Base de dados : LILACS
Pesquisa : C10.228.140.079.127.500 [Categoria DeCS]
Referências encontradas : 7 [refinar]
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Id: lil-667935
Autor: Cui, Yu; Zhang, Zhenxing; Huo, Xiaochuan; Dai, Jishou; Zheng, Guangrong; Feng, Xu; Wang, Chao.
Título: The correlation between lateralization of intracerebral hemorrhage in basal ganglia and handedness
Fonte: Acta cir. bras;28(3):228-232, Mar. 2013. tab.
Idioma: en.
Resumo: PURPOSE: To investigate the correlation between lateralization of cerebral basal ganglia hemorrhage and handedness. METHODS: Medical records and computed tomography (CT) scans for 84 patients with primary hypertensive intracerebral hemorrhage (ICH) in basal ganglia were reviewed. Data of gender, age, handedness, and location of basal ganglia hematoma were statistically analyzed. Data of age, gender, handedness, health condition, and mean blood flow velocity (BFV) in middle cerebral arteries (MCAs) and anterior cerebral arteries (ACAs) on both sides of 114 healthy individuals were statistically analyzed. RESULTS: We found out that the patients with right basal ganglia hemorrhage were mostly left-handed, while patients with left basal ganglia hemorrhage were mostly right handed (p=0.021, r=0.251). And the mean BFV in the right MCAs of left-handed ones are relatively higher, the mean BFV in the left MCAs of right-handers are relatively higher (p=0.008, r=0.248). CONCLUSION: There 's a correlation between lateralization of cerebral basal ganglia hemorrhage and handedness.
Descritores: Hemorragia dos Gânglios da Base/patologia
Lateralidade Funcional
-Artéria Cerebral Anterior/fisiopatologia
Hemorragia dos Gânglios da Base
Velocidade do Fluxo Sanguíneo/fisiologia
Artéria Cerebral Média/fisiopatologia
Fatores Sexuais
Limites: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Humanos
Masculino
Pessoa de Meia-Idade
Tipo de Publ: Research Support, Non-U.S. Gov't
Responsável: BR1.1 - BIREME


  2 / 7 LILACS  
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Id: lil-650563
Autor: Zheng, Wei; Zhang, Chunpu; Hou, Dapeng; Cao, Chunguang.
Título: Comparison on different strategies for treatments of hypertensive hemorrhage in the basal ganglia region with a volume of 25 to 35ml / Comparação de diferentes estratégias no tratamento da hemorragia hipertensiva da região dos gânglios da base com volume de 25 a 35ml
Fonte: Acta cir. bras;27(10):727-731, Oct. 2012. tab.
Idioma: en.
Resumo: PURPOSE: To compare curative effect of different treatments for hypertensive cerebral hemorrhage of 25 to 35ml. METHODS: In this study, 595 cases were enrolled and grouped regarding treatments including conservative treatment, evacuation with microinvasive craniopuncture technique within 6h and 6-48h after the attack. RESULTS: After follow up for three months after the attack, the assessment based on the Activity of Daily Living (ADL) indicated no significant difference among conservative treatment and surgical interventions (p>0.05). However, surgical interventions showed advantages of shorter hospitalization, quick removal of hematoma and obvious reduction of cost. CONCLUSION: The microinvasive craniopuncture technique to drain the hematoma within 6-48h may be a good way in treating hypertensive hemorrhage of basal ganglia region.

OBJETIVO: Comparar o efeito curativo de diferentes tratamentos da hemorragia hipertensiva cerebral de 25 a 35ml. MÉTODOS: Foram analisados 595 casos agrupados segundo tratamento conservador e evacuação com técnica de punção transcraniana dentro de 6h ou de 6 às 48h do início do quadro clínico. RESULTADOS: O seguimento após três meses e avaliado pelo Escore de Atividade de Vida Diário, indicou que não houve diferenças significantes entre os tratamentos conservador e cirúrgico (p>0.05) O tratamento cirúrgico mostrou vantagem com hospitalização mais curta e redução de custos. CONCLUSÃO: A técnica de punção transcraniana para drenagem de hematoma dos núcleos da base pode ser uma boa alternativa de tratamento.
Descritores: Hemorragia dos Gânglios da Base/terapia
Gânglios da Base/cirurgia
Hemorragia Intracraniana Hipertensiva/terapia
Procedimentos Neurocirúrgicos/métodos
-Hemorragia dos Gânglios da Base/patologia
Gânglios da Base/patologia
Distribuição de Qui-Quadrado
Hematoma/cirurgia
Tempo de Internação
Punções/métodos
Fatores de Tempo
Resultado do Tratamento
Limites: Adulto
Idoso
Feminino
Humanos
Masculino
Pessoa de Meia-Idade
Tipo de Publ: Estudo Comparativo
Responsável: BR1.1 - BIREME


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Id: lil-393480
Autor: Arzeno Ferrão, Ygor; Scheidt, Bruno.
Título: Basal ganglia hemorrhagic ablation causing temporary suppression of trichotillomania symptoms
Fonte: Rev. bras. psiquiatr;25(4):262-263, out. 2003.
Idioma: en.
Descritores: Hemorragia dos Gânglios da Base
Transtorno Obsessivo-Compulsivo
Tricotilomania
-Hemorragia dos Gânglios da Base/complicações
Hemorragia dos Gânglios da Base/terapia
Transtorno Obsessivo-Compulsivo/complicações
Transtorno Obsessivo-Compulsivo/terapia
Remissão Espontânea
Tricotilomania/complicações
Tricotilomania/terapia
Limites: Humanos
Masculino
Pessoa de Meia-Idade
Tipo de Publ: Relatos de Casos
Comentário
Carta
Responsável: BR1.1 - BIREME


  4 / 7 LILACS  
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Andrade, Almir Ferreira
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Id: lil-342779
Autor: Hamani, Clement; Zanetti, Marcus Vinicius; Pinto, Fernando Campos Gomes; Andrade, Almir Ferreira; Ciquini Júnior, Orildo; Marino Júnior, Raul.
Título: Intraventricular pressure monitoring in patients with thalamic and ganglionic hemorrhages
Fonte: Arq. neuropsiquiatr;61(2B):376-380, Jun. 2003. ilus, tab.
Idioma: en.
Resumo: In the present study, we have evaluated the use of intraventricular pressure catheters in thalamic and ganglionic hemorrhages. Ten patients admitted in our Emergency Department in Glasgow Coma Scale (GCS) equal or below 13 enrolled the study (at least one point should have been lost in the eye opening score to exclude purely aphasic patients that were fully alert). After a complete clinical and neurological evaluation, computed tomography scans were obtained and the volume of the hematomas, as well as presence or absence of hydrocephalus, were considered. Intraventricular pressure catheters connected in parallel to external derivation systems were implanted and patients were thereafter sent to the ICU. Patients that presented mass effect lesions with sustained increased ICP levels or clinical and neurological deterioration were submitted in addition, to the surgical evacuation of the hematomas. Clinical evolution, complications and the rehabilitation of the patients were recorded. Clinical outcome was assessed with the Glasgow Outcome Score. In all but three patients the initial intracranial pressure levels were bellow 20 mmHg (mean for all patients was 14.1 ± 6.5 mmHg). Notwithstanding, these three patients were extremely difficult to treat. For this group of patients mortality was 100 percent. Among the patients that presented ICP levels bellow 20 mmHg, 04 developed hydrocephalus and 03 did not display ventricular dilation. As expected, the major benefits concerning the intraventricular pressure catheters connected in parallel with external derivation systems were observed in the group of patients that presented ICP levels bellow 20 mmHg and had hydrocephalus. Mild non-statistically significant correlations for all the three groups were achieved either when the initial GCS and ICP levels (r=-0.28, p=0.43) or when ICP levels and the volumes of the hematomas were compared (r=0.38, p=0.28). In addition, no significant correlations were observed concerning the final outcome of the patients and the variables previously evaluated
Descritores: Hemorragia Cerebral
Pressão Intracraniana
Monitorização Fisiológica
-Idoso de 80 Anos ou mais
Hemorragia dos Gânglios da Base
Cateteres de Demora
Hemorragia Cerebral
Drenagem
Escala de Coma de Glasgow
Prognóstico
Tálamo
Tomografia Computadorizada por Raios X
Resultado do Tratamento
Limites: Adulto
Idoso
Feminino
Humanos
Pessoa de Meia-Idade
Responsável: BR1.1 - BIREME


  5 / 7 LILACS  
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Id: lil-332163
Autor: Yaryura-Tobias, José A; Neziroglu, Fugen.
Título: Basal ganglia hemorrhagic ablation associated with temporary suppression of obsessive-compulsive symptoms
Fonte: Rev. bras. psiquiatr;25(1):40-42, Mar. 2003.
Idioma: en.
Resumo: Currently, basal ganglia (BG) are considered regulators of motor and emotional activity. It's operationality encompass Obsessive Compulsive Disorder (OCD). The case of a patient suffering with severe OCD is described of note, his symptoms disappeared following a hemorrhage of the left BG. However, once the hemorrhage was reabsorbed his symptoms returned. It is possible that lesions affecting cerebral OCD association circuits may influence the evolution of obsessive-compulsive symptoms
Descritores: Hemorragia dos Gânglios da Base
Transtorno Obsessivo-Compulsivo
-Hemorragia dos Gânglios da Base/complicações
Transtorno Obsessivo-Compulsivo/complicações
Transtorno Obsessivo-Compulsivo/diagnóstico
Remissão Espontânea
Fatores de Tempo
Limites: Adulto
Humanos
Masculino
Tipo de Publ: Relatos de Casos
Responsável: BR1.1 - BIREME


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Id: lil-329489
Autor: Wajskopf, Saúl; Hernández, Pablo; Wilson Castro, Eduardo.
Título: Pautas de indicación quirúrgica en los hematomas de ganglios basales. Revisión y puesta al día / Guidelines for surgical treatment of basal ganglia hemorrhage
Fonte: Rev. méd. Urug;17(2):140-146, ago. 2001. ilus, tab.
Idioma: es.
Resumo: Se analizan características clínicas y tomográficas de los pacientes portadores de hematomas gangliobasales con vistas a individualizar aquellos que pueden beneficiarse con el tratamiento quirúrgico de los mismos. Los factores más significativos son: edad, localización del hematoma en la región ganglio basal, existencia o no de prolongación lobar del hematoma, tamaño del mismo y estado y evolución clínica del enfermo. La cirugía precoz está indicada en un reducido número de pacientes
Descritores: Hemorragia dos Gânglios da Base
Hemorragia Cerebral
Hematoma
Limites: Humanos
Responsável: UY1.1 - BINAME - Biblioteca Nacional de Medicina


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Id: lil-310851
Autor: Nasser, JoséáAugusto; Falavigna, Asdrubal; Bezerra, Márcio; Martinez, Victor; Freitas, Gabriel; Alaminos, Armando; Bonatelli, Antônio; Ferraz, Fernando.
Título: Stereotactic fibrinolysis of spontaneous intracerebral hematoma using infusion of recombinant tissue plasminogen activator
Fonte: Arq. neuropsiquiatr;60(2B):362-366, June 2002. ilus, tab.
Idioma: en.
Resumo: PURPOSE: The authors present a prospective study on 10 patients with stereotactic infusion of tissue plasminogen activator (rtPA) intraparenchimal hemorrhage. METHODS: Between 1999 and 2000, 10 patients with deep seated hematomas in the basal ganglia were selected for stereotactic infusion of rtPA and spontaneous clot drainage. RESULTS: All cases had about 80 percent reduction of the hematoma volume in the CT scan at the third day. The intracranial pressure was normalized by the third day too. There were no local or systemic complications with the use of this trombolitic. The results were shown by the Glasgow Outcome Scale with six patients in V, three in IV and one in III after 3 months. CONCLUSION: Early treatment and drainage with minimally invasive neurosurgery , can make these patients with deep-seated hematomas recover the consciousness and they can be rehabilitated earlier avoiding secondary complications
Descritores: Hemorragia dos Gânglios da Base
Fibrinolíticos
Hematoma
Hemorragia Intracraniana Hipertensiva
Proteínas Recombinantes
Técnicas Estereotáxicas
Ativador de Plasminogênio Tecidual
-Hemorragia dos Gânglios da Base
Terapia Combinada
Drenagem
Fibrinólise
Escala de Coma de Glasgow
Hematoma
Infusões Intra-Arteriais
Hemorragia Intracraniana Hipertensiva
Procedimentos Cirúrgicos Minimamente Invasivos
Estudos Prospectivos
Resultado do Tratamento
Limites: Humanos
Masculino
Feminino
Pessoa de Meia-Idade
Responsável: BR1.1 - BIREME



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