Publications by authors named "Cesar Caparo-Zamalloa"

Background And Purpose: The diagnostic criteria for myelin oligodendrocyte glycoprotein antibody (MOG-IgG)-associated disease (MOGAD) were published in 2023. We aimed to determine the performance of the new criteria in Latin American (LATAM) patients compared with the 2018 criteria and explore the significance of MOG-IgG titers in diagnosis.

Methods: We retrospectively reviewed the medical records of LATAM (Argentina, Chile, Brazil, Peru, Ecuador, and Colombia) adult patients with one clinical MOGAD event and MOG-IgG positivity confirmed by cell-based assay.

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Article Synopsis
  • The study examined the occurrence, duration, and severity of area postrema syndrome (APS) in patients with neuromyelitis optica spectrum disorder (NMOSD) across several Latin American countries.
  • A total of 116 out of 631 patients (18.3%) experienced APS, with severe symptoms being the most common, and the average symptom duration was about 10 days, often treated effectively with IV steroids.
  • The research found that inflammatory activity significantly decreased after APS onset, but no specific factors were linked to the severity of the syndrome.
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Article Synopsis
  • The study investigates the effectiveness of testing cerebrospinal fluid (CSF) for myelin oligodendrocyte glycoprotein antibodies (MOG-IgG) to help diagnose certain neurological conditions, specifically MOG antibody-associated disease (MOGAD).
  • Researchers analyzed data from multiple patients over 27 years, highlighting the sensitivity (90%) and specificity (98%) of the testing method used.
  • Results show that CSF MOG-IgG testing is beneficial, especially for patients with negative serum tests or low positive serum MOG-IgG, suggesting it should be used in the right clinical situations for accurate diagnosis.
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Background: Neuromyelitis Optica Spectrum Disorders (NMOSD) is an autoimmune, inflammatory disorder of the Central Nervous System that typically involves the spinal cord and the optic nerves. Recently, the clinical and radiological spectrum of NMOSD has been increasing in Latin America. In Peru, there have only been a few clinical reports on NMOSD published.

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The diagnosis of the behavioral variant of frontotemporal dementia (bvFTD) can be especially challenging and is relatively underdiagnosed. There is scarce information on training and attitudes from care providers facing bvFTD in settings with limited resources. We aim to describe clinical knowledge and attitudes facing bvFTD from neurologists, psychiatrists, and residents in Peru.

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Background: MS is unpredictable regarding clinical symptoms; however, certain symptoms represent the preferred localization of white matter lesions such as brainstem, spinal cord; or optic nerve.

Objectives: To investigate the epidemiological, clinical, and imaging characteristics of MS patients in a national referral center in Peru, and to evaluate whether the type of symptom at onset relates with the time to making an MS diagnosis.

Methods: Retrospective study of MS patients at the Instituto Nacional de Ciencias Neurológicas between January 2010 and December 2018.

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Relapsing-remitting multiple sclerosis (RRMS) is a subtype of degenerative inflammatory demyelinating disease of multifactorial origin that affects the central nervous system and leads to multifocal neurological impairment. To develop a clinical pathway (CP) for the management of Peruvian patients with RRMS. First, we performed a literature review using Medline, Embase, Cochrane, ProQuest, and Science direct.

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We report the case of a patient with symptoms of anti-NMDAR encephalitis and anti-MOG associated disease simultaneously, in whom the identification of antibodies guided to a more aggressive treatment strategy, resulting in a good clinical outcome. MRI is an important tool to diagnose this kind of patients. The co-occurrence of both diseases in infrequent, but atypical symptoms should increase our awareness of the possibility of an overlap syndrome.

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The objective of the study was to describe the clinical characteristics, treatment response and possible associated factors of patients with Guillain-Barré syndrome at the National Institute of Neurological Sciences. A descriptive study on hospital discharges was conducted during the period 2017-2019. Treatment response was evaluated based on Hughes' disability scale.

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Background: Neuromyelitis optica spectrum disorders (NMOSD) is an increasing diagnostic and therapeutic challenge in Latin America (LATAM). Despite the heterogeneity of this population, ethnic and socioeconomic commonalities exist, and epidemiologic studies from the region have had a limited geographic and population outreach. Identification of some aspects from the entire region are lacking.

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Neuromyelitis optica spectrum disorders (NMOSD) and myasthenia gravis (MG) are disorders that affect the central nervous system and the neuromuscular junction respectively. Although both conditions are rare, reports of the coexistence of these two pathologies are increasing worldwide. Rarely, patients with MG develop aggressive forms of neuromyelitis optica (NMO) after thymectomy.

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