Resumo
Neurocysticercosis is a major public health problem in the developing countries. Previous to the CT scan era its diagnosis was very restricted and conventional diagnostic methods were unreliable. It was also frequently necessary to submit patients to costly and dangerous surgical procedures to confirm the precise nature of the disease. The most striking type of neurocysticercosis diagnosed by CT is the acute or edematous type (Table 1). Patients with this type of neurocysticercosis are referred for examination with intracranial hypertension, in general with suspicion of space-occupying lesion. In the authors' experience it is possible to obtain a dramatic reduction of the brain edema in the acute stages of neurocysticercosis using corticosteroids, the use of which completely changes the clinical picture and the CT images.
Ação de corticoides na fase aguda da neurocisticercose: nota preliminar
Neurocysticercosis: the effect of corticosteroid treatment in the acute stages: a preliminar report
Guilberto MinguettiI; Marlus V. C. FerreiraII
IProfessor Assistente, Departamento de Clínica Médica (Neurologia), U.F.Pr
IINeurologista. Departamento de Clínica Médica (Neurologia), U.F.Pr
SUMMARY
Neurocysticercosis is a major public health problem in the developing countries. Previous to the CT scan era its diagnosis was very restricted and conventional diagnostic methods were unreliable. It was also frequently necessary to submit patients to costly and dangerous surgical procedures to confirm the precise nature of the disease. The most striking type of neurocysticercosis diagnosed by CT is the acute or edematous type (Table 1). Patients with this type of neurocysticercosis are referred for examination with intracranial hypertension, in general with suspicion of space-occupying lesion. In the authors' experience it is possible to obtain a dramatic reduction of the brain edema in the acute stages of neurocysticercosis using corticosteroids, the use of which completely changes the clinical picture and the CT images.
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Full text available only in PDF format.
Trabalho realizado no Centro de Tomografia Axial Computorizada (CETAC) de Curitiba.
CETAC - Rua Brigadeiro Franco 122 - 80000 Curitiba, PR - Brasil.
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- 2. LANGE, O. - Síndrome liquórico da cisticercose encefalomeningéia. Rev. Neurol. Psychiat. (São Paulo). 6:35, 1940.
- 3. PUPO, P. P. - Cysticercosis of the central nervous system: clinical manifestation. Rev. Neuro-Psiquiat. (Lima). 27:70, 1964.
- 4. SPINA-FRANÇA, A. - Imunologia da cisticercose: avaliação dos conceitos atuais. Arq. Neuro-Psiquiat. (São Paulo). 27:125, 1969.
Datas de Publicação
-
Publicação nesta coleção
16 Ago 2012 -
Data do Fascículo
Mar 1982
