ABSTRACT
Abstract Objective This review synthesized existing studies on the prevalence of chronic pain in Brazil and its associated factors to produce a recent estimation to guide public health politics. Methods A search was carried out in the Ovid Medline, Embase, Web of Science, and BVS Regional/Lilacs databases to identify population-based cross-sectional studies from 2005 to 2020, which reported the prevalence of benign chronic pain in Brazil (more than three months). The risk of bias was assessed using design, sample size determination, and random selection as essential issues. Pooled prevalence estimates were calculated for chronic pain in the general and elderly populations. The protocol was registered on Prospero (CRD42021249678). Results Of the 682 identified, 15 macheted the authors' inclusion criteria. Chronic pain prevalence in the general adult population ranged from 23.02% to 41.4% (pooled estimate 35.70%, 95% Cis 30.42 to 41.17) and was described as moderate to intense. It was associated with female sex, old age, lower education, intense professional activity, excessive alcohol consumption, smoking, central obesity, mood disorder, and sedentarism. The Southeastern and Southern regions presented a higher prevalence. The prevalence in the elderly population ranged from 29.3% to 76.2% (pooled estimate 47.32%, 95% Cis 33.73 to 61.11). In addition, this population visited doctors more frequently, had more sleep disorders, and was more dependent on daily living activities. Almost fifty percent of both populations with chronic pain reported pain-induced disability. Conclusion Chronic Pain is highly prevalent in Brazil and associated with significant distress, disability, and poorly controlled.
Subject(s)
Humans , Male , Middle Aged , Central Nervous System Vascular Malformations/complications , Trigeminal Neuralgia/etiology , Angiography, Digital Subtraction , Analgesics, Non-Narcotic/therapeutic use , Carbamazepine/therapeutic use , Central Nervous System Vascular Malformations/diagnosis , Magnetic Resonance Imaging , Trigeminal Neuralgia/diagnosis , Trigeminal Neuralgia/drug therapyABSTRACT
A sarcoidose é uma doença de causa desconhecida, vista comoinvasão tecidual por infiltrado granulomatoso não-caseoso.O sistema nervoso é afetado em casos raros, geralmente comodisseminação da doença situada em outros órgãos, principalmenteos pulmões. Apresentamos um caso no qual a pacienteapresentava apenas acometimento do sistema nervosocentral, exibindo uma lesão expansiva ao nível do gânglio deGasser direito e outra lesão no córtex parietal direito, observadasna ressonância magnética. O diagnóstico foi dado porestudo histopatológico da lesão, sendo que paciente obtevemelhora dos sintomas com terapia com corticosteróide.
Subject(s)
Humans , Central Nervous System , Trigeminal Ganglion , SarcoidosisABSTRACT
Os autores relatam dois casos de meningioma da goteira olfativa em pacientes com câncer da mama. Referem três eventualidades que ocorrem em ambas as neoplasias: período etário predominante entre quinta e sexta dêcadas; presença em ambas de receptores de hormônios esteróides; e predominância do sexo feminino entre os meningiomas. Recomendam exame das mamas em mulheres com meningiomas e especulam sobre a possibilidade futura de tratamento hormonal coadjuvante para estes tumores. As imagens tomográficas feitas para controle pós-operatório ou quando aparecem sintomas neurológicos nem sempre diferenciam metástases de meningiomas, daí, ás vezes, necessidade de verificaçäo cirúrgica