IURI SANTANA NEVILLE RIBEIRO
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/62 - Laboratório de Fisiopatologia Cirúrgica, Hospital das Clínicas, Faculdade de Medicina
LIM/62 - Laboratório de Fisiopatologia Cirúrgica, Hospital das Clínicas, Faculdade de Medicina
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article 10 Citação(ões) na Scopus Hemodynamic stroke caused by strangulation(2014) NETO, Hugo Sterman; NEVILLE, Iuri Santana; BEER-FURLAN, Andre; TAVARES, Wagner Malago; TEIXEIRA, Manoel Jacobsen; PAIVA, Wellingson SilvaWe report a case of watershed ischemic stroke in a 36-year-old male secondary to manual strangulation. The patient presented with a right hemiparesis with grade IV motor deficit and an expressive aphasia. Radiological investigation revealed an ischemic stroke on the left distal middle cerebral artery territory and in watershed areas of the left anterior and posterior cerebral arteries. There was no evidence of injury of cervical vessels. The hemodynamic mechanism and associated brain injury secondary to manual strangulation is described and discussed based on a literature review.article How can transcranial magnetic stimulation change the way we treat traumatic brain injury?(2018) NEVILLE, Iuri S.; GOMES-OSMAN, Joyce; AMORIM, Robson L. O.; HAYASHI, Cintya Y.; GALHARDONI, Ricardo; ZANINOTTO, Ana Luiza; TEIXEIRA, Manoel J.; PAIVA, Wellingson S.Background: Traumatic brain injury (TBI) is a major health and socioeconomic problem worldwide. Despite improvements in the acute management of TBI over the past decades, which has led to better outcomes, there remains a need for novel treatment protocols that facilitate or enhance neuroplasticity and brain repair. There have been an increasing number of scientific publications describing the use of transcranial magnetic stimulation (TMS) for assessment and treatment in many research settings and clinical conditions, including TBI. Method: This study aimed to identify the role of TMS, a noninvasive brain stimulation technique, in the assessment and treatment of TBI by reviewing articles published to date from the PubMed database. Results: Most published articles on TMS in TBI are case reports. The use of TMS was reported as both a diagnostic tool and therapeutic instrument. There are few controlled trials of TMS in patients with TBI. Conclusion: TMS has the potential to modify the care of patients with TBI. TMS is an important instrument for evaluating brain injury from a functional perspective and also providing insights into neuromodulation approaches that may enhance recovery.article 4 Citação(ões) na Scopus Giant acute epidural hematoma after ventriculoperitoneal shunt: a case report and literature review(2014) NOLETO, Gustavo; NEVILLE, Iuri Santana; TAVARES, Wagner Malago; SAAD, Felippe; PINTO, Fernando Campos; TEIXEIRA, Manoel Jacobsen; PAIVA, Wellingson SilvaCerebrospinal fluid over-drainage is a common complication of ventriculoperitoneal devices. In terms of haemorrhage, subdural haematomas are usually more frequent lesions than epidural hematomas, which, more rarely, may also be seen after ventricular shunt procedures and may lead to rapid neurological decline and even death unless a surgical procedure can be promptly performed. This study reports the case of a 47 years-old Dandy Walker man, with clinical condition compatible with the diagnosis of normal pressure hydrocephalus submitted to a ventriculoperitoneal shunt with a high fixed pressure valve. After discharge, on the second day after the procedure, he presented with headache and impaired level of consciousness. At hospital admission he was in a coma and anisochoric. Underwent endotracheal intubation and a head CT, showed epidural hematoma. We performed emergency craniotomy to drain the hematoma, the patient died in the operating room despite resuscitation attempts. In conclusion, prompt diagnosis and emergency craniotomy is recommended in these cases. We must be aware of this possible evolution and maintain high suspicion besides a longer in-hospital observation after these procedures.