The trigeminal artery is an anastomosis between the embryonic precursors of the vertebrobasilar and carotid systems, and may persist into adult life. The association of the persistent primitive trigeminal artery (PTA) with cerebral aneurysm is well documented in the literature and, in general, aneurysms are located in the anterior circulation. We describe a patient who presented with a panencephalic Fisher III subarachnoid hemorrhage due to rupture of an intracranial aneurysm. Digital arteriography showed a saccular aneurysm in the middle third of the basilar artery, adjacent to the junction with a persistent trigeminal artery. She was submitted to endovascular treatment with embolization of the basilar artery aneurysm with coils. Aneurysms at the PTA junction with the basilar artery are rare. This paper describes a case of PTA associated with an aneurysm in the basilar artery at PTA junction and briefly reviews the literature.

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SummaryThe de novo aneurysms are the formation of new aneurysms in a location previously observed to be normal by a cerebral angiography or direct microsurgical exploration. In this report, we present a review of the theme and describe a case of a ruptured de novo basilar tip aneurysm in a patient previously treated with carotid occlusion for a giant intracavernous aneurysm and microsurgical clipping of contralateral posterior communicating artery aneurysm. KEY WORDS. Basilar artery, De novo aneurysm, Subarachnoid hemorrhageAneurisma de novo del topo basilar. Descripción de un caso y revisión de la literatura Resumen Se llaman aneurismas de novo a la formación de aneurismas en una región previamente normal, observado y documentado por una angiografía cerebral o por la exploración microquirúrgica directa. En este trabajo, se presenta una revisión de la literatura sobre el tema y la descripción de un caso de ruptura de un aneurisma de novo en la arteria basilar en un paciente que previamente fue tratado con la oclusión de la arteria carótida para el tratamiento de un aneurisma gigante intracavernoso de un lado y el clipaje microquirúrgico de un aneurisma en la arteria comunicante posterior contralateral.PALABRAS CLAVE. Arteria basilar. Aneurisma de novo. Hemorragia subaracnóidea.

Endocrine Disruptors (EDs) are substances that influence the organic activities of the endocrine system of the human body. In recent decades, there has been increasing interest from the scientific community and the media about the possible harmful effects caused to humans by exposure to these chemicals. This study aimed to conduct a systematic literature review on the concepts of these chemicals, their effects on human health and mechanism of action. A bibliographic survey was conducted through the Virtual Health Library (VHL) and Scielo, institutional website and books between 1999 and 2019, in portuguese and english. The data obtained indicated the impact of EDs on obesity, diabetes, cardiovascular system, polycystic ovary syndrome, carcinogenicity and thyroid system. Thus, EDs are substances that affect human health, since several studies indicate endocrine interference of these substances, which impact on organism damage.

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AVFs are rare vascular lesions that require prompt treatment. The endovascular treatment must be considered, especially when the lesions are deep and the risks of neurological deficit associated with the surgery are high. Endoscopic intervention represents an effective and safe option for the treatment of this type of lesion.

Objetivo: Verificar a associação entre as triagens de risco nutricional NUTRISCORE e ASG-PPP em pacientes oncológicos ambulatoriais. Métodos: Estudo de delineamento transversal conduzido com pacientes portadores de câncer, adultos e idosos, de ambos os sexos, atendidos no Ambulatório de Oncologia do Hospital Barão de Lucena, Recife-PE. Foram obtidos dados referentes às variáveis demográficas, socioeconômicas, de estilo de vida, clínicas, antropométricas, e as triagens nutricionais ASG-PPP e NUTRISCORE. Os dados foram analisados no programa Statistical Package for the Social Sciences (SPSS) versão 13.0, e adotou-se significância estatística o valor de p<0,05. Resultados: A amostra incluiu 65 pacientes com idade média entre 58,53 ± 12,66 anos, dos quais 53,8% eram adultos e 78,5% do sexo feminino. A neoplasia mais observada foi a de mama (52,3%), seguida das gastrointestinais (23,1%). Tratando-se das triagens nutricionais aplicadas, a NUTRISCORE identificou 41,5% dos pacientes com risco nutricional; já a ASG-PPP detectou 40%. Houve associação estatisticamente significante da ASG-PPP com a NUTRISCORE (p=0,001). Considerando-se a média das variáveis antropométricas com o instrumento de triagem NUTRISCORE, o estudo revelou que pacientes com médias elevadas da prega cutânea tricipital evidenciaram ausência de risco nutricional pela NUTRISCORE (p=0,026). Considerações finais: A NUTRISCORE demonstrou ser um método interessante na detecção do estado nutricional de pacientes oncológicos em ambulatório, uma vez que se associou com a ASG-PPP (padrão ouro), além de ser de mais fácil aplicação na prática clínica.DOI: 10.12957/demetra.2019.36725

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