Arquivos de neuro-psiquiatria
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Randomized Controlled Trial
The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain.
Chronic pain causes functional incapacity and compromises an individual's affective, social, and economic life. ⋯ The CBT was effective and it has caused an improvement in more domains of quality of life when compared to the Control Group, after ten weeks of treatment.
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Few studies have addressed early cerebrovascular lethality in Brazil. ⋯ We did not find any substantial differences in early case-fatality rates according to stroke subtypes, when comparing the three centers.
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Neuromyelitis optica (NMO) has been traditionally described as the association of recurrent or bilateral optic neuritis and longitudinally extensive transverse myelitis (LETM). Identification of aquaporin-4 antibody (AQP4-IgG) has deeply changed the concept of NMO. A spectrum of NMO disorders (NMOSD) has been formulated comprising conditions which include both AQP4-IgG seropositivity and one of the index events of the disease (recurrent or bilateral optic neuritis and LETM). ⋯ Some patients with aquaporin-4 autoimmunity present brainstem, hypothalamic or encephalopathy symptoms either preceding an index event or occurring isolatedly with no evidence of optic nerve or spinal involvement. On the opposite way, other patients have optic neuritis or LETM in association with typical lesions of NMO on brain MRI and yet are AQP4-IgG seronegative. An expanded spectrum of NMO disorders is proposed to include these cases.
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Evaluate the Glasgow outcome scale (GOS) at discharge (GOS-HD) as a prognostic indicator in patients with traumatic brain injury (TBI). ⋯ The GOS-HD was indicator of prognosis in patients with severe TBI.