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Author

Luís Guilherme Fernandes Costa Lima

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Open access Oct 2026

Concomitant Castleman syndrome and secondary progressive multiple sclerosis: a case report

Case Presentation: 42-year-old female patient presented with neurological symptoms at age 20, including sensory changes, motor incoordination, urinary incontinence, and left brachio-crural paresis, leading to a multiple sclerosis (MS) diagnosis. Over the course of the disease, she experienced multiple relapses and seve...

Victor Augusto Souza Santana, Giovana de Azevedo Benedito, Luís Guilherme Fernandes Costa Lima et al. · 0 citations
Open access Oct 2026

Use of tirofiban in distal basilar artery occlusion in acute ischemic stroke: a case report

Case Presentation: A 71-year-old male patient with a history of arterial hypertension and diabetes mellitus, admitted under the care of Vascular Surgery due to a right lower limb transfemoral amputation. Sixteen days after admission, the patient developed left-sided hemiparesis and dysarthria, with an NIHSS score of 9....

Nayara Ferreira de Moura Barbosa, G. Modolo, P. Pozzobon et al. · 0 citations
Open access Oct 2026

Severe progression of bilateral optic neuritis associated with extensive neuroaxis involvement in an AQP4-seronegative patient: a case report

Case Presentation: A previously healthy 45-year-old female presented in March 2025 with left optic neuritis, partially responsive to methylprednisolone pulse therapy. In August 2025, she developed severe, painless bilateral visual loss (counting fingers) and multifocal neurological signs, including nystagmus, left hemi...

Hérica Dias Brito, Victor Assis Souza, Carlos Hiago Ferreira et al. · 0 citations
Open access Oct 2026

A neuropathic masquerade: deciphering chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) secondary to granulomatosis with polyangiitis (GPA)

Case Presentation: A 64-year-old male with hypertension presented with a 12-week history of 13 kg weight loss, ascending paresthesia, severe allodynia, and progressive tetraparesis resulting in walker dependence. Auditory acuity loss and sporadic fever were also noted. Physical examination revealed symmetrical tetrapar...

Luís Guilherme Fernandes Costa Lima, Felipe Renato Mendonça Prata, Débora Letícia Correia et al. · 0 citations
Open access Oct 2026

Subacute cerebellar ataxia as the primary manifestation of Sjögren’s syndrome in a young male: a case report

Sjögren’s syndrome is a critical differential diagnosis for subacute cerebellar ataxia in young adults and the necessity of screening for systemic autoantibodies and performing minor salivary gland biopsies in patients with unexplained CNS inflammatory lesions, regardless of glandular symptoms is emphasized.

Hérica Dias Brito, Luís Guilherme Fernandes Costa Lima, Pedro H. C. Sant'Anna et al. · 0 citations

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