Resumos
Na literatura neurológica internacional, mas principalmente na latino-americana, infartos medulares têm sido raramente descritos exceto em relação com cirurgia da aorta abdominal. O obietivo do presente trabalho foi relatar critérios de diagnóstico clínico, eletrofisiológico, de imagem e laboratorial que levaram a este diagnóstico em 17 casos entre 1982 e 1989, um deles relacionado com cirurgia da aorta abdominal. Estes resultados demonstram que infarto medular não é patologia tão rara, e que seu pouco reconhecimento se deve a alto limiar diagnóstico, talvez relacionado ao fato de não haver tratamento específico.
In the international, but more so in the latin-american, medical literature infarction of the spinal cord has been rarely described except in relationship with surgery of the abdominal aorta. The objetive of this report is to describe, the diagnostic approach including clinical, electrophysiological, imaging and cerebrospinal fluid criteria. With these methods 17 cases were diagnosed between 1982 and 1989, one related to surgery of the abdominal aorta. This series suggests that infarction of the spinal cord is a more common clinical entity than presently considered. Its rarity may be due to a high diagnostic threshold related to the perception that there is no specific therapy.
Silvia Mazzali J. de SouzaI; Paulo César PastroI; Arthur J. CostaII; Ricardo Ranieri SeixasIII; Paulo R. M. BittencourtIV
IAcadêmico Estagiário - Unidades de Neurologia Clínica e Neurofisiologia Clínica, Hospital Nossa Senhora das Graças; Centro-Dia, Clínica de Recuperação; Centro Diagnóstico de Curitiba
IIResidente em Neurologia - Unidades de Neurologia Clínica e Neurofisiologia Clínica, Hospital Nossa Senhora das Graças; Centro-Dia, Clínica de Recuperação; Centro Diagnóstico de Curitiba
IIINeurofisiologista Clínico - Unidades de Neurologia Clínica e Neurofisiologia Clínica, Hospital Nossa Senhora das Graças; Centro-Dia, Clínica de Recuperação; Centro Diagnóstico de Curitiba
IVChefe da Unidade - Unidades de Neurologia Clínica e Neurofisiologia Clínica, Hospital Nossa Senhora das Graças; Centro-Dia, Clínica de Recuperação; Centro Diagnóstico de Curitiba
RESUMO
Na literatura neurológica internacional, mas principalmente na latino-americana, infartos medulares têm sido raramente descritos exceto em relação com cirurgia da aorta abdominal. O obietivo do presente trabalho foi relatar critérios de diagnóstico clínico, eletrofisiológico, de imagem e laboratorial que levaram a este diagnóstico em 17 casos entre 1982 e 1989, um deles relacionado com cirurgia da aorta abdominal. Estes resultados demonstram que infarto medular não é patologia tão rara, e que seu pouco reconhecimento se deve a alto limiar diagnóstico, talvez relacionado ao fato de não haver tratamento específico.
SUMMARY
In the international, but more so in the latin-american, medical literature infarction of the spinal cord has been rarely described except in relationship with surgery of the abdominal aorta. The objetive of this report is to describe, the diagnostic approach including clinical, electrophysiological, imaging and cerebrospinal fluid criteria. With these methods 17 cases were diagnosed between 1982 and 1989, one related to surgery of the abdominal aorta. This series suggests that infarction of the spinal cord is a more common clinical entity than presently considered. Its rarity may be due to a high diagnostic threshold related to the perception that there is no specific therapy.
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Dr. Paulo R. M. Bittencourt - Unidade de Neurologia Clínica, Hospital Nossa Senhora das Graças - Rua Alcides Munhoz 433 - 80510 Curitiba PR - Brasil.
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Infarto medular diagnóstico clínico, eletrofisiológico e laboratorial
Datas de Publicação
-
Publicação nesta coleção
19 Maio 2011 -
Data do Fascículo
Dez 1990