[PDF] Top 20 A opinião de professores sobre o ensino de matemática para alunos surdos
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Clinical Reasoning: An 8-year-old girl with multifocal brain lesions and cerebral edema
... frontal cerebral edema (figure ...vasogenic edema and returned to baseline mental status within 24 ...diffuse cerebral edema with midline shift and tonsillar herniation (figure ... See full document
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Clinical Reasoning: A 16-year-old girl with fixed unilateral grimace
... the brain parenchyma. Further, there were no ectatic vessels or focal lesions in the brainstem, and no other evidence of an inflammatory or demyelinating lesion was ...of edema and restricted ... See full document
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Clinical Reasoning: An 83-year-old woman with progressive hemiataxia, tremor, and infratentorial lesions
... The brain MRI was in- consistent with brain metastases or ...although brain biopsy remains the gold standard for ...progressive multifocal leukoencephalopathy (PML) may cause brainstem- ... See full document
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Clinical Reasoning: A 16-year-old girl with subacute weakness and sensory loss
... gies. Brain imaging should be performed to exclude accompanying abnormalities seen in inflammatory disorders such as acute disseminated encephalomy- elitis, multiple sclerosis, neuromyelitis optica spec- trum ... See full document
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Clinical Reasoning: A 69-year-old man with leukocytosis and hemorrhagic brain lesions
... vasogenic edema without mass effect (figure 1, A–C). Brain MRI could not be safely performed due to complete pacemaker ...was multifocal leukostatic infarction (ische- mia secondary to vascular ... See full document
5
Clinical Reasoning: A 30-year-old woman with recurrent seizures and a cerebral lesion progressing over 2 decades
... CT scans of the head were obtained at age 13 years (A) and 30 years (B). (C) MRI findings on the axial T1- and T2/fluid-attenuated inversion recovery (FLAIR) – weighted sequences as well as axial contrast-enhanced T1 ... See full document
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Case Report Intracranial giant aneurysms in children and adolescents misdiagnosed as intracranial tumors before operation: 2 cases report
... It showed a huge circular high density occupy- ing the left temporal lobe, in which the periph- eral ring density was particularly high with a piece of low density lesion around the mass. The patient was admitted to the ... See full document
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Stabbing Headache in an 8-Year-Old Girl: Primary or Drug Induced Headache?
... The headaches had started 1 month before admission, occurred rarely, and were usually preceded by physical ac- tivity (dancing, running) during hot weather. The frequency and character- istics of the headache attacks are ... See full document
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Clinical Reasoning: A 2-day-old baby girl with encephalopathy and burst suppression on EEG
... DISCUSSION NKH, also known as glycine enceph- alopathy, is an autosomal recessive metabolic disor- der characterized by the accumulation of glycine in the brain due to a defect in the glycine cleavage en- zyme ... See full document
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Clinical Reasoning: A 65-year-old woman with subacute hemiballism
... enhancing lesions of the right caudate head and anterior putamen progressing to caudate volume ...and clinical progression indicate that hyperglycemic injury with subacute small vessel infarction is the ... See full document
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Clinical Reasoning: Encephalopathy in a 10-year-old boy
... Stroke-like episodes refer to episodes of at least par- tially reversible neurologic deficits (often aphasia, hemianopia, and cortical blindness) that do not obey classic vascular territories. Posterior-parietal, tempo- ... See full document
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Clinical Reasoning: A 22-year-old man with diplopia
... sinus lesions, Wer- nicke encephalopathy, myasthenia gravis, Miller Fisher syndrome, or a pseudo-sixth nerve palsy via an upper brainstem infarct resulting in tonic adduc- tion of both ... See full document
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Clinical Reasoning: A 41-year-old man with thunderclap headache
... A 41-year-old man with a history of low testosterone on androgen therapy presented to the emergency department complaining of acute onset of the worst headache of his life. He reported being well until 6 ... See full document
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Clinical Reasoning: A 45-year-old woman with immobility and incontinence
... According to the patient’s manifestations of paraple- gia rather than hemiplegia, it was presumed more likely that the lesion was lying in the spinal cord than the brain. Therefore, initial assessments, including ... See full document
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Clinical Reasoning: A 33-year-old man with cardiomyopathy and myopathy
... In our patient, the subacute onset of symptoms and lack of systemic illness argue against infectious etiology. He did not have skin lesions to suggest der- matomyositis. He had not been taking medications or ... See full document
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Clinical Reasoning: A 52-year-old man with diplopia and ataxia
... Six years before presentation, he had several episodes of syncope and transient decreased sensation in the right arm. Evaluation at that time included nor- mal EEG, and contrasted brain MRI (not shown) ... See full document
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Clinical Reasoning: A 64-year-old man with visual distortions
... A 64-year-old right-handed man presented to the emergency department with a 4-week history of bilat- eral blurred and distorted vision. He reported that ob- jects in his central visual field appeared to ... See full document
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Clinical Reasoning: A 27-year-old man with unsteady gait
... A 27-year-old man presented to our hospital ’ s emer- gency department (ED) with an abnormal gait, pares- thesias of the lower extremities, and lower back pain that had progressed over 2 weeks. He reported ... See full document
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Clinical Reasoning: An 82-year-old man with worsening gait
... Brain MRI was normal, as was brain PET (performed to look for metabolic signatures of neurodegenera- tion) and dopamine transporter SPECT. Dopamine transporter SPECT measures dopamine uptake in the basal ... See full document
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Clinical Reasoning: A 59-year-old man with multifocal strokes, then subsequent painful eye movements and diplopia
... MRI brain/orbits with and without contrast showed new acute and subacute scattered infarcts and a new larger right occipital enhancing lesion consistent with subacute ... See full document
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