Neurocirurgia

Diretriz | Tratamento não farmacológico de sintomas persistentes pós-concussão em adultos.

10 Nov, 2021 | 12:43h

Nonpharmacological Treatment of Persistent Postconcussion Symptoms in Adults: A Systematic Review and Meta-analysis and Guideline Recommendation – JAMA Network Open

Comentário convidado: Advances in Clinical Management of Persistent Postconcussion Symptoms—The Danish National Clinical Guideline – JAMA Network Open

Comentário no Twitter

Based on low certainty of evidence or based on consensus, new guideline provides recommendations for commonly applied non-pharmacological interventions to treat persistent post-concussion symptoms in adults. https://t.co/CM1pbMqRXN

— JAMA Network Open (@JAMANetworkOpen) November 9, 2021

M-A | Em pacientes com hemorragia cerebral aguda, intervenções para reduzir a pressão arterial dentro de 7 dias após o início não resultaram em benefício geral na recuperação da função, apesar da redução no sangramento.

10 Nov, 2021 | 12:34h

Early lowering of blood pressure after acute intracerebral haemorrhage: a systematic review and meta-analysis of individual patient data – Journal of Neurology, Neurosurgery & Psychiatry

Tratamento de pacientes com trauma em coluna cervical no departamento de emergência: avaliação crítica sistemática das diretrizes com vistas ao desenvolvimento de estratégias padronizadas para a prática clínica.

26 Out, 2021 | 11:13h

Management of patients with cervical spine trauma in the emergency department: a systematic critical appraisal of guidelines with a view to developing standardized strategies for clinical practice – Internal and Emergency Medicine

Risco de lesões sérias é maior para cavalgadas do que para futebol, corrida automobilística ou esqui – “O tórax é o sítio mais comum, mas lesões em cabeça e pescoço são mais letais.”

18 Out, 2021 | 08:35h

Comunicado de imprensa: Serious injury risk higher for horse riding than for football, motor racing, or skiing – BMJ

Estudo original: Hearing hoofbeats? Think head and neck trauma: a 10-year NTDB analysis of equestrian-related trauma in the USA – Trauma Surgery & Acute Care Open

Comentário: Horse Riding More Dangerous Than Skiis And Motorcycles, Injury Data Reveal – Science Alert

Hemorragia intracerebral: diagnóstico, tratamento de emergência e prognóstico.

15 Out, 2021 | 16:22h

Intracerebral Hemorrhage: Diagnosis, Emergency Management, and Prognosis – emDocs

Estudo randomizado | Tratamento precoce com exercício aeróbico leve acelera, com segurança, a recuperação de adolescentes após concussão relacionada a esporte.

13 Out, 2021 | 12:33h

Early targeted heart rate aerobic exercise versus placebo stretching for sport-related concussion in adolescents: a randomised controlled trial – The Lancet Child & Adolescent Health

Comunicado de imprensa: Aerobic exercise after a sport-related concussion speeds recovery in adolescent athletes – University at Buffalo

Conteúdos relacionados:

Randomized Trial: Early Aerobic Exercise for Sport-Related Concussion

RCT: Limiting screen time for young adults after concussion results in shorter duration of symptoms.

Selected issues in sport-related concussion for the team physician: a consensus statement – “Current evidence suggests strict rest after SRC slows recovery and increases the probability of prolonged symptoms”.

RCT: Prescribed light exercise vs. standard management for emergency department patients with acute mild traumatic brain injury

Comentários no Twitter

RCT study in @TheLancet shows adolescents who sub-threshold aerobic exercise 20 mins/ day for 4 weeks starting within 10 days of a concussion are 48% less likely to get prolonged symptoms. https://t.co/1tafsQHrXt

— Dr Ademola Adejuwon (@SmileySportyDoc) October 2, 2021

Sport-related #concussion is a major public health issue in US adolescents

This new RCT of aerobic exercise vs stretching found exercise sped up recovery and reduced risk for persistent post-concussive symptomshttps://t.co/jP30N1eJEQ pic.twitter.com/ux42VSMfSr

— The Lancet Child & Adolescent Health (@LancetChildAdol) October 1, 2021

M-A | Opções de tratamento para a progressão ou a recorrência do glioblastoma.

27 Set, 2021 | 13:04h

Treatment options for progression or recurrence of glioblastoma: a network meta‐analysis – Cochrane Library

Resumo: Treatment options for people with recurrent and progressive glioblastoma – Cochrane Library

Revisão | Tratamento de pacientes com lesão cerebral aguda grave e síndrome da angústia respiratória aguda (SARA).

27 Set, 2021 | 12:27h

Focused Management of Patients with Severe Acute Brain Injury and ARDS – CHEST

Estudo randomizado | Limitação do tempo de tela para jovens adultos após concussão resulta em duração mais curta dos sintomas.

12 Set, 2021 | 22:03h

Comunicado de imprensa: Limiting screen time for young adults after concussion results in shorter duration of symptoms – University of Massachusetts Medical School

Estudo original: Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial – JAMA Pediatrics (link para o resumo – $ para o texto completo)

Comentário no Twitter

The use of electronic screen time in the first 48 hours after sustaining a concussion is associated with a longer time to recovery, a single-center randomized-clinical trial reports https://t.co/PFAj5OoqNc

— JAMA Pediatrics (@JAMAPediatrics) September 7, 2021

Revisão | Tratamento de lesão cerebral traumática grave em regiões com recursos limitados.

12 Set, 2021 | 20:09h

Management of severe traumatic brain injury in regions with limited resources – Brain Injury