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
5 resultados
Resultados de Busca
Agora exibindo 1 - 5 de 5
- Bevacizumab for the Treatment of High-Grade Meningiomas: Is There New Evidence? [Letter](2022) SILVA, Vinicius Trindade Gomes da; GEBRIN, Thiago; PAIVA, Wellingson Silva
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.- 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