J.; PINTO, Fernando C. G.bookPart Gliomas Malignos(2012) PINTO, Fernando Campos Gomes; PORRO, Fabrício Ricardo Frutos- Long term follow-up of shunted idiopathic normal pressure hydrocephalus patients: a single center experience(2021) OLIVEIRA, Matheus Fernandes de; SORTE JR., A. A. Boa; EMERENCIANO, D. L.; ROTTA, J. M.; MENDES, G. A. S.; PINTO, F. C. G.Idiopathic normal pressure hydrocephalus (iNPH) is a condition characterized by gait disturbance, dementia and/or urinary incontinence and enlarged ventricular system due to disturbance of cerebrospinal fluid (CSF). This study aims to describe the long-term experience with patients with iNPH submitted to ventriculoperitoneal shunt (VPS) with the programmable valve STRATA (R) (Medtronic). We prospectively selected a cohort of patients with a diagnosis of iNPH from January 2010 to April 2013 in a Brazilian tertiary hospital. All patients underwent clinical evaluation, which consists of the Mini-Mental State Examination and Time Up and Go tests and the application of Japanese Scale for Idiopathic Normal Pressure Hydrocephalus in three stages: prior to the TT, 3 h after the TT and 72 h after the TT. Fifty patients were submitted to VPS and followed. There were 32 men and 18 women. Mean age was 77.1 with standard deviation of 10.9. Follow-up time ranged from 96 to 120 months, with mean of 106 months. After 1 year of follow-up, 42 (83%) patients presented with clinical improvement, decreasing to 62% of patients at mid-term follow-up and 38% of patients at late follow-up. Complications occurred in 18% of subjects, needing reoperation in 16%. Our results show relevant clinical impact of shunting in iNPH patients, decreasing over time. Complications should not be underestimated, reaching up to 18% and demanding reoperation in 16% of cases. Thus, although much has been improved with current shunt technology, it is still important to consider the drawbacks of treatment.
bookPart Meningites Agudas Bacterianas(2012) PEREIRA, Thales Dalessandro Meneguim; LITVOC, Marcelo; PINTO, Fernando Campos Gomes- Chronic Meningitis and Hydrocephalus due to Sporothrix brasiliensis in Immunocompetent Adults: A Challenging Entity(2018) MIALSKI, Rafael; OLIVEIRA JR., Joao Nobrega de; SILVA, Larissa Honorato da; KONO, Adriana; PINHEIRO, Rosangela Lameira; TEIXEIRA, Manoel Jacobsen; GOMES, Renata Rodrigues; QUEIROZ-TELLES, Flavio de; PINTO, Fernando Gomes; BENARD, GilChronic meningitis caused by Sporothrix sp. is occasionally described in immunosuppressed patients. We report the challenges in diagnosing and managing 2 nonimmunocompro-mised patients with hydrocephalus and chronic meningitis caused by Sporothrix brasiliensis. This more virulent species appears to contribute more atypical and severe cases than other related species.
bookPart Aplicações do Laser em Neurocirurgia(2012) PINTO, Fernando Campos GomesbookPart 0 Citação(ões) na Scopus Prenatal magnetic resonance imaging of the brain and spine: Current concepts, advances and future(2014) PINTO, F. C. G.; OLIVEIRA, M. F.Fetal magnetic resonance (MR) imaging is an increasingly available technique used to evaluate the fetal brain and spine. This has become possible due to recent advances in technology and advances in coil design, making this diagnostic tool applicable in pregnant women with low risks to the mother and fetus. This provides a unique opportunity to evaluate processes that cannot be approached by any other current imaging technique and affords a unique opportunity for studying in vivo brain development and early diagnosis of congenital abnormalities inadequately visualized or undetectable by prenatal sonography. We discuss briefly about technical features like utility, application and safety and focus mainly on normal fetal brain development, role of fetal MR imaging in the evaluation of fetal ventriculomegaly, brain abnormalities such as of the corpus callosum, malformations of cortical development and spine abnormalities, such as spinal dysraphism. We present the medical and economical impact of such diagnostic modality and also discuss some challenges and advances towards future outcomes. © 2014 by Nova Science Publishers, Inc. All rights reserved.- Could Craniometric Measurements Explain the Growth of the Superior Sagittal Sinus?(2012) SOUZA, Rodrigo Becco de; PINTO, Fernando Campos GomesObjective: The objective of this study was to relate demographic variables and craniometric measures with measurements of the superior sagittal sinus (SSS) at different points along the path of the SSS. The findings were then discussed with regards to theories of skull growth. Methods: We studied 33 skulls with known demographic characteristics and measured various craniometric parameters and distances related to the specific dimensions of the SSS. These data were statistically analyzed, and the results are presented. Results: Of the 33 cadaver samples, 16 were female and 17 were male, aged between 28 and 87 years at the time of death. The cross-sectional area of the SSS measured at the coronary suture was positively correlated with the biauricular length. In addition, when measured 1.5 cm above the torcula, the cross-sectional area of the SSS was negatively correlated with the distance between the medial epicanthi. Conclusions: The relationships found may indicate that the growth of the SSS is proportional to the activity of each segment of the SSS that occurs along its path.
bookPart Avaliação Neurológica do Paciente em Coma(2012) ANDRADE, Fernanda Gonçalves de; PINTO, Fernando Campos Gomes