DANILO COSTA BARBOSA

Índice h a partir de 2011
3
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina

Filtros

Limpar filtros

Configurações

Resultados de Busca

Agora exibindo 1 - 3 de 3
  • article 11 Citação(ões) na Scopus
    Pain Relief in CRPS-II after Spinal Cord and Motor Cortex Simultaneous Dual Stimulation
    (2016) LOPEZ, William O. C.; BARBOSA, Danilo C.; TEIXEIRA, Manoel J.; PAIZ, Martin; MOURA, Leonardo; MONACO, Bernardo A.; FONOFF, Erich T.
    We describe a case of a 30-year-old woman who suffered a traumatic injury of the right brachial plexus, developing severe complex regional pain syndrome type II (CRPS-II). After clinical treatment failure, spinal cord stimulation (SCS) was indicated with initial positive pain control. However, after 2 years her pain progressively returned to almost baseline intensity before SCS. Additional motor cortex electrode implant was then proposed as a rescue therapy and connected to the same pulse generator. This method allowed simultaneous stimulation of the motor cortex and SCS in cycling mode with independent stimulation parameters in each site. At 2 years follow-up, the patient reported sustained improvement in pain with dual stimulation, reduction of painful crises, and improvement in quality of life. The encouraging results in this case suggests that this can be an option as add-on therapy over SCS as a possible rescue therapy in the management of CRPS-II. However, comparative studies must be performed in order to determine the effectiveness of this therapy.
  • article 9 Citação(ões) na Scopus
    Effects of ozone on the pain and disability in patients with failed back surgery syndrome
    (2017) BARBOSA, Danilo Costa; ÂNGELOS, Jairo Silva dos; MACENA, Gleica Maria Josino de; MAGALHÃES, Francisco Nêuton de Oliveira; FONOFF, Erich Talamoni
    Summary Introduction: Low back pain is one of the painful disorders of higher prevalence. It has several etiologies and surgery may be indicated in the presence of neurological deficits or compression syndromes. However, in up to 40% of cases, patients develop worsening of pain and failed back surgery syndrome (FBSS), which is an important cause of chronic pain with high morbidity and disability. In the last two decades, ozone has been shown to be a new therapeutic option for FBSS due to its analgesic and anti-inflammatory properties. Objective: To evaluate the effect of ozone therapy on pain and disability in patients with failed back surgery syndrome. Method: We selected 19 patients undergoing epiduroscopy and injection of ozone. Patients were evaluated preoperatively and 21 days after the procedure, using the following instruments: Visual Analogue Scale (VAS), Brief Pain Inventory, Roland-Morris Questionnaire Disability, Oswestry Disability Index (ODI), Neuropathic Pain Symptom Inventory and Douleur Neuropathique 4. Results: The patients showed significant pain relief, but no improvement was observed in the functional scales. Conclusion: Our results suggest that epidural ozone therapy can be a treatment option in FBSS to reduce the intensity of the pain.
  • article 11 Citação(ões) na Scopus
    Parallel improvement in anxiety and tics after DBS for medically intractable Tourette syndrome: A long-term follow-up
    (2016) CURY, Rubens Gisbert; LOPEZ, William Omar Contreras; GHILARDI, Maria Gabriela dos Santos; BARBOSA, Danilo Costa; BARBOSA, Egberto Reis; TEIXEIRA, Manoel Jacobsen; FONOFF, Erich Talamoni