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Article: Long COVID: neurological manifestations - an updated narrative review.

Leonel, José Wagner / Ciurleo, Gabriella Cunha Vieira / Formiga, Alissa Moura / Vasconcelos, Thais de Maria Frota / de Andrade, Marcello Holanda / Feitosa, Werbety Lucas Queiroz / Sobreira-Neto, Antônio Alves / Portugal, Chiara Gübel / Morais, Lorenzo Marinho / Marinho, Samuel Cavalcante / Gomes, Emanuel de Assis Bertulino Martins / Feitosa, Esther de Alencar Araripe Falcão / Sobreira, Emmanuelle Silva Tavares / Oriá, Reinaldo Barreto / Sobreira-Neto, Manoel Alves / Braga-Neto, Pedro

Dementia & neuropsychologia

2024 Volume 18, Page(s) e20230076

Abstract: Infection with the SARS-CoV-2 virus can lead to neurological symptoms in the acute phase and in the Long COVID phase. These symptoms usually involve cognition, sleep, smell disorders, psychiatric manifestations, headache and others. This condition is ... ...

Abstract	Infection with the SARS-CoV-2 virus can lead to neurological symptoms in the acute phase and in the Long COVID phase. These symptoms usually involve cognition, sleep, smell disorders, psychiatric manifestations, headache and others. This condition is more commonly described in young adults and women. This symptomatology can follow severe or mild cases of the disease. The importance of this issue resides in the high prevalence of neurological symptoms in the Long COVID phase, which entails significant morbidity in this population. In addition, such a condition is associated with high health care costs, with some estimates hovering around 3.7 trillion US dollars. In this review, we will sequentially describe the current knowledge about the most prevalent neurological symptoms in Long COVID, as well as their pathophysiology and possible biomarkers.
Language	English
Publishing date	2024-02-09
Publishing country	Brazil
Document type	Journal Article ; Review
ISSN	1980-5764
ISSN	1980-5764
DOI	10.1590/1980-5764-DN-2023-0076
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Article ; Online: Cognitive dysfunction in systemic lupus erythematosus is associated with disease activity and oxidative stress: a comparative study with rheumatoid arthritis for identifying biomarkers.

de Sousa, Daniela Cabral / Sobreira, Emmanuelle Silva Tavares / Feitosa, Werbety Lucas Queiroz / Aires, Ticiana Maria Pinto Moreira / Araújo, Leticia Pastuszka Paz / Silva, Andressa Laura Castro / Joventino, Caroline Brandão / Silveira, Nathalia Maria Tomaz / Chaves-Filho, Adriano José Maia / Macêdo, Danielle Silveira / Braga-Neto, Pedro

BMC neuroscience

2023 Volume 24, Issue 1, Page(s) 66

Abstract: Background: The prevalence and pathophysiological mechanisms of cognitive deficits (CD) Systemic Lupus Erythematosus (SLE) and Rheumatoid arthritis (RA) are very heterogeneous and poorly understood. We characterized CD in patients with SLE compared with ...

Abstract	Background: The prevalence and pathophysiological mechanisms of cognitive deficits (CD) Systemic Lupus Erythematosus (SLE) and Rheumatoid arthritis (RA) are very heterogeneous and poorly understood. We characterized CD in patients with SLE compared with RA patients and healthy controls. We compared the neuropsychological profile of SLE and RA with patients' oxidative/inflammatory biomarkers for CD. Methods: We performed a cross-sectional study, including 50 SLE patients, 29 RA patients, and 32 healthy controls. SLEDAI and DAS28 assessed disease activity. SF-36 questionnaire and a battery of cognitive tests were applied to all participants. Blood samples were collected to determine IL-6, S100ß, myeloperoxidase (MPO), malondialdehyde and reduced glutathione (GSH) alterations. Results: In the SLE group, higher GSH was associated with the absence of CD (With CD = 69 ± 49, Without CD = 112 ± 81, p = 0.030), while higher IL-6 was associated with the presence of CD in the RA group (With CD = 603 ± 173, Without CD = 431 ± 162, p = 0.032). Regarding specific cognitive domains, in SLE higher MPO was associated with poor performance in reasoning and abstraction (p = 0.039), higher IL-6 was associated with poor performance in inhibitory control and attention (p = 0.031), and higher GSH was associated with better performance in memory(p = 0.021). Higher SLEDAI was associated with poor performance in semantic fluency(p = 0.031), inhibitory control, and attention in the SLE group(p = 0.037). In the RA group, higher DAS-28 was associated with poor performance in executive functions(p = 0.016) and phonemic fluency (p = 0.003). Conclusion: SLE patients' disease activity, inflammatory state, and oxidative stress were associated with CD. In RA patients, CD was associated with disease activity and inflammatory state. These results encourage further studies with larger samples aiming to confirm oxidative stress parameters as biomarkers of CD in SLE patients.
MeSH term(s)	Humans ; Cross-Sectional Studies ; Interleukin-6 ; Arthritis, Rheumatoid/complications ; Lupus Erythematosus, Systemic/complications ; Cognitive Dysfunction/diagnosis ; Cognitive Dysfunction/etiology ; Biomarkers ; Oxidative Stress
Chemical Substances	Interleukin-6 ; Biomarkers
Language	English
Publishing date	2023-12-13
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041344-0
ISSN	1471-2202 ; 1471-2202
ISSN (online)	1471-2202
ISSN	1471-2202
DOI	10.1186/s12868-023-00839-8
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Article ; Online: Correction to: Translation, Cross-Cultural Adaptation, and Validation to Brazilian Portuguese of the Cerebellar Cognitive Affective/Schmahmann Syndrome Scale.

de Oliveira Scott, Stephanie Suzanne / Pedroso, José Luiz / Elias, Victor Vitalino / Nóbrega, Paulo Ribeiro / Sobreira, Emmanuelle Silva Tavares / de Almeida, Marcela Patrícia / Gama, Maria Thereza Drumond / Massuyama, Breno Kazuo / Barsottini, Orlando Graziani Povoas / Frota, Norberto Anizio Ferreira / Braga-Neto, Pedro

Cerebellum (London, England)

2023 Volume 22, Issue 2, Page(s) 295

Language	English
Publishing date	2023-02-14
Publishing country	United States
Document type	Published Erratum
ZDB-ID	2112586-7
ISSN	1473-4230 ; 1473-4222
ISSN (online)	1473-4230
ISSN	1473-4222
DOI	10.1007/s12311-022-01423-2
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Article: Post-COVID-19 Cognitive Decline and Apoe Polymorphism: Towards a Possible Link?

Tavares-Júnior, José Wagner Leonel / Oliveira, Danilo Nunes / da Silva, Jean Breno Silveira / Queiroz Feitosa, Werbety Lucas / Sousa, Artur Victor Menezes / Marinho, Samuel Cavalcante / Cunha, Letícia Chaves Vieira / Gaspar, Safira de Brito / Gomes, Carmem Meyve Pereira / de Oliveira, Laís Lacerda Brasil / Moreira-Nunes, Caroline Aquino / Sobreira, Emmanuelle Silva Tavares / Moraes, Maria Elisabete Amaral de / Sobreira-Neto, Manoel Alves / Montenegro, Raquel Carvalho / Braga-Neto, Pedro

Brain sciences

2023 Volume 13, Issue 12

Abstract: ... ...

Abstract	APOE
Language	English
Publishing date	2023-11-21
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2651993-8
ISSN	2076-3425
ISSN	2076-3425
DOI	10.3390/brainsci13121611
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Article ; Online: Is restless legs syndrome in Parkinson disease patients associated with any specific factor?

Sobreira-Neto, Manoel Alves / Pena-Pereira, Márcio Alexandre / Sobreira, Emmanuelle Silva Tavares / Chagas, Marcos Hortes Nisihara / Almeida, Carlos Maurício Oliveira de / Fernandes, Regina Maria França / Tumas, Vitor / Eckeli, Alan Luiz

Arquivos de neuro-psiquiatria

2021 Volume 79, Issue 1, Page(s) 38–43

Abstract: Background: Restless legs syndrome or Willis-Ekbom disease is a disorder characterized by unpleasant sensations associated with the need to mobilize the lower limbs. In Parkinson disease patients, restless legs syndrome is associated with worse quality ... ...

Abstract	Background: Restless legs syndrome or Willis-Ekbom disease is a disorder characterized by unpleasant sensations associated with the need to mobilize the lower limbs. In Parkinson disease patients, restless legs syndrome is associated with worse quality of life and excessive sleepiness. Regarding other factors, results of different studies are controversial. Objective: To determine the factors associated with the restless legs syndrome presence in Parkinson disease patients. Methods: A cross-sectional study was conducted in 88 consecutive Parkinson disease patients from the outpatient clinic for 21 months. Participants underwent a clinical interview, assessment based on standardized scales (Epworth Sleepiness Scale, Parkinson Disease Questionnaire - 39, Pittsburgh Sleep Quality Index, International Restless Legs Syndrome Study Group rating scale), and video-polysomnography. Results: Out of the 88 participants, 25 had restless legs syndrome. In the multivariate analysis, restless legs syndrome in Parkinson disease has been associated with the symptom of smell loss and quality of sleep and life. In the univariate analysis, restless legs syndrome in Parkinson disease has occurred more frequently in women with higher frequency of insomnia, constipation, and anosmia than in the group without restless legs syndrome. Conclusion: Restless legs syndrome is a prevalent condition in patients with Parkinson disease and is associated with specific characteristics in this group of patients.
MeSH term(s)	Cross-Sectional Studies ; Female ; Humans ; Parkinson Disease/complications ; Parkinson Disease/epidemiology ; Polysomnography ; Quality of Life ; Restless Legs Syndrome/epidemiology ; Restless Legs Syndrome/etiology
Language	English
Publishing date	2021-03-22
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	418916-4
ISSN	1678-4227 ; 0004-282X
ISSN (online)	1678-4227
ISSN	0004-282X
DOI	10.1590/0004-282X-anp-2020-0122
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Article ; Online: Translation, Cross-Cultural Adaptation, and Validation to Brazilian Portuguese of the Cerebellar Cognitive Affective/Schmahmann Syndrome Scale.

Cerebellum (London, England)

2022 Volume 22, Issue 2, Page(s) 282–294

Abstract: Cerebellar cognitive affective syndrome (CCAS) is characterized by deficits in executive functions, language processing, spatial orientation, and affect regulation in patients with cerebellar disease. The symptoms can occur isolated or along with motor ... ...

Abstract	Cerebellar cognitive affective syndrome (CCAS) is characterized by deficits in executive functions, language processing, spatial orientation, and affect regulation in patients with cerebellar disease. The symptoms can occur isolated or along with motor and coordination symptoms. The aim of our study was to translate and culturally adapt the CCAS scale to Brazilian Portuguese and validate the scale in our population. We performed a cross-sectional study with patients with primary and secondary ataxia. The study included 111 individuals, aged between 20 and 80 years, of both genders, 20 without cognitive and/or affective complaints who participated in the pre-test phase, 40 with cerebellar disease (hereditary/neurodegenerative ataxia or acquired/secondary cerebellar ataxia), and 51 healthy controls with no evidence of cognitive impairment and no affective symptoms matched for sex, age, and educational level. The scale was translated, culturally adapted, and validated. Statistical analysis of the data was performed, with association tests, mean comparison, and ROC curve analysis. Based on the analysis of the ROC curve, optimal cutoff values were found for each subitem of the scale. The translated and adapted scale has good internal consistency, is reproducible, has good reliability, and has the potential to be a reliable tool for screening cognitive symptoms in patients with cerebellar disease.
MeSH term(s)	Humans ; Male ; Female ; Young Adult ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Cross-Cultural Comparison ; Brazil ; Reproducibility of Results ; Cross-Sectional Studies ; Cerebellar Diseases/complications ; Cerebellar Ataxia/complications ; Language ; Spinocerebellar Degenerations/complications ; Ataxia/complications ; Cognition/physiology ; Surveys and Questionnaires
Language	English
Publishing date	2022-03-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	2112586-7
ISSN	1473-4230 ; 1473-4222
ISSN (online)	1473-4230
ISSN	1473-4222
DOI	10.1007/s12311-022-01391-7
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Article: Visuospatial cognitive tests for the evaluation of patients with Parkinson's disease.

Pena, Marina Ceres Silva / Sobreira, Emmanuelle Silva Tavares / Souza, Carolina Pinto / Oliveira, Guiomar Nascimento / Tumas, Vitor / do Vale, Francisco de Assis Carvalho

Dementia & neuropsychologia

2017 Volume 2, Issue 3, Page(s) 201–205

Abstract: Parkinson's disease (PD) is a neurological disorder characterized by motor disturbances, neuropsychological symptoms and cognitive changes, including cases of dementia. The most frequently described cognitive changes in these patients involve executive ... ...

Abstract	Parkinson's disease (PD) is a neurological disorder characterized by motor disturbances, neuropsychological symptoms and cognitive changes, including cases of dementia. The most frequently described cognitive changes in these patients involve executive and visuospatial functions, which are very important for the execution of daily life activities. Objective: To compare different tests used to examine visuospatial functions in patients with PD. Methods: Thirty-five patients (21 women) with PD symptoms (medicated and "on") and mean schooling of 5.5±4.2 years were examined using the following tests: Results: The mean MMSE score was 24.8±3.03and 54.8% of the patients performed correctly in the copy of a pentagon drawing, with a medium-level performance in most tests. Good correlations were detected between JLO versus SCOPA Discussion: Although correlations were detected, not all were strong, probably because the tests employed do not measure solely visuospatial functions, but also other skills such as attention, motor ability and executive functions. A limitation of the present study was the lack of a control group for the establishment of adequate standards for this population.
Language	English
Publishing date	2017-08-22
Publishing country	Brazil
Document type	Journal Article
ISSN	1980-5764
ISSN	1980-5764
DOI	10.1590/S1980-57642009DN20300007
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Article: Caregiver distress associated with behavioral and psychological symptoms in mild Alzheimer's disease.

Balieiro, Ari Pedro / Sobreira, Emmanuelle Silva Tavares / Pena, Marina Ceres Silva / Silva-Filho, José Humberto / do Vale, Francisco de Assis Carvalho

Dementia & neuropsychologia

2017 Volume 4, Issue 3, Page(s) 238–244

Abstract: The aim of this study was to analyze the relationship between Caregiver Distress and Behavioral and Psychological Symptoms in Dementias (BPSD) in mild Alzheimer's disease.: Methods: Fifty patients and caregivers were interviewed using the ... ...

Abstract	The aim of this study was to analyze the relationship between Caregiver Distress and Behavioral and Psychological Symptoms in Dementias (BPSD) in mild Alzheimer's disease. Methods: Fifty patients and caregivers were interviewed using the Neuropsychiatric Inventory (NPI). Results: 96.0% of the patients had at least one BPSD. The mean NPI total score was 19.6 (SD=18.05; range=0-78) whereas the mean Caregiver Distress Index (CDI) total score was 11.5 (SD=10.41; range=0-40). For the individual symptoms, the weighted mean CDI was 2.8 (SD=1.58). All symptom CDI means were higher than 2.0 except for euphoria/elation (m=1.8; SD=1.49). There were correlations between CDI and derived measures (Frequency, Severity, FxS, and Amplitude) for all symptoms, except Disinhibition and Night-time behavior. Correlations ranged between 0.443 and 0.894, with significance at p<0.05. Conclusions: All the derived measures, including amplitude, were useful in at least some cases. The data suggests that CDI cannot be inferred from symptom presence or profile. Symptoms should be systematically investigated.
Language	English
Publishing date	2017-08-22
Publishing country	Brazil
Document type	Journal Article
ISSN	1980-5764
ISSN	1980-5764
DOI	10.1590/S1980-57642010DN40300013
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Article: 2023 Guidelines on the Diagnosis and Treatment of Insomnia in Adults - Brazilian Sleep Association.

Drager, Luciano Ferreira / Assis, Márcia / Bacelar, Andrea Frota Rego / Poyares, Dalva Lucia Rollemberg / Conway, Silvia Gonçalves / Pires, Gabriel Natan / de Azevedo, Alexandre Pinto / Carissimi, Alicia / Eckeli, Allan Luiz / Pentagna, Álvaro / Almeida, Carlos Maurício Oliveira / Franco, Clélia Maria Ribeiro / Sobreira, Emmanuelle Silva Tavares / Stelzer, Fernando Gustavo / Mendes, Giuliana Macedo / Minhoto, Gisele Richter / Linares, Ila Marques Porto / Sousa, Ksdy Maiara Moura / Gitaí, Livia Leite Góes /

Sukys-Claudino, Lucia / Sobreira-Neto, Manoel Alves / Zanini, Marcio Andrei / Margis, Regina / Martinez, Sandra Cristina Gonçalves

Sleep science (Sao Paulo, Brazil)

2023 Volume 16, Issue Suppl 2, Page(s) 507–549

Abstract: Chronic insomnia disorder (simplified in this document as insomnia) is an increasingly common clinical condition in society and a frequent complaint at the offices of different areas of health practice (particularly Medicine and Psychology). This ... ...

Abstract	Chronic insomnia disorder (simplified in this document as insomnia) is an increasingly common clinical condition in society and a frequent complaint at the offices of different areas of health practice (particularly Medicine and Psychology). This scenario has been accompanied by a significant evolution in treatment, as well as challenges in approaching patients in an appropriately way. This clinical guideline, coordinated by the Brazilian Sleep Association and the Brazilian Association of Sleep Medicine and counting on the active participation of various specialists in the area, encompasses an update on the diagnosis and treatment of insomnia in adults. To this end, it followed a structured methodology. Topics of interest related to diagnosis were written based on theoretical framework, evidence in the literature, and professional experience. As for the topics related to the treatment of insomnia, a series of questions were developed based on the PICO acronym (P - Patient, problem, or population; I - Intervention; C - Comparison, control, or comparator; O - Outcome). The work groups defined the eligible options within each of these parameters. Regarding pharmacological interventions, only the ones currently available in Brazil or possibly becoming available in the upcoming years were considered eligible. Systematic reviews were conducted to help prepare the texts and define the level of evidence for each intervention. The final result is an objective and practical document providing recommendations with the best scientific support available to professionals involved in the management of insomnia.
Language	English
Publishing date	2023-11-22
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	2697016-8
ISSN	1984-0063 ; 1984-0659
ISSN (online)	1984-0063
ISSN	1984-0659
DOI	10.1055/s-0043-1776281
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Article: Chronic Insomnia in Patients With Parkinson Disease: Which Associated Factors Are Relevant?

Sobreira-Neto, Manoel Alves / Pena-Pereira, Márcio Alexandre / Sobreira, Emmanuelle Silva Tavares / Chagas, Marcos Hortes Nisihara / de Almeida, Carlos Maurício Oliveira / Fernandes, Regina Maria França / Tumas, Vitor / Eckeli, Alan Luiz

Journal of geriatric psychiatry and neurology

2019 Volume 33, Issue 1, Page(s) 22–27

Abstract: Background: Insomnia complaints are frequent in Parkinson disease (PD), affecting up to 55% of patients. Factors related to insomnia in PD are multifactorial and may be associated with the degenerative process of the disease, comorbidities related to ... ...

Abstract	Background: Insomnia complaints are frequent in Parkinson disease (PD), affecting up to 55% of patients. Factors related to insomnia in PD are multifactorial and may be associated with the degenerative process of the disease, comorbidities related to aging, and medication use. The aim of this study is to determine the factors associated with the presence of chronic insomnia in patients with PD. Method: A cross-sectional study was performed involving 63 consecutive patients with PD from an outpatient clinic. Participants underwent clinical interviews with neurologists and a psychiatrist and were assessed with standardized scales (Epworth Sleepiness Scale, Parkinson's Disease Questionnaire, Pittsburgh Sleep Quality Index and, for individuals with a diagnosis of restless legs syndrome(RLS)/Willis-Ekbom disease (WED), the International RLS/WED grading scale) and video-polysomnography. Results: The main factors associated with chronic insomnia in PD were the habit of staying in bed without sleeping, large rapid eye movement (REM) sleep latency, high Pittsburgh Sleep Quality Index scores, and absence of obstructive sleep apnea (OSA). Conclusion: Insomnia in PD is related to specific factors including inadequate sleep habits, REM sleep latency, absence of OSA, and quality of sleep.
MeSH term(s)	Chronic Disease ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Parkinson Disease/complications ; Polysomnography/methods ; Sleep Initiation and Maintenance Disorders/etiology
Language	English
Publishing date	2019-06-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	1035760-9
ISSN	0891-9887
ISSN	0891-9887
DOI	10.1177/0891988719856687
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