Percorrer por autor "Maré, R"
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- Diversity in anti-N-methyl-D-aspartate receptor encephalitis: case-based evidencePublication . Pinho, J; Rocha, J; Rodrigues, M; Pereira, J; Maré, R; Ferreira, C; Lourenço, E; Beleza, PAntibodies against N-methyl-D-aspartate receptor (NMDAR) are identified in the form of immune-mediated encephalitis in which typical manifestations include neuropsychiatric symptoms, seizures, abnormal movements, dysautonomia and hypoventilation. The authors report two cases of anti-NMDAR encephalitis with different presentations and patterns of progression. The first patient presented with status epilepticus and later developed psychosis, pyramidal signs and diffuse encephalopathy. The second patient presented with acute psychosis followed a week later by seizures, dystonia, rigidity, oromandibular dyskinesias and dysautonomia. Possible mechanisms responsible for the clinical manifestations of this disease are discussed in light of recently described additional clinical and laboratory findings.
- Epilepsia Mioclónica Progressiva: à procura do diagnóstico genéticoPublication . Pinho, J; Rocha, S; Maré, R; Lourenço, E
- Intravenous thrombolysis is more effective in ischemic cardioembolic strokes than in non-cardioembolic?Publication . Rocha, S; Pires, A; Gomes, J; Sousa, F; Pinho, J; Rodrigues, M; Ferreira, C; Machado, A; Maré, R; Fontes, JRIt was suggested that intravenous thrombolysis (IT) leads to larger extent recanalization in cardioembolic stroke. In this work we assess if this has beneficial clinical traduction. METHOD: We evaluated 177 patients undergoing IT, which were categorized into cardioembolic (CE) and non-cardioembolic (NCE). National Institutes of Health Stroke Scale (NIHSS) and modified Rankin scale were compared. RESULTS: The mean age was 67.4±12.01 and 53.8% were male. The mean NIHSS was: 14 (admission), 9 (24 h) and 6 (discharge), similar in subgroups. The difference between NIHSS at admission and 24 hours was 4.17±4.92 (CE: 4.08±4.71; NCE: 4.27±5.17, p=0.900) and at admission and discharge there was an average difference of 6.74±5.58 (CE: 6.97±5.68; NCE: 6.49±5.49, p=0.622). The mRS at discharge and 3 months was not significantly different by subtype, although individuals whose event was NCE are more independent at 3 months. CONCLUSION: Ours findings argue against a specific paper of IT in CE. It can result from heterogeneity of NCE group
- Isolated velopalatine paralysis associated with parvovirus B19 infectionPublication . Soares-Fernandes, JP; Maré, RA case of isolated velopalatine paralysis in an 8-year-old boy is presented. The symptoms were sudden-onset of nasal speech, regurgitation of liquids into the nose and dysphagia. Brain MRI and cerebrospinal fluid examination were normal. Infectious serologies disclosed an antibody arrangement towards parvovirus B19 that was typical of recent infection. In the absence of other positive data, the possibility of a correlation between the tenth nerve palsy and parvovirus infection is discussed.
- Posterior reversible encephalopathy syndrome and Guillain-Barre syndrome: diagnostic and therapeutic challengePublication . Sousa, F; Pinho, J; Rocha, J; Rodrigues, M; Ferreira, C; Maré, R
- Progressive myoclonic epilepsy: searching for a genetic diagnosisPublication . Pinho, J; Rocha, S; Maré, R; Lourenço, E
- Recurrent post-ictal hyperthermiaPublication . Rocha, S; Sousa, F; Pinho, J; Maré, R; Machado, A
- Simultaneous supratentorial and brainstem abscesses due to Listeria monocytogenes.Publication . Soares-Fernandes, JP; Beleza, P; Cerqueira, JJ; Ribeiro, M; Maré, R; Lourenço, E; Rocha, JFMultiple supratentorial abscesses caused by Listeria monocytogenes are rare. We report the simultaneous occurrence of multiple supratentorial and brainstem abscesses due to Listeria, in a patient under corticotherapy for an exacerbation of ulcerative colitis. MR imaging features before and after successful conservative treatments are depicted. In immunocompromised patients with supratentorial listerial abscesses, the coexistence of brainstem abscedation is exceptional. Despite high mortality associated with listerial abscesses, this case illustrates the possibility of a good clinical outcome, if the appropriate antibiotic regimen is instituted and the immunosuppressant agent is discontinued.
- Sjögren-Larsson syndrome due to a novel mutation in the FALDH genePublication . Botelho-Gomes, JM; Veira, AP; Navarro, J; Maré, R; Tavares, P; Brito, C
- Trombose Venosa Cerebral com Hipertensão Intracraniana: quando a terapêutica médica falhaPublication . Rocha, S; Rodrigues, M; Maré, R; Ferreira, C; Fontes, JR