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Biomedical subjects

L F Fonseca

Publications and source records attributed to L F Fonseca.

7 recordsLinked to original sources
PubMed2000

[Infantile spasms: experience in 13 cases].

Infantile spasms are typical crisis found in the childhood being a serious pathology with an obscure prognosis. We present the experience of the Service of Neuropediatrics in the Pediatric General Center, Belo Horizonte - Brasil, during the year of 1997, with a review of the literature about. After appropriate propaedeutics, were found 12 cases considered symptomatics and 1 case cryptogenic. All these cases were treated with ACTH during 6 weeks associated with oral antiepileptic drugs in mono or polytherapy for maintenance. We had excellent results using ACTH at the beginning of the treatment, obtaining good results in all of the cases with some side effects that were not important enough to interrupt the treatment. However, there was a recurrence rate of 55% and vigabatrin was used as second option, controlling 4 of the 5 cases. All the cases showed retardation of the neuropsychomotor development.

Adrenocorticotropic Hormone↗
PubMed1999

Kearns-Sayre syndrome "plus". Classical clinical findings and dystonia.

We present a boy of eight years of age with symptoms of Kearns-Sayre syndrome (KSS) characterised by ophthalmoparesis, palpebral ptosis, mitochondrial myopathy, pigmentous retinitis, associated to short stature, cerebellar signs, cardiac blockade, diabetes mellitus, elevated cerebrospinal fluid protein concentration, and focal hand and foot dystonia. The skeletal muscle biopsy demonstrated ragged red fibers, cytochrome C oxidase-negative and succinate dehydrogenase-positive fibers. The magnetic resonance imaging showed symmetrical signal alteration in tegmentum of brain stem, pallidum and thalamus. Mitochondrial DNA analysis from skeletal muscle showed a deletion in heteroplasmic condition. The association of dystonia to KSS, confirmed by molecular analysis, is first described in this case, and the importance of oxidative phosphorylation defects in the physiopathogenesis of this type of movement disorder is stressed.

Aged↗
PubMed1998

[Choroid plexus tumors].

This analysis comprises 15 children under 16 years of age, with choroid plexus tumors, seen in the Service of Paediatric Neurosurgery, Hospital das Clínicas and Hospital São Francisco de Assis in Belo Horizonte, Brazil, between 1981 and 1996. The patients were aged between 4 months and 16 years (average of 3 years and a half); 10 were less than 2 years, 9 were female; 14 children had clinical evidence of intracranial hypertension. All the children underwent CT scan and the choroid plexus tumors were clearly demonstrated in 14 of then. In 8 children the tumors were located in one lateral ventricle, 5 in the fourth ventricle and 2 had the tumors in more than one ventricle, 11 children required ventriculo-peritoneal shunt; 14 cases were operated on, 13 with total excision; 2 children died, respectively 7 days and one year after the surgery. Pathological examination revealed papillomas in 12 cases and carcinoma in two cases.

Adolescent↗
PubMed1996

Anopheles gambiae complex (Diptera:Culicidae) near Bissau City, Guinea Bissau, West Africa.

Cytogenetic studies on mosquitoes collected inside bednets near Bissau City confirmed the presence of Anopheles melas Theobald and An. gambiae Giles sensu stricto, the latter species prevailing in rainy season samples (approximately 80% in average) and the former in dry season samples (> 90%). Seasonal and ecogeographical variations in the frequency of species and chromosomal inversions were analyzed. The analysis of An. gambiae sensu stricto confirmed the existence of the Bissau chromosomal form. The deficiency of heterokaryotypes in most samples indicated the possible coexistence of another chromosomal form not completely panmictic (i.e., randomly mating) with the Bissau form.

Animals↗
PubMed1993

[High medular compression caused by neurenteric cyst. Report of a case].

The authors report the case of a child with a neuroenteric cyst compressing the high cervical spinal cord at the level of C1 to C3. The tumor was completely excised through a laminotomy with good results. The literature is revised, and the embryology, symptomatology, treatment and results are discussed.

Child↗
PubMed1980

[Clinical and laboratory experience in the treatment of epilepsy with barbexaclone. Considerations on 29 cases].

Twenty nine patients were treated with barbexaclone for 6-41 months. Eighteen of these patients suffered from grand-mal epilepsy and complete control of the crises was achieved in 16 of them. No alterations were noted in the hemogram, liver or renal function tests. Side effects were minimal and didn't necessitate discontinuing the drug. 25% of the patients also showed a psychological improvement on the medication.

Adolescent↗