Navegando por Autor "Silva, Rodrigo Alencar e"
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Artigo Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient(Elsevier, 2021-10-13) Godeiro Junior, Clécio de Oliveira; Aquino, Barbara Cristina Vieira de; Pessoa Neto, Agabio Diogenes; Dourado Junior, M ário Emílio Teixeira; Dantas, Sérgio Adrian Fernandes; Silva, Rodrigo Alencar e; 0000-0002-4312-1633DBS is an established form of surgical therapy for Parkinson’s disease and is also used for other pathologies, such as dystonia and essential tremor. There are few articles in the literature discussing exclusively about surgical complications. In fact, most papers describe surgical-related complications such seizures, device infection, hemorrhage and permanent deficit. However, less usual complications can also occur, as in the case described below, of an injury to the accessory nerve after the DBS procedure. We describe a case of a 56-year-old woman with PD who underwent to STN DBS, presented hypotrophy and weakness of the right trapezius after the surgery. Electroneuromyography (ENMG) suggested partial right spinal accessory injury. Patient recovery spontaneously 5 months after surgery. While DBS promises dramatic improvement in select PD symptoms, it can have disappointing or even serious adverse results. This paper ratifies the need of screening of accessory nerve injury for early rehabilitation.Artigo Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient(2022-03) Aquino, Bárbara Cristina Vieira de; Pessoa Neto, Agábio Diógenes; Dourado Junior, Mário Emílio Teixeira; Dantas, Sérgio Adrian Fernandes; Silva, Rodrigo Alencar e; Godeiro Junior, Clécio de OliveiraDBS is an established form of surgical therapy for Parkinson's disease and is also used for other pathologies, such as dystonia and essential tremor. There are few articles in the literature discussing exclusively about surgical complications. In fact, most papers describe surgical-related complications such seizures, device infection, hemorrhage and permanent deficit. However, less usual complications can also occur, as in the case described below, of an injury to the accessory nerve after the DBS procedure. We describe a case of a 56-year-old woman with PD who underwent to STN DBS, presented hypotrophy and weakness of the right trapezius after the surgery. Electroneuromyography (ENMG) suggested partial right spinal accessory injury. Patient recovery spontaneously 5 months after surgery. While DBS promises dramatic improvement in select PD symptoms, it can have disappointing or even serious adverse results. This paper ratifies the need of screening of accessory nerve injury for early rehabilitation.Artigo Acute parkinsonism and bilateral basal ganglia lesions(SciELO, 2020-12) Godeiro Junior, Clécio de Oliveira; Silva, Rodrigo Alencar e; Sousa, Thadeu Alexandre Paulino de; 0000-0002-4312-1633A 58-year-old man with arterial hypertension and poorly controlled type 2 diabetes using glyburide/metformin presented a history of sudden slurred speech and gait disturbance eight days before clinical evaluation.Dissertação Desenvolvimento de modelo simulador facial para aquisição de habilidades manuais na técnica de aplicação de toxina botulínica no espasmo hemifacial e blefaroespasmo(Universidade Federal do Rio Grande do Norte, 2022-12-12) Silva, Rodrigo Alencar e; Godeiro Júnior, Clecio de Oliveira; http://lattes.cnpq.br/6861574542099266; http://lattes.cnpq.br/2748368301213558; Resende Filho, Flávio Moura; Diniz Júnior, José; http://lattes.cnpq.br/7913193754933633Objetivo: Esta pesquisa teve como propósito desenvolver e avaliar um modelo simulador facial para aquisição de habilidade motora para médicos na aplicação de toxina botulínica no espasmo hemifacial e blefaroespasmo. Metodologia: O trabalho consistiu no desenvolvimento de um simulador facial confeccionado por camadas de elastômero, dentre eles silicone, semelhante a anatomia humana. Conectado a esse modelo, de forma não fixa, havia uma base de acrílico para simular a posição da face como se estivesse em decúbito dorsal ou posição sentada. Foram selecionados médicos com experiência em aplicação de toxina botulínica para essas enfermidades e aplicado um Instrumento para Avaliação de Objetos de Aprendizagem (OA) - LORI - Learning Object Review Instrument. Resultados: O simulador facial elaborado e avaliado obteve pontuação média elevada em todos os quesitos analisados. Em dois tópicos, alinhamento dos objetivos de aprendizagem e motivação, recebeu pontuação máxima (5). Os itens acessibilidade, qualidade do conteúdo e concepção da apresentação receberam escores médios de 4,875, 4,750 e 4,625, respectivamente. O Feedback e Adaptação recebeu a menor média, 4,125, entre os quesitos estudados. Conclusão: O modelo facial desenvolvido e avaliado por pares através do LORI adaptado mostrou-se viável para o desenvolvimento da competência da técnica de aplicação de toxina botulínica no espasmo hemifacial e blefaroespasmo.Artigo Possible acute multifocal demyelinating lesions in a COVID-19 patient(SciELO, 2020-10) Godeiro Junior, Clécio de Oliveira; Pessoa Neto, Agábio Diógenes; Alves, Manoella do Monte; Brito, Paulo Santiago de Morais; Moreira Neto, Manuel; Silva, Rodrigo Alencar e; Dourado, Mario Emílio Teixeira; 0000-0002-4312-1633A 49-year-old man was admitted with cough, dyspnea, and fever. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR) from nasopharyngeal swab was positive. Due to severe acute respiratory syndrome, he was intubated. On day 19, sedatives were held.Artigo Progressive encephalopathy due to chronic exposure to lead(Arquivos de Neuro-Psiquiatria, 2022) Brito, Paulo Santiago de Morais; Aquino, Bárbara Cristina Vieira de; Pessoa Neto, Agábio Diógenes; Freire, Mariana Galvão de Lima Martins; Fidelix, Emanuela Coriolano; Moreira Neto, Manuel; Silva, Rodrigo Alencar e; Godeiro Junior, Clécio de Oliveira; https://orcid.org/0000-0002-0010-7217A 70-year-old man reported a 2-year history of progressive gait imbalance and cognitive decline (memory, executive functions, and language impairment). A physical examination revealed spastic ataxia without peripheral involvement. The patient worked with car battery solutions for 40 years, until 13 years ago.1 He had several hospitalizations due to acute lead poisoning, with levels of lead in the blood and urinary delta-aminolevulinic acid of 162,8 g/dl and 20 mg/U (normal: up to 40 g/dl and 4,5 mg/U) respectively). Recent brain neuroimages showed typical findings of saturnism,2 with normal bone profile blood tests. Therefore, chronic lead poisoning should be remembered as an environmental cause of leukoencephalopathy.