VINICIUS TRINDADE GOMES DA SILVA
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/45 - Laboratório de Fisiopatologia Neurocirúrgica, Hospital das Clínicas, Faculdade de Medicina
LIM/45 - Laboratório de Fisiopatologia Neurocirúrgica, Hospital das Clínicas, Faculdade de Medicina
11 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 11
- Petroclival Meningioma Leading to Trigeminal Neuralgia: A Kawase Approach Application(2021) SILVA, Vinicius Trindade Gomes da; GOMES, Marcos Queiroz Teles; ROZ, Leila Maria da; YAMAKI, Vitor Nagai; SANTO, Prudente do Espirito; TEIXEIRA, Manoel Jacobsen; FIGUEIREDO, Eberval GadelhaBACKGROUND: Trigeminal neuralgia is defined by paroxysmal pain on the trigeminal nerve territory. The petroclival meningioma presents with trigeminal neuralgia in less than 5% of the cases. We report a case of a petroclival meningioma that encased the fifth nerve and was resected through a Kawase approach. CLINICAL PRESENTATION: A 67-year-old female patient presented paroxysmal shock pain in malar and ocular region with progressive worsening, evolving with daily crises despite the use of carbamazepine. On neurologic examination the patient was oriented, with no strength or coordination impairments. Cranial nerves exam showed left V1, V2, and V3 thermal and pain hypoesthesia, without allodynia. Normal strength in masticatory muscles was observed. Magnetic resonance imaging revealed a petroclival lesion with hypersign on T2 and contrast enhancement, suggestive of a meningioma. The tumor encased the trigeminal nerve at the entrance of the Meckel's cave. A temporal craniotomy with middle fossa peeling and anterior petrosectomy (Kawase approach) was performed and a Simpson II resection was achieved. The patient evolved with transient sixth nerve palsy, recovering completely after 3 months. During a follow-up of 5 years there was no evidence of tumor recurrence and the patient is free from pain without medication. CONCLUSIONS: The Kawase approach is an interesting access for petro clival tumor resection.
- Bevacizumab for the Treatment of High-Grade Meningiomas: Is There New Evidence? [Letter](2022) SILVA, Vinicius Trindade Gomes da; GEBRIN, Thiago; PAIVA, Wellingson Silva
- LUMBAR SPONDYLOPTOSIS AFTER SEVERE POLYTRAUMA: A CASE REPORT(2020) KORUGA, Nenad; KORUGA, Anamarija Soldo; HECIMOVIC, Ivan; KONDZA, Goran; BAKRAN, Zarko; ZUBCIC, Vedran; ROTIM, Ante; SILVA, Vinicius Trindade Gomes daA rare case of thoracolumbar spondyloptosis after a severe polytraumatic event is presented. Spondyloptosis accounts for a minor proportion of all spine trauma cases and is usually accompanied by complete neurological deficit. A 48-year-old man suffered severe polytrauma after having been hit by a truck at the work place. Radiographic scanning revealed multiple traumatic injuries and spondyloptosis at the L1/L2 level in coronal plane. However, despite extensive injuries, ASIA score was estimated as D. The patient underwent urgent multidisciplinary surgery due to severe head injuries. The next surgery was performed to stabilize the thoracolumbar segment and to preserve neurological functions. The surgery included implantation of transpedicular titanium screws via posterior approach. Good postoperative recovery was achieved during early postoperative rehabilitation at our Department, which was estimated as ASIA score D. In conclusion, prompt operative treatment to achieve neural integrity and early rehabilitation should be considered as the gold standard in such complicated injuries. Postoperative recovery largely depends on the quality of rehabilitation, which leads to improvement of patient self-care and normal social and psychological functions. In our case, the good preoperative neurological status of the patient also contributed to better postoperative outcome.
article 2 Citação(ões) na Scopus Profilaxia de Trombose Venosa Profunda em Doentes com Traumatismo Cranioencefálico(2015) SILVA, Vinicius Trindade Gomes da; IGLESIO, Ricardo; PAIVA, Wellingson Silva; SIQUEIRA, Mario Gilberto; TEIXEIRA, Manoel JacobsenIntroduction: The risk of deep vein thrombosis is increased in patients with head trauma, but the prophylaxis against this event is confronted with the possible risk of worsening hemorrhagic injuries. In this article, we present an overview about deep vein thrombosis prophylaxis in patients with head trauma and we propose a practical protocol for clinical management of deep vein thrombosis prophylaxis. Material and Methods: We reviewed relevant papers cited in the Medline/PubMed, Cochrane, and Scielo databases from January 1998 to January 2014. Based on a search with the following search expression: ""deep venous thrombosis and prophylaxis and traumatic brain injury"", we found 44 eligible articles. Twenty-three papers were selected using criteria as published in English or Portuguese, patients in acute phase of moderate and severe traumatic brain injury and noninvasive mechanical prophylaxis or chemistry. Results: Head trauma alone is a risk factor for deep vein thrombosis. The chance of deep vein thrombosis is 2.59 times higher in patients with head trauma. The prevalence of deep vein thrombosis and pulmonary embolism in patients who have suffered head trauma is 20% in the literature, reaching 30% in some studies. Discussion and Conclusion: Head trauma alone is a risk factor for deep vein thrombosis and pulmonary thromboembolism and the risks inherent in this disease requires methods of prevention for these complications. Clinical trials are needed to establish the efficacy of prophylaxis and the best time to start medication for deep vein thrombosis in patients with traumatic brain injury.- Loss of an eye to mucormycosis following corticosteroid therapy for COVID-19(2022) RODRIGUES, M. G.; SEKIGUCHI, W. K.; GONçALVES, S.; CASAL, Y. R.; FRASSETTO, F. P.; SILVA, V. T. G. da; SANTO, M. P. D. E.; MAGRI, M. M. C.Mucormycosis is a rare, sometimes severe fungal infection that has emerged as a possible complication of COVID-19. We report a case of a non-diabetic, apparently immunocompetent patient diagnosed with rhino-orbital-cerebral mucormycosis shortly after COVID-19 treatment with dexamethasone. The patient received optimized systemic antifungal therapy and extensive surgical treatment. So far, four months after the last hospital discharge, the patient has been in good general condition. This case is a dramatic reminder that beneficial corticosteroid therapy in general inevitably carries a risk of opportunistic infection, and corticosteroid therapy for COVID-19 risks orbital-rhinocerebral mucormycosis that clinicians should watch for with vigilance. © 2021 The Author(s).
- Evoked Potentials of Caudal Cranial Nerves and Functional Outcomes in Skull Base Surgery(2017) SILVA, Vinicius Trindade Gomes; PRUDENTE, Marcelo; TEIXEIRA, Manoel J.; PAIVA, Wellingson S.
- Spheno-orbital meningiomas: Is orbit reconstruction mandatory? Long-term outcomes and exophthalmos improvement(2022) SANTOS, A. G. dos; PAIVA, W. S.; ROZ, L. M. da; SANTO, M. P. do Espirito; TEIXEIRA, M. J.; FIGUEIREDO, E. G.; SILVA, V. T. G. daBackground: Meningiomas correspond to one-third of all primary central nervous system tumors. Approximately 9% of them are spheno-orbital meningiomas (SOMs), presenting significant clinical symptoms as visual impairment and orbital esthetics. This article aims to evaluate exophthalmos’ improvement in a surgical series without orbital reconstruction. Methods: We consecutively included all patients diagnosed with SOM, admitted to a single institution for 10 years. Surgical resection was the standard of care, associated or not with adjuvant radiation therapy. The radiological investigation included preoperative and postoperative head CT or MRI. We quantified proptosis through imaging. Results: Forty patients composed this series, 87.5% were female. Proptosis was the most common presentation (90%), followed by decreased visual acuity (65%), motility deficit (20%), and headache (20%). Gross total resection was achieved in 65% of the procedures. In late outcomes, 78% of the patients maintained or improved visual acuity and 85% maintained or improved headache. Proptosis significantly improved after surgery and along with the follow-up (P < 0.001). Ten patients were submitted to adjuvant RT, six of them after a subtotal resection. All patients of this subgroup had proptosis. It was observed a higher frequency of worse in visual acuity in patients submitted to RT (71% vs. 28%, P = 0.038). Conclusion: Resection of SOM was sufficient to stop the evolution of visual deficit and allowed the improvement of proptosis. Orbital reconstruction does not seem to be an essential step in reducing enophthalmos. ©2022 Published by Scientific Scholar on behalf of Surgical Neurology International
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- Commentary: Tentorial Peeling: Surgical Extradural Navigation to Protect the Temporal Lobe in the Focused Combined Transpetrosal Approach COMMENT(2020) SILVA, Vinicius Trindade Gomes da; FIGUEIREDO, Eberval Gadelha
- Comparison of different injection volumes on spread of lumbar erector spinae plane block: An anatomical study(2021) AZEVEDO, Artur S.; SILVA, Vinicius T. G.; XAVIER, Andre L.; SILVA, Luiz F. F. da; HOJAIJ, Flavio C.; ASHMAWI, Hazem A.; VIEIRA, Joaquim E.; FERNANDES, Hermann S.