Browsing by Author "Machado, A"
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- Acidente Vascular Cerebral em Doente com Anemia de Células FalciformesPublication . Caridade, S; Machado, A; Ferreira, CStroke in patients with sickle cell anemia is multifactorial but occurs mainly by 2 mechanisms: occlusive arteriopathy and obliteration of small vessels with plugs of sickle cells. The high individual risk can be assessed by simple and well-defined strategies such as ultrasounds with transcranial and cervical Doppler Ultrasonography. The authors report the clinical case of a 25 year-old black female patient with sickle cell anemia, who was admitted with right hemiparesis. Cerebral MRI showed small recent fronto-temporo-parietal cortical-subcortical infarcts and several, older, posterior periventricular lacunae of left preponderance. A brief discussion is made, with particular emphasis on the proper treatment and prevention of its cerebrovascular complications.
- Alcohol abuse and acute behavioural disturbances in a 24-year-old patient. Diagnosis: Marchiafava-Bignami disease (MBD)Publication . Machado, A; Soares-Fernandes, J; Ribeiro, M; Rodrigues, M; Cerqueira, J; Ferreira, C
- Análise da devolução de medicamentos em dos unitáriaPublication . Castro, G; Machado, A; Abreu, B; Marcos, I; Marques, P; Fortunato, R; Barroso, S
- Análise da devolução de medicamentos em dose unitáriaPublication . Castro, G; Machado, A; Abreu, B; Marcos, I; Marques, P; Fortunato, R; Barroso, S
- Caracterização dos antecedentes psiquiátricos nos doentes com demência: relação da depressão com a demênciaPublication . Fonseca, L; Machado, A; Duarte, JDepression has been reported as the most frequent neuropsychiatric diagnostic on the clinical background of demented patients, mainly with Alzheimer dementia (AD). Several studies have showed that this relation is not occasional. In this work we present the results of the statistical analysis made on the characterization of the psychiatric background of demented patients from the memory consultation of the Braga Hospital.
- A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitisPublication . Teixeira, J; Carvalho, S; Martins, S; Pontes, T; Machado, A; Antunes, HIntroduction: Acute transverse myelitis (ATM) refers to a frequently idiopathic, segmental spinal cord inflammation. It is a rare condition, in particular in children, and not previously reported in a family retinitis pigmentosa (RP) clinical setting. Case Report: An 11-year-old previously healthy girl, with a family history of RP, presented with a subacute flaccid paraparesis, with bilateral, up to the fourth dorsal level, mixed sensory hypoesthesia and autonomic dysfunction. Brain and spinal cord magnetic resonance imaging (MRI) showed an extensive, T2-hyperintense, non-contrast enhancing lesion from the second to fifth dorsal levels. Cerebrospinal fluid (CSF) and lab studies were normal, as the ophthalmologic observation. Treated with high-dose corticosteroids and intensive physical therapy,a significant recovery could be seen. Conclusion:Early pharmacological and physical treatment is fundamental and may indeed change the prognosis of this disease ATM. The family history of RP, although probably incidental, brings nevertheless the issue of a possible etiological contribution, or pathologic common pathways.
- Uma causa rara de paralisia facial periférica recorrentePublication . Pinho, J; Rocha, S; Machado, A; Lourenço, ERecurrent peripheral facial palsy (PFP) is not uncommon and it is reported in 3 to 15% of idiopathic PFPs. Other etiologies include intracranial compressive tumors, parotid gland tumors or inflammation, recurrent otitis media, head trauma, multiple sclerosis, sarcoidosis, tuberculosis, Lyme disease, HIV, and the rare Melkersson-Rosenthal Syndrome (MRS). The MRS is a non-necrotizing granulomatous disease characterized by PFP, lingua plicata and orofacial edema, even though the classic triad is reported in only from 20 to 30% of the patients1. We describe a patient with recurrent alternating PFP with MRS.
- Ciproterone Effect on Compulsive Masturbation in a Frontotemporal Dementia PatientPublication . Fonseca, L; Simões, S; Ferreira, P; Mesquita, J; Machado, A
- Colonoscopic findings in a true screening program for colorectal cancer (without previous fecal occult blood testing): the firts 500 proceduresPublication . Soares, J; Lopes, S; Gonçalves, R; Ferreira, A; Pereira, P; Rolanda, C; Machado, A; Macedo, G
- Cortical linear lesions in Wernicke's encephalopathy: can diffusion-weighted imaging herald prognostic information?Publication . Machado, A; Ribeiro, M; Soares-Fernandes, J; Cerqueira, J; Mare, R