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Introduction: Pseudotumor lesions are an atypical presentation of demyelinating diseases, commonly associated with Multiple Sclerosis (MS) of different varieties (Balo, Schilder and Marburg) and occasionally linked to other demyelinating processes, such as MOGAD, ADEM and NMOSD. Estimated prevalence of three cases per million per inhabitant and occurrence of 1.4–8.2% in patients with MS. Objectives: To report a case of Pseudotumoral Demyelinating Lesion (PDL) in a teenager, attended at the General Hospital of Goiânia. Methods: Information obtained through clinical follow-up in a Neurology ward. Results: Male, 14 years old, onset of seizures 40 days ago. Ten days ago, he presented left crural monoparesis. On examination, hemiparesis of left crural predominance, left hyperreflexia, patellar and plantar clonus, left hemihypoesthesia. Normal cerebrospinal fluid (CSF), negative oligoclonal bands and oncotic cytology. Brain magnetic resonance imaging (MRI) showed an expansive cortical and subcortical lesion in the superior frontal gyrus and paracentral lobe on the right, cingulate gyrus and trunk of the corpus callosum on the right, with hypersignal on T2/FLAIR (T2-weighted-Fluid-Attenuated Inversion Recovery) and focal areas of gadolinium enhancement, predominantly subcortical. Spectroscopy increased Choline and reduced peaks of N-Acetyl Aspartate. The perfusion study showed cold perfusion. Proposed therapy with high doses of intravenous corticosteroids for five days, with improvement of the deficit. A control MRI showing partial regression of the lesion after therapy, therefore the first hypothesis is a PDL. Conclusion: PDL is a diagnostic challenge, as they mimic tumors and abscesses. Diagnosis based on the combination of clinical evolution, neuroimaging, CSF and brain biopsy, when appropriate. Initial treatment with high doses of intravenous corticosteroids, and most patients has good response. This case highlights pseudotumoral demyelinating diseases in teenage.

Potencialidades e desafios de uma estratégia para aulas práticas onde a teoria pode vir depoisPotentialities and challenges of a practical class strategy where theory can come after Potencial y desafíos de una estrategia para clases prácticas en que la teoría puede venir después Ana Lúcia Marran Universidade Estadual de Mato Grosso do Sul -UEMS Mariana Moreira da SilvaUniversidade Estadual de Mato Grosso do Sul -UEMS Cibele de Moura SalesUniversidade Estadual de Mato Grosso do Sul -UEMS RESUMO Após a realização de capacitações sobre Metodologias ativas e leituras fundamentadas em Paulo Freire, um grupo de docentes de enfermagem, decidiu reorganizar suas aulas práticas. Assim, o objetivo desse trabalho foi apreender as potencialidades e os desafios da nova estratégia organizacional adotada para o desenvolvimento das aulas práticas a partir da vivência dos acadêmicos e dos docentes. Realizou-se uma pesquisa qualitativa descritiva, utilizando grupo focal com estudantes e entrevista com docentes. Quanto aos resultados, estão entre as potencialidades o maior tempo para estudar, refletir e se organizar; maior correlação teoria e prática, consequentemente maior aprendizado; entre os desafios, a dificuldade na interdisciplinaridade, a relação ensino-serviço e a sugestão de ampliar a carga horária das aulas práticas. A nova experiência tem sido um momento de notável aprendizado pelos discentes e docentes, mesmo existindo desafios a serem enfrentados. Acredita-se que essa pesquisa promova novas reflexões sobre a formação do profissional.Palavras-chave: Aulas práticas. Ensino. Enfermagem. ABSTRACTAfter conducting training on active methodologies and readings based on Paulo Freire, a group of nursing teachers decided to reorganize their practical classes. Thus, the objective of this work was to capture the potentialities and challenges of the new organizational strategy adopted for the development of practical classes based on the experience of academics and teachers. A descriptive qualitative research was carried out, using a focus group with students and an interview with teachers. As for the results, among the potentialities are the greater time to study, reflect and organize; Higher correlation theory and practice, consequently greater learning; Among the challenges, the difficulty in interdisciplinarity, the teachingservice relationship and the suggestion to extend the workload of practical classes. The new experience has been a moment of remarkable learning for the students and teachers, even though there are challenges to be faced. It is believed that this research promotes new reflections on the formation of the professional.Keywords: Practical classes. Teaching. Nursing. RESUMENDespués de realizar la formación en metodologías activas y lecturas fundamentadas en Paulo Freire, un grupo de profesores de enfermería, decidió reorganizar sus clases prácticas. El objetivo de este estudio fue comprender el potencial y los desafíos de la nueva estrategia de la organización adoptada para el desarrollo de las clases prá...