The most frequent neurologic manifestations of hepatitis C virus infection include peripheral neuropathy axonal type and central nervous system (CNS) vasculitis. Affected patients usually have cryoglobulinemia and other signs of vasculitis. Demyelinating lesions, both central and peripheral are rarely described. We present a case of simultaneous peripheral nervous system and CNS demyelination that comes in relapsing episodes, with negative cryoglobulins.
We found indicators of inattention and impulsivity to be associated with T1DM, with inattention being closely related with hyperglycemia, and impulsivity being associated with hypoglycemia. Further research is needed to study diabetes-associated cognitive decline with more objective parameters, and to analyse the reliability and psychometric properties of the tasks proposed in this study.
Objective: To evaluate morbidity and mortality of carotid endarterectomy performed under regional cervical block, taking into account duration of surgery, use of shunt, conversion to general anesthesia, surgical complications, stay of patients in the intensive care unit (ICU) and in the hospital, and patients' evolution over one year.
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SANTOS, PC ET AL -Carotid endarterectomy in conscious patientBraz J
Aos meus pais, que nunca pouparam esforços para que eu atingisse meus objetivos e me realizasse como pessoa e como profissional. Se tivessem tido as oportunidades que tive, certamente teriam recebido algum Prêmio Nobel. Ao meu marido Gustavo, motivação certa, carinho, risadas, chá e chocolate quente nos piores momentos de desalento, cansaço e desespero. Melhor companhia para comemorar a bonança após as tempestades. Ao Dr. Paulo, inspiração para mim desde a graduação como médico e professor. Toneladas de sabedoria em um "velhim". À Dra Maria Luiza Mendonça Pereira Jorge, companheira inseparável do Mestre, coorientadora informal, que conheci depois da graduação e aprendi a respeitar e admirar. Ao Prof. Joaquim, uma grata surpresa neste caminho interdisciplinar. Dedicado, disponível, paciente, cheio de ideias e bom humor. À Banca, que dedicou o seu tempo a esta leitura e à Defesa. Aos amigos, que ajudaram direta e indiretamente com boas vibrações e adiamento de encontros. Aos funcionários do Centro Municipal de Atenção ao Diabético, em especial ao Dr.
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