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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.47 no.1 São Paulo Mar. 1989

http://dx.doi.org/10.1590/S0004-282X1989000100014 

Descargas epileptiformes periódicas lateralizadas em neurocisticercose

 

Periodic lateralized epileptiform discharges in neurocysticercosis

 

 

Pauzanes de Carvalho-FilhoI; Orlando Martins ArrudaII; Sebastião Eurico de Melo-SouzaII

IInstituto de Neurologia de Goiânia: Neurologista (Endereço atual: Rua Goncalves Dias, 676 - 78900 Porto Velho RO)
IIInstituto de Neurologia de Goiânia: Neurologista

 

 


RESUMO

Relatamos o caso de menina (10 anos) que apresentava síndrome psicorgânica subaguda associada a cefaléia, sem sinais patentes de hipertensão intracraniana. O diagnóstico de neurocisticercose foi firmado com base no exame do LCR. Foi tratada com praziquantel (50 mg/kg/dia por 21 dias) e apresentou PLEDs sobre o hemisfério esquerdo no dia seguinte ao término do tratamento. Posteriormente, passou a apresentar sinais de disfunção córtico-subcortical desse mesmo lado, nos EEG subseqüentes. A TC inicialmente normal confirmou, com a evolução, maior comprometimento do hemisfério esquerdo, embora houvesse disseminação parenquimatosa bilateral de cisticercos. Respondeu bem ao tratamento e evoluiu com recuperação total dos sintomas. Discutimos, também, aspectos neurofisiológicos dessa anormalidade eletrencefalográfica.


SUMMARY

A case of a girl (10 years old) with a psycho-organic syndrome plus headache without signs of clear intracranial hypertension is related. The diagnosis of neurocysticercosis was made by CSF abnormalities. PLEDs over the left cerebral hemisphere were recorded at the first day after treatment with praziquantel (50mg/kg/day during 21 days). The first CT scan was normal and just after the treatment showed a prominent left cerebral hemisphere involvement, despite parenchymatous dissemination of cysticerci was bilateral. The treatment was successful and the patient became asymptomatic in the two years follow-up. The neurophysiologic aspects of this EEG abnormality is also discussed.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

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