Academic literature on the topic 'Neurological emergencies'

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Journal articles on the topic "Neurological emergencies"

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Bone, I. "Neurological emergencies." Journal of Neurology, Neurosurgery & Psychiatry 53, no. 4 (April 1, 1990): 362. http://dx.doi.org/10.1136/jnnp.53.4.362-b.

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Kaminski, H. J. "Neurological Emergencies." Neurology 39, no. 11 (November 1, 1989): 1561. http://dx.doi.org/10.1212/wnl.39.11.1561-c.

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Sims, R. S. "Neurological Emergencies." Neurology 40, no. 5 (May 1, 1990): 870. http://dx.doi.org/10.1212/wnl.40.5.870-b.

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Shiber, Joseph R., Chamisa Macindoe, Oliver Flower, William A. Knight IV, and Julian Bösel. "Neurological Emergencies." Emergency Medicine International 2012 (2012): 1. http://dx.doi.org/10.1155/2012/208193.

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LEAHY, NOREEN M. "Neurological Emergencies." AJN, American Journal of Nursing 87, no. 3 (March 1987): 391–92. http://dx.doi.org/10.1097/00000446-198703000-00051.

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Lance, W. J. "Neurological Emergencies." BMJ 309, no. 6960 (October 15, 1994): 1026. http://dx.doi.org/10.1136/bmj.309.6960.1026.

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Fox, N. "Neurological emergencies." Postgraduate Medical Journal 71, no. 831 (January 1, 1995): 62–63. http://dx.doi.org/10.1136/pgmj.71.831.62-d.

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Alexander, Eben. "Neurological emergencies." Surgical Neurology 32, no. 6 (December 1989): 477. http://dx.doi.org/10.1016/0090-3019(89)90016-5.

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Baloh, Robert W. "DIZZINESS: NEUROLOGICAL EMERGENCIES." Neurologic Clinics 16, no. 2 (May 1998): 305–21. http://dx.doi.org/10.1016/s0733-8619(05)70066-9.

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Kellett-Gregory, Lindsay. "Managing neurological emergencies." Veterinary Record 171, no. 10 (September 7, 2012): 251.2–251. http://dx.doi.org/10.1136/vr.e5926.

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Dissertations / Theses on the topic "Neurological emergencies"

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Dobson-Stone, Carol N. M. "Molecular genetics of chorea-acanthocytosis." Thesis, University of Oxford, 2004. http://ora.ox.ac.uk/objects/uuid:3992386d-7d0d-4b88-bcf6-7170e2ba98cc.

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Chorea-acanthocytosis (ChAc) is an autosomal recessive neurological disorder whose characteristic features include hyperkinetic movements and abnormal red blood cell morphology. The disorder shares features with Huntington's disease and McLeod syndrome (MLS), and can sometimes be difficult to distinguish clinically from the latter. In 1997, ChAc was linked to a 6-cM region on chromosome 9q21-22. A novel gene, >em>CHAC, was identified in the critical region. CHAC (now renamed VPS13A) encodes a large protein called chorein, with a yeast homologue implicated in protein sorting. In this study, all 73 exons plus flanking intronic sequence in VPS13A were screened for mutations in 83 unrelated ChAc patients. We identified 88 different VPS13A mutations in 72 probands, comprising six deletions of entire exons, 22 nonsense, 36 frameshift, 19 splice-site and five missense mutations. This disorder therefore shows substantial allelic heterogeneity: however, evidence for common inheritance of the EX70_73del mutation in four French Canadian pedigrees indicates a possible founder effect in this population. Expression of VPS13A appears to be ubiquitous, as determined by tissue-specific analysis of mRNA and chorein distribution. However, chorein expression was markedly reduced or undetectable in lymphoblasts, fibroblasts and erythrocyte membranes from 14 ChAc patients. In contrast, MLS cells showed chorein expression similar to control levels, suggesting that loss of chorein expression is a diagnostic feature of ChAc. Yeast two-hybrid analysis of six different -600 amino-acid chorein fragments was used to screen a human brain cDNA library for proteins that may interact with chorein. One fragment interacted weakly with constructs derived from transcription factor NF-κB, putative protein phosphatase PP2Cη and TAB2, a protein implicated in the mitogen-activated kinase cascade. Although exogenously expressed chorein and TAB2 did not appear to colocalise, co-immunoprecipitation experiments supported an interaction between the two proteins, suggesting an avenue for future research into chorein function.
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Jones, Brittany M. G. "Development of Microcontroller-based Handheld Electroencephalography Device for use in Diagnostic Analysis of Acute Neurological Emergencies (E-Hand)." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1445608971.

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Soler, Sellarès Montserrat. "Mesures de seguretat en els pacients amb traumatismes cranials lleus assistits en el mitjà extrahospitalari." Doctoral thesis, Universitat de Girona, 2016. http://hdl.handle.net/10803/390959.

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The Traumatic brain injury is classified into mild, moderate and severe depending on the initial severity. With mild TBI, the patients may remain conscious or may lose consciousness, but usually these patients have a satisfactory evolution, even though a small number many present intracranial subsidiary lesions that might need Neurosurgical treatment. Security is defined as the absence, or reduction to a minimum acceptable level, of the risk of suffering any unnecessary damage in the course of the health care. These errors can be prevented with appropriate material, reviewed and completed altogether with many defined human factors such as leadership, communication, team organization, coordination and loyalty to the protocols. The stated objective is to develop a predictive model of intracranial lesions in the outpatient environment, which allows the identification of patients with high probability of intracranial injury.
El traumatisme cranial encefàlic (TCE) es classifica en lleu, moderat i greu segons la gravetat inicial. El TCE lleu és aquell traumatisme en el cap, acompanyat o no de pèrdua de coneixement. Normalment l’evolució d’aquests pacients és satisfactòria, però un petit nombre presenten lesions intracranials subsidiàries de tractament neuroquirúrgic. La seguretat es defineix com l’absència o reducció, a un nivell mínim acceptable, del risc de patir un dany innecessari en el curs de l’atenció sanitària. Aquests errors es poden prevenir amb un material apropiat, revisat i complert, amb uns factors humans molt definits com el lideratge, la comunicació, l’organització de l’equip, la coordinació i la fidelitat als protocols. L’objectiu plantejat és elaborar un model predictiu de lesions intracranials que permeti identificar aquells pacients amb una alta probabilitat de presentar una lesió intracranial en el medi extrahospitalari.
Los traumatismos craneales encefálicos (TCE) se clasifican, según la gravedad inicial, en: leves, moderados y graves. El TCE leve es aquel traumatismo localizado en la cabeza y que puede ir acompañado o no de pérdida de conocimiento. Normalmente la evolución de estos pacientes es satisfactoria, pero un pequeño número presenten lesiones intracraneales subsidiarias de tratamiento neuroquirúrgico. La seguridad se define como la ausencia o reducción, a un nivel mínimo aceptable, del riesgo a tener un daño innecesario en el curso de la atención sanitaria. Los posibles errores se pueden prevenir considerando dos factores: un material apropiado (revisado y completo), unos factores humanos muy definidos como el liderazgo, la comunicación, la organización del equipo, la coordinación y la fidelidad de los protocolos. El objetivo planteado fue elaborar un modelo predictivo de lesiones intracraneales que permita identificar aquellos pacientes con una alta probabilidad de presentar una lesión intracraneal en el medio extrahospitalario.
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Books on the topic "Neurological emergencies"

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Shorvon, S. D. Neurological emergencies. London: Butterworths, 1989.

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Neurological emergencies. London: Butterworths in association with Current Medical Literature, 1989.

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Rabinstein, Alejandro A., ed. Neurological Emergencies. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28072-7.

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Waterman, Taylor Joyce, ed. Neurological emergencies: Effective nursing care. Rockville, Md: Aspen Systems Corp., 1986.

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Rana, Abdul Qayyum, and John Anthony Morren. Neurological Emergencies in Clinical Practice. London: Springer London, 2013. http://dx.doi.org/10.1007/978-1-4471-5191-3.

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Corbett, James J. Basic neurological life support. Hamilton, Ont: B.C. Decker, 2004.

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M, Kelly Kevin, ed. Emergency neurology: Principles and practice. Cambridge, UK: Cambridge University Press, 1999.

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Neurologic catastrophes in the emergency department. Boston: Butterworth-Heinemann, 2000.

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J, Abrams Kenneth, ed. Trauma anesthesia and critical care of neurological injury. Armonk, NY: Futura Pub. Co., 1997.

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Wijdicks, Eelco F. M., 1954-, ed. The practice of emergency and critical care neurology. New York: Oxford University Press, 2010.

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Book chapters on the topic "Neurological emergencies"

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Powell, Sally R. "Neurological Emergencies." In Veterinary Technician's Manual for Small Animal Emergency and Critical Care, 263–82. West Sussex, UK: John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118785690.ch12.

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Powell, Sally R., and Christopher L. Norkus. "Neurological Emergencies." In Veterinary Technician's Manual for Small Animal Emergency and Critical Care, 223–37. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2018. http://dx.doi.org/10.1002/9781119536598.ch12.

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Moulds, A. J., P. B. Martin, and T. A. I. Bouchier-Hayes. "Neurological Emergencies." In Emergencies in General Practice, 145–58. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-010-9295-1_13.

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Harshbarger, Todd, and Rahul Jandial. "Neurological Emergencies." In Surgical Emergencies in the Cancer Patient, 245–53. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-44025-5_17.

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Silbergleit, Robert, and William Barsan. "Neurological Emergencies." In Clinical Trials in the Neurosciences, 163–73. Basel: KARGER, 2009. http://dx.doi.org/10.1159/000209496.

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Nasr, Deena M., and Sherri A. Braksick. "Headache Emergencies." In Neurological Emergencies, 49–66. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-28072-7_3.

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Rabinstein, Alejandro A. "Acute Coma." In Neurological Emergencies, 1–13. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-28072-7_1.

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Fiebelkorn, Catherine Arnold, and Sherri A. Braksick. "Acute Cerebral Venous Stroke." In Neurological Emergencies, 189–207. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-28072-7_10.

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Lerner, David P., Anil Ramineni, and Joseph D. Burns. "Intraparenchymal Hemorrhage (Cerebral and Cerebellar)." In Neurological Emergencies, 209–29. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-28072-7_11.

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Datar, Sudhir. "Aneurysmal Subarachnoid Hemorrhage." In Neurological Emergencies, 231–44. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-28072-7_12.

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Conference papers on the topic "Neurological emergencies"

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Hernandes Júnior, Paulo Roberto, Juliana de Souza Rosa, Patrick de Abreu Cunha Lopes, Bárbara Tisse da Silva, Heloá Santos Faria da Silva, Tiago Veiga Gomes, and Gabriella Ferreira Hautequestt. "Conservative treatment of rachimedular trauma: a state epidemiological analysis." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.118.

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Background: Spinal cord injury is a major cause of mortality worldwide and is highly relevant in the context of neurological emergencies. Objectives: To analyze the current panorama of conservative treatment procedures for spinal trauma performed in the State of São Paulo and to correlate the current epidemiology with the results obtained. Methods: Literature review and observational, descriptive and transversal data collect on treatment for spinal trauma, available at DATASUS from January 2008 to December 2020 and articles available in Scielo, Lilacs and PubMed. Results: There were 11,402 hospitalizations for the performance of conservative treatment procedures for spinal trauma with a total expenditure of R$ 13,422,685.10, with 2013 being the year with the highest number of hospitalizations (1,031) and the highest amount spent during the period (R$ 1,216. 410.34). 234 procedures were performed on an elective basis and 8,129 on an urgent basis, with 2,921 occurring in the public sector and 4,215 in the private sector. All 11,402 considered highly complex. The total mortality rate was 4.99 (569 deaths), with 2017 being the year with the highest mortality rate, 5.95, while 2011 had the lowest rate, 3.51. The mortality rate for elective procedures was 6.84 compared to 5.19 for urgent procedures, whereas in the public sector it was 5.31 compared to 4.34 for the private sector. The average total hospital stay was 8.8 days, with an average cost of R$ 1,177.22. Conclusion: The conservative treatment of spinal trauma presents a predominance of emergency care, with a low average cost of hospitalization.
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Hernandes Júnior, Paulo Roberto, Juliana de Souza Rosa, Patrick de Abreu Cunha Lopes, Bárbara Tisse da Silva, Heloá Santos Faria da Silva, Tiago Veiga Gomes, Giovanna de Camargo Innocencio, and Jhoney Francieis Feitosa. "Profile conservative treatment of cranioencephalic traumatism medium degree in the state of São Paulo." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.116.

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Background: The traumatic brain injury has a great impact on neurological emergencies. Objectives: To analyze the current panorama of conservative treatment procedures for mid-level traumatic brain injury performed in the State of São Paulo and to correlate with the current epidemiology. Methods: Literature review and observational, descriptive and transversal data collect on conservative treatment data for medium grade traumatic brain injury, available at DATASUS from January 2008 to December 2020 and articles available at Scielo, Lilacs and PubMed. Results: There were 63,218 hospitalizations for conservative treatment procedures in this period, accounting for R$ 68,668,413.92, with 2011 being the year with the highest number of hospitalizations (5,262), although 2020 with the greatest expenditure (R$ 5,984,875.09). 1,149 of them were elective, while 47,478 were urgent, with the occurrence of 24,527 in the public sector and 13,705 in the private sector. All 63,218 considered to be of medium complexity. The total mortality rate was 9.69, corresponding to 6,125 deaths, with 2009 being the year with the highest mortality rate, 10.34, while 2011 had the lowest rate, 9.14. The mortality rate for elective procedures was 6.44 compared to 9.89 for urgent procedures, whereas in the public sector it was 10.80 compared to 7.63 for the private sector. The average total hospital stay was 7.7 days, with an average cost of R$ 1,086.22. Conclusion: Medium grade traumatic brain injury has a short period of inhospital stay and a higher number of admissions and mortality rates in emergency care and in the public sector.
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Hernandes Júnior, Paulo Roberto, Juliana de Souza Rosa, Patrick de Abreu Cunha Lopes, Bárbara Tisse da Silva, Heloá Santos Faria da Silva, Tiago Veiga Gomes, Giovanna de Camargo Innocencio, and Jhoney Francieis Feitosa. "Profile conservative treatment of cranioencephalic traumatism medium degree in the state of São Paulo." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.729.

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Background: The traumatic brain injury has a great impact on neurological emergencies. Objectives: To analyze the current panorama of conservative treatment procedures for mid-level traumatic brain injury performed in the State of São Paulo and to correlate with the current epidemiology. Methods: Literature review and observational, descriptive and transversal data collect on conservative treatment data for medium grade traumatic brain injury, available at DATASUS from January 2008 to December 2020 and articles available at Scielo, Lilacs and PubMed. Results: There were 63,218 hospitalizations for conservative treatment procedures in this period, accounting for R$ 68,668,413.92, with 2011 being the year with the highest number of hospitalizations (5,262), although 2020 with the greatest expenditure (R$ 5,984,875.09). 1,149 of them were elective, while 47,478 were urgent, with the occurrence of 24,527 in the public sector and 13,705 in the private sector. All 63,218 considered to be of medium complexity. The total mortality rate was 9.69, corresponding to 6,125 deaths, with 2009 being the year with the highest mortality rate, 10.34, while 2011 had the lowest rate, 9.14. The mortality rate for elective procedures was 6.44 compared to 9.89 for urgent procedures, whereas in the public sector it was 10.80 compared to 7.63 for the private sector. The average total hospital stay was 7.7 days, with an average cost of R$ 1,086.22. Conclusion: Medium grade traumatic brain injury has a short period of inhospital stay and a higher number of admissions and mortality rates in emergency care and in the public sector.
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Cordeiro, Júlia Coutinho, and José Gilberto de Brito Henriques. "Hemifacial spasm caused by posterior fossa arachnoid cyst: Case Report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.134.

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Context: Hemifacial spasm (HFS) is characterized by continuous or intermittent spasmodic movements at the facial nerve motor territory.1,2,3 It mainly affects middle- aged adults and usually occurs by compression of the facial nerve by anomalous vascular loops of the anteroinferior and vertebral cerebellar artery.2,3,4,5 The arachnoid cyst at the cerebellopontine angle (CPA) is an rare cause of HFS, especially in children. Case report: A six-year-old female patient started presenting at 18 months HFS on the right side. She was initially treated with anticonvulsant without improvement. The patient came to our care at the age of six presenting 2-3 HFS per day and remissions lasting 3-4 weeks. Image exams reveled a CPA arachnoid cyst compressing the VII and VIII nerves complex. Surgical drainage of the cyst was performed as the treatment of choice. In postoperative period, the patient presented remission of HFS, and cranial tomography showed a decrease in cyst volume. In three months, there was remission of the signs without use of any medications. Conclusions: There was no report of arachnoid cyst in CPA as a cause of HFS in children. HFS occurs probably by chronic irritation, since birth, because of the contact of arachnoid cyst in the emergence of the VII and VIII nerves complex in the PCA. Therefore, treatment was chosen according to the cause of HFS. Movement disorder as a clinical manifestation of the cyst is rare, especially in pediatric population, and should be considered as one of the diagnostic hypotheses.
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Batista, Suzana Bastos, Deborah Calado Coelho, and Gabriela Coutinho Amorim. "Epilepsy in patients with COVID-19." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.179.

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Introduction: Coronavirus disease 2019 (COVID-19), caused by SARSCoV-2, appeared in a Chinese city in late 2019. Four months after its emergence it was declared by the World Health Organization as a pandemic. Although the virus has tropism for respiratory tract cells, there is evidence of involvement of systems such as vascular, digestive, hematological, urinary and nervous. Some neurological complications were observed in patients with COVID-19, such as stroke, myopathies and polyneuropathies. Encephalitis may cause seizures, suggesting that the inflammatory process by COVID-19 may be associated with seizures. Objectives: To address the possible association between seizures and SARS-CoV-2 infection. Methodology: The research is na integrative review carried out in a virtual environment, based on articles published between 2020 and 2021, with the theme “COVID-19, epilepsy and seizures”, on the academic Google platforms, SciELO portal and PubMed. Results: It is known that encephalitis and viral infections can trigger epileptic seizures by the pathophysiological mechanisms of activation of the inflammatory cascade. This process involves the release of inflammatory cytokines, tumor necrosis factor (TNF-α), interleukins 2, 6, 7 and 10, and complement, this neuronal hyper excitability activates Glutamate receptors, triggering seizures. Based on this, epileptic seizures can be explained in patients with neurological impairment by COVID-19. Conclusion: It was observed that inflammatory processes lead to excitation of receptors that trigger seizures. Therefore, the disruption of the blood brain barrier can play a fundamental role in the initiation of this process. However, the pathophysiological mechanism is not yet well elucidated, and further studies are needed on this.
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Costa, Guilherme Albuquerque de Araujo, Mariana Silva Regadas, and Myrela Murad Sampaio. "Hemorrhagic stroke (ICH): A consequence of thromboembolic events resulting from COVID-19." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.364.

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Introduction: The COVID-19 pandemic has been alarming the world since its first outbreak in December 2019. In this scenario, the presence of aggravating factors such as the elevation of the D-dimer and the reduction of the angiotensin-converting enzyme 2 (ACE2) during the clinical course of the disease, collaborated in the appearance of thromboembolic events derived from inflammatory processes and extensive intravascular coagulation, contributing to the emergence of diseases such as Hemorrhagic Stroke (ICH), leading the patient to have a worse clinical prognosis and a consecutive worsening of their health. Objective: To investigate occurrences of ICH derived from thromboembolic effects resulting from COVID-19. Methods: We selected 43 articles published between 2020 and 2021 on the PubMed platforms, SciELO portal, CAPES Journal and Google Scholar in order to conduct an integrative review within this database. Results: The elevated D-dimer was widely cited as a favorable factor for thromboembolic events due to the influence of excessive inflammatory processes, hypoxia and intravascular dissemination of coagulation, contributing to the development of ICH, given its greater association with disorders such as ischemic strokes, considering only these parameters. However, the reduction in ACE2 and the occurrence of cytokine storms end up causing increased inflammation and blood pressure, increasing the risk of stroke due to the rupture of capillaries sensitized by the action of thromboembolic effects and becoming a risk to the life and prognosis of patients infected with SARS-CoV2, especially in groups of individuals with a greater predisposition to the development of thromboembolic and hypertensive events related to COVID-19.
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Oliveira, Sayd Douglas Rolim Carneiro, Carlos Jorge Maciel Uchoa Gadelha, Dara da Silva Mesquita, and Tereza Cristina Ribeiro Brito. "SARS-CoV-2 infection during pregnancy and risk of neurodevelopmental disorders in neonatals: a literature review." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.031.

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Introduction: With the emergence of SARS-CoV-2 and its rapid spread, a concern with the pregnant women have increased, since viruses have a wide range of obstetric and neonatal issues. Recent findings indicate that the gestational period and the postpartum period make mothers and their offspring more susceptible to COVID-19 and the rapid progression to the critical stage of the disease. Objectives: To carry out a bibliographic study on SARS-CoV- 2 during pregnancy and the potential risk of neurodevelopmental disorders in neonates. Methods: A review, developed from articles selected on the following bases: PubMed, Web of Science and Scopus. In the search, articles indexed until March 2021 and published in English, using the descriptors: “COVID-19”; “Pregnancy”; “Offspring”; “Neonatal”; “Neurodevelopment”; “Anomalies” and “Complications”. Exclusion criteria: duplicates and articles outside the scope of the study. Results: The initial search resulted in 533 articles, 498 from PubMed, 2 from Web of Science and 33 from Scopus. After reading the title and abstract, the application of the inclusion and exclusion criteria, the sample of 48 documents were included. In the studies, 89.0% of all patients had cesarean delivery (n = 201), 33.3% had gestational complications, 35.3% had premature delivery and about 2.5% were stillborn or had neonatal death. Among those tested, 6.45% of neonates diagnosed positive for COVID-19. In another study, the newborn showed neurological issues similar to the adult patients and transient neurological complications due to cerebral vasculitis. Conclusions: The results demonstrate that further investigations are needed to determine the potential for vertical intrauterine transmission in pregnant women with COVID-19 and possibles fetal and neonatal consequences.
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ALVES, DEBORA CAVALCANTE, GUIOMAR NASCIMENTO DE OLIVEIRA, THOMAZ ALMEIDA VARGAS, HADASSA ANJOS DE ALMEIDA LEMES, and WESLEY BLANCO MOTA. "MIGRÂNEA HEMIPLÉGICA: DIAGNÓSTICO DIFERENCIAL POUCO CONHECIDO EM EMERGÊNCIA." In Brazilian Congress. brazco, 2020. http://dx.doi.org/10.51162/brc.health2020-00011.

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A migranea hemiplegica e uma forma rara de migranea com aura que inclui fraqueza motora plenamente reversivel. Objetivo: descrever um caso de paciente portador de migranea hemiplegica ressaltando sua importancia como diagnostico diferencial no departamento de emergencia. Relato de caso: Paciente feminina, 55 anos, admitida no pronto socorro com cefaleia holocraniana associada a afasia, sem deficit motor. Historico de episodios recorrentes de cefaleia na infancia e adolescencia. Sinais vitais estaveis, exame clinico foi normal. Solicitada TC de cranio, sem alteracoes. Internada para investigacao com retorno espontaneo da fala e melhora da cefaleia no quinto dia. Retornou uma semana apos com quadro semelhante agora associado a hemiplegia a esquerda, sem alteracoes na nova TC de cranio e demais exames complementares, com melhora espontanea ao terceiro dia. Repetiu mesmo quadro 2 meses do ultimo episodio quando foi aventada hipotese diagnostica de migranea hemiplegica. Recebeu alta com topiramato e amitriptilina e encaminhada ao ambulatorio de neurologia. Discussao: a cefaleia e um dos sintomas mais frequentes nos atendimentos de pronto socorro, representando 1-4 % em unidades de emergencia. Ter em mente diagnosticos diferenciais pode ser um fator crucial para o prognostico do paciente.,
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