DJALMA FELIPE DA SILVA MENENDEZ
Índice h a partir de 2011
2
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
9 resultados
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article 3 Citação(ões) na Scopus Gunshot wound to the upper cervical spine leading to instability(2014) PAIVA, Wellingson Silva; AMORIM, Robson Luis; MENENDEZ, Djalma Felipe; BROCK, Roger Schmidt; ANDRADE, Almir Ferreira De; TEIXEIRA, Manoel JacobsenGunshot wounds (GSW) to the cervical spine leading to instability are rare. Also, the presence of vital vascular and neurological structures in the surround area lead to death or severe disability in the vast majority of cases. In this brief report, we present a rare case of C1 fracture due to GSW leading to instability of the atlanto-occipital joint in a neurologically intact patient.- Perineurioma of the posterior interosseous nerve: surgical treatment(2013) MENENDEZ, Djalma Felipe da Silva; MARTINS, Roberto Sergio; SIQUEIRA, Mario Gilberto; SILVA, Igor Araujo Ferreira da; CAVALCANTE, Livia Barreiro; FALZONI, Roberto; FORONI, Luciano Henrique Lopes; TEIXEIRA, Manoel Jacobsen
- Neonate Brain Abscess by Cronobacter spp: A Powdered Infant Formula's Opportunistic Pathogen(2022) MORAIS, Barbara Albuquerque; MENENDEZ, Djalma Felipe Da Silva; RIBEIRO, Iuri Santana Neville; BORSETTO, Cibeli Ribeiro; NASCIMENTO, Fernando De Sousa; TEIXEIRA, Manoel JacobsenCronobacter spp is an opportunistic pathogen that can cause severe neonatal infections, including septicemia, meningitis, and necrotizing enterocolitis. Over 90% of these infections outbreaks are associated with the increased consumption of powdered infant formula (PIF). We report the case of a male neonate born at term with adequate weight for gestational age, fed by breast milk and PIF. He was admitted to the ICU at 22 days old due to fever, irritability, impaired consciousness, and food intolerance. Investigation revealed an extensive abscess in the right frontoparietal region, that was surgically drained. The culture of the purulent material showed the growth of Cronobacter spp. Guided antibiotic was kept for 21 days. The patient presented a good clinical outcome, without neurological deficits. The microbiological powdered formula contamination by Enterobacter sakazakii (Cronobacter spp) can lead to a higher risk of severe infections in infants. Children may present sepsis, sensory alteration, and refractory seizures. An early brain image should be considered for symptomatic infants. The mortality rate ranges from 40 to 80%, and 74% of survivors have an adverse neurological outcome. From 1997-2013, there were reports of 6 outbreaks of E. sakazakii disease in Brazil. According to the World Health Organization (WHO), this disease is undernotified, and active foodborne surveillance systems are less than ideal. To better address this problem, in some countries, the notification is mandatory, and the adoption of stricter sanitary measures by regulatory agencies are proposed.
- Computed Tomographic Angiography for Cerebral Aneurysms in Spontaneous Subarachnoid Hemorrhage(2016) MENENDEZ, Djalma Felipe da Silva; NETO, Hugo Sterman; GOMES, Marcos de Queiroz Teles; ALVES, Suzana Jaize; PAIVA, Wellingson Silva; TEIXEIRA, Manoel Jacobsen; FIGUEIREDO, Eberval GadelhaComputed tomographic angiography (CTA) has recently gained popularity as an initial imaging test for spontaneous subarachnoid hemorrhage (SAH). This study evaluated 59 patients presenting aneurysmal SAH who underwent microsurgical clipping based on CTA findings alone and digital subtraction angiography (DSA) at postoperative follow-up. Multiple aneurysms were identified by CTA in 27% of patients and in 10% of patients, DSA identified aneurysms in addition to those diagnosed with CTA. The time between CTA and surgical treatment ranged from 0-4 days. Postoperative DSA revealed that 24% of patients had residual neck. The use ofCTA alonemay not be enough to detect small unruptured aneurysms in patients with multiple lesions or aneurysm remnants adjacent to an aneurysm clip. However, the advantages of CTA compared with DSA include its rapidity, reduced invasiveness, and lower cost, which allow us to proceed to ruptured aneurysm repair entirely on the basis of good-quality CTA studies.
bookPart Fístula Arteriovenosa Dural Intracraniana(2015) MENéNDEZ, Djalma Felipe da Silva; FIGUEIREDO, Eberval Gadelha- Treatment of Spontaneous Intracranial Hemorrhages: the Dilemma Continues(2015) NEVILLE, Iuri Santana; MENENDEZ, Djalma Felipe da Silva; SOUSA JUNIOR, Leonardo Moura; FIGUEIREDO, Eberval Gadelha; TEIXEIRA, Manoel JacobsenIntroduction Cerebrovascular Diseases are the major cause of death in Brazil and a public health issue in the world. Methods Review of the literature using the MEDLINE's data bank. We have searched the keywords ""intracerebral"" and ""hemorrhages"" in the title and abstract. Results Intracranial hemorrhages (ICH) affect, mainly, the cerebral lobes, basal ganglia, thalamus, brain stem and the cerebellum as a result of the rupture of diseased cerebral vessels by the effects of hypertension or amyloid angiopathy. Diagnosis can be done with the use of a non-contrast computed tomography (CT), magnetic resonance imaging (MRI) and cerebral angiogram (useful in investigation of the etiology). Treatment can be divided in clinical and surgical. This decision still should be taken considering individual features, such as patient's age and neurological status, hematoma's size and deep, time between ictus and the procedure, presence of hydrocephalus and compressive effects. The studies has shown a preference for the minimally invasive procedures, since the secondary brain lesions caused by the surgery tend to be less. Conclusion The choice of what would be the best strategy to treat the ICH is still a challenge and this decision should be taken individually.
- Surgical treatment of an anterior cranial fossa dural fistula(2013) ROZ, Leila Maria Da; MONACO, Bernardo Assumpcao de; MENENDEZ, Djalma Felipe da Silva; CASAROLLI, Cesar; FIGUEIREDO, Eberval Gadelha; TEIXEIRA, Manoel Jacobsen
conferenceObject EARLY SURGERY FOR FRONTAL DEPRESSED SKULL FRACTURE IS NOT ASSOCIATED WITH BETTER OUTCOME(2014) NEVILLE, Iuri S.; AMORIM, Robson Luis Oliveira de; PAIVA, Wellingson Silva; SANDERS, Felipe Hada; SILVA, Vinicius Trindade Gomes da; MENENDEZ, Djalma Felipe S.; ANDRADE, Almir Ferreira de- Chordoid glioma: Case report and review of the literature(2015) MORAIS, Barbara A.; MENENDEZ, Djalma F. S.; MEDEIROS, Raphael S. S.; TEIXEIRA, Manoel J.; LEPSKI, Guilherme A.INTRODUCTION: Chordoid glioma is a rare low-grade brain tumor originating from the anterior wall of the third ventricle. CASE PRESENTATION: A 13-year-old female with progressive intermittent holocranial headaches and a diagnosis of chordoid glioma underwent tumor resection in our neuro-oncology unit. DISCUSSION: We review all 79 cases of chordoid glioma reported in the literature so far, focusing on the diagnostic criteria, treatment options and prognosis. CONCLUSION: Efficient treatment of chordoid glioma depends upon radical surgical resection. Based on the reviewed data, which showed high morbi-mortality rates for this kind of tumor, we recommend a more conservative treatment approach. (C) 2015 The Authors.