Silvia Bolognani | Universidade Federal de São Paulo (UNIFESP) (original) (raw)
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Papers by Silvia Bolognani
... Comportamentais e de Humor Decorrentes de Lesões Cerebrais Sonia M. Dozzi Brucki* Paula A. Ro... more ... Comportamentais e de Humor Decorrentes de Lesões Cerebrais Sonia M. Dozzi Brucki* Paula A. Rodrigues de Gouveia ... mioclonias, rigidez, hiper-reflexia, incoordenação); instabilidade autonômica (febre, náuseas, diarréia, diaforese, taquicardia, taquip-néia); mais raramente ...
Arquivos De Neuro-psiquiatria, 2000
déficit de memória verbal e visual, desorientação temporal, abulia e bradipsiquismo. Método: Estr... more déficit de memória verbal e visual, desorientação temporal, abulia e bradipsiquismo. Método: Estruturação de horários fixos na rotina diária; exposição a um calendário 3 vezes ao dia; caminhadas diárias; monitorização do familiar na execução de tarefas de auto cuidado, fornecendo auxílio mediante comandos verbais curtos e pistas específicas. Resultados: Foram observados aumento da iniciativa, maior autonomia nas AVDs, diminuição do período de latência para qualquer resposta, melhora da atenção, orientação temporal e bradipsiquismo. Conclusões: Estratégias de controle do comportamento trazem ganhos e limitações para pacientes e familiares. Embora obriguem a adaptação a uma rotina pouco flexível, promovem o aprendizado através da automatização de procedimentos que se valem de mecanismos de memória implícita preservados. Estes recursos podem elevar o grau de autonomia do paciente em casa.
The neurobehavioral impairments associated with aneurysms of the anterior communicating artery (A... more The neurobehavioral impairments associated with aneurysms of the anterior communicating artery (ACoA) are severe amnesia, executive problems and personality changes. Although most patients achieve a favorable neurological outcome, those cognitive deficits usually prevent return to previous activities and levels of social integration. Objectives: To report the outcomes of a neuropsychological and behavioral intervention in a 55 year-old man with very severe memory and executive dysfunctions following ACoA aneurysm rupture. Methods: Neuropsychological intervention focused in functional adjustment in everyday life was used, including individual sessions with the patient, discussion sessions with caregivers and also work with patient at home, aiming generalization of the rehabilitation strategies. Neuropsychological and functional assessments were conducted pre and post intervention. Results: Important improvements were seeing in behavior and daily living performance after treatment. Conclusions: A neuropsychological rehabilitation approach focused on goals based on the family and caregivers necessities is an efficient manner in which to carry out cognitive rehabilitation in severe cases. The importance of a supportive family should be stressed.
Arquivos De Neuro-psiquiatria, 2000
RESUMO -Mesmo pacientes severamente amnésticos são capazes de aprender informações novas, apoiado... more RESUMO -Mesmo pacientes severamente amnésticos são capazes de aprender informações novas, apoiados em estratégias de memória implícita. No presente estudo descrevemos uma experiência de reabilitação neuropsicológica, em que um paciente amnéstico, portador de lesão cerebral por anóxia, foi submetido a treino para uso de computador, visando sua capacitação semi-profissional. O treinamento teve duração de 14 semanas, e as técnicas de ensino utilizadas foram a prática repetitiva e a aprendizagem sem erros. O paciente obteve sucesso na realização das tarefas propostas, aprendendo a operar um editor de textos e mantendo o aprendizado após a passagem do tempo. Apesar disso, lembrava-se apenas vagamente da situação de aprendizagem. O presente estudo corrobora trabalhos anteriores que observam a interação entre mecanismos de memória implícita e resíduos de memória explícita operando na aquisição de conhecimentos em pacientes amnésticos. A aprendizagem de conhecimentos específicos vem se mostrando eficiente para a reabilitação de pacientes que sofreram lesões cerebrais.
Arquivos De Neuro-psiquiatria, 2007
We report the first episode of Kleine-Levin (KLS) syndrome in a 17-year-old male. The illness ons... more We report the first episode of Kleine-Levin (KLS) syndrome in a 17-year-old male. The illness onset, clinical features, neuropsychological evaluation and polysomnographic recording are described. Typical symptoms hypersomnia, hyperphagia and sexual disinhibition were observed besides behavioral disturbances, polysonographic and neuropsychological alterations. Behavioral disturbances similar to a manic episode including psychotic symptoms were relevant. The pharmacologic treatment included lithium, methylphenidate and risperidone. The introduction of risperidone aimed the control of psychotic symptoms and the persistent manifestations of hypersexuality after sleepness control and to the best of our knowledge there are no other report regarding risperidone use for KLS in the literature.
Arthritis Care & …, Jan 1, 2010
Methods. Three groups of patients were assessed: adults who had RF with SC during childhood (SC g... more Methods. Three groups of patients were assessed: adults who had RF with SC during childhood (SC group), adults who had RF without SC during childhood (RF group), and controls (CT group). A range of neuropsychological tests looked at several cognitive domains. HRQOL was measured through a Brazilian version of the Short Form 36 (SF-36) health survey.
Arthritis Care & …, Jan 1, 2010
Methods. Three groups of patients were assessed: adults who had RF with SC during childhood (SC g... more Methods. Three groups of patients were assessed: adults who had RF with SC during childhood (SC group), adults who had RF without SC during childhood (RF group), and controls (CT group). A range of neuropsychological tests looked at several cognitive domains. HRQOL was measured through a Brazilian version of the Short Form 36 (SF-36) health survey.
... Comportamentais e de Humor Decorrentes de Lesões Cerebrais Sonia M. Dozzi Brucki* Paula A. Ro... more ... Comportamentais e de Humor Decorrentes de Lesões Cerebrais Sonia M. Dozzi Brucki* Paula A. Rodrigues de Gouveia ... mioclonias, rigidez, hiper-reflexia, incoordenação); instabilidade autonômica (febre, náuseas, diarréia, diaforese, taquicardia, taquip-néia); mais raramente ...
Arquivos De Neuro-psiquiatria, 2000
déficit de memória verbal e visual, desorientação temporal, abulia e bradipsiquismo. Método: Estr... more déficit de memória verbal e visual, desorientação temporal, abulia e bradipsiquismo. Método: Estruturação de horários fixos na rotina diária; exposição a um calendário 3 vezes ao dia; caminhadas diárias; monitorização do familiar na execução de tarefas de auto cuidado, fornecendo auxílio mediante comandos verbais curtos e pistas específicas. Resultados: Foram observados aumento da iniciativa, maior autonomia nas AVDs, diminuição do período de latência para qualquer resposta, melhora da atenção, orientação temporal e bradipsiquismo. Conclusões: Estratégias de controle do comportamento trazem ganhos e limitações para pacientes e familiares. Embora obriguem a adaptação a uma rotina pouco flexível, promovem o aprendizado através da automatização de procedimentos que se valem de mecanismos de memória implícita preservados. Estes recursos podem elevar o grau de autonomia do paciente em casa.
The neurobehavioral impairments associated with aneurysms of the anterior communicating artery (A... more The neurobehavioral impairments associated with aneurysms of the anterior communicating artery (ACoA) are severe amnesia, executive problems and personality changes. Although most patients achieve a favorable neurological outcome, those cognitive deficits usually prevent return to previous activities and levels of social integration. Objectives: To report the outcomes of a neuropsychological and behavioral intervention in a 55 year-old man with very severe memory and executive dysfunctions following ACoA aneurysm rupture. Methods: Neuropsychological intervention focused in functional adjustment in everyday life was used, including individual sessions with the patient, discussion sessions with caregivers and also work with patient at home, aiming generalization of the rehabilitation strategies. Neuropsychological and functional assessments were conducted pre and post intervention. Results: Important improvements were seeing in behavior and daily living performance after treatment. Conclusions: A neuropsychological rehabilitation approach focused on goals based on the family and caregivers necessities is an efficient manner in which to carry out cognitive rehabilitation in severe cases. The importance of a supportive family should be stressed.
Arquivos De Neuro-psiquiatria, 2000
RESUMO -Mesmo pacientes severamente amnésticos são capazes de aprender informações novas, apoiado... more RESUMO -Mesmo pacientes severamente amnésticos são capazes de aprender informações novas, apoiados em estratégias de memória implícita. No presente estudo descrevemos uma experiência de reabilitação neuropsicológica, em que um paciente amnéstico, portador de lesão cerebral por anóxia, foi submetido a treino para uso de computador, visando sua capacitação semi-profissional. O treinamento teve duração de 14 semanas, e as técnicas de ensino utilizadas foram a prática repetitiva e a aprendizagem sem erros. O paciente obteve sucesso na realização das tarefas propostas, aprendendo a operar um editor de textos e mantendo o aprendizado após a passagem do tempo. Apesar disso, lembrava-se apenas vagamente da situação de aprendizagem. O presente estudo corrobora trabalhos anteriores que observam a interação entre mecanismos de memória implícita e resíduos de memória explícita operando na aquisição de conhecimentos em pacientes amnésticos. A aprendizagem de conhecimentos específicos vem se mostrando eficiente para a reabilitação de pacientes que sofreram lesões cerebrais.
Arquivos De Neuro-psiquiatria, 2007
We report the first episode of Kleine-Levin (KLS) syndrome in a 17-year-old male. The illness ons... more We report the first episode of Kleine-Levin (KLS) syndrome in a 17-year-old male. The illness onset, clinical features, neuropsychological evaluation and polysomnographic recording are described. Typical symptoms hypersomnia, hyperphagia and sexual disinhibition were observed besides behavioral disturbances, polysonographic and neuropsychological alterations. Behavioral disturbances similar to a manic episode including psychotic symptoms were relevant. The pharmacologic treatment included lithium, methylphenidate and risperidone. The introduction of risperidone aimed the control of psychotic symptoms and the persistent manifestations of hypersexuality after sleepness control and to the best of our knowledge there are no other report regarding risperidone use for KLS in the literature.
Arthritis Care & …, Jan 1, 2010
Methods. Three groups of patients were assessed: adults who had RF with SC during childhood (SC g... more Methods. Three groups of patients were assessed: adults who had RF with SC during childhood (SC group), adults who had RF without SC during childhood (RF group), and controls (CT group). A range of neuropsychological tests looked at several cognitive domains. HRQOL was measured through a Brazilian version of the Short Form 36 (SF-36) health survey.
Arthritis Care & …, Jan 1, 2010
Methods. Three groups of patients were assessed: adults who had RF with SC during childhood (SC g... more Methods. Three groups of patients were assessed: adults who had RF with SC during childhood (SC group), adults who had RF without SC during childhood (RF group), and controls (CT group). A range of neuropsychological tests looked at several cognitive domains. HRQOL was measured through a Brazilian version of the Short Form 36 (SF-36) health survey.