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
4 resultados
Resultados de Busca
Agora exibindo 1 - 4 de 4
- 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