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  1. Article: Editorial for

    Nóbrega, Paulo Ribeiro / Braga-Neto, Pedro

    Brain sciences

    2024  Volume 14, Issue 2

    Abstract: This Special Issue assembles papers that highlight different types of neurogenetic disorders that occur throughout human life, from childhood to adulthood, focusing on their natural history, epidemiology, diagnosis, and treatment approaches [ ... ]. ...

    Abstract This Special Issue assembles papers that highlight different types of neurogenetic disorders that occur throughout human life, from childhood to adulthood, focusing on their natural history, epidemiology, diagnosis, and treatment approaches [...].
    Language English
    Publishing date 2024-01-23
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2651993-8
    ISSN 2076-3425
    ISSN 2076-3425
    DOI 10.3390/brainsci14020111
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  2. Article ; Online: Cogan's sign in a patient with suspected post-COVID-19 vaccine-associated myasthenia gravis.

    Tavares-Júnior, José Wagner Leonel / Sobreira-Neto, Manoel Alves / Braga-Neto, Pedro

    Revista da Sociedade Brasileira de Medicina Tropical

    2023  Volume 56, Page(s) e0007

    Abstract: The Cogan's sign is indicative of myasthenia gravis. This is the first report of neurological signs in a patient with post-COVID-19 vaccine-associated myasthenia gravis in Brazil. In this case, a previously healthy 68-year-old woman presented with ... ...

    Abstract The Cogan's sign is indicative of myasthenia gravis. This is the first report of neurological signs in a patient with post-COVID-19 vaccine-associated myasthenia gravis in Brazil. In this case, a previously healthy 68-year-old woman presented with proximal limb weakness, left ptosis, and diplopia 1 month after receiving her fourth dose of the COVID-19 vaccine. Neurological examination revealed the presence of Cogan's sign, and she recovered rapidly after treatment. To our knowledge, this is the first reported case of myasthenia gravis associated with the COVID-19 vaccine in Brazil.
    MeSH term(s) Humans ; Female ; Aged ; COVID-19 Vaccines/adverse effects ; COVID-19/complications ; Myasthenia Gravis/chemically induced ; Myasthenia Gravis/diagnosis ; Myasthenia Gravis/complications ; Blepharoptosis/complications ; Blepharoptosis/diagnosis ; Blepharoptosis/drug therapy ; Diplopia/complications ; Diplopia/drug therapy
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2023-06-02
    Publishing country Brazil
    Document type Case Reports
    ZDB-ID 1038126-0
    ISSN 1678-9849 ; 0037-8682
    ISSN (online) 1678-9849
    ISSN 0037-8682
    DOI 10.1590/0037-8682-0007-2023
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  3. Article ; Online: Post Coronavirus Disease 2019 Vaccine-associated Acute Myeloradiculoneuropathy Responsive to Plasmapheresis.

    Tavares-Júnior, José Wagner Leonel / Coimbra, Pablo Picasso de Araújo / Braga-Neto, Pedro

    Revista da Sociedade Brasileira de Medicina Tropical

    2022  Volume 55, Page(s) e0015

    MeSH term(s) Acute Disease ; COVID-19 ; COVID-19 Vaccines/adverse effects ; Humans ; Plasmapheresis
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2022-06-06
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 1038126-0
    ISSN 1678-9849 ; 0037-8682
    ISSN (online) 1678-9849
    ISSN 0037-8682
    DOI 10.1590/0037-8682-0015-2022
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  4. Article ; Online: An overview of dysphagia rehabilitation for stroke patients.

    Matos, Klayne Cunha / Oliveira, Vanessa Fernandes de / Oliveira, Paula Luanna Carvalho de / Braga Neto, Pedro

    Arquivos de neuro-psiquiatria

    2022  Volume 80, Issue 1, Page(s) 84–96

    Abstract: Background: Dysphagia is characterized by difficulty in the swallowing pattern at any stage of this neuromuscular process. It is a frequent symptom after stroke.: Objective: This study aimed to investigate the most commonly used phonoaudiological ... ...

    Abstract Background: Dysphagia is characterized by difficulty in the swallowing pattern at any stage of this neuromuscular process. It is a frequent symptom after stroke.
    Objective: This study aimed to investigate the most commonly used phonoaudiological interventions as therapy for the treatment of swallowing disorders in patients with dysphagia after stroke.
    Methods: We performed a review of studies indexed in MEDLINE-PubMed, LILACS, Cochrane, and Clinical trials.gov focusing on speech-language interventions for adult dysphagic patients after stroke between January 2008 and January 2021.
    Results: Thirty-six articles of clinical trials were selected. Eleven different types of therapies have been studied. Studies on the efficacy of therapeutic interventions for the rehabilitation of adult patients with dysphagia after stroke are still scarce. Most techniques are combined with conventional therapy, so the effectiveness of the other techniques alone cannot be assessed.
    Conclusions: Therapeutic interventions should be selected in accordance with the possibilities and limitations of the patients, and especially with the findings of the clinical evaluation and with its objective.
    MeSH term(s) Adult ; Deglutition ; Deglutition Disorders/etiology ; Deglutition Disorders/rehabilitation ; Humans ; Stroke/complications ; Stroke Rehabilitation
    Language English
    Publishing date 2022-03-03
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1590/0004-282X-ANP-2021-0073
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  5. Article: Do

    Ciurleo, Gabriella C V / Tavares-Júnior, José Wagner Leonel / Vieira, Carlos Meton A G / Braga-Neto, Pedro / Oriá, Reinaldo B

    Frontiers in neuroscience

    2023  Volume 17, Page(s) 1229073

    Language English
    Publishing date 2023-08-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2411902-7
    ISSN 1662-453X ; 1662-4548
    ISSN (online) 1662-453X
    ISSN 1662-4548
    DOI 10.3389/fnins.2023.1229073
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  6. Article ; Online: Peculiar aetiology for orbital apex syndrome: Wyburn-Mason syndrome as orbital apex lesion.

    Barros, Lívio Leite / Lima, Pedro Lucas Grangeiro de Sá Barreto / de Oliveira Júnior, Pedro Helder / Dias, Daniel Aguiar / Santos, Carolina de Figueiredo / Braga-Neto, Pedro / Nóbrega, Paulo Ribeiro

    BMJ neurology open

    2024  Volume 6, Issue 1, Page(s) e000559

    Abstract: Background: Wyburn-Mason syndrome is a rare, non-hereditary congenital disease, belonging to the group of neurocutaneous syndromes with fewer than 100 cases reported since its first description in 1937.: Case report: A young adult man was initially ... ...

    Abstract Background: Wyburn-Mason syndrome is a rare, non-hereditary congenital disease, belonging to the group of neurocutaneous syndromes with fewer than 100 cases reported since its first description in 1937.
    Case report: A young adult man was initially evaluated at the age of 2 years for proptosis and progressive visual impairment of the right eye, followed by impairment in ocular abduction, adduction and elevation as well as amaurosis. MRI revealed an expansive formation centred in the right orbit compromising conal spaces with distortion of eye muscles and optic nerve. The lesion extended through the superior orbital fissure into the right cavernous sinus and to the contralateral orbit. Despite embolisation, proptosis and oedema of the periorbital tissue continued to worsen. The combination of facial, ocular and intracranial vascular malformations and the exclusion of alternative aetiologies led to a diagnosis of cerebrofacial arteriovenous metameric syndrome (CAMS) 1 (Wyburn-Mason syndrome).
    Discussion: Important differential diagnoses are other CAMS, such as Sturge-Weber syndrome, as well as other conditions such as retinal cavernous haemangioma and vasoproliferative tumours. The optimal treatment regimen for severe cases of this syndrome is still unclear. Wyburn-Mason syndrome should be considered in patients presenting multiple arteriovenous malformations with orbital apex lesions.
    Language English
    Publishing date 2024-01-18
    Publishing country England
    Document type Journal Article
    ISSN 2632-6140
    ISSN (online) 2632-6140
    DOI 10.1136/bmjno-2023-000559
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  7. Article ; Online: Cognitive Dysfunction Biomarkers in Patients With Rheumatoid Arthritis: A Systematic Review.

    Sousa, Daniela Cabral de / de Almeida, Samuel Brito / Roriz Filho, Jarbas de Sá / Freitas, Thiago Holanda / Braga-Neto, Pedro

    Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases

    2022  Volume 29, Issue 3, Page(s) 159–164

    Abstract: Background/objectives: During the last years, a growing number of studies have investigated the link between cognitive dysfunction and rheumatoid arthritis (RA), highlighting the potential pathogenic role of several clinical, psychological, and ... ...

    Abstract Background/objectives: During the last years, a growing number of studies have investigated the link between cognitive dysfunction and rheumatoid arthritis (RA), highlighting the potential pathogenic role of several clinical, psychological, and biological factors. We aimed to investigate serological and cerebrospinal fluid biomarkers in humans and its association with cognitive dysfunction in patients with RA.
    Methods: We performed a systematic review using PRISMA (Preferred Reported Items for Systematic Reviews and Meta-analysis) protocol. A systematic search was conducted in the PubMed/MEDLINE, EMBASE, LILACS, Scopus, and Google Scholar databases from inception up to November 2021. The inclusion criteria for studies were defined based on the participants involved, type of exposure, type of comparison group, outcome of interest, and study design.
    Results: Five original studies were included, which provided data from 428 participants. Among plasma proteins, SHH was increased and TTR was reduced in patients with mild cognitive impairment; anti-myelin basic protein and anti-myelin oligodendrocyte glycoprotein negatively correlated with memory, executive function, and attention. S100β negatively correlated with memory and executive functions; some lymphocyte subpopulations positively correlated with attention, memory, and executive functions. Interleukin 2 [IL-2], IL-4, IL-6, and tumor necrosis factor α negatively correlated with memory and positively correlated with executive functions. Interleukin 1β negatively correlated with global cognitive dysfunction and positively correlated with logical thinking. Interleukin 10 and brain-derived neurotrophic factor negatively correlated with memory.
    Conclusion: Despite the relative scarcity of studies on this subject and the heterogeneity of results, we identified possible biomarkers for cognitive deficits in the RA population. Further longitudinal studies are warranted to clarify these associations and the establishment of possible biomarkers for cognitive deficits in RA.
    MeSH term(s) Humans ; Arthritis, Rheumatoid/complications ; Arthritis, Rheumatoid/diagnosis ; Arthritis, Rheumatoid/epidemiology ; Biomarkers ; Cognitive Dysfunction/diagnosis ; Cognitive Dysfunction/etiology ; Tumor Necrosis Factor-alpha
    Chemical Substances Biomarkers ; Tumor Necrosis Factor-alpha
    Language English
    Publishing date 2022-12-07
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 1283266-2
    ISSN 1536-7355 ; 1076-1608
    ISSN (online) 1536-7355
    ISSN 1076-1608
    DOI 10.1097/RHU.0000000000001888
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    Zs.A 4815: Show issues Location:
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  8. Article: Neurobrucellosis Mimicking Primary CNS Vasculitis-Should We Perform CSF Metagenomics Before Brain Biopsy?: A Case Report.

    Mathias, Marina Barrionuevo / Menezes, Fernando Gatti / Fernandes, Gustavo Bruniera Peres / Paes, Vitor Ribeiro / Silva, Gisele Sampaio / Braga-Neto, Pedro / Barbosa, Alcino Alves / De Oliveira, Augusto César Penalva / Baccin, Carlos Eduardo / Dutra, Lívia Almeida

    Neurology. Clinical practice

    2023  Volume 13, Issue 4, Page(s) e200167

    Abstract: Objective: To report a patient with neurobrucellosis mimicking primary CNS vasculitis (PCNSV) diagnosed by CSF metagenomic next-generation sequencing (mNGS).: Methods: A 32-year-old male patient with a prior stroke developed headache, dizziness, ... ...

    Abstract Objective: To report a patient with neurobrucellosis mimicking primary CNS vasculitis (PCNSV) diagnosed by CSF metagenomic next-generation sequencing (mNGS).
    Methods: A 32-year-old male patient with a prior stroke developed headache, dizziness, fever, and memory complaints in the past 30 days. Physical examination was unremarkable except for slight apathy. He was investigated with brain MRI, cerebral digital angiography, CSF analysis with mNGS, and brain biopsy.
    Results: An examination of the brain MRI showed a left nucleocapsular gliosis compatible with prior stroke; MR angiogram showed circular enhancement of distal branches of the middle cerebral arteries. Digital angiogram revealed stenosis of intracranial carotid arteries and the left middle cerebral artery. The CSF disclosed 42 cells/mm
    Discussion: Brucellosis is an endemic disease in developing countries and may mimic PCNSV. Our patient fulfilled the criteria for possible PCNSV; however, brain biopsy was inconsistent with PCNSV, and CSF mNGS disclosed neurobrucellosis. This case illustrates the importance of CSF mNGS in the differential diagnosis of CNS vasculitis.
    Language English
    Publishing date 2023-05-05
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2645818-4
    ISSN 2163-0933 ; 2163-0402
    ISSN (online) 2163-0933
    ISSN 2163-0402
    DOI 10.1212/CPJ.0000000000200167
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  9. Article ; Online: Sjogren's syndrome: a neurological perspective.

    Barsottini, Orlando Grazianni Povoas / Moraes, Marianna Pinheiro Moraes de / Fraiman, Pedro Henrique Almeida / Marussi, Victor Hugo Rocha / Souza, Alexandre Wagner Silva de / Braga Neto, Pedro / Spitz, Mariana

    Arquivos de neuro-psiquiatria

    2023  Volume 81, Issue 12, Page(s) 1077–1083

    Abstract: Sjogren's syndrome (SS) is a complex autoimmune disease characterized by lymphocytic infiltration of salivary and lacrimal glands, resulting in sicca symptoms. Additionally, SS presents with neurological manifestations that significantly impact the ... ...

    Title translation Síndrome de Sjogren: uma perspectiva neurológica.
    Abstract Sjogren's syndrome (SS) is a complex autoimmune disease characterized by lymphocytic infiltration of salivary and lacrimal glands, resulting in sicca symptoms. Additionally, SS presents with neurological manifestations that significantly impact the nervous system. This review aims to provide a comprehensive overview of the neurological aspects of SSj, covering both the peripheral and central nervous system involvement, while emphasizing diagnosis, treatment, and prognosis.
    MeSH term(s) Humans ; Sjogren's Syndrome/complications ; Nervous System Diseases/etiology
    Language English
    Publishing date 2023-12-29
    Publishing country Germany
    Document type Review ; Journal Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1055/s-0043-1777105
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  10. Article ; Online: Persistent psychosis associated with extreme delta brush in anti-NMDA receptor encephalitis: a case report.

    Nóbrega, Paulo Ribeiro / Lima, Paulo Reges Oliveira / de Oliveira Junior, Pedro Helder / Sanders, Lorena Pitombeira / Sobreira-Neto, Manoel Alves / Magalhães, Samir Câmara / Sanders, Lia Lira Olivier / Braga-Neto, Pedro

    BMC psychiatry

    2023  Volume 23, Issue 1, Page(s) 256

    Abstract: Background: Anti-NMDAR encephalitis is an emerging differential diagnosis of first episode and persistent psychosis in the psychiatric community, as clinical manifestations include psychiatric symptoms, cognitive dysfunction, seizures, decreased ... ...

    Abstract Background: Anti-NMDAR encephalitis is an emerging differential diagnosis of first episode and persistent psychosis in the psychiatric community, as clinical manifestations include psychiatric symptoms, cognitive dysfunction, seizures, decreased consciousness, and dyskinesias. This disease is associated with extreme delta brush (EDB), but the significance and temporal course of this EEG pattern still needs to be determined. Herein, we report a case of anti-NMDAR encephalitis with persistent psychosis associated with EDB occurrence on multiple occasions during a 5-year disease course.
    Case presentation: A 15-year-old girl was diagnosed with anti-NMDAR encephalitis and treated with progressive improvement. Four years after initial manifestations, an EDB pattern was seen on electroencephalogram (EEG) without new neurological symptoms. She had residual symptoms of episodic auditory hallucinations and impulsivity. One year later, the patient had a recurrence of neurological symptoms (seizures, dyskinesias and impaired attention), persisting with EDB on EEG. Clinical symptoms and EDB resolved after second-line treatment with rituximab.
    Conclusion: We describe the first case of persistent psychosis in anti-NMDAR encephalitis associated with extreme delta brush on multiple EEGs on prolonged follow-up. Electroencephalographic patterns such as EDB may serve as markers of residual disease activity, including psychiatric symptoms. Further studies with prolonged EEG monitoring are needed to better understand these findings.
    MeSH term(s) Female ; Humans ; Adolescent ; Anti-N-Methyl-D-Aspartate Receptor Encephalitis/complications ; Anti-N-Methyl-D-Aspartate Receptor Encephalitis/diagnosis ; Electroencephalography ; Seizures ; Psychotic Disorders/complications ; Psychotic Disorders/diagnosis ; Dyskinesias/complications
    Language English
    Publishing date 2023-04-17
    Publishing country England
    Document type Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2050438-X
    ISSN 1471-244X ; 1471-244X
    ISSN (online) 1471-244X
    ISSN 1471-244X
    DOI 10.1186/s12888-023-04750-8
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