Heloisa Helena Caovilla | Universidade Federal de São Paulo (UNIFESP) (original) (raw)

Papers by Heloisa Helena Caovilla

Research paper thumbnail of Computerized analysis of established craniocorpography

The International Tinnitus Journal, Feb 1, 2002

This study reports 21 patients who suffered from vertigo and underwent a complete otorhinolaryngo... more This study reports 21 patients who suffered from vertigo and underwent a complete otorhinolaryngological evaluation and otoneurological tests to establish a peripherallabyrinthine disorder. All patients were given the Unterberger stepping test in a motion analysis laboratory. Their results were compared to those of a population of 21 normal individuals who were analyzed in the same motion laboratory. A precise description of sway, angular deviation, and test duration was obtained from the VICON motion analysis program. As expected, angUlar deviation was statistically greater in the group with vestibular disorders.

Research paper thumbnail of Síndrome cocleovestibulares e hiperinsulinismo

Rev Bras Med Otorrinolaringol, Sep 1, 1994

Base de dados : LILACS. Pesquisa : 188307 [Identificador único]. Referências encontradas : 1 [ref... more Base de dados : LILACS. Pesquisa : 188307 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. Caovilla, Heloisa Helena. experimental, Documentos relacionados. ...

Research paper thumbnail of Otimizando o componente farmacológico da terapia integrada da vertigem

Revista Brasileira de Otorrinolaringologia, 2007

A farmacoterapia é opção importante no tratamento das vestibulopatias periféricas. Objetivo: Iden... more A farmacoterapia é opção importante no tratamento das vestibulopatias periféricas. Objetivo: Identificar a medicação que otimiza a terapia integrada da vertigem (TIV) na doença de Ménière e em outras vestibulopatias periféricas. Material e Método: Estudo de casos em que pacientes com doença de Ménière ou outras vestibulopatias periféricas receberam TIV com betaistina, cinarizina, clonazepam, flunarizina, Ginkgo biloba ou sem medicação durante 120 dias. Resultados: Na doença de Ménière, TIV com qualquer um dos medicamentos foi mais eficaz do que TIV sem medicação, após 60 dias; a betaistina foi mais efetiva que todas as outras drogas, após 60 e 120 dias. Nas outras vestibulopatias periféricas, diferenças significantes foram observadas entre TIV com betaistina, cinarizina, clonazepam ou flunarizina e TIV sem medicação após 60 dias e todas as drogas foram mais efetivas que TIV sem medicação após 120 dias; betaistina, cinarizina ou clonazepam foram igualmente efetivos e betaistina foi mais efetiva que flunarizina e Ginkgo biloba. Os tratamentos foram bem tolerados. Conclusões: TIV incluindo medicação é mais efetiva que sem medicação na doença de Ménière ou em outras vestibulopatias periféricas. Betaistina foi o medicamento mais efetivo na doença de Ménière e tão eficaz quanto cinarizina ou clonazepam em outras vestibulopatias periféricas.

Research paper thumbnail of Reflexöes sobre a farmacoterapia da vertigem: problemas e soluçöes. Parte II - Atidudes

Rev Bras Med Otorrinolaringol, Apr 1, 1998

Research paper thumbnail of Dietary Management for Tinnitus Control in Patients with Hyperinsulinemia-A Retrospective Study

The international tinnitus journal, 1995

A retrospective study in 205 patients with a chief complaint of tinnitus and associated hyperinsu... more A retrospective study in 205 patients with a chief complaint of tinnitus and associated hyperinsulinemia/euglycemia is presented. Dietary control if umpaired insulin metabolism has resulted in a significant degree of tinnitus control. The methods and research are reported.

Research paper thumbnail of Otimizando o componente farmacol�gico da terapia integrada da vertigem

Revista Brasileira De Otorrinolaringologia, 2007

Research paper thumbnail of Relationship between head-only rotation and caloric test results in vestibular disorders

The international tinnitus journal, 2006

Our purpose was to determine the possible existence of a relationship between abnormal findings f... more Our purpose was to determine the possible existence of a relationship between abnormal findings from head-only rotation and those from caloric tests applied in patients with peripheral vestibular disorders. We retrospectively studied the head-only rotation and caloric test results of 75 patients experiencing dizziness and peripheral vestibular dysfunction. We assessed the relationship between abnormal test results using the Cramér coefficient. Abnormal findings in the head-only rotation test occurred in 87.5% of patients with vestibular hypoexcitability and in 94.3% of those with hyperexcitability or directional preponderance of post-caloric nystagmus. Statistical analysis of the association between the values found for the parameters of head-only rotation and caloric test results revealed a Cramér coefficient that was less than 0.70. We found no relationship between abnormal findings from head-only rotation and caloric tests applied to individuals with peripheral vestibular disorders.

Research paper thumbnail of Computerized analysis of established craniocorpography

The international tinnitus journal, 2002

This study reports 21 patients who suffered from vertigo and underwent a complete otorhinolaryngo... more This study reports 21 patients who suffered from vertigo and underwent a complete otorhinolaryngological evaluation and otoneurological tests to establish a peripheral labyrinthine disorder. All patients were given the Unterberger stepping test in a motion analysis laboratory. Their results were compared to those of a population of 21 normal individuals who were analyzed in the same motion laboratory. A precise description of sway, angular deviation, and test duration was obtained from the VICON motion analysis program. As expected, angular deviation was statistically greater in the group with vestibular disorders.

Research paper thumbnail of Digital craniocorpography and peripheral vestibular diseases

The international tinnitus journal, 2008

Peripheral vestibular diseases (PVDs) often produce many symptoms but few or no measurable signs.... more Peripheral vestibular diseases (PVDs) often produce many symptoms but few or no measurable signs. Tests that capture and measure signs permit the comparison between normal and vertiginous populations. The aim of our research was to find movement patterns that could identify PVD patients, using a motion analysis laboratory. The results from 21 asymptomatic volunteers who underwent the Unterberger-Fukuda stepping test were compared to those of 38 PVD patients. We established diagnosis after a complete otoneurological workup prior to the stepping test. The VICON 370 (Oxford Metrics Ltd, Oxford, UK) was used for digital capture and analysis of the stepping tests. Lateral sway, linear and total displacement, shoulder height oscillation, and torticollis angle were the same for individuals in both groups, but stepping time, body spin, and angular deviation were statistically greater in those in the patient group and might help in the diagnosis of PVDs.

Research paper thumbnail of Clonazepam in the pharmacological treatment of vertigo and tinnitus

The international tinnitus journal, 2002

We carried out a retrospective survey of 25 years of clinical experience with the use of clonazep... more We carried out a retrospective survey of 25 years of clinical experience with the use of clonazepam as a vestibular and tinnitus suppressant in the pharmacological treatment of vestibular or cochleovestibular disorders due to different causes. We reviewed the medical records of 3,357 outpatients treated with a 0.5 or 1.0-mg daily dosage of oral clonazepam during 60-180 days. Complete or substantial control of vertigo or nonvertiginous dizziness was achieved in 77.4% of the vertigo patients. Tinnitus was improved in 32.0% of the tinnitus patients. Light or mild drowsiness, depression, nightmares, or lowering of libido, reported by 16.9% of the patients as adverse side effects, tended to subside with continued therapy. We concluded that clonazepam is a very useful and safe drug for the symptomatic treatment of patients suffering from cochleovestibular disorders.

Research paper thumbnail of Do nistagno per-rotatório a vecto-electronistagmografia

Research paper thumbnail of Da componente rápida do nistagmo optocinético vertical à vecto-eletronistagmografia

Acta Awho, 1985

Resumo: Estudou-se que os valores absolutos e relativos da velocidade angular da componente rápid... more Resumo: Estudou-se que os valores absolutos e relativos da velocidade angular da componente rápida dos nistagmo optocinético vertical à VENG de vinte e oito (28) indivíduos normais, tendo sido possível estabelecer estatisticamente os limites críticos da ...

Research paper thumbnail of Tonturas na criança e no adolescente

Rev Bras Med Otorrinolaringol, Jul 1, 1995

Research paper thumbnail of Avaliaçäo funcional dos canais semicirculares verticais em crianças normais à vecto-electronistagmografia: I. Da velocidade da componente lenta do nistagmo per-rotatório

Research paper thumbnail of Aspectos qualitativos do nistagmo per-rotatório em síndromes do sistema nervoso central

Research paper thumbnail of Do nistagmo pós-calórico à vecto-electronistagmografia

Research paper thumbnail of Estudo do nistagmo espontâneo em indivíduos normais com o método simplificado do cálculo da velocidade angular real da componente lenta

Acta Awho, Aug 1, 1994

... seleciona. para imprimir. Fotocópia. Alvarenga, Kátia de Freitas. Caovilla, Heloisa Helena. I... more ... seleciona. para imprimir. Fotocópia. Alvarenga, Kátia de Freitas. Caovilla, Heloisa Helena. Id: 139503. Autor: Alvarenga, Kátia de Freitas; Lopes, Eymar Sampaio; Michelli, Alexandra Carvalho D; Ito, Yasuko Imasato; Caovilla, Heloisa Helena; Ganança, Maurício Malavasi. ...

Research paper thumbnail of Tratamento da vertigem na criança

Pediatr Mod, Feb 1, 1997

Tratamento da vertigem na criança. Maurício Malavasi Ganança. Professor titular de Otorrinolaring... more Tratamento da vertigem na criança. Maurício Malavasi Ganança. Professor titular de Otorrinolaringologia (Unifesp-EPM) e responsável pela Área de Equilibriometria do Setor de Otorrinolaringologia do Laboratório Fleury. Heloísa Helena Caovilla. ...

Research paper thumbnail of Anormalidades do nistagmo per-rotatório e pós-calórico em labirintopatias

Research paper thumbnail of Limites normais dos parâmetros de avaliaçäo à vectonistagmografia digital neurograff

Acta Awho, Jun 1, 2000

Base de dados : LILACS. Pesquisa : 269603 [Identificador único]. Referências encontradas : 1 [ref... more Base de dados : LILACS. Pesquisa : 269603 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. Caovilla, Heloisa Helena. experimental, Documentos relacionados. ...

Research paper thumbnail of Computerized analysis of established craniocorpography

The International Tinnitus Journal, Feb 1, 2002

This study reports 21 patients who suffered from vertigo and underwent a complete otorhinolaryngo... more This study reports 21 patients who suffered from vertigo and underwent a complete otorhinolaryngological evaluation and otoneurological tests to establish a peripherallabyrinthine disorder. All patients were given the Unterberger stepping test in a motion analysis laboratory. Their results were compared to those of a population of 21 normal individuals who were analyzed in the same motion laboratory. A precise description of sway, angular deviation, and test duration was obtained from the VICON motion analysis program. As expected, angUlar deviation was statistically greater in the group with vestibular disorders.

Research paper thumbnail of Síndrome cocleovestibulares e hiperinsulinismo

Rev Bras Med Otorrinolaringol, Sep 1, 1994

Base de dados : LILACS. Pesquisa : 188307 [Identificador único]. Referências encontradas : 1 [ref... more Base de dados : LILACS. Pesquisa : 188307 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. Caovilla, Heloisa Helena. experimental, Documentos relacionados. ...

Research paper thumbnail of Otimizando o componente farmacológico da terapia integrada da vertigem

Revista Brasileira de Otorrinolaringologia, 2007

A farmacoterapia é opção importante no tratamento das vestibulopatias periféricas. Objetivo: Iden... more A farmacoterapia é opção importante no tratamento das vestibulopatias periféricas. Objetivo: Identificar a medicação que otimiza a terapia integrada da vertigem (TIV) na doença de Ménière e em outras vestibulopatias periféricas. Material e Método: Estudo de casos em que pacientes com doença de Ménière ou outras vestibulopatias periféricas receberam TIV com betaistina, cinarizina, clonazepam, flunarizina, Ginkgo biloba ou sem medicação durante 120 dias. Resultados: Na doença de Ménière, TIV com qualquer um dos medicamentos foi mais eficaz do que TIV sem medicação, após 60 dias; a betaistina foi mais efetiva que todas as outras drogas, após 60 e 120 dias. Nas outras vestibulopatias periféricas, diferenças significantes foram observadas entre TIV com betaistina, cinarizina, clonazepam ou flunarizina e TIV sem medicação após 60 dias e todas as drogas foram mais efetivas que TIV sem medicação após 120 dias; betaistina, cinarizina ou clonazepam foram igualmente efetivos e betaistina foi mais efetiva que flunarizina e Ginkgo biloba. Os tratamentos foram bem tolerados. Conclusões: TIV incluindo medicação é mais efetiva que sem medicação na doença de Ménière ou em outras vestibulopatias periféricas. Betaistina foi o medicamento mais efetivo na doença de Ménière e tão eficaz quanto cinarizina ou clonazepam em outras vestibulopatias periféricas.

Research paper thumbnail of Reflexöes sobre a farmacoterapia da vertigem: problemas e soluçöes. Parte II - Atidudes

Rev Bras Med Otorrinolaringol, Apr 1, 1998

Research paper thumbnail of Dietary Management for Tinnitus Control in Patients with Hyperinsulinemia-A Retrospective Study

The international tinnitus journal, 1995

A retrospective study in 205 patients with a chief complaint of tinnitus and associated hyperinsu... more A retrospective study in 205 patients with a chief complaint of tinnitus and associated hyperinsulinemia/euglycemia is presented. Dietary control if umpaired insulin metabolism has resulted in a significant degree of tinnitus control. The methods and research are reported.

Research paper thumbnail of Otimizando o componente farmacol�gico da terapia integrada da vertigem

Revista Brasileira De Otorrinolaringologia, 2007

Research paper thumbnail of Relationship between head-only rotation and caloric test results in vestibular disorders

The international tinnitus journal, 2006

Our purpose was to determine the possible existence of a relationship between abnormal findings f... more Our purpose was to determine the possible existence of a relationship between abnormal findings from head-only rotation and those from caloric tests applied in patients with peripheral vestibular disorders. We retrospectively studied the head-only rotation and caloric test results of 75 patients experiencing dizziness and peripheral vestibular dysfunction. We assessed the relationship between abnormal test results using the Cramér coefficient. Abnormal findings in the head-only rotation test occurred in 87.5% of patients with vestibular hypoexcitability and in 94.3% of those with hyperexcitability or directional preponderance of post-caloric nystagmus. Statistical analysis of the association between the values found for the parameters of head-only rotation and caloric test results revealed a Cramér coefficient that was less than 0.70. We found no relationship between abnormal findings from head-only rotation and caloric tests applied to individuals with peripheral vestibular disorders.

Research paper thumbnail of Computerized analysis of established craniocorpography

The international tinnitus journal, 2002

This study reports 21 patients who suffered from vertigo and underwent a complete otorhinolaryngo... more This study reports 21 patients who suffered from vertigo and underwent a complete otorhinolaryngological evaluation and otoneurological tests to establish a peripheral labyrinthine disorder. All patients were given the Unterberger stepping test in a motion analysis laboratory. Their results were compared to those of a population of 21 normal individuals who were analyzed in the same motion laboratory. A precise description of sway, angular deviation, and test duration was obtained from the VICON motion analysis program. As expected, angular deviation was statistically greater in the group with vestibular disorders.

Research paper thumbnail of Digital craniocorpography and peripheral vestibular diseases

The international tinnitus journal, 2008

Peripheral vestibular diseases (PVDs) often produce many symptoms but few or no measurable signs.... more Peripheral vestibular diseases (PVDs) often produce many symptoms but few or no measurable signs. Tests that capture and measure signs permit the comparison between normal and vertiginous populations. The aim of our research was to find movement patterns that could identify PVD patients, using a motion analysis laboratory. The results from 21 asymptomatic volunteers who underwent the Unterberger-Fukuda stepping test were compared to those of 38 PVD patients. We established diagnosis after a complete otoneurological workup prior to the stepping test. The VICON 370 (Oxford Metrics Ltd, Oxford, UK) was used for digital capture and analysis of the stepping tests. Lateral sway, linear and total displacement, shoulder height oscillation, and torticollis angle were the same for individuals in both groups, but stepping time, body spin, and angular deviation were statistically greater in those in the patient group and might help in the diagnosis of PVDs.

Research paper thumbnail of Clonazepam in the pharmacological treatment of vertigo and tinnitus

The international tinnitus journal, 2002

We carried out a retrospective survey of 25 years of clinical experience with the use of clonazep... more We carried out a retrospective survey of 25 years of clinical experience with the use of clonazepam as a vestibular and tinnitus suppressant in the pharmacological treatment of vestibular or cochleovestibular disorders due to different causes. We reviewed the medical records of 3,357 outpatients treated with a 0.5 or 1.0-mg daily dosage of oral clonazepam during 60-180 days. Complete or substantial control of vertigo or nonvertiginous dizziness was achieved in 77.4% of the vertigo patients. Tinnitus was improved in 32.0% of the tinnitus patients. Light or mild drowsiness, depression, nightmares, or lowering of libido, reported by 16.9% of the patients as adverse side effects, tended to subside with continued therapy. We concluded that clonazepam is a very useful and safe drug for the symptomatic treatment of patients suffering from cochleovestibular disorders.

Research paper thumbnail of Do nistagno per-rotatório a vecto-electronistagmografia

Research paper thumbnail of Da componente rápida do nistagmo optocinético vertical à vecto-eletronistagmografia

Acta Awho, 1985

Resumo: Estudou-se que os valores absolutos e relativos da velocidade angular da componente rápid... more Resumo: Estudou-se que os valores absolutos e relativos da velocidade angular da componente rápida dos nistagmo optocinético vertical à VENG de vinte e oito (28) indivíduos normais, tendo sido possível estabelecer estatisticamente os limites críticos da ...

Research paper thumbnail of Tonturas na criança e no adolescente

Rev Bras Med Otorrinolaringol, Jul 1, 1995

Research paper thumbnail of Avaliaçäo funcional dos canais semicirculares verticais em crianças normais à vecto-electronistagmografia: I. Da velocidade da componente lenta do nistagmo per-rotatório

Research paper thumbnail of Aspectos qualitativos do nistagmo per-rotatório em síndromes do sistema nervoso central

Research paper thumbnail of Do nistagmo pós-calórico à vecto-electronistagmografia

Research paper thumbnail of Estudo do nistagmo espontâneo em indivíduos normais com o método simplificado do cálculo da velocidade angular real da componente lenta

Acta Awho, Aug 1, 1994

... seleciona. para imprimir. Fotocópia. Alvarenga, Kátia de Freitas. Caovilla, Heloisa Helena. I... more ... seleciona. para imprimir. Fotocópia. Alvarenga, Kátia de Freitas. Caovilla, Heloisa Helena. Id: 139503. Autor: Alvarenga, Kátia de Freitas; Lopes, Eymar Sampaio; Michelli, Alexandra Carvalho D; Ito, Yasuko Imasato; Caovilla, Heloisa Helena; Ganança, Maurício Malavasi. ...

Research paper thumbnail of Tratamento da vertigem na criança

Pediatr Mod, Feb 1, 1997

Tratamento da vertigem na criança. Maurício Malavasi Ganança. Professor titular de Otorrinolaring... more Tratamento da vertigem na criança. Maurício Malavasi Ganança. Professor titular de Otorrinolaringologia (Unifesp-EPM) e responsável pela Área de Equilibriometria do Setor de Otorrinolaringologia do Laboratório Fleury. Heloísa Helena Caovilla. ...

Research paper thumbnail of Anormalidades do nistagmo per-rotatório e pós-calórico em labirintopatias

Research paper thumbnail of Limites normais dos parâmetros de avaliaçäo à vectonistagmografia digital neurograff

Acta Awho, Jun 1, 2000

Base de dados : LILACS. Pesquisa : 269603 [Identificador único]. Referências encontradas : 1 [ref... more Base de dados : LILACS. Pesquisa : 269603 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. Caovilla, Heloisa Helena. experimental, Documentos relacionados. ...