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  1 / 1131 MEDLINE  
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[PMID]:28968159
[Au] Autor:Gupta A; Shaller N; McFadden KA
[Ti] Título:Pediatric Thalamic Gliomas: An Updated Review.
[So] Source:Arch Pathol Lab Med;141(10):1316-1323, 2017 Oct.
[Is] ISSN:1543-2165
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: - Neoplasms originating in the thalamus are rare overall (1% of all brain tumors); however, they comprise approximately 5% of pediatric intracranial tumors and approach 15% of all malignant pediatric intracranial tumors in some series. OBJECTIVE: - To update readers about the current understanding of the diverse histology, biology, and behavior of pediatric thalamic tumors. Histologic verification is now thought to be critical for planning treatment, and, as a result, biopsy and total/subtotal resections are much more common today than in the past. DATA SOURCES: - A PubMed search using the keywords "pediatric + thalamic + glioma" yielded 45 publications with a total of 445 cases of thalamic gliomas in patients less than 18 years of age. We found only 9 substantial institutional series tabulating all encountered thalamic histologic types in children. This survey confirmed a high proportion of astrocytomas, 81% (214 of 265), of which approximately two-thirds were diffuse astrocytomas (146 of 214) and one-third were pilocytic astrocytomas (68 of 214). Of the diffuse astrocytomas, 34% (49 of 146) were low grade (World Health Organization grade II) and 55% (81 of 146) were high grade (World Health Organization grade III or IV), making the latter subgroup the largest single category of all pediatric thalamic tumors. Oligodendrogliomas and ependymomas (mostly anaplastic in both cases) comprised 10% and 3% of all pediatric thalamic tumors, respectively. CONCLUSIONS: - Tissue diagnosis is now thought crucial for prognostication and treatment, particularly as more potentially therapeutic molecular targets are discovered. Secure diagnosis allows identification of tumors for which resection is more feasible and beneficial.
[Mh] Termos MeSH primário: Neoplasias Encefálicas/patologia
Glioma/patologia
Doenças Talâmicas/patologia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171003
[St] Status:MEDLINE
[do] DOI:10.5858/arpa.2017-0249-RA


  2 / 1131 MEDLINE  
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[PMID]:28532917
[Au] Autor:Teramoto S; Yamamoto T; Nakao Y; Watanabe M
[Ad] Endereço:Department of Neurosurgery, Juntendo University Shizuoka Hospital, Izunokuni, Shizuoka, Japan. Electronic address: tera.2@hotmail.co.jp.
[Ti] Título:Novel Anatomic Classification of Spontaneous Thalamic Hemorrhage Classified by Vascular Territory of Thalamus.
[So] Source:World Neurosurg;104:452-458, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Spontaneous thalamic hemorrhage has increased in incidence in recent years. Analysis of the characteristics of thalamic hemorrhage was based on the vascular territories of the thalamus. METHODS: Retrospective analysis included 303 consecutive patients with spontaneous thalamic hemorrhage. Thalamic hemorrhage was classified into 4 types: anterior type (supplied mainly by the tuberothalamic artery), medial (mainly paramedian thalamic-subthalamic artery), lateral (mainly thalamogeniculate artery), and posterior (mainly posterior choroidal artery). The baseline characteristics, complications, and functional outcomes were assessed. RESULTS: The anterior type was found in 10 patients (3.3%), the medial type in 47 (15.5%), the lateral type in 230 (75.9%), and the posterior type in 16 (5.3%). Intracerebral hemorrhage volume was smallest in the anterior type, and significantly smaller than in the medial (P = 0.002) and lateral types (P < 0.001). Intraventricular hemorrhage (IVH) or acute hydrocephalus was significantly associated with the medial type (P < 0.01 or P < 0.01, respectively). Non-IVH or non-acute hydrocephalus was significantly associated with the anterior (P < 0.05 or P < 0.05, respectively) and lateral (P < 0.05 or P < 0.05, respectively) types. Emergency surgery was correlated only with the medial type (P < 0.01). The independent predictors of poor outcome were age (odds ratio [OR], 1.07; P = 0.002), admission National Institutes of Health Stroke Scale score (OR, 1.32; P < 0.001), and type of thalamic hemorrhage (OR, 2.08; P = 0.038). CONCLUSIONS: The present study proposed a novel anatomic classification of thalamic hemorrhage according to the major thalamic vascular territories.
[Mh] Termos MeSH primário: Hemorragias Intracranianas/classificação
Hemorragias Intracranianas/diagnóstico
Doenças Talâmicas/classificação
Doenças Talâmicas/diagnóstico
Tálamo/irrigação sanguínea
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Angiografia Cerebral
Artérias Cerebrais
Angiografia por Tomografia Computadorizada
Feminino
Seres Humanos
Masculino
Meia-Idade
Prognóstico
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170524
[St] Status:MEDLINE


  3 / 1131 MEDLINE  
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[PMID]:28391023
[Au] Autor:Vasquez CA; Casey M; Folzenlogen Z; Ormond DR; Lillehei K; Youssef AS
[Ad] Endereço:Department of Neurosurgery, University of Colorado, Denver, Colorado, USA.
[Ti] Título:Third Ventricular Cerebrospinal Fluid Cysts of Thalamic Origin: Review of Embryologic Origin, Presentation, and Management Strategies with a Case Series.
[So] Source:World Neurosurg;103:210-219, 2017 Jul.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Third ventricular cerebrospinal fluid (CSF) cysts of thalamic origin are rare. The objective of this study is to review their possible pathogenesis, clinical presentation, and management strategies with a case series describing management via an endoscopic approach with fenestration using a single burr-hole technique. METHODS: A systematic literature review of reported cases of thalamic cysts was conducted with further meta-analysis of CSF cysts that involve the third ventricle. The mode of presentation, pathologic analysis, surgical management, and outcomes were analyzed. RESULTS: Twenty-two studies reported between 1990 and 2013 described 42 cases of thalamic cyst. Of those cases, 13 were consistent with CSF cyst that originated in the thalamus and involved the third ventricle. Eight cases (61.5%) were treated via endoscopic fenestration, 2 cases (15.4%) were surgically drained, 2 cases (15.4%) were stereotactically aspirated, and 1 case (7.69%) was observed. The most common presenting symptoms were gait disturbance (26.3%) and headaches (26.3%) followed by tremors (15.8%) and weakness (15.8%). In our series, a single burr-hole technique was a successful definitive treatment, with an average period of 23 months. CONCLUSIONS: Third ventricular CSF cysts of thalamic origin most commonly present with hydrocephalus. They can be safely definitively treated via endoscopic fenestration to the CSF circulation using a single burr-hole technique. Long-term follow-up shows lasting improvement in symptoms without reaccumulation of the cyst.
[Mh] Termos MeSH primário: Cistos/cirurgia
Doenças Talâmicas/cirurgia
Terceiro Ventrículo/cirurgia
[Mh] Termos MeSH secundário: Líquido Cefalorraquidiano
Cistos/complicações
Cistos/embriologia
Cistos/patologia
Drenagem/métodos
Seres Humanos
Hidrocefalia/etiologia
Neuroendoscopia/métodos
Procedimentos Neurocirúrgicos/métodos
Doenças Talâmicas/complicações
Doenças Talâmicas/embriologia
Doenças Talâmicas/patologia
Terceiro Ventrículo/embriologia
Terceiro Ventrículo/patologia
Ventriculostomia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170410
[St] Status:MEDLINE


  4 / 1131 MEDLINE  
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[PMID]:28151918
[Au] Autor:Liao C; Yang M; Liu P; Zhong W; Zhang W
[Ad] Endereço:Department of Neurosurgery, XinHua Hospital affiliated to Shanghai JiaoTong University School of Medicine, Shanghai, P. R. China.
[Ti] Título:Thalamic pain alleviated by stellate ganglion block: A case report.
[So] Source:Medicine (Baltimore);96(5):e6058, 2017 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Thalamic pain is a distressing and treatment-resistant type of central post-stroke pain. Although stellate ganglion block is an established intervention used in pain management, its use in the treatment of thalamic pain has never been reported. PATIENT CONCERNS: A 66-year-old woman presented with a 3-year history of severe intermittent lancinating pain on the right side of the face and the right hand. The pain started from the ulnar side of the right forearm after a mild ischemic stroke in bilateral basal ganglia and left thalamus. Weeks later, the pain extended to the dorsum of the finger tips and the whole palmar surface, becoming more severe. Meanwhile, there was also pain with similar characteristics emerging on her right face, resembling atypical trigeminal neuralgia. DIAGNOSES: Thalamic pain was diagnosed. INTERVENTIONS: After refusing the further invasive treatment, she was suggested to try stellate ganglion block. OUTCOMES: After a 3-day period of pain free (numerical rating scale: 0) postoperatively, she reported moderate to good pain relief with a numerical rating scale of about 3 to 4 lasting 1 month after the first injection. Pain as well as the quality of life was markedly improved with less dose of analgesic agents. LESSONS: Stellate ganglion block may be an optional treatment for thalamic pain.
[Mh] Termos MeSH primário: Bloqueio Nervoso/métodos
Neuralgia/terapia
Manejo da Dor/métodos
Gânglio Estrelado
Doenças Talâmicas/terapia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Neuralgia/etiologia
Dor/etiologia
Acidente Vascular Cerebral/complicações
Doenças Talâmicas/etiologia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006058


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[PMID]:27888085
[Au] Autor:Celtikci E; Celtikci P; Fernandes-Cabral DT; Ucar M; Fernandez-Miranda JC; Borcek AO
[Ad] Endereço:Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA; Division of Pediatric Neurosurgery, Department of Neurosurgery, Gazi University Faculty of Medicine, Besevler, Ankara, Turkey. Electronic address: drceltikci@gmail.com.
[Ti] Título:High-Definition Fiber Tractography in Evaluation and Surgical Planning of Thalamopeduncular Pilocytic Astrocytomas in Pediatric Population: Case Series and Review of Literature.
[So] Source:World Neurosurg;98:463-469, 2017 Feb.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Thalamopeduncular tumors (TPTs) of childhood present a challenge for neurosurgeons due to their eloquent location. Preoperative fiber tracking provides total or near-total resection, without additional neurologic deficit. High-definition fiber tractography (HDFT) is an advanced white matter imaging technique derived from magnetic resonance imaging diffusion data, shown to overcome the limitations of diffusion tensor imaging. We aimed to investigate alterations of corticospinal tract (CST) and medial lemniscus (ML) caused by TPTs and to demonstrate the application of HDFT in preoperative planning. METHODS: Three pediatric patients with TPTs were enrolled. CSTs and MLs were evaluated for displacement, infiltration, and disruption. The relationship of these tracts to tumors was identified and guided surgical planning. Literature was reviewed for publications on pediatric thalamic and TPTs that used diffusion imaging. RESULTS: Two patients had histologic diagnosis of pilocytic astrocytoma. One patient whose imaging suggested a low-grade glioma was managed conservatively. All tracts were displaced (1 CST anteriorly, 2 CSTs, 1 ML anteromedially, 1 ML medially, and 1 ML posteromedially). Literature review revealed 2 publications with 15 pilocytic astrocytoma cases, which investigated CST only. The condition of sensory pathway or anteromedial displacement of the CST in these tumors was not reported previously. CONCLUSIONS: Displacement patterns of the perilesional fiber bundles by TPTs are not predictable. Fiber tracking, preferably HDFT, should be part of preoperative planning to achieve maximal extent of resection for longer survival rates in this young group of patients, while preserving white matter tracts and thus quality of life.
[Mh] Termos MeSH primário: Astrocitoma/patologia
Neoplasias Encefálicas/patologia
[Mh] Termos MeSH secundário: Adolescente
Astrocitoma/cirurgia
Pedúnculo Cerebral/patologia
Pedúnculo Cerebral/cirurgia
Pré-Escolar
Imagem de Tensor de Difusão/métodos
Feminino
Seres Humanos
Leucoencefalopatias/patologia
Leucoencefalopatias/cirurgia
Imagem por Ressonância Magnética/métodos
Planejamento de Assistência ao Paciente
Cirurgia Assistida por Computador/métodos
Doenças Talâmicas/patologia
Doenças Talâmicas/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161127
[St] Status:MEDLINE


  6 / 1131 MEDLINE  
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[PMID]:27593970
[Au] Autor:Honig A; Eliahou R; Eichel R; Shemesh AA; Ben-Hur T; Auriel E
[Ad] Endereço:Department of Neurology, Hadassah-Hebrew University Medical Center, POB 12000, Jerusalem 91120, Israel. Electronic address: asaf.honig2@gmail.com.
[Ti] Título:Acute bithalamic infarct manifesting as sleep-like coma: A diagnostic challenge.
[So] Source:J Clin Neurosci;34:81-85, 2016 Dec.
[Is] ISSN:1532-2653
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:Bilateral thalamic infarction (BTI) typically presents as a sleep-like coma (SLC) without localizing signs, posing a diagnostic challenge that may lead the treating physician to search for toxic or metabolic causes and delay treatment. We review our experience with BTI of different etiologies, and emphasize the critical role of timely imaging, diagnosis, and management in a series of 12 patients with a presentation of SLC and acute BTI who were managed in our Medical Centers from 2006-2015. In 11/12, urgent head CT scans showed normal brain tissue, while diffusion-weighted (DWI) MRI revealed symmetric bilateral thalamic hyperintense lesions with variable degrees of brainstem involvement. In 1/12, CT scans revealed a contralateral subacute stroke from a thalamic infarct 1month earlier with a unilateral hyperintense lesion on DWI-MRI. From clinical and imaging findings (DWI-MRI, CT angiography and venography), etiology was attributed to embolic causes (cardio-embolism, artery-to-artery mechanism), small vessel disease, or deep sinus vein thrombosis secondary to dural arteriovenous (AV) fistula. Three patients had good outcomes after prompt diagnosis and optimal treatment in <3hours (intravenous tissue plasminogen activator in two patients cardio-embolic etiology and neuro-endovascular repair in one patient with venous infarction due to a dural AV fistula). The diagnosis was made beyond the therapeutic window in seven patients, who were left with significant neurological sequelae. Higher awareness of BTI presenting as SLC is warranted. Optimal patient management includes urgent DWI-MRI. In cases of BTI, further imaging workup is indicated to provide a comprehensive assessment for etiology. Early diagnosis and prompt, targeted intervention are crucial.
[Mh] Termos MeSH primário: Infarto Cerebral/complicações
Infarto Cerebral/diagnóstico por imagem
Coma/diagnóstico por imagem
Coma/etiologia
Doenças Talâmicas/complicações
Doenças Talâmicas/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Tronco Encefálico/diagnóstico por imagem
Infarto Cerebral/cirurgia
Doenças de Pequenos Vasos Cerebrais/complicações
Diagnóstico Tardio
Imagem de Difusão por Ressonância Magnética
Procedimentos Endovasculares
Feminino
Seres Humanos
Embolia Intracraniana/complicações
Masculino
Meia-Idade
Estudos Retrospectivos
Doenças Talâmicas/cirurgia
Tálamo/diagnóstico por imagem
Tomografia Computadorizada por Raios X
Resultado do Tratamento
Trombose Venosa/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170202
[Lr] Data última revisão:
170202
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160906
[St] Status:MEDLINE


  7 / 1131 MEDLINE  
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[PMID]:27442666
[Au] Autor:Suzuki K; Miyamoto T; Miyamoto M; Maeda H; Nokura K; Tohyama J; Hirata K; Shimizu T; Kanbayashi T
[Ad] Endereço:aDepartment of Neurology, Dokkyo Medical University, Tochigi, Japan bDepartment of Neurology, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan cDepartment of Clinical Medicine for Nursing, Dokkyo Medical University School of Nursing, Tochigi, Japan dDepartment of Nephrology, Shimonoseki City Hospital, Yamaguchi, Japan eDepartment of Neurology, Fujita Health University School of Medicine, Aichi, Japan fDepartment of Pediatrics, Epilepsy Center, Nishi-Niigata Chuo National Hospital, Niigata, Japan gDepartment of Neuropsychiatry, Akita University School of Medicine, Akita, Japan hInternational Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Tsukuba, Japan.
[Ti] Título:Hypocretin-1 levels in the cerebrospinal fluid of patients with Percheron artery infarction with or without midbrain involvement: A case series.
[So] Source:Medicine (Baltimore);95(29):e4281, 2016 Jul.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Bilateral paramedian thalamic infarctions (BPTIs) due to artery of Percheron occlusion are known to cause hypersomnia. However, the role of hypocretin-1, a wake-promoting peptide that is located at the lateral hypothalamus, in hypersomnia in these patients remains unclear. METHODS: To clarify the role of hypocretin-1 in hypersomnia in patients with BPTIs, hypocretin-1 levels in the cerebrospinal fluid (CSF) were measured in 6 patients with BPTIs: 2 with rostral midbrain involvement (BPT+RMI) and 4 without midbrain involvement (BPT-MI). RESULTS: CSF hypocretin-1 levels were decreased in 2 patients with BPT+RMI and were within normal ranges in 4 patients with BPT-MI. Hypersomnia was noted in all the patients. In one BPT+RMI patient, hypersomnia was improved within 2 weeks and decreased CSF hypocretin-1 levels were reversed (acute phase (on day 9), 109.2 pg/mL; chronic phase (at 3 months), 323 pg/mL), whereas another BPT+RMI patient who displayed coma in the acute phase had decreased CSF orexin levels (107 pg/mL) at day 49 and exhibited severe disability. CONCLUSION: Hypocretin deficiency was not involved in hypersomnia observed in BPT-MI patients; however, CSF hypocretin-1 levels were reduced in BPT+RMI patients. Reduced CSF hypocretin-1 levels in the chronic phase may possibly predict a poor clinical outcome in patients with Percheron artery infarction.
[Mh] Termos MeSH primário: Infarto Cerebral/líquido cefalorraquidiano
Distúrbios do Sono por Sonolência Excessiva/líquido cefalorraquidiano
Dominância Cerebral/fisiologia
Malformações Arteriovenosas Intracranianas/líquido cefalorraquidiano
Mesencéfalo/irrigação sanguínea
Orexinas/líquido cefalorraquidiano
Artéria Cerebral Posterior/anormalidades
Doenças Talâmicas/líquido cefalorraquidiano
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Núcleos Anteriores do Tálamo/irrigação sanguínea
Doença Crônica
Coma/líquido cefalorraquidiano
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Prognóstico
Estudos Retrospectivos
Vigília/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Orexins)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160722
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000004281


  8 / 1131 MEDLINE  
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[PMID]:27338215
[Au] Autor:Carrabba G; Bertani G; Cogiamanian F; Ardolino G; Zarino B; Di Cristofori A; Locatelli M; Caroli M; Rampini P
[Ad] Endereço:Unit of Neurosurgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. Electronic address: giorgiocarrabba@yahoo.it.
[Ti] Título:Role of Intraoperative Neurophysiologic Monitoring in the Resection of Thalamic Astrocytomas.
[So] Source:World Neurosurg;94:50-56, 2016 Oct.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The thalamus is a deep-seated and crucial structure for the sensorimotor system. It has been long considered a surgically inaccessible area because of the morbidity associated with surgical resections. Astrocytomas of the thalamus are usually treated with bioptic procedures followed by adjuvant treatments. Intraoperative neurophysiologic monitoring (IONM) allows safe and satisfactory resections of lobar gliomas, but few data are available for thalamic lesions. The aim of this study was to review the outcome of a small series of patients with thalamic astrocytomas that were treated with surgical resection with the aid of IONM. METHODS: Surgical resection with IONM was performed in 5 patients with thalamic astrocytomas (1 grade I, 1 grade II, 2 grade III, 1 grade IV). Two astrocytomas were in the dominant hemisphere. Preoperative and postoperative neuropsychological assessments were performed in 3 patients. IONM was tailored to the individual patient and consisted of transcranial motor evoked potential monitoring, cortical motor evoked potential monitoring, somatosensory evoked potential monitoring, direct electrical stimulation, electroencephalography, and electrocorticography. RESULTS: None of the patients experienced permanent motor deficits; 2 patients had a transient hemiparesis requiring rehabilitation; 1 patient had a transient aphasia, and 1 patient had permanent aphasia. None of the patients had intraoperative seizures, but 1 patient experienced postoperative transient status epilepticus. The extent of resection on postoperative volumetric magnetic resonance imaging was >70% in all cases. CONCLUSIONS: Surgical resection of thalamic astrocytomas appeared to be effective and relatively safe when guided by IONM. Larger series of patients are required to confirm these preliminary data.
[Mh] Termos MeSH primário: Astrocitoma/cirurgia
Neoplasias Encefálicas/cirurgia
Monitorização Neurofisiológica Intraoperatória/métodos
Procedimentos Neurocirúrgicos/métodos
Paresia/epidemiologia
Complicações Pós-Operatórias/epidemiologia
Estado Epiléptico/epidemiologia
Doenças Talâmicas/cirurgia
Tálamo/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Afasia/epidemiologia
Astrocitoma/diagnóstico por imagem
Astrocitoma/patologia
Neoplasias Encefálicas/diagnóstico por imagem
Neoplasias Encefálicas/patologia
Criança
Estimulação Elétrica
Eletrocorticografia
Eletroencefalografia
Potencial Evocado Motor
Potenciais Somatossensoriais Evocados
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Gradação de Tumores
Paresia/reabilitação
Complicações Pós-Operatórias/reabilitação
Doenças Talâmicas/diagnóstico por imagem
Tálamo/diagnóstico por imagem
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160625
[St] Status:MEDLINE


  9 / 1131 MEDLINE  
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[PMID]:27141572
[Au] Autor:Dos Santos VM; Da Mata AM; Ribeiro KR; Calvo IC
[Ti] Título:Fahr's Syndrome and Secondary Hypoparathyroidism.
[So] Source:Rom J Intern Med;54(1):63-5, 2016 Jan-Mar.
[Is] ISSN:1220-4749
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:A typical case of Fahr's syndrome is described in a 76-year-old Brazilian female who underwent a total thyroidectomy three decades ago. Six years before the current admission, she started with generalized tonic-clonic seizures. Associated disorders involved extra-pyramidal, cognitive, nocturnal terror and mood changes. With suspicion of hypocalcemia due to secondary hypoparathyroidism, laboratory determinations confirmed the diagnoses. Furthermore, imaging studies of the central nervous system detected multiple calcifications, with characteristic distribution of Fahr's syndrome. Clinical management was successful.
[Mh] Termos MeSH primário: Doenças dos Gânglios da Base/etiologia
Calcinose/etiologia
Transtornos Cognitivos/etiologia
Epilepsia Tônico-Clônica/etiologia
Hipocalcemia/etiologia
Hipoparatireoidismo/etiologia
Tireoidectomia/efeitos adversos
[Mh] Termos MeSH secundário: Idoso
Doenças dos Gânglios da Base/diagnóstico por imagem
Calcinose/diagnóstico por imagem
Doenças Cerebelares/diagnóstico por imagem
Doenças Cerebelares/etiologia
Núcleos Cerebelares/diagnóstico por imagem
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Terrores Noturnos/etiologia
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Doenças Talâmicas/diagnóstico por imagem
Doenças Talâmicas/etiologia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:161213
[Lr] Data última revisão:
161213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160505
[St] Status:MEDLINE


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[PMID]:26956834
[Au] Autor:Balasa A; Balasa R; Egyed-Zsigmond I; Chinezu R
[Ad] Endereço:Tirgu Mures Clinical Emergency Hospital, Department of Neurosurgery, Târgu MureÈ™, Romania.
[Ti] Título:Bilateral Thalamic Glioma: Case Report and Review of the Literature.
[So] Source:Turk Neurosurg;26(2):321-4, 2016.
[Is] ISSN:1019-5149
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:Bilateral thalamic glioma is extremely rare and the incidence cannot be adequately expressed. We present the case of a 72 years old male suffering from the rapid deterioration of cognitive function to moderately severe dementia in a short period of time. Magnetic resonance studies demonstrated a bilateral thalamic glioma with a minimal focal gadolinium uptake in the left thalamus. Biopsy was performed and pathology report was of anaplastic astrocytoma, WHO grade III. Radiotherapy was proposed but was rejected by the patient's relatives. The patient deceased 57 days later. We performed an extensive review of the literature and by updating the previous described series we can state that to the best of our knowledge this is the 60th case described in the literature and the second eldest patient presented. Patients suffering from this disease present a poor prognosis, the longest survival described being of 3 years in patients diagnosed with grade II bilateral thalamic glioma. Adjuvant therapy in form of radiotherapy to the thalami is most commonly used but the benefits are unclear. The natural progression of WHO grade III bilateral thalamic glioma left untreated, as can be seen from our case, has an even poorer outcome.
[Mh] Termos MeSH primário: Neoplasias Encefálicas/patologia
Glioma/patologia
Doenças Talâmicas/patologia
[Mh] Termos MeSH secundário: Idoso
Biópsia
Progressão da Doença
Evolução Fatal
Seres Humanos
Imagem por Ressonância Magnética
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160310
[St] Status:MEDLINE
[do] DOI:10.5137/1019-5149.JTN.10884-14.2



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