study was to evaluate factors that interfere in the surgical response and the degree of postoperative satisfaction. MethodsThis research was approved by the Ethics Research Committee (48320815.1.0000.5553). We evaluated 74 patients who underwent surgery for CTS. Factors such as sex, age, body mass index, occupation, comorbidities, lifestyle, and surgical response were studied. If the symptoms persist, the patient's satisfaction degree was assessed, categorized as dissatisfied and unresponsive to treatment. ResultsSixty-eight were women. Mean age of the patients was 48 years. Twenty-three patients were obese. Thirty-one were homemakers or manual workers. Of the 67 patients evaluated, 48 (71.64%) were dissatisfied and categorized as not responding to surgical treatment. Linear regression analysis identified that alcoholism, at the time of surgery, was a significant factor, leading to 3.5 times more complications than in the non-alcoholic group (p = 0.05). In the smoking group, the complication rate was 1.2 times lower (p = 0.1). Other variables studied did not interfere with the surgical response. ConclusionsMost patients were categorized as dissatisfied and unresponsive to surgical treatment. The alcoholism was the only factor identified as relevant to the increase in complications. Paradoxically, smoking was configured as a protective factor, which may reflect a bias in the sample selection.

Background: Rheumatoid Arthritis (RA) is a common systemic inflammatory disease that can present with a plethora of extraarticular manifestations. Many patients with RA from low- and middle-income countries do not get timely and adequate treatment with disease-modifying therapies. This results in the perpetuation of a chronic inflammatory state. Focus: Rheumatoid vasculitis (RV) is one of the most aggressive complications of RA resulting from a prolonged proinflammatory milieu. Usually, it has the involvement of multiple organ systems, with cutaneous manifestations being the most common. Neurological presentation is uncommon but severe when present. Highlight: We present a case of severe RV presenting with an unexpected neurological complication consisting of cranial and peripheral neuropathy with small vessel disease and intracerebral haemorrhage. We intend to highlight the morbidity and long-term consequences of inadequately treated RA, the most common inflammatory disease of the connective system especially in light of the neurological presentation.

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