Barbara Albuquerque Morais
University of São Paulo
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Publication
Featured researches published by Barbara Albuquerque Morais.
International Journal of Surgery Case Reports | 2015
Barbara Albuquerque Morais; Djalma Felipe da Silva Menéndez; Raphael Salles S. Medeiros; Manoel Jacobsen Teixeira; Guilherme Lepski
Highlights • We reported the 80th case of chordoid glioma and reviewed the literature.• Clinical outcomes reported have been poor.• If possible, efficient treatment depends upon radical surgical resection, however partial resection with adjuvant radiosurgery can be the most recommend due to local tumor and morbid-mortality relation.• No chemotherapeutic regimen has been shown to be effective for CG.
Pediatric Neurosurgery | 2018
Vitor Nagai Yamaki; Barbara Albuquerque Morais; Roger Schmidt Brock; Wellingson Silva Paiva; Almir Ferreira de Andrade; Manoel Jacobsen Teixeira
A 4-year-old girl was admitted to the emergency department after having been buried beneath a wall. A computed tomography scan revealed anterior grade V L5–S1 spondylolisthesis, and magnetic resonance imaging showed a traumatic rupture of the fibrous annulus of the L5–S1 intervertebral disc and lesion of the anterior longitudinal and yellow ligaments. The patient underwent anterior and posterior fixation. Four months later she was able to walk independently, despite a persistent left foot drop. Additionally, we conducted a literature review on lumbosacral spondyloptosis in the pediatric population published between 1990 and 2017. We found 16 cases, 86.6% of which were male, with a mean patient age of 16 ± 5.05 years. Most patients underwent spine instrumentation. Based on the data reviewed, the neurological status at admission might be a valid predictor of outcome. Pedicle screws are a safe and reliable procedure for stable fixation of the spine in these cases. The removal of screws is discouraged.
Journal of Neurosurgery | 2018
Barbara Albuquerque Morais; Daniel Dante Cardeal; Fernanda Gonçalves de Andrade; Wellingson Silva Paiva; Hamilton Matushita; Manoel Jacobsen Teixeira
Constipation can cause transient malfunction of the ventriculoperitoneal shunt (VPS). Patients with myelomeningocele or cerebral palsy are often diagnosed with hydrocephalus and constipation due to neurogenic bowel. These patients are more prone to VPS dysfunction, often requiring surgical revision. The authors report the case of a 6-year-old girl with a VPS that had been implanted due to hydrocephalus secondary to myelomeningocele. The patient was brought to the emergency department with intermittent headache, vomiting, constipation, and abdominal distension and pain. A CT scan revealed ventricular dilatation and radiography of the abdomen showed bowel loop distension. After a Fleet enema and digital maneuvers, her abdominal distension and symptoms improved. A CT scan obtained 24 hours later showed a reduction in ventricular size. The mechanism by which constipation can lead to VPS malfunction can be traced to indirect increases of intraabdominal pressure and direct obstruction of the catheter by distended intestinal loops. Treating constipation can restore the free circulation of the CSF and avoid surgical intervention. Careful neurological monitoring of these patients is essential, because some measures used to treat constipation can increase intracranial pressure. The objective of this report was to highlight constipation as a possible cause of transient VPS malfunction, thereby avoiding unnecessary surgical revisions, to which children with hydrocephalus are frequently submitted.
Childs Nervous System | 2018
Barbara Albuquerque Morais; Vitor Nagai Yamaki; José Guilherme Mendes Pereira Caldas; Wellingson Silva Paiva; Hamilton Matushita; Manoel Jacobsen Teixeira
BackgroundCarotid-cavernous fistula (CCF) is a shunt between the carotid artery and the cavernous sinus. Traumatic CCFs are diagnosed in 0.2% of head traumas being only 4.6% of the pediatric population. Classified by Barrow in 1985, type A CCF is the most frequent, occurring in 75% of cases. Type A is characterized by direct and high-flow CCF that generally can occur as a result of traumatic injury or rupture of an intracavernous aneurysm.Case presentationThe subject was an 8-year-old boy with penetrating trauma to his left eye. During the initial evaluation, a computed tomography (CT) scan was unremarkable, and after relief of symptoms, the patient was discharged. Seven days later, he developed grade I proptosis, conjunctival chemosis, ophthalmoplegia (III, IV, and VI cranial nerve palsies), and left-sided ptosis and mydriasis. Arteriography confirmed a post-traumatic CCF, and the patient was treated with an endovascular detachable balloon.ConclusionCCF should be suspected in craniofacial traumas with ocular symptoms. The presence of a skull base fracture on CT is a poor predictor of CCF associated with head trauma. Early diagnosis and treatment can prevent permanent neurological deficits and unfavorable outcomes.
World Neurosurgery | 2018
Jefferson Rosi; Barbara Albuquerque Morais; Lucas S. Pecorino; Allan R. Oliveira; Davi Fontoura Solla; Manoel Jacobsen Teixeira; Eberval Gadelha Figueiredo
World Neurosurgery | 2018
Daniel D. Cavalcanti; Barbara Albuquerque Morais; Eberval Gadelha Figueiredo; Robert F. Spetzler; Mark C. Preul
Journal of Emergencies, Trauma, and Shock | 2018
Wellingson Silva Paiva; Barbara Albuquerque Morais; Almir Ferreira de Andrade; Manoel Jacobsen Teixeira
Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery | 2018
Barbara Albuquerque Morais; Vitor Nagai Yamaki; Daniel Dante Cardeal; Fernanda Gonçalves de Andrade; Wellingson Silva Paiva; Hamilton Matushita; Manoel Jacobsen Teixeira
Childs Nervous System | 2017
Barbara Albuquerque Morais; Daniel Dante Cardeal; Renan Ribeiro e Ribeiro; Fernando Pereira Frassetto; Fernanda Gonçalves de Andrade; Hamilton Matushita; Manoel Jacobsen Teixeira
Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery | 2017
Barbara Albuquerque Morais; Ricardo Ferrareto Iglesio; Carlo Emanuel Petitto; Fernando Campos Gomes Pinto; Manoel Jacobsen Teixeira