All publications of “Helder Tedeschi”

4 results

Evaluation of safety, effectiveness and reproducibility of telemedicine for neurosurgical screening

Luiz Adriano Esteves ORCID logo , André Tosta Ribeiro ORCID logo , Elton Gomes da Silva ORCID logo , Marcelo Campos Moraes Amato ORCID logo , Leandro Bôa-Hora Rodrigues ORCID logo , Helder Tedeschi ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AO4609

ABSTRACT Objective: To ascertain the safety, effectiveness and reproducibility of screening potential neurosurgical patients by means of smartphones. Methods: This is a retrospective and multicentric study. Data were collected from the medical records of patients subjected to real emergency neurosurgical evaluations and compared with assessments by neurosurgeons using smartphones to determine the feasibility of identifying changes in cranial computed tomography scans, potentially serious conditions of patients, and the need for transfer to reference centers. Results: We analyzed 232 cases. The […]

Retrospective analysis of a case series of patients with traumatic injuries to the craniocervical junction

Luiz Adriano Esteves, Andrei Fernandes Joaquim, Helder Tedeschi

DOI: 10.1590/s1679-45082016ao3396

ABSTRACTObjectiveTo evaluate the correlation between the treatment, the characteristics of the lesions and the clinical outcome of patients with traumatic injuries to the craniocervical junction.Methods This was a retrospective study of patients treated conservatively or surgically between 2010 and 2013 with complete data sets.Results We analyzed 37 patients, 73% were men with mean age of 41.7 years. Of these, 32% were submitted to initial surgical treatment and 68% received conservative treatment. Seven (29%) underwent surgery subsequently. In the surgical group, […]

Stereotactic radiosurgery for spinal metastases: a literature review

Andrei Fernandes Joaquim, Enrico Ghizoni, Helder Tedeschi, Eduardo Baldon Pereira, Leonardo Abdala Giacomini

DOI: 10.1590/S1679-45082013000200020

Objective:The spine is the most common location for bone metastases. Since cure is not possible, local control and relief of symptoms is the basis for treatment, which is grounded on the use of conventional radiotherapy. Recently, spinal radiosurgery has been proposed for the local control of spinal metastases, whether as primary or salvage treatment. Consequently, we carried out a literature review in order to analyze the indications, efficacy, and safety of radiosurgery in the treatment of spinal metastases.METHODS:We havereviewed the […]

Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression?

Leonardo Giacomini, Roger Neves Mathias, Andrei Fernandes Joaquim, Mateus Dal Fabbro, Enrico Ghizoni, Helder Tedeschi

DOI: 10.1590/S1679-45082012000400020

Paraplegia is a well-defined state of complete motor deficit in lower limbs, regardless of sensory involvement. The cause of paraplegia usually guides treatment, however, some controversies remain about the time and benefits for spinal cord decompression in nontraumatic paraplegic patients, especially after 48 hours of the onset of paraplegia. The objective of this study was to evaluate the benefits of spinal cord decompression in such patients. We describe three patients with paraplegia secondary to non-traumatic spinal cord compression without sensory […]