Objetivo: Descrever as experiências e repercussões das ações do grupo temático de Saúde Mental do Programa de Educação pelo Trabalho para a Saúde (PET-Saúde) Interprofissionalidade da Universidade Federal de Mato Grosso para a formação e trabalho interprofissional. Metodologia: Trata-se de um relato das experiências do Grupo Temático de Saúde Mental do PET-Saúde Interprofissionalidade sobre as ações de ensino, pesquisa e extensão realizadas no município de Cuiabá-MT. As ações foram pautadas na pedagogia da autonomia e realizadas a partir do Arco de Maguerez e Árvore da problematização em cinco  etapas: Observação da realidade; Identificação dos pontos-chaves; Teorização; Levantamento de hipóteses de solução; e Aplicação à realidade. Para fortalecer a construção da segunda etapa do Arco foi utilizada a Árvore da Problematização. Resultados: A Árvore da Problematização identificou a falta de interprofissionalidade na formação e no serviço; e a desarticulação da Rede de Atenção Psicossocial como as principais demandas. Para tanto, foi realizada pesquisa-intervenção com os profissionais da saúde sobre interprofissionalidade, discussão sobre a Reforma Psiquiátrica com alunos, realização de oficinas e cursos sobre a Rede junto à comunidade e profissionais, e atividades de promoção de saúde mental aos alunos, comunidade e profissionais. Considerações finais: Portanto, o PET- Saúde apresentou-se como instrumento para o fortalecimento e integração dos eixos ensino-serviço-comunidade, e proporcionou o desenvolvimento da educação interprofissional, de práticas colaborativas e do cuidado em saúde mental.

O objetivo desse artigo é relatar a experiência de acadêmicos, profissionais da saúde e docentes na construção de um Projeto Terapêutico Singular com uma pessoa em sofrimento mental, no contexto da Atenção Primária à Saúde. Trata-se de um relato de experiência do processo de construção de um Projeto Terapêutico Singular utilizando o referencial da atenção psicossocial e da reabilitação psicossocial, com a participação da usuária e sua família, discentes de medicina e enfermagem, docentes, equipe da Estratégia Saúde da Família (ESF), e da equipe do Centro de Atenção Psicossocial do território da usuária. O Projeto Terapêutico Singular considerou as singularidades e o contexto social da usuária, gerando a integração dos serviços da Rede de Atenção Psicossocial, e um cuidado colaborativo, dialogado e psicossocial. Portanto, o Projeto Terapêutico Singular permitiu o cuidado e reabilitação psicossocial de uma usuária com sofrimento mental e o fortalecimento do trabalho interprofissional em um serviço da atenção primária.

Introduction: Neuromyelitis optica (NMO) is a relatively rare inflammatory disease that primarily affects the spinal cord and optic nerves. Objectives: To report an atypical case of NMO in the child, with brainstem syndrome. Case report: A 12-year-old patient, 20 days after Pfizer vaccination for severe acute respiratory syndrome coronavirus-19 (SARS-COV-19), started with asymmetrical ascending flaccid paraparesis, with global arreflexia, ataxia, dysphagia and dysarthria. On admission, after 2 months, thought of acute polyradiculoneuritis, immunoglobulin was administered without improvement. However, the patient evolved with signs of pyramidal release, methylprednisolone was administered with a good outcome. Cerebrospinal fluid: cytology: 0/mm³, glucose: 59/mm³, protein: 34/mm³. electroneuromyography: upper and lower limbs show signs of polyradiculoneuritis in the hyperacute phase, the nature cannot be classified as myelin or axonal; Cranial magnetic resonance imaging (MRI): signal alteration compromising supra and infratentorial structures, T2/ FLAIR (T2-weighted-Fluid-Attenuated Inversion Recovery) symmetrical hypersignal in the bulbopontine transition suspicious for an demyelinating process. Cervical/thoracic spine MRI: no alterations. Anti Aquaporin-4 IgG: reagent. Discussion: Clinical features are frequently more diverse than just optic neuritis and transverse myelitis in children, making a diagnosis can be challenging. The case series of pediatric NMO have shown a female preponderance and almost all NMO-IgG positive, which had relapsing course predicted by seropositivity. The median age of children diagnosed with NMO ranges from 10 to 14 years. Coexisting autoimmune disorders were reported in 42%. Longer term immunotherapy reduce the chance of further potentially disabling attacks. Conclusion: Diagnosis of NMO isn’t easy, especially when patients are children, the disease is potentially severe and needs to be better understood and managed.

Introduction: Radiculopathy is a common condition whose symptoms can include pain, sensory change, and motor weakness owing to mechanical and chemical irritation of the spinal nerve root. The aim is to report atypical clinical presentation of radiculopathy secondary to neoplasia. Case report: A 62-year-old male patient was admitted with pain in the right scapular region of onset 2 months ago and progressive worsening. On patient admission, he presented isolated loss of strength in the right hand with force grade V in the proximal right upper limb and right dropped hand and living reflexes in the right upper limb. Thoracic/cervical spine magnetic resonance imaging with expansive formations in the thoracic bone marrow of neoplastic aspect, compressive fracture of the vertebral body of T1 with impairment of the thoracic cord, reduction of the vertebral canal at level C3-C4. Electroneuromyography: bilateral acute C8-T1 radiculopathy, worse right and chronic radiculopathy on the left. Subsequently, he evolved with brachial paraparesis, exalted global osteotendinous reflexes, and inexhaustible clonus in the lower limbs. C4-T5 posterior cervical arthrodesis was performed. Discussion: Cervical radiculopathy may leave the clinician perplexed by lack of clinical-radiological correlation. Of special interest is the weakness of the intrinsic hand muscles without radiological evidence for C8 radiculopathy. Overlapping with the T1 root, the C8 root innervates the finger flexors and all the intrinsic hand muscles. C8 radiculopathy is characterized by radicular neck pain, hand weakness, and sensory deficit of the ulnar fingers and medial forearm. Conclusion: The lack of clinical-radiological correlation should not mislead the clinician from the correct diagnosis, and should not delay the surgical decompression of the cord and the roots.

Introduction: Stiff Person syndrome (SPS) is a rare, immune-mediated neurological disease related to several antibodies, the most obvious being Antiglutamic acid decarboxilase (GAD). This case intends to show atypical clinical presentation of Stiff Person Syndrome, in which the patient started with ataxia and gait alteration, evolving with dimidiated spasms. Case report: L.S.M, male, 58 years old, denied previous comorbidities, smoking and alcoholism. He woke up with vertigo, associated with dysarthria and ataxia in the left side of the body. Two weeks after the onset of symptoms, he evolved with gait alteration and began to have episodes of painful, intermittent muscle spasms in the left upper and lower limbs. He presented negative serology for human immunodeficiency virus, syphilis and viral hepatitis, in addition to nonreagent rheumatological markers. Magnetic resonance imaging revealed a focus of signal alteration affecting the corticosubcortical surface of the cingulate gyrus on the right side, possibly corresponding to an inflammatory/demyelinating process. Cerebrospinal fluid analysis showed the presence of oligoclonal bands and anti-GAD reagent, with non-reactive anti-aquaporin 4. Discussion: The typical symptomatology of SPS involves the musculoskeletal component, representing up to close to 93% of the symptoms referred by the patients. Among other predominant symptoms, pain (82%) and bulbar dysfunction (47%) stand out. Some patients may have atypical symptoms, especially during the onset of symptoms. The case exposes the predominance of vertigo and ataxic symptoms, unusual for this stage of SPS, which may lead to difficulties in the investigation. Conclusion: Recognizing the atypical patterns of clinical presentation is an important responsibility of the neurologist, since early diagnostic elucidation is essential for defining the patient’s prognostic determination therapy.