Autor: ABECer

Serviço de Eletroconvulsoterapia

Principais indicaçoes de ECT Pacientes com depressao, em especial refratárias aos antidepressivos, com grande risco de suicídio e com sintomas psicóticos (delírios e alucinaçoes). Pacientes que apresentem mania e todos os seus subtipos. Quadros psiquiátricos em gestantes, puérperas e idosos. Depressoes associadas a quadros clínicos e em situaçoes em que há contra-indicaçao para o uso de certas medicaçoes. Alguns pacientes com esquizofrenia e outras psicoses funcionais (com sintomas afetivos proeminentes, catatonia, etc) Síndrome neuroléptica maligna. Alguns transtornos mentais orgânicos (convulsoes intratáveis, hipopituitarismo, doença de Parkinson etc)   Contra-indicaçoes relativas ao uso de ECT Arritmias cardíacas, infarto do miocárdio recente (menos de 6 meses), insuficiencia cardíaca ou coronariana descompensadas, feocromocitoma, síndromes hipertensivas arteriais nao controladas. Lesoes cerebrais expansivas ou que causem aumento da pressao intracraniana, hemorragia cerebral recente (menos de 6 meses), malformaçoes vasculares e aneurismas cerebrais. Glaucoma ou descolamento da retina. Risco anestésico elevado (ASA 4 ou 5). Exames e avaliaçoes subsidiários pré-ECT (obrigatórios) Eletrocardiograma. Hemograma completo, sódio e potássio séricos. Raio X de tórax. Tomografia de crânio. Avaliaçao cardiológica com laudo Avaliaçao odontológica e clínica (realizada por equipes próprias do IPQ-HCFMUSP)   Preparo do paciente no dia do tratamento Jejum de 8 horas (inclusive de água). Cabelos limpos e secos (evitar o uso de gel e outros produtos) Retirar dentaduras ou pontes dentárias. Vestuário adequado (nao usar brincos, colares etc) Esvaziar a bexiga antes do procedimento. Tomar a...

Read More

Transcranial Direct Current Stimulation

Transcranial direct current stimulation (tDCS), is a non-invasive, painless brain stimulation treatment that uses direct electrical currents to stimulate specific parts of the brain. A constant, low intensity current is passed through two electrodes placed over the head which modulates neuronal activity. There are two types of stimulation with tDCS: anodal and cathodal stimulation. Anodal stimulation acts to excite neuronal activity while cathodal stimulation inhibits or reduces neuronal activity. Although tDCS is still an experimental form of brain stimulation, it potentially has several advantages over other brain stimulation techniques. It is cheap, non-invasive, painless and safe. It is also easy to administer and the equipment is easily portable. The most common side effect of tDCS is a slight itching or tingling on the scalp. Several studies suggest it may be a valuable tool for the treatment of neuropsychiatric conditions such as depression, anxiety, Parkinson’s disease, and chronic pain. Research has also demonstrated cognitive improvement in some patients undergoing tDCS. Currently, tDCS is not an FDA-approved treatment.   Fonte: The Johns Hopkins University...

Read More

Transcranial direct-current stimulation

From Wikipedia, the free encyclopedia Transcranial direct current stimulation (tDCS) is a form of neurostimulation which uses constant, low current delivered to the brain area of interest via electrodes on the scalp. It was originally developed to help patients with brain injuries or psychiatric conditions like major depressive disorder. tDCS appears to be somewhat effective for treatment of depression.[1] However, there is no good evidence that it is useful for cognitive enhancement in healthy people,[2][3] memory deficits in Parkinson’s disease and Alzheimer’s disease,[4] schizophrenia,[5] pain,[6] nor improving upper limb function after stroke.[7][8]   Leia...

Read More

Neuromodulation (Neuromodulation)

Publisher: International Neuromodulation Society; International Functional Electrical Stimulation Society, Wiley Journal description The official journal of the International Neuromodulation Society. Neuromodulation disseminates scientific and clinical information relevant to the field of neuromodulation. The journal’s sole purpose is to advance the basic and clinical science of the field of neuromodulation.Neuromodulation publishes original, scientific works, scientific reviews, abstracts of papers accepted for review at national and international congresses, and past and future news of events and activities of the society and its membership. Because the science of neuromodulation transcends many disciplines such as anesthesiology, angiology, cardiology, neurology, neuroscience, rehabilitation medicine, and vascular surgery, the information presented varies widely. Current impact factor: 2.70 Impact Factor Rankings 2016 Impact Factor Available summer 2017 2014 / 2015 Impact Factor 2.701 2013 Impact Factor 1.785 2012 Impact Factor 1.19 2011 Impact Factor 1.186 2010 Impact Factor 1.057 2009 Impact Factor 0.953 2008 Impact Factor 0.987 2007 Impact Factor 1.353 2006 Impact Factor 0.691 2005 Impact Factor 0.545 2004 Impact Factor 0.774 2003 Impact Factor 0.875 2002 Impact Factor 0.87 2001 Impact Factor 1.096 2000 Impact Factor 1.216 1999 Impact Factor 2.095   Leia...

Read More

Brain Stimulation – Basic, Translational, and Clinical Research in Neuromodulation

Brain Stimulation aims to be the premier journal for publication of original research in the field of neuromodulation. The journal includes: a) Original articles (up to 5,000 words); b) Short Communications (up to 1,000 words); c) Invited and original reviews; d) Technology and methodological perspectives (reviews of new devices, description of new methods, etc.); and e) Letters to the Editor. Special issues of the journal will be considered based on scientific merit. The scope of Brain Stimulation extends across the entire field of brain stimulation, including noninvasive and invasive techniques and technologies that alter brain function through the use of electrical, magnetic, radiowave, or focally targeted pharmacologic stimulation. This includes investigations that study the effects of brain stimulation on basic processes, such as gene expression and other aspects of molecular biology, neurochemical regulation, functional brain activity, sensorimotor function, and cognitive and affective   Leia...

Read More