endovascular treatment of a basilar artery dissecting aneurysm fasciculações benignas responsivas à gabapentina

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ID: 186789
2007
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Abstract
Fasciculations are symptoms present in a broad spectrum of conditions, ranging from normal manifestations to motor neuron diseases. They also represent the main picture of benign fasciculation syndrome. We report a case of such syndrome: a 48-years-old woman complaining about fasciculations for three decades who remained with the symptoms even after the compensation of a disclosed hyperthyroidism. The introduction of gabapentin rendered control of her fasciculations. The available data in the literature about the therapeutic approaches for fasciculations are revised, as long as the rare reports of evolution from patients with "benign" fasciculations to cases of amyotrophic lateral sclerosis, underlining the importance of following the patients with fasciculations.
Fasciculações são sintomas presentes em um amplo espectro de condições, desde manifestações normais até doenças do neurônio motor. Elas representam também o principal aspecto da síndrome de fasciculações benignas. Relatamos um caso desta síndrome: uma paciente de 48 anos com queixas de fasciculações por três décadas que, mesmo após a compensação de um quadro de hipertireoidismo, permaneceu com os sintomas. A introdução de gabapentina levou a controle das fasciculações. Os dados disponíveis na literatura sobre as abordagens terapêuticas para fasciculações são revisados, assim como os raros relatos de evolução de pacientes com fasciculações "benignas" para casos de esclerose lateral amiotrófica, salientando a importância do seguimento dos pacientes com fasciculações.
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Authors ;Cassiano Mateus Forcelini;Francisco Tellechea Rotta;Naiana Posenato;Joana Stella Rovani;Paulo Sérgio Crusius;Adroaldo Baseggio Mallmann;Cláudio Albano Seibert;Marcelo Ughini Crusius;Charles Carazzo;Cassiano Ughini Crusius;Eduardo Goellner;Jean Ragnini;Sâmia Yasin Wayhs
Journal communications in computer and information science
Year 2007
DOI
10.1590/S0004-282X2007000600020
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000600020
Keywords
gabapentin motor neuron disease neuropsychiatry biological psychiatry

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