Lesões de plexo coróide na esquistossomose mansônica

Queiroz, Adriano

doi:10.1590/s0004-282x1981000300008

Cited by 8 publications

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References 5 publications

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“…Através dos estudos de necrópsias constatou-se que a neuroesquistossomose assintomática é 3 a 4 vezes mais frequente do que a sintomática 27 . Esses dados indicam que a neuroesquistossomose está sendo pouco diagnosticada no nosso meio e que o número de casos deve ser maior do que os relatados na literatura.…”

Section: Relato Do Casounclassified

Esquistossomose aguda com comprometimento cerebral: relato de caso

Urban

Piovesan

Almeida

et al. 1996

Arq. Neuro-Psiquiatr.

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RESUMO -É relatado um caso de esquistossomose na fase aguda com comprometimento cerebral precoce, síndrome piramidal nos membros inferiores, líquido cefalorraquidiano (LCR) normal e lesões com padrão desmielinizante na ressonância magnética (RM) encefálica. O diagnóstico foi comprovado através da imunofluorescência indireta para esquistossomose no LCR. O envolvimento encefálico pelo Schistosoma mansoni é menos frequente do que o medular e a resposta ao tratamento com o praziquantel e a prednisolona foi eficaz neste caso. São poucos os relatos de neuroesquistossomose encefálica. Devido a esse fato sua fisiopatologia e terapêutica necessitam de melhores estudos. Os aspectos imunológicos e apresentação na RM foram enfatizados.PALAVRAS-CHAVE: esquistossomose, esquistossoma mansoni, sistema nervoso central, cérebro, ressonância magnética. Acute schistosomiasis of the brain: case reportABSTRACT -A case of acute shistosomiasis with magnetic resonance images (MRI) of the brain suggestive of demyelinating lesions, pyramidal disorder in the lower limbs and normal cerebrospinal fluid is presented. Diagnosis could be established by detection of antibodies on blood and cerebrospinal fluid. Schistosoma mansoni involves the spinal cord more often than the brain. Praziquantel associated to prednisolone was effective in this case. There are few reports of brain involvement with S. mansoni, but its prevalence is probably greater. Due to the paucity of studies, its pathophysiology and therapeutics remain to be better clarified. The immune and MRI aspects are emphasized.KEY WORDS: shistosomiasis, shistosoma mansoni, central nervous system, brain, magnetic resonance.A esquistossomose é uma das endemias mais importantes no Brasil, com prevalência aproximada de 10% da população 6 . Qualquer órgão pode ser acometido nas formas ectópicas da doença. No entanto, o sistema nervoso central (SNC) é o local mais frequentemente envolvido nesses casos e geralmente nas fases crônicas (hépato-esplênica e cárdio-pulmonar). Mesmo assim, a neuroesquistossomose é considerada como forma rara de apresentação 1 " 6 -9101719 ' 21 ' 30 . Entretanto, com os métodos de imagem e a imunofluorescência, um número maior de casos vem sendo diagnosticado.

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Section: Relato Do Casounclassified

Esquistossomose aguda com comprometimento cerebral: relato de caso

Urban

Piovesan

Almeida

et al. 1996

Arq. Neuro-Psiquiatr.

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Schistosomotic choroiditis. I. Funduscopic changes and differential diagnosis.

Oréfice¹,

Simal²,

Pittella³

1985

British Journal of Ophthalmology

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SUMMARY This paper presents the results of biomicroscopy and funduscopy on five patients with hepatosplenic schistosomiasis mansoni. Fluorescein angioretinography was performed on two patients. All cases showed yellowish white multiple billateral nodules of various sizes, located in the choroidal plane. The nature and differential diagnosis of these nodules is discussed, and the suggestion is made that they represent cases of schistosomotic nodular choroiditis.

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Neuroesquistossomose

Andrade

1986

Arq. Neuro-Psiquiatr.

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The low incidence of mansoni schistosomiasis involving the nervous system calls our attention in a country where 12 million people carry the intestinal form of the disease. Also, during autopsies the incidence of the parasites eggs occurs three to four times more often than the cases diagnosed in life. Therefore, new investigations become necessary around endemic areas. The cerebrospinal fluid syndrome of the neuroschistosomiasis must be searched among patients from endemic areas who present neurological symptoms and which cause is unknown. The probable protein liberation giving signs in the CSF and causing the demyelinization or the axonal degeneration at a distance is emphasized among the physiopathological factors. Two cases of neuroradiculomyelitis with positive copro analysis and CSF syndrome for mansoni schistosomiasis are presented and discussed; both were treated with success using praziquantel in association with steroids for a period of fourteen days.

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Lesões de plexo coróide na esquistossomose mansônica

Cited by 8 publications

References 5 publications

Esquistossomose aguda com comprometimento cerebral: relato de caso

Esquistossomose aguda com comprometimento cerebral: relato de caso

Schistosomotic choroiditis. I. Funduscopic changes and differential diagnosis.

Neuroesquistossomose

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