HERVAL RIBEIRO SOARES NETO
Índice h a partir de 2011
2
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
8 resultados
Resultados de Busca
Agora exibindo 1 - 8 de 8
- Rapidly progressive dementia in a neurologic unit of a tertiary hospital in Brazil(2015) STUDART NETO, A.; SOARES NETO, H.; SIMABUKURO, M.; GONCALVES, M.; FORTINI, I. D. A.; CASTRO, L.; NITRINI, R.
conferenceObject Therapeutic strategies of rituximab in NMOSD and MOGAD patients: multicenter cohort study in Latin America(2022) CONTENTTI, E. Carnero; LOPEZ, P.; CRINITI, J.; PETTINICCHI, J.; CARIDE, A.; CORREA-DIAZ, E. P.; GRANDA, A. M. Toral; YEPEZ, M. A. Ortiz; PACHACAMA, W. A. Gualotuna; ANDRADE, J. S. Piedra; MARQUES, V. Daccach; CONTRERAS, E. Bribiesca; GOMEZ-FIGUEROA, E.; FLORES, J.; GALLEGUILLOS, L.; NAVAS, C.; SOARES NETO, H.; CRISITIANO, E.; PATRUCCO, L.; BECKER, J.; HAMUY, F.; ALONSO, R.; SILVA, B.; MAN, F.; TKACHUK, V.; NADUR, D.; LANA-PEIXOTO, M.; CASTILLO, I. Soto De; ROJAS, J.- Leukoencephalopathy resolution after atypical mycobacterial treatment: a case report(2015) OLIVEIRA, Marcos C. B.; SATO, Douglas Kazutoshi; SOARES-NETO, Herval R.; LUCATO, Leandro T.; CALLEGARO, Dagoberto; NITRINI, Ricardo; MEDEIROS, Raphael S. S.; MISU, Tatsuro; FUJIHARA, Kazuo; CASTRO, Luiz H.Background: Association of leukoencephalopathy and atypical mycobacteriosis has been rarely reported. We present a case that is relevant for its unusual presentation and because it may shed further light on the pathogenic mechanisms underlying reversible encephalopathies. Case report: We report the case of a Hispanic 64-year-old woman with cognitive decline and extensive leukoencephalopathy. Magnetic resonance imaging revealed white-matter lesions with increased water diffusivity, without blood-brain-barrier disruption. Brain biopsy showed tissue rarefaction with vacuolation, mild inflammation, few reactive astrocytes and decreased aquaporin water-channel expression in the lesions. Six months later, she was diagnosed with atypical mycobacterial pulmonary infection. Brain lesions resolved after antimycobacterial treatment. Conclusion: We hypothesize leukoencephalopathic changes and vasogenic edema were associated with decreased aquaporin expression. Further studies should clarify if reversible leukoencephalopathy has a causal relationship with decreased aquaporin expression and atypical mycobacterial infection, and mechanisms underlying leukoencephalopathy resolution after antimycobacterial treatment. This article may contribute to the understanding of pathogenic mechanisms underlying magnetic resonance imaging subcortical lesions and edema, which remain incompletely understood.
conferenceObject Brainstem syndrome and longitudinally extensive transverse myelitis (LETM) as first manifestation of Adult T-Cell Leukemia/Lymphoma (ATLL)(2017) GOMES, A. B. Ayroza Galvao Ribeiro; SOARES NETO, H.; LEMOS, M. Delboni; CALLEGARO, D.; PEREIRA, S. L. ApostolosconferenceObject Assessment of Diagnostic Value and Risks of Brain Biopsy in Neurologic Disease(2016) GUEDES, Bruno; SILVA, Andre; SOLLA, Davi; CASTRO, Luiz; SOARES-NETO, Herval; NETO, Adalberto Studart; TINONE, Gisela; GONCALVES, Marcia; FORTINI, Ida; NITRINI, Ricardo- Teaching NeuroImages: Bilateral intracerebral hemorrhage in expanded dengue syndrome(2017) CAVALCANTE, Wagner Cid Palmeira; SOARES NETO, Herval Ribeiro; GRATIVVOL, Ronnyson Susano; SPERA, Raphael Ribeiro; FRASSETTO, Fernando Pereira; LUCATO, Leandro Tavares; NITRINI, Ricardo
article 25 Citação(ões) na Scopus Rapidly Progressive Dementia: Prevalence and Causes in a Neurologic Unit of a Tertiary Hospital in Brazil(2017) NETO, Adalberto Studart; NETO, Herval R. Soares; SIMABUKURO, Mateus M.; SOLLA, Davi J. F.; GONCALVES, Marcia R. R.; FORTINI, Ida; CASTRO, Luiz H. M.; NITRINI, RicardoBackground: Rapidly progressive dementia (RPD) is usually associated with Creutzfeldt-Jakob disease, a fatal condition. Current advances in the understanding of immune-mediated diseases allow the diagnosis of previously unrecognized treatable RPDs. Objective of the Study: The objective of the study was to describe the prevalence and causes of RPD in a neurology service, identifying potentially reversible causes. Methods: We carried out a cross-sectional evaluation of all patients admitted to the neurology unit of a tertiary hospital in Brazil between March 2012 and February 2015. We included patients who had progressed to moderate or severe dementia within a few months or up to 2 years at the time of hospitalization, and used multivariable logistic regression analysis to identify factors associated with a favorable outcome. Results: We identified 61 RPD (3.7%) cases among 1648 inpatients. Mean RPD patients' age was 48 years, and median time to progression was 6.4 months. Immune-mediated diseases represented the most commonly observed disease group in this series (45.9% of cases). Creutzfeldt-Jakob disease (11.5%) and nonprion neurodegenerative diseases (8.2%) were less common in this series. Outcome was favorable in 36/61 (59.0%) RPD cases and in 28/31 (89.3%) of immune-mediated cases. Favorable outcome was associated with shorter time from symptom onset to diagnosis and abnormal cerebrospinal fluid findings. Conclusions: Immune-mediated diseases were the most common cause of RPD in this series. Timely evaluation and diagnosis along with institution of appropriate therapy are required in RPD, especially in view of potentially reversible causes.- Capgras syndrome associated with limbic encephalitis in a patient with diffuse large B-cell lymphoma(2016) SOARES NETO, Herval Ribeiro; CAVALCANTE, Wagner Cid Palmeira; MARTINS FILHO, Sebastião Nunes; SMID, Jerusa; NITRINI, RicardoWe report the case of a patient with insidious onset and slowly progressive cognitive impairment, behavioral symptoms, temporal lobe seizures and delusional thoughts typical of delusional misidentification syndromes. Clinical presentation along with extensive diagnostic work-up revealed limbic encephalitis secondary to diffuse large B-cell lymphoma. The patient underwent immunotherapy with high-dose corticosteroid but no significant improvement was observed. No specific treatment for lymphoma was performed because the patient died of septic shock following a nosocomial respiratory infection. Delusional misidentification syndromes are an unusual and unique form of cognitive impairment in which a patient consistently misidentifies persons, places, objects, or events. Capgras syndrome is the most common subtype of this disorder, being defined by the recurrent and transient belief that someone close has been substituted by an imposter. These entities are generally associated with neurodegenerative diseases and psychiatric disturbances. Rare reports of associations between misidentification syndromes and autoimmune diseases such as multiple sclerosis have been published, but no papers address a correlation with limbic encephalitis or lymphoma.