Case Report: Catatonic Stupor in Behavioral Variant Frontotemporal Dementia.

Catatonia is a psychomotor syndrome common to several medical and neuropsychiatric disorders. Here, we report on the case of a 95-year-old woman who underwent a radical change in personality characterized by sexual disinhibition, and physical and verbal aggressiveness. Over several months, she developed verbal stereotypies, gait deterioration, and double incontinence. She eventually developed mutism and an active opposition to all attempts to be fed or cared for. Benzodiazepines, olanzapine and electroconvulsive therapy were of no benefit. Magnetic resonance imaging revealed asymmetric (more severe on the right) frontotemporal, parietal, and upper brainstem atrophy. She died from sepsis without recovering from stupor seven years after the onset of symptoms. We believe that the initial behavioral disinhibition was related to the frontotemporal injury, whereas catatonic stupor reflected the progression of the degenerative process to the parietal cortices. Our case adds to the small number of cases of catatonia as a symptom of degenerative dementia. It also supports the idea that damage to the parietal cortex gives rise to pathological avoidance of which catatonic stupor represents an extreme form.

Brazilian physiotherapy services in the 2007 Pan-American Games: injuries, their anatomical location and physiotherapeutic procedures.

OBJECTIVE: The purpose of this study was to assess the profile of the treatments performed at the physiotherapy department of the Brazilian Olympic Committee during the 2007 Pan-American Games. STUDY DESIGN: Observational study. PARTICIPANTS AND DESIGN: Participants in this study included 434 athletes from the Brazilian Olympic Committee who were referred by the Brazilian medical department to the Brazilian physiotherapy department. The treatment registers were done in a standard form and stored for computer analysis and descriptive statistics calculation. RESULTS: Most athletes of the Brazilian delegation needed physiotherapeutic treatment (n=434, 65.7%), and approximately one quarter of the athletes went to the Games with a previous injury (n=146, 22.1%). The main complaints observed during the treatments were spine-related pathologies (lumbar pain, thoracic and cervical pain) (n=89, 25.3%), tendinopathy (n=79, 22.4%), and muscle strain (n=43, 12.2%), among others. There were 2523 physiotherapeutic treatments performed, and the most utilized procedures were kinesiotherapy, which represented 24.9% (n=969) of all the procedures performed, ultrasound (n=757, 19.4%) and cryotherapy (n=670, 17.2%). CONCLUSIONS: A large number of athletes required physiotherapy services during the Games. Approximately one quarter of the athletes were injured before the competition started. The main pathologies were spine-related injuries, tendinopathy and muscle strain. The most frequently utilized procedures were kinesiotherapy, ultrasound and cryotherapy.

Como prevenir as lesöes mais comuns do cirurgiäo-dentista / How to prevent common lesions in surgeon-dentistry

Como muito dos profissionais que trabalham várias horas por dia, e muitas vezes em posiçöes desconfortáveis, o cirugiäo-dentista näo poderia ficar livre de alguns distúrbios causados por LER (lesöes por esforços repetitivos), ou atualmente chamados de DORT (doenças ósteo-musculares relacionados ao trabalho)