ARQUIVOS DE NEURO-PSIQUIATRIA神经精神病学文献
ARQUIVOS DE NEURO-PSIQUIATRIA(英文缩写 ARQ NEURO-PSIQUIAT),ISSN 0004-282X,eISSN 1678-4227,中文译名:神经精神病学文献 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.035 | Q4 |
| 2022 | 1.400 | Q4 |
| 2023 | 1.000 | Q4 |
| 2024 | 1.600 | Q3 |
| 2025 | 1.900 | Q3 |
ARQUIVOS DE NEURO-PSIQUIATRIA 最新收录文献
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1. Neurological prognostication after cardiac arrest: evidence review and institutional protocol proposal.
PMID:日期:2026-10-02Cardiac arrest (CA) is associated with high mortality and neurological morbidity, mainly due to hypoxic-ischemic encephalopathy. Accurate neurological prognostication in CA survivors is essential to guide therapeutic decisions and provide appropriate care. To review the current evidence on neurological prognostication after CA and to propose an institutional protocol adapted to the resources of Hospital de Clínicas de Porto Alegre (HCPA). The current narrative review was conducted in two stages: a literature review and the development of an institutional protocol. Articles were selected according to their clinical relevance and their contribution to current evidence on neurological prognostication after CA. The PubMed, Scopus, Web of Science, Embase, and SciELO databases were searched. The protocol was developed considering the clinical tools available at HCPA, including neurological examination, electroencephalography (EEG), and neuroimaging. Brain injury after CA occurs in three stages: intra-arrest ischemia, immediate reperfusion, and delayed postreperfusion injury. Prognostic modalities include neurological examination, EEG, somatosensory-evoked potentials (SSEPs), serum biomarkers, and neuroimaging. Reliable predictors of poor outcome include absent brainstem reflexes at 72 hours, persistent EEG suppression, bilateral absence of cortical N20 potentials, and diffuse abnormalities on magnetic resonance imaging. The proposed protocol organizes assessments from admission to the Intensive Care Unit through day 5 after the return of spontaneous circulation. A standardized post-CA neurological prognostication protocol at HCPA may improve care quality, enhance communication with families, and support ethically-sound decision-making.
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2. Seven hundred years after Mondino de Luzzi (1275-1326): method and observation in medieval neuroanatomy.
PMID:日期:2026-10-02The present paper reexamines the contribution of Mondino de Luzzi (1275-1326) beyond his well-known association with the reintroduction of human dissection in medieval medicine. Focusing on ventricular theory, it explores how Mondino's teaching brought traditional descriptions of the brain into closer contact with the observation of the human body through public dissection. Although his work remained firmly rooted in Galenic and Avicennian traditions, the association of cerebral ventricles with identifiable bodily structures indirectly rendered established doctrines less purely speculative and more susceptible to anatomical scrutiny and criticism. From the Renaissance onward, this contributed to a broader reevaluation of inherited anatomical and physiological theories.
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3. Erectile dysfunction and lower urinary tract symptoms in men with multiple sclerosis.
3. 多发性硬化症男性的勃起功能障碍和下尿路症状PMID:日期:2026-10-02Multiple sclerosis (MS) is a chronic demyelinating disease of the central nervous system commonly associated with lower urinary tract symptoms (LUTS) and erectile dysfunction (ED); however, these conditions remain underinvestigated in Brazilian populations. To evaluate the prevalence of ED and LUTS, to analyze the correlations involving the 5-item International Index of Erectile Function (IIEF-5), the International Prostate Symptom Score (IPSS), the Expanded Disability Status Scale (EDSS), age, and disease duration, and to identify the subscale items most strongly associated with neurological disability in men with MS. We conducted a cross-sectional study enrolling 56 men with MS diagnosed through the McDonald criteria at the Reference Center for MS of the state of Paraíba, Brazil. Erectile dysfunction was assessed using the IIEF-5, and LUTS, using the IPSS. Spearman correlations with Bonferroni correction, univariate linear regression, one-way analysis of variance (ANOVA), and Tukey's Honestly-Significant Difference (HSD) post-hoc tests were performed. The mean age of the sample was 39.9 ± 12.3 years, the median EDSS score, 2.75, and the median disease duration, 7 years. The prevalence of ED was of 50%, and that of LUTS, 96.4%. Strong correlations were found between the scores on the EDSS and the IIEF-5, the EDSS and the IPSS, and the IIEF-5 and the IPSS. Through the analysis, we identified erection confidence and urinary intermittency as the subscale items most strongly associated with the EDSS score. One-way ANOVA revealed significant differences across MS phenotypes for the IIEF-5, IPSS, and EDSS, with Tukey HSD confirming relapsing-remitting MS versus secondary progressive MS as the primary source of divergence. Erectile dysfunction and LUTS were highly-prevalent in men with MS in the cohort of the present study. Disability level was the strongest correlate of both dysfunctions, supporting integrated urological-neurological screening in MS care.
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4. Burden and social context of caregivers of children and adolescents with Charcot-Marie-Tooth disease.
4. 夏科-马里-图思病儿童和青少年照护者的负担与社会背景PMID:日期:2026-10-02In pediatric Charcot-Marie-Tooth (CMT) disease, caregivers play an important role in coordinating care and promoting child well-being. Therefore, understanding caregiver burden and social context is key for treatment planning. To investigate caregiver burden, family income, and level of schooling among caregivers of children and adolescents with CMT disease, and to examine correlations between caregiver burden, patient age, clinical impairment, and caregiver age. A cross-sectional study was conducted with 58 patients (aged 3-18 years) and their primary caregivers. Caregiver profile and burden were obtained through interview. The Caregiver Burden Scale (CBS) assessed burden, and the Brazilian version of the Charcot-Marie-Tooth Pediatric Scale (CMTPedS-Br) assessed patient's clinical impairment. The median age of children and adolescents was of 13.0 (11.0-15.0) years, and that of caregivers was of 41.0 (36.5-46.0) years. Median scores were 22.5 (18.0-27.0) for CMTPedS-Br and 31.5 (25.2-44.8) for CBS. Most caregivers were mothers (85.2%), did not present a CMT diagnosis (59.6%), earned R$ 2,200 to 4,400 per month (42.6%), and completed high school (33.3%). Burden did not differ by income or level of schooling and showed a weak positive correlation ( = 0.17) with caregiver age only. Caregivers of children and adolescents with CMT disease and moderate impairment may experience burden. Although socioeconomic factors were not decisive in explaining differences in caregiver burden, their variability highlights the need to consider them in care planning. Caregiver burden is a complex construct that may involve additional factors not included in the present study. Overall, findings support multidisciplinary, caregiver-centered interventions in pediatric CMT disease care.
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5. Aneurysmal subarachnoid hemorrhage: predictive score for angiographic vasospasm.
5. 动脉瘤性蛛网膜下腔出血：预测血管造影血管痉挛的评分PMID:日期:2026-10-02Aneurysmal subarachnoid hemorrhage is a condition resulting from the rupture of a cerebral aneurysm, sometimes leading to delayed cerebral ischemia, primarily due to angiographic vasospasm; its prediction is crucial to improve patient management and outcomes. To assess the predictive value of clinical, analytical and imaging parameters for vasospasm in aneurysmal subarachnoid hemorrhage and to develop a clinical practical score. The current single-center retrospective study included 115 patients with aneurysmal subarachnoid hemorrhage who underwent a computed tomography scan within 24 hours of ictus. Clinical and analytical data were collected, and Hounsfield unit (HU) measurements were independently assessed. Statistical analyses were conducted to identify predictors of vasospasm. Vasospasm occurred in 40% of patients (46/115). The multivariate analysis identified intracerebral hemorrhage (odds ratio [OR] = 2.482; 95%CI = 1.019-6.046; = 0.045), interpeduncular HU value (per 5 HU increase: OR = 1.253; 95%CI = 1.044-1.504; = 0.016), and serum chloride ≥ 106 mEq/L (OR = 3.545; 95%CI = 1.457-8.621; = 0.005) as independent predictors ( < 0.05) of vasospasm. The model, combined as a simplified score including these 3 variables, demonstrated excellent discriminative capacity (area under the curve [AUC] = 0.886; bootstrapped AUC = 0.885). We identified significant predictors of vasospasm in patients with aneurysmal subarachnoid hemorrhage, namely interpeduncular HU value, intracerebral hemorrhage, and serum chloride levels. A practical 5-point score based on these factors offers a potentially-robust, easy-to-use tool for early risk stratification, which may guide personalized follow-up and timely interventions. Further prospective multicenter studies are recommended to validate these findings.
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6. Reply to the Letter on: "Electrophysiological and Biochemical Evaluations of Neuropathy Risk in Oral Levodopa versus Levodopa/Carbidopa Intestinal Gel Treatment".
6. 回复关于：“口服左旋多巴与左旋多巴/卡比多巴肠凝胶治疗中神经病变风险的电生理和生化评估”的信件PMID:日期:2026-09-15该文献暂无摘要。
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7. Comment on "Electrophysiological and Biochemical Evaluations of Neuropathy Risk in Oral Levodopa versus Levodopa/Carbidopa Intestinal Gel Treatment".
7. 关于“口服左旋多巴与左旋多巴/卡比多巴肠道凝胶治疗中神经病变风险的电生理和生化评估”的评论PMID:日期:2026-09-15该文献暂无摘要。
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8. Signs and symptoms in spatial neglect syndrome: a systematic review and meta-analysis.
PMID:日期:2026-09-08Stroke is the second leading cause of mortality in the general population. Spatial neglect syndrome is one of the most common complications following stroke and is associated with poor prognosis, including prolonged hospitalization. To examine the main clinical signs and symptoms associated with spatial neglect in stroke patients in the literature. The present systematic review and meta-analysis was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol. The Grading of Recommendations Assessment, Development and Evaluation approach was applied to assess the certainty of evidence, and the data were processed with RevMan Web (The Cochrane Collaboration). A total of 362 articles were assessed, out of which 23 were included. A strong correlation was observed between clinical events and the presence of spatial neglect syndrome compared to control groups (oculomotor exploratory behavior [ < 0.00001; 95% CI 4.03-22.41], difficulty detecting stimuli on the left side ( < 0.0001; 95% CI 3.20-24.89), and prolonged reaction time to left-sided stimuli ( = 0.004; 95% CI 1.11-273.20). The present study confirms that spatial neglect syndrome presents as a clinically diverse condition. The quantitative analysis demonstrated that abnormal oculomotor behavior is the most robust and consistent clinical predictor for diagnosis. Other frequent symptoms included delayed reaction times and impaired detection of stimuli in the left visual field. Additionally, the presence of hemianopia and the crossed legs sign were also associated with spatial neglect syndrome among others. The symptomatology described may serve as an indication of spatial neglect syndrome. Therefore, the present meta-analysis highlights the clinical importance of early identification and targeted evaluation in stroke cases.
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9. Evaluation of a self-administered version of the Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R).
9. 对修订版肌萎缩侧索硬化功能评定量表(ALSFRS-R)自评版本的评估PMID:日期:2026-09-08The Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R) is a standard tool for evaluating functional decline in patients with ALS. Despite its clinical value, administration by healthcare professionals can be time-consuming and resource intensive. To assess the reliability and feasibility of a self-administration version of the ALSFRS-R as an alternative for use in clinical and research settings. The present was an observational, analytical, prospective, single-center study involving ALS patients followed at the Neurology Outpatient Clinic of the Hospital Universitário Onofre Lopes (HUOL). Three independent assessments of the ALSFRS-R were conducted: one self-administered version and two interviewer-administered versions performed by different researchers during face-to-face consultations. Interrater reliability was assessed using intraclass correlation coefficients (ICCs), and agreement among the three versions was analyzed using Bland-Altman plots. A total of 43 participants were included in the study, with a mean age of 57 ± 11.67 years. The ICCs indicated high reliability for both the total ALSFRS-R score and its functional domains. Linear regression analyses demonstrated strong agreement between the two researchers (R = 0.98, < 0.001), as well as between each researcher and the self-administered version (R = 0.90 and 0.88, respectively). Bland-Altman analyses showed minimal bias and acceptable limits of agreement across all comparisons. The self-administered version of the ALSFRS-R demonstrated high reliability and strong agreement with the researcher-administered versions, supporting its potential use for remote monitoring of ALS patients. Nonetheless, it should not replace professional assessments in clinical trial settings. Further research is warranted to validate its applicability in broader clinical contexts and diverse patient populations.
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10. Neuro-ophthalmic sarcoidosis with extraocular-muscle involvement: neuroimaging.
10. 伴有眼外肌受累的神经眼结节病：神经影像学表现PMID:日期:2026-08-31该文献暂无摘要。