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1.
Miami; s.ed; s.n; Feb., 2019.
Não convencional em Inglês | Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-1024118
2.
Genet Mol Res ; 16(2)2017 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-28549202

RESUMO

Several human health problems have been related to the allergenic constitution of bovine milk due to the body's immune reaction to milk proteins. It is necessary find solutions to minimize the occurrence of such reactions, given the importance of milk as a source of animal protein. The aim of this study was to evaluate the allelic frequency of the CSN2 gene and to evaluate differences in the characteristics of Gir and Guzerá bovine milk. One hundred and fifty-six cows were used (68 Gir and 88 Guzerá) from the Felipe Camarão Experimental Station herd of the Agricultural Research Corporation of RN (EMPARN). DNA extractions were carried out from hair follicles of the animals; the gene was then amplified and sequenced in an ABI 3100 automatic sequencer. The obtained sequences were submitted to analysis using the Geneious 5.6.5® program. Data were submitted to analysis of variance and to the Tukey-Kramer test at 5% probability and cluster analyses by main components were performed. Allele frequencies were 98 and 97% for the A2 allele and 0.96 and 0.93% for the genotype A2A2 for Gir and Guzerá, respectively. Gir and Guzerá animals showed differences in protein, lactose, and non-fat dry extract levels. Although correlations between milk yield and the production and some milk components are moderate, increases in milk yield are always greater than the increase in constituent yield. In addition, even though Guzerá animals have a higher percentage of protein, lactose, and non-fat dry extract, milk from Zebu breeds is an alternative for individuals sensitive to ß-casein protein.


Assuntos
Caseínas/genética , Bovinos/genética , Leite/metabolismo , Polimorfismo Genético , Animais , Feminino , Leite/normas
3.
J Dairy Sci ; 100(6): 4308-4321, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28342605

RESUMO

Our aim was to identify the relationship between mozzarella cheese yield and buffalo milk composition, processing factors, and recovery of whey constituents. A production of 30 batches of mozzarella cheese at a dairy industry in northeast Brazil (Rio Grande do Norte) was monitored between March and November 2015. Mozzarella yield and 32 other variables were observed for each batch, and divided into 3 groups: milk composition variables (12); variables involved in the cheesemaking process (14); and variables for recovery of whey constituents (6). Data were analyzed using descriptive statistics, Pearson correlation, and principal component analysis. Most of the correlations between milk composition variables and between the variables of the manufacturing processes were not significant. Significant correlations were mostly observed between variables for recovery of whey constituents. Yield only showed significant correlation with time elapsed between curd cuttings and age of the starter culture, and it showed greater association with age of the starter culture, time elapsed between curd cuttings, and during stretching, as well as with milk pH and density. Thus, processing factors and milk characteristics are closely related to dairy efficiency in mozzarella manufacturing.


Assuntos
Queijo , Indústria de Laticínios/métodos , Manipulação de Alimentos , Leite/química , Proteínas do Soro do Leite/análise , Animais , Brasil , Estatísticas não Paramétricas , Fatores de Tempo , Soro do Leite
4.
Genet Mol Res ; 15(2)2016 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-27323049

RESUMO

We obtained heritability and (co)variance component estimates for slaughter conformation scores at 420 days of age (SCS420), age at calving (first, AFC; second, ASC), calving occurrence until 38 months of age (CP38), weight at 420 days of age (W420), and scrotal circumference at 420 days (SC420) in Canchim (5/8 Charolais + 3/8 Zebu) cattle. A total of 23,168 records of Canchim animals, including 12,493 females and 10,675 males, were analyzed. SCS420 indicated carcass structure, muscle development, and subcutaneous fat deposition. The slaughter conformation score of each animal was relative to the whole contemporary group; 1 corresponded to the lowest expression of the trait and 6 to the highest. Heritabilities, and genetic and residual correlation estimates between SCS420 and reproductive and weight traits, were estimated by multitrait analyses using an animal model with Bayesian inference, employing a linear model for AFC, ASC, SC420, and W420 and a threshold model for CP38 and SCS420. Heritability estimates for SCS420, AFC, ASC, CP38, W420, and SC420 were 0.11, 0.15, 0.15, 0.15, 0.30, and 0.30, respectively. Genetic correlation estimates between SCS420 and the other traits were 0.08 (AFC), 0.58 (ASC), 0.08 (CP38), 0.43 (W420), and 0.17 (SC420). Visual slaughter conformation scores respond to individual selection and can be used as selection criteria in Canchim cattle. Selection to improve sexual precocity would not be effective in improving carcass conformation and composition, and selection for animals with high breeding values for yearling weight may improve slaughter conformation at the yearling stage.


Assuntos
Peso Corporal/genética , Reprodução/genética , Matadouros , Fatores Etários , Animais , Teorema de Bayes , Cruzamento , Bovinos , Feminino , Modelos Lineares , Masculino , Fenótipo , Maturidade Sexual/genética
5.
Exp Clin Endocrinol Diabetes ; 124(1): 49-54, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26797862

RESUMO

BACKGROUND: Chronic low-grade inflammation, combined with traditional cardiovascular risk factors, is common in obesity, providing systemic inflammation that is associated with increased cardiovascular risk. Studies have shown serum mieloperoxidase as a potential biomarker and its clinical applicability for evaluating cardiovascular risk. This study aimed to evaluate the MPO in obese individuals, with or without systemic inflammation and potential cardiovascular risk, as well as correlating MPO with some classic cardiovascular risk parameters. METHODS: Inflammatory and cardiovascular risk markers, as well as different biochemical and hematological laboratory parameters, were analyzed. The volunteers were divided into 3 groups according to the presence (hs-CRP>3 mg/L) or absence (hs-CRP<3 mg/L) of systemic inflammation and possible cardiovascular risk. RESULTS: MPO was significantly increased (p<0.05) in the obese individuals with systemic inflammation. A significant increase (p<0.05) in the following biochemical parameters: glucose, HbA1c, triglycerides, non-HDL, TG/HDL was observed, and a significant decrease (p<0.01) in HDL was observed. Significant increases in the counts of total leukocytes, neutrophils and monocytes (p<0.01), as well as elevated blood pressure (p<0.05), were observed in the group of obese individuals with systemic inflammation. Serum MPO levels were correlated with classic proinflammatory and cardiovascular risk parameters. CONCLUSIONS: High serum levels of MPO were observed in obese individuals with hs-CRP above 3 mg/L, which is a classic biomarker for inflammation and cardiovascular risk, suggesting the potential role of MPO in clinical applicability for cardiovascular disease in this population. However, considering that inflammation in obesity appears to manifest as a non-classical mechanism, further studies are necessary to elucidate the role of MPO in cardiovascular events in the population with obesity.


Assuntos
Doenças Cardiovasculares/enzimologia , Obesidade/enzimologia , Peroxidase/sangue , Adulto , Biomarcadores/sangue , Glicemia/metabolismo , Pressão Sanguínea , Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/fisiopatologia , Feminino , Hemoglobinas Glicadas/metabolismo , Humanos , Lipídeos/sangue , Masculino , Pessoa de Meia-Idade , Obesidade/sangue , Obesidade/complicações , Obesidade/fisiopatologia , Fatores de Risco
6.
Clin Exp Immunol ; 183(1): 114-28, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26340409

RESUMO

Dengue is the most prevalent arboviral disease worldwide. The outcome of the infection is determined by the interplay of viral and host factors. In the present study, we evaluated the cellular response of human monocyte-derived DCs (mdDCs) infected with recombinant dengue virus type 1 (DV1) strains carrying a single point mutation in the NS3hel protein (L435S or L480S). Both mutated viruses infect and replicate more efficiently and produce more viral progeny in infected mdDCs compared with the parental, non-mutated virus (vBACDV1). Additionally, global gene expression analysis using cDNA microarrays revealed that the mutated DVs induce the up-regulation of the interferon (IFN) signalling and pattern recognition receptor (PRR) canonical pathways in mdDCs. Pronounced production of type I IFN were detected specifically in mdDCs infected with DV1-NS3hel-mutated virus compared with mdDCs infected with the parental virus. In addition, we showed that the type I IFN produced by mdDCs is able to reduce DV1 infection rates, suggesting that cytokine function is effective but not sufficient to mediate viral clearance of DV1-NS3hel-mutated strains. Our results demonstrate that single point mutations in subdomain 2 have important implications for adenosine triphosphatase (ATPase) activity of DV1-NS3hel. Although a direct functional connection between the increased ATPase activity and viral replication still requires further studies, these mutations speed up viral RNA replication and are sufficient to enhance viral replicative capacity in human primary cell infection and circumvent type I IFN activity. This information may have particular relevance for attenuated vaccine protocols designed for DV.


Assuntos
Células Dendríticas/imunologia , Vacinas contra Dengue/imunologia , Vírus da Dengue/fisiologia , Dengue/imunologia , Serina Endopeptidases/metabolismo , Adenosina Trifosfatases/metabolismo , Células Cultivadas , Células Dendríticas/virologia , Humanos , Evasão da Resposta Imune , Interferon Tipo I/metabolismo , Análise em Microsséries , Monócitos/imunologia , Mutação Puntual/genética , Serina Endopeptidases/genética , Replicação Viral/genética
7.
Rev. chil. neurocir ; 40(1): 60-66, jul. 2014. ilus
Artigo em Espanhol | LILACS | ID: biblio-831386

RESUMO

Introducción: El estudio de la superficie externa del cerebro es analizado desde diferentes puntos espaciales, es decir unasuperficie lateral, medial y basal. La superficie lateral del cerebro se distingue por la presencia de dos puntos de referencia quedividen a cada hemisferio cerebral en lóbulos. Estos dos puntos son la fisura de Silvio (fisura lateral) y el surco de Rolando (surcocentral). Estos dos surcos dividen a cada hemisferio en lóbulo frontal (superior a la fisura de Silvio y anterior al surco de Rolando),el lóbulo temporal (inferior a la fisura de Silvio) y lóbulo parietal (superior a la fisura de Silvio y posterior al surco de Rolando). Ellóbulo occipital se ubica por detrás del surco parietooccipital, y el lóbulo de la ínsula que se sitúa en la profundidad de la fisurade Silvio. Objetivo: Describir la anatomía Microquirúrgica de la superficie cerebral en imágenes estereoscópicas anaglíficas tridimensionales.Material y Métodos: La superficie cerebral fue examinada en 30 cerebros humanos con la ayuda de microscopioquirúrgico D.F. Vasconcellos M900 con una magnificación de 16x y 40x, el equipo fotográfico marca Nikon modelo D60, lenteAF-S VR Micro-Nikkor 105 mm f/2.8G IF-ED de Nikon, instrumental de microcirugía y sistema de vernier calibrado en décimasde milímetros. Resultados: La superficie cerebral de cada hemisferio esta dividida por medio de la fisura de Silvio y el surco deRolando en; Lóbulo frontal que se localiza superior a la fisura de Silvio y anterior al surco de Rolando, el lóbulo temporal que sesitúa inferior a la fisura de Silvio, lóbulo parietal de localización superior a la fisura de Silvio y posterior al surco de Rolando, el lóbulooccipital se ubica por detrás del surco parietooccipital. En la profundidad de la fisura de Silvio se encuentra el lóbulo de la ínsula...


Introduction: Brain cortex is studied from different views: lateral, medial and basal surfaces. The brain lateral surface is distinguished by the presence of referential points and sulci. Those specific surgical points consist of the Sylvian fissure (lateral fissure) and the Rolandic sulcus (central sulcus). Those sulci divide each hemisphere in frontal lobe (superior to the Sylvian fissure and anterior to the Rolandic sulcus), temporal lobe (inferior to the Sylvian fissure), and parietal lobe (superior to the Sylvian fissure and posterior to the Rolandic sulcus). The occipital lobe is located posteriorly to the parietooccipital sulci, and the insular lobe is located deep into the Sylvian fissure. Objetive: To describe the microsurgical anatomy of the brain cortex in tridimensional surface imaging reconstruction. Material and Methods: Human cadaveric speciments of 30 human brains were studied through the surgical microscopy D.F. Vasconcellos M900, 16x and 40x magnification, Nikon D60 camera, AF-S VR Micro-Nikkor 105 mm f/2.8G IF-ED lens, and microsurgical instruments. Results: Brain surface is divided in each hemisphere basically through the Sylvian fissure and the Rolandic sulcus in frontal lobe, superiorly to the to the Sylvian fissure and anteriorly to the Rolandic sulcus, temporal lobe, inferiorly to the Sylvian fissure, parietal lobe, superiorly to the Sylvian fissure and posteriorly to the Rolandic sulci, and occipital lobe behind the parietooccipital sulci. Deep into the Sylvian fissure is located the insular lobe...


Assuntos
Humanos , Anatomia Transversal/métodos , Cérebro/anatomia & histologia , Córtex Cerebral/anatomia & histologia , Imageamento Tridimensional , Microcirurgia/métodos
8.
Br J Neurosurg ; 21(4): 406-10, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17676464

RESUMO

Intracranial aneurysms and arachnoid cysts are cerebral disorders of a high prevalence. However, association between both malformations is a rare finding. The aim was to analyse this association with regard to the different clinical presentations according to the haemorrhage types, as well as the pathogenesis of this association. We searched the English language literature in MEDLINE database in order to include all manuscripts in which this association was found. A new case of a 55-year-old man with a large posterior communicating artery aneurysm and a middle cranial fossa arachnoid cyst presenting with headache and seizure was added to review of the literature and presented as an illustrative case. Nine cases were found. Six were male and three were female. The mean age was 42 years (range 29-66 years). All but one arachnoid cysts were located at middle cranial fossa, aneurysms arose from middle cerebral artery in three cases, internal carotid artery bifurcation in two cases, posterior communicating segment of carotid artery in two cases, anterior communicating artery in one case and azygos pericallosal artery in one case. Clinical presentation was related to aneurysmal rupture in six cases (subarachnoid haemorrhage in four, subdural haematoma in one and intracystic haematoma in two) and related to arachnoid cysts in three cases, where the most common symptoms were seizures and headache. Association between intracranial aneurysms and arachnoid cysts is a rare finding that can present with signs and symptoms related to aneurysm rupture, or with mass effect and seizures related to the cyst. The aneurysmal haemorrhage may be atypical, since it can be into the subarachnoid space, into the arachnoid cyst, or into the subdural space.


Assuntos
Cistos Aracnóideos/complicações , Fístula Arteriovenosa , Fossa Craniana Média/anormalidades , Aneurisma Intracraniano/complicações , Malformações Arteriovenosas Intracranianas/complicações , Adulto , Idoso , Artéria Carótida Interna , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento
9.
J Pediatr (Rio J) ; 77(4): 265-70, 2001.
Artigo em Português | MEDLINE | ID: mdl-14647857

RESUMO

OBJECTIVE: The aim of the present study was to obtain data on the microbiota of human colostrum, and to correlate it with a possible source of probiotics transferred from mother to infant during breastfeeding. METHODS: 70 samples of milked human colostrum were analyzed as to the presence of mesophylic, thermoduric, psychrotrophic, proteolytic, proteolytic-psychrotrophic, lipolytic microorganisms, molds and yeasts, Staphylococcus aureus, total coliforms, fecal coliforms, Group D Streptococcus species and lactic acid bacteria. RESULTS: the microbiological analyses revealed several classical groups of microorganisms: mesophylic (68.6%); thermoduric (38.6%); psychrotrophic (8.6%); proteolytic (15.7%); proteolytic-psychrotrophic (1,4%); lipolytic (4.3%); molds and yeasts (11.4%); Staphylococcus aureus (44.3%); total coliforms (7.2%); and lactic acid bacteria (37.2%), thus characterizing a diversified microbiota. Thermoduric-psychrotrophic microorganisms, fecal coliforms and Group D Streptococcus species were not identified in any of the samples. CONCLUSIONS: The results show a microbiota rich in lactic acid bacteria, which may work as probiotics if delivered to infants within the first days of life.

10.
Arq Neuropsiquiatr ; 58(1): 52-6, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10770866

RESUMO

Metastases to vertebrae often cause bone destruction leading to instability and neural compression. Anterior surgical approaches allow tumor resection and direct neural decompression. For patients with a short life expectancy, vertebral body replacement with methyl-methacrylate polymerized in situ can be used for load sharing in the axial plane. Screws hung from the rod into the corpectomy site are incorporated into the acrylic cement. The technique described in this article allows for immediate spinal stabilization and provides a protective environment for the neural elements. All the patients tolerated the procedure well and were able to ambulation without an orthoses.


Assuntos
Neoplasias da Coluna Vertebral/cirurgia , Coluna Vertebral/cirurgia , Humanos , Instabilidade Articular/cirurgia , Dor/cirurgia , Neoplasias da Coluna Vertebral/secundário
11.
J Neurosurg ; 86(2): 182-9, 1997 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9010416

RESUMO

Because of their critical location, invasive nature, and aggressive recurrence, skull base chordomas are challenging and, at times, frustrating tumors to treat. Both radical surgical removal and high-dose radiation therapy, particularly proton beam therapy, reportedly are effective in tumor control and improve survival rates. The authors posit that these tumors are best treated with radical surgery and proton-photon beam therapy. During the last 5 years, they treated 25 patients (15 females and 10 males) who harbored pathologically diagnosed skull base chordomas. The mean age of the patients was 38.4 years (range 8-61 years). Previous surgery or radiation therapy was performed at other institutions in seven and two patients, respectively. The authors performed 33 surgical procedures on 23 patients. Radical removal (defined as absence of residual tumor on operative inspection and postoperative imaging) was achieved in 10 patients; subtotal resection (defined as resection of > 90% of the tumor) was achieved in 11 patients; and partial resection (defined as resection of < 90% of the tumor) was achieved in two patients. Radical surgical removal included not only the excision of soft-tumor tissue, but also extensive drilling of the adjacent bone. Adjuvant therapy consisted of postoperative combined proton-photon beam therapy (given to 17 patients and planned for one patient) and conventional radiation therapy (two patients); three patients received no adjunct therapy. To date, four patients have died. One patient who had undergone previous surgery and sacrifice of the internal carotid artery died postoperatively from a massive stroke; one patient died from adenocarcinoma of the pancreas without evidence of recurrence; and two patients died at 25 and 39 months of recurrent tumor. Permanent neurological complications included third cranial nerve palsy (one patient) and hemianopsia (one patient); radiation necrosis occurred in three patients. Of the 21 patients followed for more than 3 months after surgery, 16 have had no evidence of recurrence and five (including the two mortalities noted above) have had recurrent tumors (four diagnosed clinically and one radiologically). The mean disease-free interval was 14.4 months. A longer follow-up period will, hopefully, support the early indication that radical surgical removal and postoperative proton-photon beam therapy is an efficacious treatment. The use of skull base approaches based on the tumor classification introduced in this paper is associated with low mortality and morbidity rates.


Assuntos
Cordoma/cirurgia , Neoplasias da Base do Crânio/cirurgia , Adolescente , Adulto , Tronco Encefálico/patologia , Criança , Cordoma/classificação , Intervalo Livre de Doença , Feminino , Seguimentos , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Necrose , Recidiva Local de Neoplasia/cirurgia , Complicações Pós-Operatórias , Lesões por Radiação/etiologia , Radioterapia Adjuvante/efeitos adversos , Neoplasias da Base do Crânio/classificação , Lobo Temporal/patologia , Tomografia Computadorizada de Emissão de Fóton Único , Tomografia Computadorizada por Raios X
12.
J Neurosurg ; 84(4): 584-91, 1996 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-8613849

RESUMO

Chordomas are rare tumors that usually occur in adults. This report describes four cases of intracranial chordomas treated in patients 20 years of age or younger by the senior author (O.A.M.) during a 4-year period. The authors also reviewed the literature on pediatric patients, which revealed that the clinical presentations, histological patterns, and behaviors of these tumors differ considerably depending on whether the patient is younger or older than 5 years of age. The younger population had a wider range of presenting symptoms, a greater prevalence of atypical histological findings with aggressive behavior, a greater range of cellularity than the classic chordomas, and a higher instance of metastasis; it showed no chondroid component compared to a 17.1% instance in the older patients. The prognosis for patients with a chordoma is related directly to the histological pattern of the tumor; the atypical chordoma carries a poor prognosis. The prognoses for children older than 5 years of age with a classic or chondroid tumor were not significantly different (p=0.788). At follow up, the difference in survival rates between patients undergoing surgery plus radiation therapy and those who had surgery alone was statistically significant (p=0.00446). No correlation was found between radical resection or radiation therapy and an improved prognosis for patients younger than 5 years of age who had a tumor with an atypical histological pattern. This study identifies and delineates the distinction between these age groups and provides a review of the potential prognostic factors.


Assuntos
Neoplasias Encefálicas/cirurgia , Cordoma/cirurgia , Adolescente , Adulto , Neoplasias Encefálicas/diagnóstico por imagem , Neoplasias Encefálicas/metabolismo , Angiografia Cerebral , Criança , Cordoma/diagnóstico por imagem , Cordoma/metabolismo , Feminino , Humanos , Imuno-Histoquímica , Imageamento por Ressonância Magnética , Masculino
13.
Neurosurgery ; 38(3): 569-75; discussion 575, 1996 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8837811

RESUMO

The intravagal paraganglioma is a very rare tumor of the head and neck that accounts for only 5% of the paragangliomas in that area. A painless mass in the high neck with extension into the peripharyngeal space is the most common characteristic of this tumor. Malignant paragangliomas with invasion of the cervical lymph nodes and carotid artery have been reported, but the presence of metastasis, rather than the histological findings, is the only parameter for classifying them as malignant tumors. Despite the numerous descriptions of the efficacy of radiation therapy, the histological findings of irradiated specimens have shown little effect of radiation therapy on the chief cells. The only curative therapy for intravagal paragangliomas is the total resection of the tumor. Using the supra-adventitia dissection plane, we were able to achieve total resections in four cases of complex intravagal paraganglioma. The surgical management of these cases was complex because of the following: 1) misdiagnosis as a carotid body tumor, 2) previous radiation therapy and surgical procedure, 3) association with glomus jugulare, and 4) a giant tumor with invasion of the temporal bone and encasement of the internal carotid artery. We report the surgical management of intravagal paragangliomas and the role of radiation therapy, hormonal secretion, and rehabilitation care.


Assuntos
Neoplasias dos Nervos Cranianos/cirurgia , Neoplasias de Cabeça e Pescoço/cirurgia , Paraganglioma/cirurgia , Nervo Vago/cirurgia , Adulto , Artéria Carótida Interna/patologia , Artéria Carótida Interna/cirurgia , Criança , Neoplasias dos Nervos Cranianos/patologia , Diagnóstico Diferencial , Diagnóstico por Imagem , Feminino , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Paraganglioma/patologia , Nervo Vago/patologia
14.
J Neurosurg ; 84(1): 1-6, 1996 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-8613814

RESUMO

Ventral extradural lesions at the craniovertebral junction are commonly exposed through the transoral or transmaxillary approach. The disadvantages of these approaches include: 1) difficulty in reaching laterally located lesions; 2) ineligibility of patients with an intradental distance of less than 25 mm or severe macroglossia; 3) the need for a separate procedure for stabilization and fusion; and 4) the risk of infection from transgressing a contaminated field. In this report, the authors describe the use of the transcondylar approach to extradural nonneoplastic lesions of the anterior craniovertebral junction for decompression and stabilization. Advantages of this approach include: 1) a short distance to the lesion; 2) a wide surgical envelope; 3) direct visualization of the dural sac, eliminating manipulation of the brainstem or upper spinal cord; 4) easy identification and control of the ipsilateral vertebral artery; 5) direct visualization and preservation of the lower cranial nerves; and 6) a sterile field. In addition, occipitocervical fusion and instrumentation can be performed during the same procedure. The transcondylar approach, based on anatomical studies in cadavers, was used to treat eight patients with ventral nonneoplastic lesions at the craniocervical junction. The technique and results are described.


Assuntos
Articulação Atlantoccipital/cirurgia , Compressão da Medula Espinal/cirurgia , Adolescente , Adulto , Idoso , Articulação Atlantoccipital/diagnóstico por imagem , Articulação Atlantoccipital/patologia , Estudos de Avaliação como Assunto , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Compressão da Medula Espinal/diagnóstico , Compressão da Medula Espinal/diagnóstico por imagem , Tomografia Computadorizada por Raios X
15.
Neuroradiology ; 37(8): 636-41, 1995 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8748894

RESUMO

A retrospective analysis of six cases of central nervous system paracoccidioidomycosis, all but one proven by biopsy and surgery, was carried out to study the CT and clinical data and pathological correlation. Most of the patients were from the country. Headache, vomiting, seizures and hemiparesis were the most frequent symptoms. Papilloedema was present in four patients with raised intracranial pressure. Five patients had chronic lung disease and two with advanced systemic disease, skin and mucous membrane lesions were also observed. The neurological disturbance was sometimes the presenting features and the diagnosis was discovered incidentally after surgery. Both solitary and multiple parenchymal lesions were observed and the cerebral hemispheres were more commonly involved in four patients. Local meningeal involvement was observed in one with a single cortical granuloma. We emphasise the usefulness of CT, showing a rounded or lobulated mass with an isodense or radiolucent centre after contrast enhancement, surrounded by an irregular wall of varying thickness. There was always moderate oedema, extending peripherally. Other infections or neoplastic diseases may present similar findings. Preoperative diagnosis should rest on integration of clinical data, chest films, laboratory and neuroimaging studies.


Assuntos
Meningite Fúngica/diagnóstico por imagem , Paracoccidioidomicose/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Encéfalo/cirurgia , Diagnóstico Diferencial , Granuloma/diagnóstico por imagem , Granuloma/patologia , Granuloma/cirurgia , Humanos , Masculino , Meningite Fúngica/patologia , Meningite Fúngica/cirurgia , Pessoa de Meia-Idade , Exame Neurológico , Paracoccidioidomicose/patologia , Paracoccidioidomicose/cirurgia
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