PAULO EURIPEDES MARCHIORI

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Departamento de Neurologia, Faculdade de Medicina - Docente
LIM/45 - Laboratório de Fisiopatologia Neurocirúrgica, Hospital das Clínicas, Faculdade de Medicina

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Agora exibindo 1 - 10 de 27
  • conferenceObject
    Non-organ-specific auto-immunity disease in NMO-spectrum disorders - Brazilian experience
    (2012) APOSTOLOS-PEREIRA, S.; JORGE, F.; ZAGO, P.; SIMM, R.; FAZZITO, M.; GALVAO, C.; HOBI, C.; LANA-PEIXOTO, M.; MARCHIORI, P.; DELLAVANCE, A.; CALLEGARO, D.
  • bookPart
    Miastenia Gravis
    (2016) PEREIRA, Samira Luisa Apostolos; MARCHIORI, Paulo Eurípedes
  • article 8 Citação(ões) na Scopus
    Neuroinfection survey at a neurological ward in a Brazilian tertiary teaching hospital
    (2011) MARCHIORI, Paulo E.; LINO, Angelina M. M.; MACHADO, Luis R.; PEDALINI, Livia M.; BOULOS, Marcos; SCAFF, Milberto
    OBJECTIVES: This study was undertaken to characterize the neuroinfection profile in a tertiary neurological ward. INTRODUCTION: Neuroinfection is a worldwide concern and bacterial meningitis, tetanus and cerebral malaria have been reported as the commonest causes in developing countries. METHODS: From 1999 to 2007, all patients admitted to the Neurology Ward of Hospital das Clinicas, Sao Paulo University School of Medicine because of neuroinfection had their medical records reviewed. Age, gender, immunological status, neurological syndrome at presentation, infectious agent and clinical outcome were recorded. RESULTS: Three hundred and seventy four cases of neuroinfectious diseases accounted for 4.2% of ward admissions and the identification of infectious agent was successful in 81% of cases. Mean age was 40.5 +/- 13.4 years, 63.8% were male, 19.7% were immunocompromised patients and meningoencephalitis was the most common clinical presentation despite infectious agent. Viruses and bacteria were equally responsible for 29.4% of neuroinfectious diseases; parasitic, fungal and prion infections accounted for 28%, 9.6% and 3.5% respectively. Human immunodeficiency virus (HIV), herpes simplex virus 1 (HSV1), Mycobacterium tuberculosis, Treponema pallidum, Taenia solium, Schistosoma mansoni, Cryptococcus neoformans and Histoplasma capsulatum were the more common infectious pathogens in the patients. Infection mortality rate was 14.2%, of which 62.3% occurred in immunocompetent patients. CONCLUSION: Our institution appeared to share some results with developed and developing countries. Comparison with literature may be considered as quality control to health assistance.
  • conferenceObject
    IMPACT OF DETRUSOR SPHINCTER DYSSYNERGIA ON CLINICAL AND URODYNAMIC PARAMETERS OF PATIENTS WITH NEUROMYELITIS OPTICA
    (2012) CARVALHO, Fabricio; GOMES, Cristiano; PEREIRA, Samira; BESSA JR., Jose; CALLEGARO, Dagoberto; MARCHIORI, Paulo; BRUSCHINI, Homero; SROUGI, Miguel
  • conferenceObject
    Clinical Course of LETM Associated with Neuroschistosomiasis
    (2013) APOSTOLOS-PEREIRA, Samira; MARCHIORI, Paulo; MACHADO, Luis; LIVRAMENTO, Jose; GOMES, Helio; LUCATO, Leandro; CALLEGARO, Dagoberto
  • article 4 Citação(ões) na Scopus
    Cor pulmonale in a patient with Brown-Vialetto-Van Laere syndrome: A case report
    (2011) SILVA-JUNIOR, Francisco Pereira da; MOURA, Rafael de Deus; ROSEMBERG, Sergio; MARCHIORI, Paulo Euripedes; CASTRO, Luiz Henrique Martins
    Brown-Vialetto-Van Laere syndrome (BVVLS) is a rare neurological disease characterized by sensorineural hearing loss and multiple cranial nerve palsies, usually involving the VIIth and IXth to XIIth cranial nerves. We describe the clinical and pathological features of a 33-year-old woman with BVVLS. The patient developed progressive exertional dyspnea, with clinical and laboratory findings of right-sided heart failure and pulmonary hypertension. She developed status epilepticus in the setting of cardiac deterioration and respiratory infection, and died of cardiogenic and septic shock. Autopsy disclosed bilateral neuronal loss and gliosis in the inferior colliculi, locus coeruleus and facial and vestibular nuclei. Cor pulmonale is a complication of hypoventilation-induced hypoxia and hypercapnia and had not yet been reported in BVVLS.
  • article 23 Citação(ões) na Scopus
    Psychogenic non-epileptic seizures and psychoanalytical treatment: results
    (2014) SANTOS, Niraldo de Oliveira; BENUTE, Glaucia Rosana Guerra; SANTIAG, Alessandra; MARCHIORI, Paulo Euripedes; LUCIA, Mara Cristina Souza de
    Background: the occurrence of psychogenic non-epileptic seizures (PNES) is estimated to be between 2 to 33 cases in every 100,000 inhabitants. The number of patients with PNES reaches 19% of those treated as epileptics. Patients with PNES are treated as if they had intractable epilepsy, with unsatisfactory results even after medication treatment is used to its maximum. The aim of this study is to present the effects of individual psychoanalytical treatment in patients with PNES, assessing its impact in the evolution of the clinical picture and its association with sex, time of disease, social, psychological and professional harm, as well as going through with treatment. Methods: The case base was composed of 37 patients with PNES. The diagnosis was reached with video-EEG monitoring. Psychoanalytical treatment was carried out through 12 months of weekly sessions timed for around 50-minutes each, in a total of 48 individual sessions. Results: This study found a high rate of success in the treatment of PNES patients. 29.7% (n=11) of patients had cessation or cure of symptoms and 51.4% (n=19) had a decrease in the number of episodes. There is an association between cessation or decrease in the number of episodes and sex (p<0.01), religion (p<0.01) and concluding treatment (p<0.01). Conclusion: Individual psychoanalytical treatment applied to patients with PNES is considered effective and can be an essential form of assistance for the reduction or cessation of episodes.
  • article 2 Citação(ões) na Scopus
    Takayasu's arteritis and cerebral venous thrombosis: comorbidity or coincidence?
    (2012) NOGUEIRA, Ricardo de Carvalho; OLIVEIRA, Emanoela Faro de; CONFORTO, Adriana Bastos; BOR-SENG-SHU, Edson; PUGLIA, Paulo; LUCATO, Leandro Tavares; MARCHIORI, Paulo Euripedes
  • article 6 Citação(ões) na Scopus
    Unilateral non traumatic vertebral artery dissection with cervical spinal cord infarction
    (2012) TAKAHASHI, Patricia Gushiken; CURY, Rubens Gisbert; LOPES, Camila Galvao; SIMABUKURO, Mateus Mistieri; MARCHIORI, Paulo Euripedes
  • article 9 Citação(ões) na Scopus
    Unilateral central retinal artery occlusion as the sole presenting sign of Susac syndrome in a young man: case report
    (2013) APOSTOLOS-PEREIRA, Samira Luiza dos; KARA-JOSE, Lucia B. Passos; MARCHIORI, Paulo Euripedes; MONTEIRO, Mario Luiz Ribeiro
    We report the case of a 24-year-old man presenting with sudden visual loss in the left eye from a central retinal artery occlusion. An extensive clinical investigation revealed no etiology. Three weeks later, however, the patient developed hearing loss followed by encephalopathy and multiple branch retinal artery occlusions in the right eye. Fluorescein angiography confirmed retinal vascular occlusions with no sign of vasculitis. The neurological examination revealed a diffuse encephalopathy while the MRI scan disclosed several small areas of infarcts in the brain. Bilateral sensorineural hearing loss was confirmed on audiometry. The patient was diagnosed with Susac syndrome and treated with methylprednisolone and cyclophosphamide, resulting in slight improvement and stabilization. This case shows that Susac syndrome may be diagnosed late due to the absence at onset of one or more of the symptoms of the classic triad (encephalopathy, multiple branch retinal artery occlusions and hearing loss). This case also serves to emphasize that Susac syndrome should be considered in the differential diagnosis of central retinal artery occlusion, even in apparently healthy young men.