Carina França
University of São Paulo
Neuromodulation (medicine)NeuroscienceStimulationSubthalamic nucleusDentate nucleusDeep brain stimulationDystoniaTranscranial magnetic stimulationDiseaseSpinocerebellar ataxiaCerebellumParkinson's diseaseEssential tremorCerebellar ataxiaDyskinesiaAtaxiaIn patientAnesthesiaMedicinePhysical medicine and rehabilitation
14Publications
3H-index
68Citations
Publications 14
Newest
#1Carina França (USP: University of São Paulo)H-Index: 3
#2Kleber Paiva Duarte (USP: University of São Paulo)H-Index: 5
Last. Rubens Gisbert Cury (USP: University of São Paulo)H-Index: 13
view all 3 authors...
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#1Rubens Gisbert Cury (USP: University of São Paulo)H-Index: 13
#2Carina França (USP: University of São Paulo)H-Index: 3
Last. Daniel Ciampi de Andrade (USP: University of São Paulo)H-Index: 26
view all 5 authors...
The cerebellum has been implicated in the mechanisms of several movement disorders. With the recent reports of successful modulation of its functioning, this highly connected structure has emerged as a promising way to provide symptomatic relief not yet obtained by usual treatments. Here we review the most relevant papers published to date, the limitations and gaps in literature, discuss why several papers have failed in showing efficacy, and present a new way of stimulating the cerebellum. Refe...
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Abstract Introduction Cerebellar ataxia remains a neurological symptom orphan of treatment interventions, despite being prevalent and incapacitating. We aimed to study, in a double-blind design, whether cerebellar modulation could improve ataxia. Methods We included patients with diagnosis of spinocerebellar ataxia type 3, multiple systems atrophy cerebellar type, or post-lesion ataxia. Patients received five sessions each of sham and active cerebellar 1 Hz deep repetitive transcranial magnetic ...
1 CitationsSource
#1Ana Paula Bertholo (USP: University of São Paulo)
#2Carina França (USP: University of São Paulo)H-Index: 3
Last. Rubens Gisbert Cury (USP: University of São Paulo)H-Index: 13
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Subthalamic nucleus deep brain stimulation (STN DBS) is an established treatment that improves motor fluctuations, dyskinesia, and tremor in Parkinson's disease (PD). After the surgery, a careful electrode programming strategy and medical management are crucial, because an imbalance between them can compromise the quality of life over time. Clinical management is not straightforward and depends on several perioperative motor and non-motor symptoms. In this study, we review the literature data on...
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#1Rubens Gisbert Cury (USP: University of São Paulo)H-Index: 13
#2Manoel Jacobsen Teixeira (USP: University of São Paulo)H-Index: 3
Last. Daniel Ciampi de Andrade (USP: University of São Paulo)H-Index: 26
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Background: Pain is highly prevalent in Parkinson’s disease and is associated with significant reduction in health-related quality of life. Subthalamic deep brain stimulation can produce significant pain relief in a subset of patients after surgery. However, the mechanism by which deep brain stimulation modulates sensory function in Parkinson’s disease remains uncertain. Objective: To describe the motor and pain outcomes of deep brain stimulation applied to a series of patients with Parkinson’s ...
2 CitationsSource
#1Rubens Gisbert Cury (USP: University of São Paulo)H-Index: 13
#2Carina França (USP: University of São Paulo)H-Index: 3
Last. Daniel Ciampi de Andrade (USP: University of São Paulo)H-Index: 26
view all 9 authors...
3 CitationsSource
#1Carina França (USP: University of São Paulo)H-Index: 3
#2Egberto Reis Barbosa (USP: University of São Paulo)H-Index: 36
Last. Rubens Gisbert Cury (USP: University of São Paulo)H-Index: 13
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Abstract Background Interleaving stimulation (ILS) is an available stimulation strategy that can help the physician manage more challenging cases of patients with deep brain stimulation (DBS) for Parkinson’s disease. (PD) It consists in altering two different programs on the electrode with the same frequency. Objectives Overview our patients’ experience with ILS and explore clinical scenarios in which ILS should be considered when programming DBS in PD patients. Materials and Methods We retrospe...
3 CitationsSource
#1Manuelina Mariana Capellari Macruz Brito (USP: University of São Paulo)H-Index: 3
#2Manoel Jacobsen Teixeira (USP: University of São Paulo)H-Index: 55
Last. Rubens Gisbert Cury (USP: University of São Paulo)H-Index: 13
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Abstract Introduction Deep brain stimulation (DBS) of the thalamic centromedian-parafascicular (CM-Pf) region is the most common target to treat refractory Tourette syndrome (TS), but the improvement among the patients is quite variable. This study describes the outcomes of stimulation in TS patients and attempts to determine whether the volume of tissue activated (VTA) inside the thalamus or the structural connectivity between the area stimulated and different regions of the brain is associated...
8 CitationsSource
#1Rubens Gisbert Cury (USP: University of São Paulo)H-Index: 13
#2Carina França (USP: University of São Paulo)H-Index: 3
Last. Daniel Ciampi de Andrade (USP: University of São Paulo)H-Index: 26
view all 7 authors...
5 CitationsSource