LIM/62 - Laboratório de Investigação Médica em Neurocirurgia

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https://observatorio.fm.usp.br/handle/OPI/3842
O Laboratório de Investigação Médica em Neurocirurgia é ligado ao Departamento Departamento de Neurologia da Faculdade de Medicina da Universidade de São Paulo (FMUSP). Denominado Laboratório de Fisiopatologia Cirúrgica e ligado ao Departamento Fisiopatologia Cirúrgica até o ano de 2019 com produção científica até o ano de 2018.

Linhas de pesquisa: medicina, com ênfase em neurocirurgia e atua principalmente nos seguintes temas: dor, dor aguda, dor crônica, dor neuropática e síndrome dolorosa miofascial, neurocirurgia, cirurgia para movimentos anormais, espasticidade, doenças da coluna vertebral e tumores do sistema nervoso; validação psicométrica e tradução de instrumentos de rastreio e caracterização de síndromes dolorosas e seus aspectos; excitabilidade cortical em doentes com dor crônica, uso de neuromodulação não invasiva em dor; profilaxia de dor neuropática em doentes com câncer; uso de neuromodulação implantada em dor; dor na doença de Parkinson; hipertensão intracraniana e lesão encefálica; neurotrauma; neuromodulação não invasiva em pacientes e técnicas neurocirúrgicas.

Site oficial: http://limhc.fm.usp.br/portal/lim62-laboratorio-de-fisiopatologia-cirurgica/

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Dry needling in the treatment of myofascial trigger points and painful shoulder dysfunctions: narrative review of the literature
(2023) ANTôNIO, Jhonatan Zimmermann; MATIELO, Heloísa Alonso; MINSON, Fabíola; DALE, Camila Squarzoni
ABSTRACT BACKGROUND AND OBJECTIVES: Shoulder painful dysfunctions comprises one of the most common musculoskeletal disorders that requires specialized assistance. Dry Needling (DN) became an adjuvant approach with increased use in clinical practice to treat this type of condition. The present study discusses the literature related to DN in the treatment of myofascial trigger points (MTPs), shoulder dysfunctions and associated pain. METHODS: A narrative review through search of articles from 2010 to 2022 written in Portuguese, English or Spanish was performed in Latin American and Caribbean Literature on Health Sciences (LILACS), Health Information from the National Library of Medicine (Medline), Web of Science and the Scientific Electronic Library Online (Scielo) databases using the keywords: <“Dry Needling”>; <“Agulhamento a Seco”>; <“Myofascial Trigger Points”>; <“Pontos-Gatilhos Miofasciais”>; <“Shoulder Dysfunctions”>; <”Disfunções do ombro”>. The qualitative analysis was performed determining the level of evidence for DN treatment of MTPs, shoulder dysfunctions and pain. RESULTS: A total of 45 citations were found, 22 citations were excluded because they did not meet the selection criteria. The 23 remaining citations were examined for titles and abstracts and duplicate studies were removed. Finally, 10 articles met the selection criteria and were included in the present review. No articles were excluded after full-text screening. The analysis showed poor advances and knowledge regarding the application of DN for the treatment of pain, painful and general shoulder dysfunctions and MTPs, with few evidence regarding treatment effectiveness, patient’s pain scores data, mechanisms of action and statistical analysis. CONCLUSION: There is still a lack of concrete scientific evidence to assess DN effectiveness in modulating pain in patients with MTPs shoulder. More systematic reviews and meta-analyses together with experimental and clinical searches must be conducted to provide stronger evidence of this modality to relief painful symptoms in the shoulder, as well as a treatment of MTPs and general shoulder disorders.
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Dor lombar
(2022) KOBAYASHI, Ricardo; HERRERO, Fernando; ISHI, Marcos Masayuki
article 0 Citação(ões) na Scopus
Chronic subdural hematoma drainage using anti-thrombotic catheter technique
(2023) CORDEIRO, J. G.; MONACO, B. Assumpcao de; BENVENISTE, R.; ALKHACHROUM, A.; KRUEGER, E. M.; O'PHELAN, K.; JAGID, J. R.
Background: Burr hole evacuation is a well-established treatment for symptomatic cases with chronic subdural hematoma (cSDH). Routinely postoperative catheter is left in the subdural space to drain the residual blood. Drainage obstruction is commonly seen, and it can be related to suboptimal treatment. Methods: Two groups of patients submitted to cSDH surgery were evaluated in a retrospective non-randomized trial, one group that had conventional subdural drainage (CD group, n ​= ​20) and another group that used an anti-thrombotic catheter (AT group, n ​= ​14). We compared the obstruction rate, amount of drainage and complications. Statistical analyses were done using SPSS (v.28.0). Results: For AT and CD groups respectively (median ​± ​IQR), the age was 68.23 ​± ​26.0 and 70.94 ​± ​21.5 (p ​> ​0.05); preoperative hematoma width was 18.3 ​± ​11.0 ​mm and 20.7 ​± ​11.7 ​mm and midline shift was 13.0 ​± ​9.2 and 5.2 ​± ​8.0 ​mm (p ​= ​0.49). Postoperative hematoma width was 12.7 ​± ​9.2 ​mm and 10.8 ​± ​9.0 ​mm (p ​< ​0.001 intra-groups compared to preoperative) and MLS was 5.2 ​± ​8.0 ​mm and 1.5 ​± ​4.3 ​mm (p ​< ​0.05 intra-groups). There were no complications related to the procedure including infection, bleed worsening and edema. No proximal obstruction was observed on the AT, but 8/20 (40%) presented proximal obstruction on the CD group (p ​= ​0.006). Daily drainage rates and length of drainage were higher in AT compared to CD: 4.0 ​± ​1.25 days vs. 3.0 ​± ​1.0 days (p ​< ​0.001) and 69.86 ​± ​106.54 vs. 35.00 ​± ​59.67 ​mL/day (p ​= ​0.074). Symptomatic recurrence demanding surgery occurred in two patients of CD group (10%) and none in AT group (p ​= ​0.230), after adjusting for MMA embolization, there was still no difference between groups (p ​= ​0.121). Conclusion: The anti-thrombotic catheter for cSDH drainage presented significant less proximal obstruction than the conventional one and higher daily drainage rates. Both methods demonstrated to safe and effective for draining cSDH.
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Discriminating MS from MOGAD using deep learning attention maps
(2023) CORTESE, Rosa; BATTAGLINI, Marco; SFORAZZINI, Francesco; FRANCH, Natalia Cantavella; PRADOS, Ferran; BIANCHI, Alessia; HAIDER, Lukas; JACOB, Anu; PALACE, Jacqueline; MESSINA, Silvia; PAUL, Friedemann; MARIGNIER, Romain; DURAND-DUBIEF, Francoise; RIMKUS, Carolina de Medeiros; CALLEGARO, Dagoberto; SATO, Douglas; FILIPPI, Massimo; ROCCA, Maria Assunta; CACCIAGUERRA, Laura; CANELLAS, Alex Rovira; SASTRE-GARRIGA, Jaume; ARRAMBIDE, Georgina; LIU, Yaou; YUN, Duan; GASPERINI, Claudio; TORTORELLA, Carla; RUGGIERI, Serena; AMATO, Maria Pia; ULIVELLI, Monica; GROPPA, Sergiu; GROTHE, Matthias; LLUFRIU, Sara; SEPULVEDA, Maria; LUKAS, Carsten; BELLENBERG, Barbara; SCHNEIDER, Ruth; SOWA, Piotr; CELIUS, Elisabeth; PROBSTEL, Anne-Katrin; GRANZIERA, Cristina; YALDIZLI, Ozgur; MULLER, Jannis; STANKOFF, Bruno; BODINI, Benedetta; BARKHOF, Frederik; CICCARELLI, Olga; STEFANO, Nicola De
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Factors Associated with Hemorrhagic Progression of Cerebral Contusion After Traumatic Brain Injury: A Multicenter Study
(2022) LIMA, Leonardo R.; SOLLA, Davi; PASSOS, George; BRANDAO, Marcio; RAMOS, Camilla; ANDRADE, Mariana; ANDRADE, Almir; COSTA, Roberta; PAIVA, Wellingson; PIASON, Lucas; ROSSETI, Adroaldo
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New insights into structural and functional evaluation of the retina and optic nerve in Parkinson's disease
(2023) MELLO, Luiz Marchesi; PARAGUAY, Isabela Bezerra; ANDRADE, Thais; ROCHA, Arthur do Nascimento; BARBOSA, Egberto; OYAMADA, Maria; MONTEIRO, Mario
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MOG-IgA characterizes a subgroup of patients with central nervous system demyelination
(2023) GOMES, Ana Beatriz Ayroza Galvao Ribeiro; KULSVEHAGEN, Laila; LIPPS, Patrick; CAGOL, Alessandro; FUERTES, Nuria Cerda; NEZIRAJ, Tradite; FLAMMER, Julia; LERNER, Jasmine; LECOURT, Anne-Catherine; SIEBENBORN, Nina de Oliveira S.; CORTESE, Rosa; SCHADELIN, Sabine; SCHOEPS, Vinicius; MATOS, Aline; MENDES, Natalia; PEREIRA, Clarissa dos Reis; MONTEIRO, Mario Luiz; PEREIRA, Samira Luisa Dos Apostolos; SCHINDLER, Patrick; CHIEN, Claudia; SCHWAKE, Carolin; SCHNEIDER, Ruth; PAKEERATHAN, Thivya; KIM, Ki Hoon; AKTAS, Orhan; FISCHER, Urs; MEHLING, Matthias; DERFUSS, Tobias; KAPPOS, Ludwig; AYZENBERG, Ilya; RINGELSTEIN, Marius; PAUL, Friedemann; CALLEGARO, Dagoberto; KIM, Ho Jin; KUHLE, Jens; PAPADOPOULOU, Athina; GRANZIERA, Cristina; PROBSTEL, Anne-Katrin
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Evaluation of retinal layers in eyes with previous optic neuritis and anti-MOG or anti-AQP4 antibody
(2023) PEREIRA, Clarissa; ANDRADE, Thais; MELLO, Luiz Marchesi; FILGUEIRAS, Thiago; CUNHA, Leonardo; ZACHARIAS, Leandro; GOMES, Ana Galvao Ribeiro; PEREIRA, Samira dos Apostolos; CALLEGARO, Dagoberto; PROEBSTEL, Anne-Katrin; SATO, Douglas; MONTEIRO, Mario Ribeiro
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retinal changes in patients with immunoglobulin a antibodies against myelin oligodendrocyte glycoprotein
(2023) FUERTES, Nuria Cerda; BEATRIZ, Ayroza Galvao Ribeiro Gomes Ana; KULSVEHAGEN, Laila; LIPPS, Patrick; NEZIRAJ, Tradite; FLAMMER, Julia; LERNER, Jasmine; LECOURT, Anne-Catherine; PEREIRA, Clarissa dos Reis; MONTEIRO, Mario Luiz; SCHINDLER, Patrick; SCHOEPS, Vinicius Andreoli; MATOS, Aline; MENDES, Natalia; SCHWAKE, Carolin; PAKEERATHAN, Thivya; AKTAS, Orhan; FISCHER, Urs; DERFUSS, Tobias; KAPPOS, Ludwig; AYZENBERG, Ilya; RINGELSTEIN, Marius; PAUL, Friedemann; CALLEGARO, Dagoberto; GRANZIERA, Cristina; KUHLE, Jens; PROBSTEL, Anne-Katrin; PAPADOPOULOU, Athina
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Treatment of Idiopathic Normal Pressure Hydrocephalus With a Novel Programmable Valve With Gravitational Unit: Prospective Evaluation of Efficacy, Safety and Costs
(2023) REIS, Rodolfo; YAMASHITA, Renata; SOLLA, Davi Jorge Fontoura; RAMIN, Lais; TEIXEIRA, Manoel Jacobsen Almeida de Oliveira; PINTO, Fernando Campos Gomes