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Search Results: 1 - 10 of 8718 matches for " Flávio Freinkel;Violante "
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Cistos de bolsa de Rathke: diagnóstico e tratamento
Rodrigues, Flávio Freinkel;Cappabianca, Paolo;Violante, Alice Helena Dutra;
Arquivos de Neuro-Psiquiatria , 2001, DOI: 10.1590/S0004-282X2001000100021
Abstract: we studied retrospectively a series of four patients with rathke pouch cysts and pointed out to their clinical presentation and treatment. they all occurred with female patients. predominant symptoms were amenorrhea, headache and visual disorders. we present a revision of the literature concerning various series of rathke's pouch cysts. we conclude that surgery is the best therapeutical procedure and transsphenoidal approach is the best surgical technique.
Cistos de bolsa de Rathke: diagnóstico e tratamento
Rodrigues Flávio Freinkel,Cappabianca Paolo,Violante Alice Helena Dutra
Arquivos de Neuro-Psiquiatria , 2001,
Abstract: Estudamos retrospectivamente quatro pacientes com cisto de bolsa de Rathke. Chamamos a aten o para a apresenta o clínica e para o tratamento destas les es. Todos ocorreram em pacientes do sexo feminino. Os sintomas predominantes foram amenorréia, cefaléia e déficit visual. Revisamos várias séries publicadas de cistos de bolsa de Rathke. Concluimos que o tratamento cirúrgico é ainda a melhor conduta e que a via transesfenoidal é a abordagem mais indicada.
Acromegalia: aspectos diagnósticos e terapêuticos: análise de 18 casos
Rodrigues, Flávio Freinkel;Violante, Alice Helena Dutra;Kallás, José Louren?o;Vaisman, Mário;
Arquivos de Neuro-Psiquiatria , 1997, DOI: 10.1590/S0004-282X1997000100014
Abstract: the authors present a retrospective study of a series of eighteen patients with acromegaly diagnosed, treated and followed by the endocrinology and neurosurgery services of the hospital universitário clementino fraga filho of the federal university of rio de janeiro. the average age of the patients was 43.2% years (varying between 15 and 63). initial complaints were mainly due to somatic alterations in 83.33%; half the cases had manifestations secondary to tumor compression and 53.33% had neuro-ophtalmological alterations. hypersecretion of growth hormone was demonstrated by basal hormone determinations and dynamic tests. neuroradiological assessment showed supraselar expansion in 61.11% of cases. surgical approach was transsphenoidal in all cases. the main objetive of this study was to establish diagnostic criteria, discuss the therapeutic conduct and evaluate the results obtained, comparing them with other series of literature.
Apoplexia hipofisária intradenomatosa
Rodrigues, Flávio Freinkel;Violante, Alice Helena Dutra;Andraus, Cesar Fantezia;
Arquivos de Neuro-Psiquiatria , 1997, DOI: 10.1590/S0004-282X1997000500020
Abstract: the authors review the literature on intra-adenomatous pituitary apoplexy with special emphasis on pathophysiology, diagnosis and therapeutic approach. they present five cases, from a series of 86 patients with pituitary tumors, that developed this syndrome. the patients were diagnosed and followed by the neurosurgery and endocrinology services of hospital universitário clementino fraga filho, universidade federal do rio de janeiro. diagnosis was confirmed by ct-scan and mri in all cases , and the treatment of choice was surgical. conclusions point to the diagnostic difficulties and the urgency of treatment in this clincal setting.
Complica??es das cirurgias hipofisárias: análise de 120 cirurgias no HUCFF-UFRJ
VIOLANTE, ALICE HELENA DUTRA;VAISMAN, MáRIO;TEMPONI, GIANNI;GADELHA, M?NICA R.;RODRIGUES, FLáVIO FREINKEL;
Arquivos de Neuro-Psiquiatria , 1999, DOI: 10.1590/S0004-282X1999000500014
Abstract: we evaluated 120 pituitary operations performed at hospital universitario clementino fraga filho of the universidade federal do rio de janeiro from 1979 to july 1998 with the aim of analysing the immediate post operative morbidity and mortality. the ages ranged from 15 to 70 years and the clinical diagnoses were: nonsecreting adenomas, 46 (38,34%); acromegaly, 30 (25%); prolactinomas, 29 (24,16%) and cushing`s disease 15 (12,5%). the main endocrine complications were : panhypopituitarism, 16 (13,34%); diabetes insipidus,15 (12,5%) and adrenocortical insufficiency, 4 (3,34%). neurological complications: infection, 13 (10,84%); and cerebrospinal fluid leakage, 6 (5%). two patients died. our results agree with those of the international literature. we identified a progressive decrease of morbidity and mortality due to surgeon's skill increase and to the uniformity of the clinical team which managed those patients.
Técnicas microquirúrgicas usadas en la reparación de los nervios periférico: revisión de la literatura
Freinkel Rodrigues,Flávio; Orta Pérez,Rafael;
Revista argentina de neurocirug?-a , 2009,
Abstract: the authors present a literature and database pubmed and lilacsreview of the usual microsurgical techniques in peripheral nerves operation. the authors conclude that this type of operation depends on the correct use this technique and also on other factors.
Técnicas microquirúrgicas usadas en la reparación de los nervios periférico: revisión de la literatura
Flávio Freinkel Rodrigues,Rafael Orta Pérez
Revista Argentina de Neurocirugía , 2009,
Abstract: Los autores hacen una revisión de la literatura y de las bases de datos PubMed y Lilacs acerca de las principales técnicas microquirúgicas usadas en las operaciones de los nervios periféricos. Concluyen que este tipo de intervención quirúrgica depende del uso correcto de la técnica y también de otros factores. The authors present a literature and database PubMed and Lilacsreview of the usual microsurgical techniques in peripheral nerves operation. The authors conclude that this type of operation depends on the correct use this technique and also on other factors.
Traumatic lesions of internal saphenous nerve and branches
Rodrigues, Flávio Freinkel;Skartz, Issac;Dozza, Diego Cassol;Moscovici, Maurício;Suchmacher, Mendel;
Arquivos de Neuro-Psiquiatria , 2009, DOI: 10.1590/S0004-282X2009000500022
Abstract: objective: to show a rare lesion that sometimes simulates vascular disorder of the lower extremities. method: three patients were operated and the follow-up period was eight months, the surgical technique was neurotomy of the infrapatellar and descendent branches. results: in two cases there were almost total pain resolution, and in other case improvement only. conclusion: surgical treatment yields good results in this type of internal saphenous nerve lesion, and could be useful as an alternative to conservative treatment.
Failed back surgery syndrome: casuistic and etiology
Rodrigues, Flávio Freinkel;Dozza, Diego Cassol;Oliveira, Claudio Russio de;Castro, Ricardo Gomes de;
Arquivos de Neuro-Psiquiatria , 2006, DOI: 10.1590/S0004-282X2006000500011
Abstract: objective: to report our data of cases of failed back surgery syndrome (fbss) and surgical and nonsurgical etiologies. method: the medical charts of 121 patients submitted to laminectomy, hemilaminectomy combined with discectomy and/or foraminotomy between january 1997 and october 2004 in the instituto of neurologia deolindo couto were reviewed. the inclusion criterion was does not improve or the symptoms return after the surgery and with a minimum of three medical consultations with adequate investigation for the diagnosis. the patients had been divided in three main pre-surgical diagnosis: herniated disc, lumbar stenosis and the association of these. results: from the 121 patients submitted to spine surgical intervention, 47 (38.8%) had presented criteria for the fbss. among the 26 patients who had presented operative diagnosis of lumbar stenosis, 8 (30.7%) had presented fbss; of the 83 with disc herniation, 31 (37.3%) had the syndrome; and the 12 patients with lumbar stenosis associated with disc herniation, 7 (58.3%) had failure of the back surgery. conclusion: the failure of back surgery remains a challenge for the surgeons. there is an incessant search for the causes and the action mechanisms of this syndrome and the best method of treatment.
Altera??o da fun??o hipofisária associada a mucocele gigante
Violante, Alice H.D.;Spina, Luciana D.C.;Eksterman, Leonardo F.;Rodrigues, Flávio F.;Bandeira, Débora;Soares, Luiz Maurício N.;Valle, Mariano D.;Vaisman, Mario;
Arquivos Brasileiros de Endocrinologia & Metabologia , 2000, DOI: 10.1590/S0004-27302000000600014
Abstract: this paper reports the case of a patient with a giant mucocele of the sphenoidal sinus, which presented like an intracranial mass, invading the sella and leading to pituitary dysfunction with somatotrophic and corticotrophic deficit. a literature search reveals no other reports of such cases. thus, we discuss some reported cases of intracranial masses associated with mucoceles and the reversibility of the pituitary function after decompressive surgery.
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