2023
Telemedicine in Brazil: Teleconsultations at the Largest University Hospital in the Country
Scudeller P, Pereira A, Cerri G, Jatene F, Bego M, Amaral T, Garcia M, Lamas C, Alvarenga A, Gutierrez M, Cobello V, de Carvalho C, Bueno A, Rezende A, Buchpiguel C, Filho E, Tomazini F, Neto F, Pereira G, Rossini G, Piva I, Nunes I, Galeazzi J, Battistella L, Pellizzon L, Tateishi M, Scaldaferri N, Marcon R, Francisco R, Barczinski T, Favaro V, de Carvalho W. Telemedicine in Brazil: Teleconsultations at the Largest University Hospital in the Country. Telemedicine Reports 2023, 4: 193-203. PMID: 37529769, PMCID: PMC10389256, DOI: 10.1089/tmr.2023.0012.Peer-Reviewed Original ResearchHealth care servicesHealth care institutionsCare servicesMedicina da Universidade de São PauloCOVID-19 severe casesHospital das Clínicas da FaculdadeCare institutionsHealth careNumber of teleconsultationsPatient health careUniversity HospitalInfection preventionSevere casesFace consultationsHCFMUSPMultidisciplinary specialtyCoronavirus diseasePatient safetyTeleconsultation servicesTeleconsultationDa FaculdadePatientsCOVID-19 pandemicUniversidade de São PauloTelemedicine19. Spatial Normalization Discrepancies Between Native and MNI152 Brain Template Scans in Gamma Ventral Capsulotomy Patients
Giff A, Noren G, Magnotti J, Lopes A, Batistuzzo M, Hoexter M, Greenberg B, Marsland R, Miguel E, Rasmussen S, McLaughlin N. 19. Spatial Normalization Discrepancies Between Native and MNI152 Brain Template Scans in Gamma Ventral Capsulotomy Patients. Biological Psychiatry 2023, 93: s101-s102. DOI: 10.1016/j.biopsych.2023.02.259.Peer-Reviewed Original ResearchCapsulotomy patientsPatientsGamma knife capsulotomy for intractable OCD: Neuroimage analysis of lesion size, location, and clinical response
McLaughlin N, Magnotti J, Banks G, Nanda P, Hoexter M, Lopes A, Batistuzzo M, Asaad W, Stewart C, Paulo D, Noren G, Greenberg B, Malloy P, Salloway S, Correia S, Pathak Y, Sheehan J, Marsland R, Gorgulho A, De Salles A, Miguel E, Rasmussen S, Sheth S. Gamma knife capsulotomy for intractable OCD: Neuroimage analysis of lesion size, location, and clinical response. Translational Psychiatry 2023, 13: 134. PMID: 37185805, PMCID: PMC10130137, DOI: 10.1038/s41398-023-02425-2.Peer-Reviewed Original ResearchConceptsY-BOCS reductionObsessive-compulsive disorderGamma knife capsulotomyLesion sizeRefractory obsessive-compulsive disorderOverall lesion volumeIntractable obsessive-compulsive disorderLesion-symptom mappingVoxel-wise lesion-symptom mappingClinical improvementClinical responseWhite matter pathwaysClinical outcomesFull respondersConventional therapyInternal capsuleLesion characteristicsLesion volumeAnterior limbEffective treatmentLesion locationLesion occurrenceCoronal planeSize/locationPatients
2022
Shape analysis of subcortical structures in obsessive‐compulsive disorder and the relationship with comorbid anxiety, depression, and medication use: A meta‐analysis by the OCD Brain Imaging Consortium
Fouche J, Groenewold N, Sevenoaks T, Heany S, Lochner C, Alonso P, Batistuzzo M, Cardoner N, Ching C, de Wit S, Gutman B, Hoexter M, Jahanshad N, Kim M, Kwon J, Mataix‐Cols D, Menchon J, Miguel E, Nakamae T, Phillips M, Pujol J, Sakai Y, Yun J, Soriano‐Mas C, Thompson P, Yamada K, Veltman D, van den Heuvel O, Stein D. Shape analysis of subcortical structures in obsessive‐compulsive disorder and the relationship with comorbid anxiety, depression, and medication use: A meta‐analysis by the OCD Brain Imaging Consortium. Brain And Behavior 2022, 12: e2755. PMID: 36106505, PMCID: PMC9575597, DOI: 10.1002/brb3.2755.Peer-Reviewed Original ResearchConceptsCaudate nucleusHealthy controlsOCD patientsComorbid depressionMedication statusComorbid anxietySubcortical shapeSignificant differencesDeep gray matter structuresRight caudate nucleusCo-morbid anxietyLeft caudate nucleusObsessive-compulsive disorder patientsSubcortical brain morphologyGray matter structuresDisease durationMedication useObsessive-compulsive disorderSubgroup analysisBrain MRINucleus accumbensDisorder patientsPatientsBrain volumePutamenAssociations of medication with subcortical morphology across the lifespan in OCD: Results from the international ENIGMA Consortium
Ivanov I, Boedhoe PSW, Abe Y, Alonso P, Ameis SH, Arnold PD, Balachander S, Baker JT, Banaj N, Bargalló N, Batistuzzo MC, Benedetti F, Beucke JC, Bollettini I, Brem S, Brennan BP, Buitelaar J, Calvo R, Cheng Y, Cho KIK, Dallaspezia S, Denys D, Diniz JB, Ely BA, Feusner JD, Ferreira S, Fitzgerald KD, Fontaine M, Gruner P, Hanna GL, Hirano Y, Hoexter MQ, Huyser C, Ikari K, James A, Jaspers-Fayer F, Jiang H, Kathmann N, Kaufmann C, Kim M, Koch K, Kwon JS, Lázaro L, Liu Y, Lochner C, Marsh R, Martínez-Zalacaín I, Mataix-Cols D, Menchón JM, Minuzzi L, Morer A, Morgado P, Nakagawa A, Nakamae T, Nakao T, Narayanaswamy JC, Nurmi EL, Oh S, Perriello C, Piacentini JC, Picó-Pérez M, Piras F, Piras F, Reddy YCJ, Manrique DR, Sakai Y, Shimizu E, Simpson HB, Soreni N, Soriano-Mas C, Spalletta G, Stern ER, Stevens MC, Stewart SE, Szeszko PR, Tolin DF, van Rooij D, Veltman DJ, van der Werf YD, van Wingen GA, Venkatasubramanian G, Walitza S, Wang Z, Watanabe A, Wolters LH, Xu X, Yun JY, Zarei M, Zhang F, Zhao Q, Jahanshad N, Thomopoulos SI, Thompson PM, Stein DJ, van den Heuvel OA, O'Neill J, Group T, Poletti S, Fridgeirsson E, Ikuta T, de Wit S, Vriend C, Kasprzak S, Kuno M, Takahashi J, Miguel E, Shavitt R, Hough M, Pariente J, Ortiz A, Bertolín S, Real E, Segalàs C, Moreira P, Sousa N, Narumoto J, Yamada K, Tang J, Fouche J, Kim T, Choi S, Ha M, Park S. Associations of medication with subcortical morphology across the lifespan in OCD: Results from the international ENIGMA Consortium. Journal Of Affective Disorders 2022, 318: 204-216. PMID: 36041582, DOI: 10.1016/j.jad.2022.08.084.Peer-Reviewed Original ResearchConceptsObsessive-compulsive disorderUnmedicated patientsOlder adultsAssociation of medicationVolumes of putamenSubcortical brain structuresReuptake inhibitorsVentricular hypertrophyHippocampal atrophyMedicated patientsPsychotropic medicationsTherapeutic responseHippocampal volumeStriatal volumeSubcortical nucleiPatientsPsychotic disordersAntipsychoticsSubcortical morphologyStructural MRINormal agingBrain structuresBenzodiazepinesOCD patientsENIGMA consortiumLatency to treatment seeking in patients with obsessive-compulsive disorder: Results from a large multicenter clinical sample
Costa D, de Campos A, Pereira C, Torres A, Dos Santos A, Requena G, Ferrão Y, do Rosário M, Miguel E, Simpson H, Shavitt R, Diniz J. Latency to treatment seeking in patients with obsessive-compulsive disorder: Results from a large multicenter clinical sample. Psychiatry Research 2022, 312: 114567. PMID: 35490573, DOI: 10.1016/j.psychres.2022.114567.Peer-Reviewed Original ResearchConceptsObsessive-compulsive disorderEarly onsetOne-thirdCross-sectional studyInterval-censored survival modelClinical characteristicsOlder patientsSymptom awarenessPatientsNeuropsychiatric disordersSymptomsOlder ageOCD patientsContamination/Clinical samplesDisordersAggression symptomsOCD symptomsMore yearsTreatmentSurvival modelsOnsetYearsFull-time employmentComorbiditiesObsessive-Compulsive Disorder Treatment Based on Neurocircuits
Shephard E, Stern E, Miguel E. Obsessive-Compulsive Disorder Treatment Based on Neurocircuits. Psychiatric Annals 2022, 52: 152-156. DOI: 10.3928/00485713-20220317-01.Peer-Reviewed Original ResearchObsessive-compulsive disorderNew treatment approachesObsessive-compulsive disorder (OCD) treatmentClinical profileIndividual patientsGlobal burdenNeurocognitive alterationsPsychiatric disordersPsychiatric treatmentTreatment approachesDisorder treatmentPsychiatric conditionsClinical useSpecific neurocircuitsUnderlying neurobiological basisModels of OCDNeurobiological basisTreatmentNeurocircuitsDisordersPatientsClinical characteristics of transformation obsessions in obsessive-compulsive disorder: A psychopathological study
Bettess Z, Albertella L, Destree L, Rosário M, Ferrão Y, Miguel E, Fontenelle L. Clinical characteristics of transformation obsessions in obsessive-compulsive disorder: A psychopathological study. Australian & New Zealand Journal Of Psychiatry 2022, 57: 130-139. PMID: 35303769, DOI: 10.1177/00048674221084241.Peer-Reviewed Original Research
2021
How do daily routines and situational factors affect the severity of obsessive-compulsive disorder?
Brierley M, Albertella L, do Rosário M, Ferrão Y, Miguel E, Fontenelle L. How do daily routines and situational factors affect the severity of obsessive-compulsive disorder? Journal Of Psychiatric Research 2021, 143: 395-399. PMID: 34600268, DOI: 10.1016/j.jpsychires.2021.09.040.Peer-Reviewed Original ResearchConceptsObsessive-compulsive disorderOCD symptom severitySymptom severityOCD symptomsOCD patientsSevere OCD symptomsYale-Brown ObsessiveCross-sectional designReport symptomsHistory questionnaireCommon biological abnormalitiesBiological abnormalitiesClinical implicationsSymptomsDaily routineCompulsive ScaleSeverityMultivariate regressionPatientsRoutine factorsDisordersNeurocircuitry of Deep Brain Stimulation for Obsessive-Compulsive Disorder as Revealed by Tractography: A Systematic Review
Vieira E, Arantes P, Hamani C, Iglesio R, Duarte K, Teixeira M, Miguel E, Lopes A, Godinho F. Neurocircuitry of Deep Brain Stimulation for Obsessive-Compulsive Disorder as Revealed by Tractography: A Systematic Review. Frontiers In Psychiatry 2021, 12: 680484. PMID: 34276448, PMCID: PMC8280498, DOI: 10.3389/fpsyt.2021.680484.Peer-Reviewed Original ResearchDeep brain stimulationObsessive-compulsive disorderBrain stimulationEffects of DBSMechanisms of DBSRefractory obsessive-compulsive disorderOCD patientsVentral anterior limbDifferent white matter pathwaysCorresponding clinical outcomesDiffusion-weighted imagingDifferent fiber tractsDiffusion tensor imagingPostoperative periodWhite matter pathwaysClinical outcomesInternal capsuleFavorable outcomeDBS effectsDTI-MRIAnterior limbAffective symptomsElectronic databasesWhite matterPatientsLower Ventromedial Prefrontal Cortex Glutamate Levels in Patients With Obsessive–Compulsive Disorder
Batistuzzo M, Sottili B, Shavitt R, Lopes A, Cappi C, de Mathis M, Pastorello B, Diniz J, Silva R, Miguel E, Hoexter M, Otaduy M. Lower Ventromedial Prefrontal Cortex Glutamate Levels in Patients With Obsessive–Compulsive Disorder. Frontiers In Psychiatry 2021, 12: 668304. PMID: 34168581, PMCID: PMC8218991, DOI: 10.3389/fpsyt.2021.668304.Peer-Reviewed Original ResearchGamma-aminobutyric acidObsessive-compulsive disorderClinical symptomsHealthy controlsExcitatory/inhibitory imbalancePathophysiology of OCDGlu/Gln ratioH-MRS studiesGray matter fractionGlu/CrCortico-striatal circuitsGlutamate levelsExcitatory neurotransmissionNeurochemical imbalanceInhibitory imbalanceStriatal regionsUnderlying neurochemistryN-acetylaspartatePatientsKey neurotransmitterH-MRSVentromedial prefrontal cortexSecondary analysisAbnormal levelsPrefrontal cortexToward a neurocircuit-based taxonomy to guide treatment of obsessive–compulsive disorder
Shephard E, Stern E, van den Heuvel O, Costa D, Batistuzzo M, Godoy P, Lopes A, Brunoni A, Hoexter M, Shavitt R, Reddy Y, Lochner C, Stein D, Simpson H, Miguel E. Toward a neurocircuit-based taxonomy to guide treatment of obsessive–compulsive disorder. Molecular Psychiatry 2021, 26: 4583-4604. PMID: 33414496, PMCID: PMC8260628, DOI: 10.1038/s41380-020-01007-8.Peer-Reviewed Original ResearchConceptsObsessive-compulsive disorderCognitive neuroscienceNeurobiological alterationsMental health researchClinical profileFuture researchCase vignettesPsychiatric symptomsNeuromodulatory treatmentDifferent clinical profilesNeuroscienceEffective treatmentDisordersResearchBehavioralVignettesFindingsHealth researchTreatmentDysfunctionSymptomsPhenotypic expressionImportant limitationsTaxonomyPatients
2020
Stressful Life Events and the Clinical Expression of Obsessive–Compulsive Disorder (OCD): An Exploratory Study
Imthon A, Caldart C, do Rosário M, Fontenelle L, Miguel E, Ferrão Y. Stressful Life Events and the Clinical Expression of Obsessive–Compulsive Disorder (OCD): An Exploratory Study. Journal Of Clinical Medicine 2020, 9: 3371. PMID: 33096706, PMCID: PMC7590000, DOI: 10.3390/jcm9103371.Peer-Reviewed Original ResearchStressful life eventsObsessive-compulsive disorderPost-traumatic stress disorderOCD patientsOccurrence of SLEsNonwhite skin colorLife eventsLogistic regression variablesCross-sectional studySensory phenomenaYale-Brown ObsessiveClinical characteristicsClinical expressionPsychiatric disordersHistory questionnairePatientsObsessive-compulsive symptomsStress disorderCompulsive ScaleDimensional Yale-Brown ObsessiveStatistical significanceDisordersPositive associationOCD symptomsSymptomsHigher volumes of hippocampal subfields in pediatric obsessive-compulsive disorder
Vattimo E, Dos Santos A, Hoexter M, Frudit P, Miguel E, Shavitt R, Batistuzzo M. Higher volumes of hippocampal subfields in pediatric obsessive-compulsive disorder. Psychiatry Research Neuroimaging 2020, 307: 111200. PMID: 33059948, DOI: 10.1016/j.pscychresns.2020.111200.Peer-Reviewed Original ResearchConceptsObsessive-compulsive disorderHippocampal volumeTotal gray matter volumeRight whole hippocampusBilateral hippocampal headsLarger hippocampal volumesGray matter volumePediatric obsessive-compulsive disorderRight parasubiculumAdult patientsPediatric patientsHippocampal bodyAnatomic subregionsHippocampal headLimbic structuresHealthy controlsFreeSurfer softwareHippocampus volumeHippocampal subfieldsWhole hippocampusHippocampal cytoarchitectureEarly markerMatter volumePatientsSignificant larger volumesObsessive–Compulsive Personality Symptoms Predict Poorer Response to Gamma Ventral Capsulotomy for Intractable OCD
Copetti M, Lopes A, Requena G, Johnson I, Greenberg B, Noren G, McLaughlin N, Shavitt R, Miguel E, Batistuzzo M, Hoexter M. Obsessive–Compulsive Personality Symptoms Predict Poorer Response to Gamma Ventral Capsulotomy for Intractable OCD. Frontiers In Psychiatry 2020, 10: 936. PMID: 31998155, PMCID: PMC6962231, DOI: 10.3389/fpsyt.2019.00936.Peer-Reviewed Original ResearchGamma ventral capsulotomyPersonality disorder symptomsIntractable obsessive-compulsive disorderObsessive-compulsive disorderDisorder symptomsOCD patientsTreatment responseDisorder symptom changeSymptom changeStructured Clinical InterviewWorse treatment responseDSM-IV personality disordersWilcoxon signed-rank testPoorer ResponseClinical responseTreatment optionsInternal capsuleSigned-rank testTreatment attemptsAnterior limbClinical InterviewRadiosurgical proceduresPatientsSymptomsVentral part
2019
Is there any relationship between Neuroscience and Psychiatry
Farhat L, Hoexter M, Miguel E. Is there any relationship between Neuroscience and Psychiatry. Revista De Medicina 2019, 98: i-ii. DOI: 10.11606/issn.1679-9836.v98i4pi-ii.Peer-Reviewed Original ResearchUnderstanding gamma ventral capsulotomy: Potential implications of diffusion tensor image tractography on target selectivity
de Oliveira Santos B, Gorgulho A, Saraiva C, Lopes A, Gomes J, Pássaro A, Hoexter M, Miguel E, De Salles A. Understanding gamma ventral capsulotomy: Potential implications of diffusion tensor image tractography on target selectivity. Surgical Neurology International 2019, 10: 136. PMID: 31528471, PMCID: PMC6744751, DOI: 10.25259/sni-65-2019.Peer-Reviewed Original ResearchDiffusion tensor image tractographyMorbid obesity patientsOCD patientsObesity patientsInternal capsuleOrbitofrontal cortexAnterior internal capsuleGamma ventral capsulotomyMedial orbitofrontal cortexFunctional stereotactic proceduresFunctional patientsMorbid obesityMean ageTract fibersAnterior limbCerebral hemispheresPatientsFiber tractsDisorder individualsStereotactic proceduresDeep brain stimulation implantsObesityTractography parametersExact topographyTractographyCaudate volume differences among treatment responders, non-responders and controls in children with obsessive–compulsive disorder
Vattimo E, Barros V, Requena G, Sato J, Fatori D, Miguel E, Shavitt R, Hoexter M, Batistuzzo M. Caudate volume differences among treatment responders, non-responders and controls in children with obsessive–compulsive disorder. European Child & Adolescent Psychiatry 2019, 28: 1607-1617. PMID: 30972581, DOI: 10.1007/s00787-019-01320-w.Peer-Reviewed Original ResearchConceptsObsessive-compulsive disorderGroup cognitive behavioral therapyPediatric obsessive-compulsive disorderRight caudateTreatment responseCognitive behavioral therapyCaudate nucleusPossible neural substrateTreatment respondersGM volumeStructural magnetic resonance imagingNeural substratesPrevious evidenceNeurobiological underpinningsOrbitofrontal cortexAge-matched controlsTotal GM volumeMagnetic resonance imagingBrain structuresResonance imagingChildrenRespondersBonferroni correctionCaudatePatients
2017
Cortical Abnormalities Associated With Pediatric and Adult Obsessive-Compulsive Disorder: Findings From the ENIGMA Obsessive-Compulsive Disorder Working Group
Boedhoe PSW, Schmaal L, Abe Y, Alonso P, Ameis SH, Anticevic A, Arnold PD, Batistuzzo MC, Benedetti F, Beucke JC, Bollettini I, Bose A, Brem S, Calvo A, Calvo R, Cheng Y, Cho KIK, Ciullo V, Dallaspezia S, Denys D, Feusner JD, Fitzgerald KD, Fouche JP, Fridgeirsson EA, Gruner P, Hanna GL, Hibar DP, Hoexter MQ, Hu H, Huyser C, Jahanshad N, James A, Kathmann N, Kaufmann C, Koch K, Kwon JS, Lazaro L, Lochner C, Marsh R, Martínez-Zalacaín I, Mataix-Cols D, Menchón JM, Minuzzi L, Morer A, Nakamae T, Nakao T, Narayanaswamy JC, Nishida S, Nurmi E, O’Neill J, Piacentini J, Piras F, Piras F, Reddy YCJ, Reess TJ, Sakai Y, Sato JR, Simpson HB, Soreni N, Soriano-Mas C, Spalletta G, Stevens MC, Szeszko PR, Tolin DF, van Wingen GA, Venkatasubramanian G, Walitza S, Wang Z, Yun JY, Thompson P, Stein D, van den Heuvel O, Boedhoe P, Schmaal L, Abe Y, Alonso P, Ameis S, Anticevic A, Arnold P, Bargalló N, Batistuzzo M, Benedetti F, Beucke J, Bollettini I, Bose A, Brandeis D, Brem S, Buimer E, Busatto G, Calvo A, Calvo R, Cheng Y, Cho K, Ciullo V, Dallaspezia S, de Vries F, de Wit S, Denys D, Drechsler R, Falini A, Fang Y, Feusner J, Figee M, Fitzgerald K, Fontaine M, Fouche J, Fridgeirsson E, Gruner P, Hanna G, Hauser T, Hibar D, Hoexter M, Hu H, Huyser C, Iorio M, Jahanshad N, James A, Kathmann N, Kaufmann C, Khadka S, Koch K, Kwon J, Lazaro L, Liu Y, Lochner C, Marsh R, Martínez-Zalacaín I, Mataix-Cols D, McCracken J, Menchón J, Miguel E, Minuzzi L, Morer A, Nakamae T, Nakao T, Narayanaswamy J, Narumoto J, Nishida S, Nurmi E, O’Neill J, Pariente J, Piacentini J, Pittenger C, Piras F, Piras F, Poletti S, Reddy Y, Reess T, Rus O, Sakai Y, Sato J, Simpson H, Soreni N, Soriano-Mas C, Spalletta G, Stevens M, Szeszko P, Tang J, Tolin D, van der Werf Y, van Wingen G, Vecchio D, Veltman D, Venkatasubramanian G, Walitza S, Wang Z, Watanabe A, Xu J, Xu X, Yamada K, Yun J, Zarei M, Zhao Q, Thompson P, Stein D, van den Heuvel O. Cortical Abnormalities Associated With Pediatric and Adult Obsessive-Compulsive Disorder: Findings From the ENIGMA Obsessive-Compulsive Disorder Working Group. American Journal Of Psychiatry 2017, 175: 453-462. PMID: 29377733, PMCID: PMC7106947, DOI: 10.1176/appi.ajp.2017.17050485.Peer-Reviewed Original ResearchConceptsPediatric OCD patientsAdult OCD patientsOCD patientsParietal cortexAdult obsessive-compulsive disorderCortical thickness abnormalitiesD effectsInferior parietal cortexSuperior parietal cortexLimited statistical powerTransverse temporal cortexCohen's d effectClinical characteristicsCortical abnormalitiesObsessive-compulsive disorderThickness abnormalitiesHealthy controlsCortical thicknessPatientsTemporal cortexThinner cortexMRI scansClinical heterogeneityStructural abnormalitiesDisease profileLateral hypothalamic activity indicates hunger and satiety states in humans
Talakoub O, Paiva R, Milosevic M, Hoexter M, Franco R, Alho E, Navarro J, Pereira J, Popovic M, Savage C, Lopes A, Alvarenga P, Damiani D, Teixeira M, Miguel E, Fonoff E, Batistuzzo M, Hamani C. Lateral hypothalamic activity indicates hunger and satiety states in humans. Annals Of Clinical And Translational Neurology 2017, 4: 897-901. PMID: 29296618, PMCID: PMC5740250, DOI: 10.1002/acn3.466.Peer-Reviewed Original ResearchDeep brain stimulationSatiety stateLateral hypothalamic activityLow gamma activityPrader-Willi patientsFood-related cuesLocal field potentialsHypothalamic activityFood intakeBrain stimulationEarly sensationPatterns of activityAlpha rhythmField potentialsObesityPatientsNeuromodulation studiesHumansSatietyIntakeActivity