Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 19 de 19
Filtrar
Mais filtros










Intervalo de ano de publicação
1.
Clin Neurophysiol ; 120(3): 632-5, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19201647

RESUMO

OBJECTIVE: A characteristic feature of spinocerebellar ataxia type 2 (SCA2) is saccadic slowing at early disease stages. We sought to determine whether this sign is detectable before clinical manifestation and quantifies the disease progression throughout life in linear fashion. METHODS: In a specialized ataxia clinic, 54 presymptomatic carriers of SCA2 polyglutamine expansions and 56 relatives without mutation were documented with regard to their maximal saccade velocity (MSV). RESULTS: Among the control individuals, a significant effect of aging on MSV was observed. After elimination of this age influence through a matched-pair approach, a presymptomatic decrease of MSV could be shown. The MSV reduction was stronger in carriers of large expansions. In the years before calculated disease manifestation, the MSV impairment advanced insidiously. CONCLUSION: Saccade velocity is a sensitive SCA2 endophenotype that reflects early pontine degeneration and may be a useful diagnostic parameter before the onset of ataxia. SIGNIFICANCE: Future neuroprotective therapies of polyglutamine neurodegeneration may be assessed by MSV from earliest to prefinal disease stages.


Assuntos
Transtornos da Motilidade Ocular/etiologia , Transtornos da Motilidade Ocular/fisiopatologia , Músculos Oculomotores/fisiopatologia , Movimentos Sacádicos/fisiologia , Ataxias Espinocerebelares/complicações , Ataxias Espinocerebelares/fisiopatologia , Adolescente , Adulto , Idoso , Ataxinas , Cerebelo/fisiopatologia , Progressão da Doença , Diagnóstico Precoce , Feminino , Heterozigoto , Humanos , Masculino , Pessoa de Meia-Idade , Proteínas do Tecido Nervoso/genética , Vias Neurais/fisiopatologia , Transtornos da Motilidade Ocular/diagnóstico , Músculos Oculomotores/inervação , Valor Preditivo dos Testes , Prognóstico , Ataxias Espinocerebelares/diagnóstico , Adulto Jovem
2.
Clin Neurophysiol ; 120: 632-635, 2009. graf
Artigo em Inglês | CUMED | ID: cum-42344

RESUMO

A characteristic feature of spinocerebellar ataxia type 2 (SCA2) is saccadic slowing at early disease stages. We sought to determine whether this sign is detectable before clinical manifestation and quantifies the disease progression throughout life in linear fashion. In a specialized ataxia clinic, 54 presymptomatic carriers of SCA2 polyglutamine expansions and 56 relatives without mutation were documented with regard to their maximal saccade velocit Spinocerebellar ataxia type 2 Among the control individuals, a significant effect of aging on MSV was observed. After elimination of this age influence through a matched-pair approach, a presymptomatic decrease of MSV could be shown. The MSV reduction was stronger in carriers of large expansions. In the years before calculated disease manifestation, the MSV impairment advanced insidiously.Saccade velocity is a sensitive SCA2 endophenotype that reflects early pontine degenerationPolyglutamine expansion and may be a useful diagnostic parameter before the onset of ataxia. Significance: Future neuroprotective therapies of polyglutamine neurodegeneration may be assessed by MSV from earliest to prefinal disease stages...(AU)


Assuntos
Humanos
3.
Clin Genet ; 74: 571-573, 2008. graf, tab
Artigo em Inglês | CUMED | ID: cum-42343

RESUMO

Spinocerebellar ataxia type 2 (SCA2, OMI health, reproductive, financial matters, and183090) belongs to a group of hereditary family planning. Therefore, we undertook a sur-neurodegenerative diseases caused by the expan- vey of the age of onset in a cohort of SCA2sion of a CAG repeat tract in coding regions of patinovel genes. This group includes Huntingtonsdisease (HD), spinal and bulbar muscularatrophy (SBMA), dentatorubral-pallidoluysianatrophy, and the spinocerebellar ataxias type 1,3, 6, 7, and 17 (1). These mutations show a veryhigh penetrance, and they follow an autosomaldominant inheritance pattern with the onlyexception of SBMA (X-linked); each descendantof an affected patient has an a priori risk of 50%.However, it has been proven that the empiric riskof having inherited the mutation causing HD orSCA3 (Machado–Joseph disease) lessens withadvancing age (2, 3). This fact has significantimplications in the genetic counseling of at-riskindividuals. The accuracy and precision that areachieved in the estimate of the risk of developinga certain hereditary illness will have a very...(AU)


Assuntos
Humanos , Ataxias Espinocerebelares , Degenerações Espinocerebelares , Ataxias Espinocerebelares/diagnóstico
4.
Ann N Y Acad Sci ; (1039): 524-527, 2005. graf
Artigo em Inglês | CUMED | ID: cum-42346

RESUMO

Spinocerebellar ataxia type 2 (SCA2) is an autosomal-dominant disorder mani-festing with gait, limb, and speech incoordination, and with distinctive symptomssuch as early slowing of horizontal eye movements and early neuropathy.1–3 Neuro-pathological analysis has demonstrated severe olivopontocerebellar atrophy (OPCA)early in the course of disease, progressing to involve the anterior horn, substantia ni-gra, thalamus, and somatosensory pathways.4,5 Clinical onset is usually in midlife,but has been observed to range from 1 to 65 years of age, depending on the size ofthe underlying mutation, a CAG (cytosine-adenine-guanine)-trinucleotide repeat ex-pansion in exon 1 of the SCA2 gene...(AU)


Assuntos
Humanos , Ataxias Espinocerebelares , Atrofias Olivopontocerebelares
5.
Ann N Y Acad Sci ; 1039: 524-7, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15827014

RESUMO

We measured in 82 spinocerebellar ataxia type 2 (SCA2) patients and in 80 controls maximal saccade velocity (MSV) and correlated it to polyglutamine expansion size and disease duration. MSV is strongly decreased in SCA2 patients and is influenced mostly by polyglutamine size.


Assuntos
Transtornos da Motilidade Ocular/fisiopatologia , Movimentos Sacádicos/fisiologia , Ataxias Espinocerebelares/diagnóstico , Adolescente , Adulto , Idade de Início , Idoso , Biomarcadores , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Peptídeos/análise , Fatores de Tempo
6.
Rev Neurol ; 33(5): 428-34, 2001.
Artigo em Espanhol | MEDLINE | ID: mdl-11727209

RESUMO

INTRODUCTION: Dysautonomic features are the clinical signs and symptoms derived from anomalous functioning of the sympathetic or parasympathetic nervous systems in either the peripheral or central parts. OBJECTIVE: To identify the clinical features related to dysautonomia in a patient with spinocerebellar ataxia with severe functional disability. PATIENTS AND METHODS: We studied a series of cases, including 21 patients with severe disability (confirmed to their bed or wheelchair, unable to walk and totally or partly dependent on other people for essential everyday activities). The patients and their families were closely questioned, and full clinical examination included a test for orthostasia. RESULTS: All patients had some signs of peripheral dysautonomia: all had vasomotor disorders (orthostasia, distal pallor and coldness, Raynaud s phenomenon, etc.), 95.2% (constipation, urinary and rectal incontinence, polachuria, palpitations, tachycardia at rest, etc.), exocrine gland disorders in 71.4% (increased lachrymation, reduced sweating, increased or reduced salivation), 87.5% peripheral tissue nutrition disorders. Similarly, in all patients studied there was evidence of central dysautonomic disorder, with a syndrome of cachexia with bulimia, sleep disorders together with dysregulation of thirst and body temperature. CONCLUSIONS: In patients with type 2 hereditary spinocerebellar ataxia with severe disability there was involvement of the peripheral and central nervous system regulating autonomic function.


Assuntos
Sistema Nervoso Periférico/fisiopatologia , Síndrome de Shy-Drager/diagnóstico , Síndrome de Shy-Drager/fisiopatologia , Ataxias Espinocerebelares/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atrofias Olivopontocerebelares/patologia , Índice de Gravidade de Doença
7.
Rev. neurol. (Ed. impr.) ; 33(12): 1129-1136, 16 dic., 2001.
Artigo em Es | IBECS | ID: ibc-27311

RESUMO

Introducción. La ataxia espinocerebelosa tipo 2 tiene la mayor prevalencia del mundo en la provincia de Holguín (Cuba). Es causada por la expansión de una secuencia de CAG contenida en el gen SCA2, y se caracteriza por una gran variabilidad en su expresión clínica y electrofisiológica, aun intrafamiliarmente. La identificación de factores que expliquen esta variabilidad podría conducir al descubrimiento de vías terapéuticas que retarden el comienzo de la enfermedad. Objetivo. Con el propósito de contribuir al conocimiento de dicha variabilidad fenotípica hemos desarrollado esta investigación. Pacientes y métodos. Primero determinamos el número exacto de repeticiones de CAG en una muestra de 52 pacientes SCA2, y luego practicamos estudios electrofisiológicos (estudios de conducción nerviosa periférica y sensitiva, PESS de nervio mediano y tibial posterior así como reflejo H). Resultados. Se identificaron dos grupos bien diferenciados entre sí. El primero incluyó a los pacientes con expansiones mayores de 41 unidades de CAG, y se caracterizó por el bloqueo total de la conducción aferente y el predominio de una lesión de tipo axonal. El segundo grupo incluyó a enfermos con expansiones iguales o menores a 41 unidades de CAG, y mostró una gran variabilidad en su comportamiento electrofisiológico además de una lesión predominantemente mielínica. También demostramos la existencia de correlaciones estadísticamente significativas entre las variables electrofisiológicas y las clínicas y moleculares consideradas. Conclusiones. Estos hallazgos sugieren que para expansiones menores o iguales a 41 unidades de CAG deben estar influyendo otros factores genéticos o ambientales que provoquen la variabilidad observada y que no son significativos para las manifestaciones clínicas y electrofisiológicas en individuos con expansiones mayores de 41 unidades de CAG (AU)


Assuntos
Pessoa de Meia-Idade , Criança , Adulto , Adolescente , Idoso , Masculino , Feminino , Humanos , Estatística , Expansão das Repetições de Trinucleotídeos , Filogenia , Fenótipo , Ataxias Espinocerebelares , Cuba , Estimulação Elétrica , Eletrofisiologia , Índice de Gravidade de Doença
8.
Rev. neurol ; 33(12): 1129-1136, 2001. tab
Artigo em Espanhol | CUMED | ID: cum-36370

RESUMO

The spinocerebellar ataxia type 2 has a prevalence of 43 per 100,000 inhabitants in Holguín province,which is the highest one reported worldwide. It is due to an intergenerational CAG repeat expansion contained in the first exonof diseasecausinggene, and it is characterized by a high variability in its clinical and electrophysiological presentation, evenintrafamiliarly. Objective. Factors identification, which explains this variability, could lead to the findings of therapeuticalways that may retard the disease onset. Patients and methods. We have done this research in order to contribute to thisphenotypic variability knowledge of the different structures and functions of the nervous system. Results. By means of molecularand electrophysiological studies we have found two groups well differentiated in a 52patientsample. The first one wascharacterized by CAG repeat expansions above 41 units and by the total blockade of the afferent conduction that is, basicelectrophysiological alteration with axonal damage predominance. The second one was characterized by CAG repeat expansionslower or equal to 41 units and showed a high variability in its electrophysiological behavior with myelinic damage predominance.We realized of the existence of statistical significance correlations between the electrophysiological, clinical and molecularvariables considered. Conclusions. These findings suggest that for by CAG repeat expansions lower or equal to 41 unitsshould be affecting other genetics and/or environmental factors that explain the variability found in this group which arenot significant for clinical and electrophysiological presentation in individuals with CAG repeat expansions...(AU)


Assuntos
Humanos , Ataxias Espinocerebelares/diagnóstico , Eletrofisiologia , Disartria
9.
Rev Neurol ; 33(1): 10-6, 2001.
Artigo em Espanhol | MEDLINE | ID: mdl-11562854

RESUMO

INTRODUCTION: A patient with type 2 spino cerebellar ataxia has difficulty in carrying out alternate movements such as pronation and supination. OBJECTIVES. To evaluate the function of an automatized system for measuring disorders of alternate movements. PATIENTS AND METHODS: We studied the measurement of diadochokinesia in two groups of healthy patients, a first group (64 persons) to determine the normal intervals and a second group to validate the test (52 persons). We also studied 100 patients for validation of the system. A further 53 patients were evaluated before and after rehabilitation. RESULTS: Analysis of the basic measurements for diagnosis of duodochokinesia showed that the higher the cut off point, the greater the sensitivity of the test, whereas the opposite occurred with the specificity. Thus, regarding a higher cut off, there is a five times greater probability of a positive results in the patients than in healthy persons. However, the probability of a normal result is six times higher in healthy than in affected persons. The results of variant analysis done on patients before and after rehabilitation suggest that the presence of quantitative changes in the second study was due to the positive effect of neuro rehabilitation. CONCLUSION: The technique used is effective for differentiation of affected from healthy persons and its use is justified in the evaluation of co ordination ability after rehabilitation


Assuntos
Braço/fisiopatologia , Movimento/fisiologia , Ataxias Espinocerebelares/fisiopatologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
10.
Rev. neurol. (Ed. impr.) ; 33(5): 428-433, 1 sept., 2001.
Artigo em Es | IBECS | ID: ibc-27175

RESUMO

Introducción. Las manifestaciones disautonómicas son todos aquellos síntomas o signos clínicos que se derivan de un funcionamiento anómalo del sistema nervioso simpático o parasimpático, tanto en sus porciones periféricas como centrales. Objetivo. Identificar las manifestaciones clínicas relacionadas con disautonomías en el paciente de ataxia espinocerebelosa tipo 2 con discapacidad funcional severa. Pacientes y métodos. Se realizó un estudio de serie de casos en 21 enfermos con discapacidad severa (confinados a la cama o silla de ruedas, que no pueden deambular y dependen total o parcialmente de otra persona para realizar las actividades vitales). Se efectuó un minucioso interrogatorio clínico a enfermos y familiares, así como un examen físico exhaustivo que incluyó la prueba de ortostatismo. Resultados. El 100 por ciento de la muestra presentaron alguna manifestación disautonómica periférica: trastornos vasomotores en el 100 por ciento (ortostatismo, frialdad y palidez distal, fenómeno de Raynaud, etc.), trastornos viscerales en el 95,2 por ciento (constipación, incontinencia vesical y rectal, polaquiuria, palpitaciones, taquicardia en reposo, etc.), glandular exocrino en el 71,4 por ciento (aumento lagrimal, sudoración disminuida, aumento o disminución salival), nutritivo tisular periférico en el 87,5 por ciento. Por otro lado, en el 100 por ciento de los enfermos estudiados se detectaron manifestaciones disautonómicas centrales dadas por un síndrome con predominio de caquexia asociada a bulimia, trastornos del sueño, disregulación de la sed y temperatura corporal. Conclusión. En los enfermos de ataxia espinocerebelosa hereditaria tipo 2 con discapacidad grave se detectó afectación del sistema nervioso central y periférico regulador de la función autónoma (AU)


Assuntos
Pessoa de Meia-Idade , Adulto , Idoso de 80 Anos ou mais , Idoso , Masculino , Feminino , Humanos , Síndrome de Shy-Drager , Sistema Nervoso Periférico , Atrofias Olivopontocerebelares , Ataxias Espinocerebelares , Índice de Gravidade de Doença
11.
Rev. neurol. (Ed. impr.) ; 33(1): 10-16, 1 jul., 2001.
Artigo em Es | IBECS | ID: ibc-20746

RESUMO

Introducción. El paciente con ataxia espinocerebelosa tipo 2 presenta dificultades en la ejecución de los movimientos alternativos tales como la pronación y la supinación. Objetivos. Evaluar el desempeño del sistema automatizado para la cuantificación de los trastornos de los movimientos alternativos. Pacientes y métodos. Estudiamos la cuantificación de la diadococinesia en dos grupos de sujetos sanos, un primer grupo (64 sujetos) para la determinación de los intervalos de normalidad y el segundo para la validación de la prueba (52 sujetos). Además, fueron incluidos 100 enfermos para realizar la validación del sistema. Otros 53 pacientes se evaluaron antes y después de la rehabilitación. Resultados. El análisis de las medidas básicas para la discriminación diagnóstica de la diadococinesia demostró que la sensibilidad del test era mayor mientras mayor era el punto de corte, y que al analizar la especificidad ocurría un efecto contrario. Así, respecto al punto de corte mayor, la probabilidad de un resultado positivo es aproximadamente cinco veces superior en los enfermos que en los no enfermos, pero la probabilidad de un resultado negativo es seis veces mayor en los no enfermos que en los enfermos.Los resultados del análisis de varianza realizado a pacientes antes y después de la rehabilitación sugirió la existencia de cambios cuantitativos en el segundo estudio como traducción del efecto positivo de la neurorrehabilitación. Conclusión. La técnica empleada es eficaz en la diferenciación de los sujetos enfermos de los sanos y justifica el empleo de las mismas en la evaluación de las capacidades coordinativas tras la rehabilitación (AU)


Assuntos
Pessoa de Meia-Idade , Criança , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Masculino , Feminino , Humanos , Potenciais Evocados P300 , Eletroencefalografia , Reprodutibilidade dos Testes , Movimento , Desempenho Psicomotor , Valores de Referência , Tempo de Reação , Ataxias Espinocerebelares , Braço
12.
Rev. neurol ; 33(1): 10-16, 2001. tab
Artigo em Espanhol | CUMED | ID: cum-36371

RESUMO

A patient with type 2 spinocerebellar ataxia has difficulty in carrying out alternate movements such aspronation and supination. Objectives. To evaluate the function of an automatized system for measuring disorders of alternatemovements. Patients and methods. We studied the measurement of diadochokinesia in two groups of healthy patients, a first group (64persons) to determine the normal intervals and a second group to validate the test (52 persons). We also studied 100 patients forvalidation of the system. A further 53 patients were evaluated before and after rehabilitation. Results. Analysis of the basic measurementsfor diagnosis of diadochokinesia showed that the higher the cutoff point, the greater the sensitivity of the test, whereas the oppositeoccurred with the specificity. Thus, regarding a higher cutoff, there is a five times greater probability of a positive results in the patientsthan in healthy persons. However, the probability of a normal result is six times higher in healthy than in affected persons. The resultsof variant analysis done on patients before and after rehabilitation suggest that the presence of quantitative changes in the second studywas due to the positive effect of neurorehabilitation...(AU)


Assuntos
Humanos , Ataxias Espinocerebelares , Extremidade Superior , Transtornos dos Movimentos
13.
Rev Neurol ; 33(12): 1129-36, 2001.
Artigo em Espanhol | MEDLINE | ID: mdl-11785050

RESUMO

INTRODUCTION: The spinocerebellar ataxia type 2 has a prevalence of 43 per 100,000 inhabitants in Holguín province, which is the highest one reported worldwide. It is due to an intergenerational CAG repeat expansion contained in the first exon of disease causing gene, and it is characterized by a high variability in its clinical and electrophysiological presentation, even intrafamiliarly. OBJECTIVE: Factors identification, which explains this variability, could lead to the findings of therapeutical ways that may retard the disease onset. PATIENTS AND METHODS: We have done this research in order to contribute to this phenotypic variability knowledge of the different structures and functions of the nervous system. RESULTS: By means of molecular and electrophysiological studies we have found two groups well differentiated in a 52-patient sample. The first one was characterized by CAG repeat expansions above 41 units and by the total blockade of the afferent conduction that is, basic electrophysiological alteration with axonal damage predominance. The second one was characterized by CAG repeat expansions lower or equal to 41 units and showed a high variability in it s electrophysiological behavior with myelinic damage predominance. We realized of the existence of statistical significance correlations between the electrophysiological, clinical and molecular variables considered. CONCLUSIONS: These findings suggest that for by CAG repeat expansions lower or equal to 41 units should be affecting other genetics and/or environmental factors that explain the variability found in this group which are not significant for clinical and electrophysiological presentation in individuals with CAG repeat expansions above 41 units.


Assuntos
Ataxias Espinocerebelares/fisiopatologia , Expansão das Repetições de Trinucleotídeos/genética , Adolescente , Adulto , Idoso , Criança , Cuba , Estimulação Elétrica , Eletrofisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fenótipo , Filogenia , Índice de Gravidade de Doença , Ataxias Espinocerebelares/classificação , Ataxias Espinocerebelares/genética , Estatística como Assunto
16.
Rev. esp. pediatr. (Ed. impr.) ; 56(5): 437-441, sept. 2000.
Artigo em Es | IBECS | ID: ibc-3889

RESUMO

Se realizó un estudio de serie de casos en una familia con síndrome de Frágil X tomando como punto de partida un paciente propósito seleccionado luego de una pesquisa realizada en 200 casos de riesgo entre los que se diagnosticaron dos con la enfermedad a través de estudios moleculares. Se confeccionó el árbol genealógico y se estudiaron los casos de riesgo de acuerdo con el patrón de herencia de la enfermedad de tres generaciones. Se detectaron tres hembras con mutaciones completas y sin fenotipo y otra con una premutación y con estigmas de la enfermedad.Se encontraron dos varones de cuarta generación con las características clínicas del síndrome Frágil X, uno con una mutación completa y otra con una premutación (AU)


Assuntos
Feminino , Masculino , Humanos , Síndrome do Cromossomo X Frágil/genética , Linhagem , Predisposição Genética para Doença , Biologia Molecular
17.
Rev. esp. pediatr. (Ed. impr.) ; 56(5): 434-436, sept. 2000.
Artigo em ES | IBECS | ID: ibc-3888

RESUMO

Se presenta una pareja, ambos heterocigotos para la fucosidosis y con antecedentes de haber tenido una hija con la enfermedad, asistieron a la consulta de asesoramiento genético con una gestación de 15 semanas. Se realizó amniocentesis y cultivo de líquido amniótico a las 16 semanas de embarazo. A las células cultivadas se les practicaron estudios para determinar la actividad enzimática de la alfa-1-fucosidasa, y además se aisló ADN, al cual se le hizo PCR.Se concluyó que el feto era un heterocigoto para la fucosidosis. Se efectuó una comparación del diagnóstico por el método bioquímico y el estudio molecular (AU)


Assuntos
Gravidez , Feminino , Masculino , Humanos , Fucosidose/diagnóstico , Diagnóstico Pré-Natal , Doenças Fetais/diagnóstico , Aconselhamento Genético
18.
Rev. esp. pediatr ; 55(328): 342-4, jul.-ago. 1999. ilus
Artigo em Espanhol | CUMED | ID: cum-16728

RESUMO

Se realizó un estudio de 18 familias de pacientes con diagnóstico de sordera hereditaria no sindrómica, residentes en la provincia de Holguín, Cuba, con el objetivo de realizar su caracterización genotípica. Se realizaron estudios audiométricos a los padres de los casos propósitos y, en los casos que fueron positivos, se les hizo además a otros miembros de la familia por la vía parental afectada. Se concluyó, que el patrón de herencia autosómico dominante fue el más frecuente y se comprobó que existía expresividad variable y penetrancia reducida del gen lo que podía llevar a confusión sobre el tipo de herencia (AU)


Assuntos
Surdez/genética , Genótipo , Audiometria/métodos , Linhagem
19.
Rev. esp. pediatr ; 55(4): 342-44, 1999. graf
Artigo em Espanhol | CUMED | ID: cum-21467

RESUMO

Se realizó un estudio de 18 familias de pacientes con diagnóstico de sordera hereditaria no sindrómica, residentes en la Provincia de Holguín, Cuba con el objetivo de realizar su caracterización genotípica. Se realizaron estudios audiométricos a los padres de los casos propósitos y, en los casos que fueron positivos, se les hizo además a otros miembros de la familia por vía parenteral afectada. Se concluyó, que el patrón de herencia autosómico dominante fue el más frecuente y se comprobó que existía expresividad variable y penetrancia reducida del gen lo que podía llevar a confusión sobre el tipo de herencia


Assuntos
Humanos , Potenciais Evocados Auditivos/genética , Audiometria , Surdez/congênito , Surdez/genética , Surdez/diagnóstico
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...