Podcast - Neurologia

🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨Raphael Coelho e João Urbano (Joca) convidam Caio Lima para uma conversa sobre o tratamento medicamentoso das Demências. Quais são as principais drogas? Quais são os novos medicamentos vindo por aí? Como manejar os sintomas da dêmencia (BPSD)? Tudo isso nesse episódio! Referências: 1. XU, Hong et al. Long-term effects of cholinesterase inhibitors on cognitive decline and mortality. Neurology, v. 96, n. 17, p. e2220-e2230, 2021. 2. CARAMELLI, Paulo et al. Tratamento da demência: recomendações do Departamento Científico de Neurologia Cognitiva e do Envelhecimento da Academia Brasileira de Neurologia. Dementia & Neuropsychologia, v. 16, p. 88-100, 2022. 3. CUMMINGS, Jeffrey et al. Reduction and prevention of agitation in persons with neurocognitive disorders: an international psychogeriatric association consensus algorithm. International Psychogeriatrics, p. 1-12, 2023. 4. SCHELTENS, Philip et al. Alzheimer's disease. The Lancet, v. 388, n. 10043, p. 505-517, 2016. 5. LIVINGSTON, Gill et al. Dementia prevention, intervention, and care. The lancet, v. 390, n. 10113, p. 2673-2734, 2017. 6. ARVANITAKIS, Zoe; SHAH, Raj C.; BENNETT, David A. Diagnosis and management of dementia. Jama, v. 322, n. 16, p. 1589-1599, 2019. 7. SORBI, Sa et al. EFNS‐ENS Guidelines on the diagnosis and management of disorders associated with dementia. European Journal of Neurology, v. 19, n. 9, p. 1159-1179, 2012. 8. Uptodate 2022. Cholinesterase inhibitors in the treatment of dementia. Authors:Daniel Press, MDMichael Alexander, MDSection Editors:Steven T DeKosky, MD, FAAN, FACP, FANAKenneth E Schmader, MDDeputy Editor:Janet L Wilterdink, MD 9. Uptodate 2023. Treatment of Alzheimer disease. Authors:Daniel Press, MDStephanie S Buss, MDSection Editors:Steven T DeKosky, MD, FAAN, FACP, FANAKenneth E Schmader, MDDeputy Editor:Janet L Wilterdink, MD 10. VAN DYCK, Christopher H. et al. Lecanemab in early Alzheimer’s disease. New England Journal of Medicine, 2022. 11. KALES, Helen C.; GITLIN, Laura N.; LYKETSOS, Constantine G. Assessment and management of behavioral and psychological symptoms of dementia. Bmj, v. 350, 2015.

🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨Iago Jorge apresenta um caso de Síndrome de Compressão Medular (SCM) para João Urbano (Joca) e José Marcos discutirem. Nesse episódio, apresentamos o passo a passo da investigação e condutas iniciais num paciente com quadro de SCM.Referências 1. Ropper AE, Ropper AH. Acute spinal cord compression. New England Journal of Medicine. 2017 Apr 6;376(14):1358-69.2. Chanchlani N, Reading NG. A middle aged man with back pain and heavy legs. bmj. 2019 Jul 17;366.

🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨Rapha, Joca e Lucca discutem sobre manejo e profilaxia do paciente que vai ao consultório com queixa de episódios de enxaqueca. Diagnóstico, manejo domiciliar e profilaxia, tudo isso nesse episódio! Referências: 1. EIGENBRODT, Anna K. et al. Diagnosis and management of migraine in ten steps. Nature Reviews Neurology, v. 17, n. 8, p. 501-514, 2021. 2. YANG, Chun-Pai et al. Comparison of new pharmacologic agents with triptans for treatment of migraine: a systematic review and meta-analysis. JAMA Network Open, v. 4, n. 10, p. e2128544-e2128544, 2021. 3. Preventive treatment of episodic migraine in adults. Todd J Schwedt,Ivan Garza, Jerry W Swanson, Richard P Goddeau. Uptodate Jan 2023. 4. MAUSKOP, Alexander. Nonmedication, alternative, and complementary treatments for migraine. CONTINUUM: Lifelong Learning in Neurology, v. 18, n. 4, p. 796-806, 2012. 5. Ailani, J., Burch, R. C., & Robbins, M. S. (2021). The American Headache Society Consensus Statement: Update on integrating new migraine treatments into clinical practice. Headache: The Journal of Head and Face Pain, 61(7), 1021–1039. doi:10.1111/head.14153

🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨Nesse formato novo de episódio, Pedro Magno, João Urbano e José Marcos discutem sobre a apresentação clínica, exames complementares e diagnósticos diferenciais de esclerose múltipla através de 3 casos clínicos! Referências:1. McGinley MP, Goldschmidt CH, Rae-Grant AD. Diagnosis and Treatment of Multiple Sclerosis: A Review. JAMA. 2021 Feb 23;325(8):765-779. doi: 10.1001/jama.2020.26858. Erratum in: JAMA. 2021 Jun 1;325(21):2211. PMID: 33620411. 2. Gorth DJ, Okai A, Williams PN, Watto MF. “#344 2. Multiple Sclerosis with Dr. Annette Okai”. The Curbsiders Internal Medicine Podcast. http://thecurbsiders.com/episode-list July 4, 2022. 3. Oh J. (2022). Diagnosis of Multiple Sclerosis. Continuum (Minneapolis, Minn.), 28(4), 1006–1024. https://doi.org/10.1212/CON.00000000000011564. Beck R. W. (1988). The Optic Neuritis Treatment Trial. Archives of ophthalmology (Chicago, Ill. : 1960), 106(8), 1051–1053. https://doi.org/10.1001/archopht.1988.01060140207023 5. Protocolos Clínico e Diretrizes Terapêuticas - Esclerose Múltipla 2022https://www.gov.br/saude/pt-br/assuntos/pcdt/arquivos/2022/portal_portaria-conjunta-no-1-pcdt_esclerose-multipla.pdf 

🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨Link para o vídeo do episódio no Youtube: https://youtu.be/j6mxdhZU8swLink PDF NIHSS: http://www.nihstrokescale.org/Portuguese/2_NIHSS-portugu%C3%AAs-site.pdf Link com instruções para obter certificação gratuita em NIHSS: https://www.nihstrokescale.org/Referências bibliográficas:  1. Powers, William J et al. “Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.” Stroke vol. 50,12 (2019): e344-e418. doi:10.1161/STR.00000000000002112. Berge, Eivind et al. “European Stroke Organisation (ESO) guidelines on intravenous thrombolysis for acute ischaemic stroke.” European stroke journal vol. 6,1 (2021): I-LXII. doi:10.1177/23969873219898653. Tao, Chunrong et al. “Trial of Endovascular Treatment of Acute Basilar-Artery Occlusion.” The New England journal of medicine vol. 387,15 (2022): 1361-1372. doi:10.1056/NEJMoa22063174. Jovin, Tudor G et al. “Trial of Thrombectomy 6 to 24 Hours after Stroke Due to Basilar-Artery Occlusion.” The New England journal of medicine vol. 387,15 (2022): 1373-1384. doi:10.1056/NEJMoa2207576  5. Ekker, Merel S et al. “Epidemiology, aetiology, and management of ischaemic stroke in young adults.” The Lancet. Neurology vol. 17,9 (2018): 790-801. doi:10.1016/S1474-4422(18)30233-36. "Approach to reperfusion therapy for acute ischemic stroke", UptoDate.

🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨João Urbano (Joca) apresenta um caso de cefaleia no pronto-socorro para o Kaue e nosso convidado Pedro Fraiman. Discutimos um pouco sobre o que é cefaleia primária e secundária, quando prosseguir investigação, qual exame de imagem pedir e um pouco sobre os diagnósticos diferenciais.Confira o Resumo Visual desse episódio no nosso canal no Youtube: https://youtu.be/nFjIBJu_tkEReferências:1. Detsky ME, McDonald DR, Baerlocher MO, Tomlinson GA, McCrory DC, Booth CM. Does This Patient With Headache Have a Migraine or Need Neuroimaging? JAMA. 2006;296(10):1274–1283. doi:10.1001/jama.296.10.12742. Robbins MS. Diagnosis and Management of Headache: A Review. JAMA. 2021;325(18):1874–1885. doi:10.1001/jama.2021.16403. Chou, Denise E. Secondary headache syndromes. CONTINUUM: Lifelong Learning in Neurology, v. 24, n. 4, p. 1179-1191, 2018.4. Bigal, Marcelo E.; Bordini, Carlos A.; SPECIALI, J. G. Etiology and distribution of headaches in two Brazilian primary care units. Headache: The Journal of Head and Face Pain, v. 40, n. 3, p. 241-247, 2000.5. Evans, Randolph W. et al. Neuroimaging for Migraine: The American Headache Society Systematic Review and Evidence‐Based Guideline. Headache: The Journal of Head and Face Pain, v. 60, n. 2, p. 318-336, 2020.6. Langer-gould, Annette M. et al. The American Academy of Neurology's top five choosing wisely recommendations. Neurology, v. 81, n. 11, p. 1004-1011, 2013.7. Arnold, Marcel. Headache classification committee of the international headache society (ihs) the international classification of headache disorders. Cephalalgia, v. 38, n. 1, p. 1-211, 2018.8. Schwedt, Todd J. Thunderclap headache. CONTINUUM: Lifelong Learning in Neurology, v. 21, n. 4, p. 1058-1071, 2015.