Sunday, 29 / April / 2012 | Caderno – Gerais Informação médica na palma da mão Mineiros criam aplicativo para smartphones e tablets que vão auxiliar profissionais no pronto atendimento, com procedimentos simples. Oito novos programas já estão a caminho Eles não substituem o estetoscópio, o medidor de pressão, as idas aos consultórios, nem os [...]

Evidence-based guideline update: NSAIDs and other complementary treatments for episodic migraine prevention in adults : Report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society. http://www.neurology.org/content/78/17/1346.full.pdf+html http://www.neurology.org/content/78/17/1346.full.html S. Holland, S.D. Silberstein, F. Freitag, et al. Evidence-based guideline update: NSAIDs and other complementary treatments for episodic migraine prevention in [...]

BACKGROUND: Anterior communicating artery complex is the most frequent site of intracranial aneurysms in most reported series. Anterior communicating artery aneurysms are the most complex aneurysms of the anterior circulation due to the angioarchitecture and flow dynamics of the ACoA region, frequent anatomical variations, deep interhemispheric location, and danger of severing the perforators with ensuing [...]

Trauma is the leading cause of mortality and morbidity in children, young people, and working-age adults. Because of the high incidence of intentional and unintentional injuries in young people, it is necessary to implement injury-prevention programs and measure the efficacy of these initiatives. The authors evaluated the effectiveness of an injury-prevention program in high school [...]

The safety and reliability of neck clipping of the anterior communicating artery (Acom) aneurysm via the pterional approach was evaluated in terms of craniotomy side in 39 consecutive cases operated on by the senior surgeon from April 1991 through March 2000. These aneurysms were approached in principle via the side where the proximal A2 portion [...]

Background: Changes in neurosurgical practice and graduate medical education impose new challenges for training programs. Objective: We present our experience providing neurosurgical residents with digital and mobile educational resources in support of the departmental academic activities. Methods: A weekly mandatory conference program for all clinical residents based on the ACGME competencies, held in protected time, [...]

Neurofibromatosis Type 2 (NF2) is a heritable tumor predisposition syndrome that leads to the development of multiple intracranial tumors, including meningiomas and schwannomas. Because the natural history of these tumors has not been determined, their optimal management has not been established. To define the natural history of NF2-associated intracranial tumors and to optimize management strategies, [...]

The authors present the case of a 78-year-old man who presented with a subarachnoid hemorrhage due to rupture of an aneurysm at the origin of the persistent primitive olfactory artery (PPOA). Interestingly, the PPOA was originating from the A1 segment of the anterior cerebral artery and coursed anteromedially along the olfactory tract. Moreover, the PPOA [...]

Background: Closed C2 fractures commonly occur after falls or other trauma in the elderly and are associated with significant morbidity and mortality. Controversy exists as to best treatment practices for these patients. Objective: To compare outcomes for elderly patients with closed C2 fractures by treatment modality. Methods: We retrospectively reviewed 28 surgically and 28 nonsurgically [...]

Valid parameters do not exist to predict oculomotor nerve palsy (ONP, ptosis and/or diplopia) intraoperatively. In 49 operations involving 46 patients with posterior communicating artery aneurysms, the oculomotor nerves were stimulated after the aneurysms were clipped. A quantitative analysis of evoked compound muscle action potential (CMAP) parameters (stimulus threshold, amplitude and latency) from the levator [...]