Neurocisticercose e síndrome de lennox-gastaut: relato de caso

Agapejev, Svetlana; Padula, Niura Aparecida de Moura Ribeiro; Morales, Norberto; Lima, Márcia Maria Ferreira

doi:10.1590/s0004-282x2000000300023

Cited by 6 publications

(2 citation statements)

References 29 publications

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“…The clinical manifestations of childhood epilepsy due to NC are variable (7–12). There is a general consensus that childhood epilepsy due to NC is benign and has an excellent prognosis (13–16).…”

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confidence: 99%

Childhood Epilepsy Due to Neurocysticercosis: A Comparative Study

Ferreira¹,

Zanardi

Scotoni³

et al. 2001

Epilepsia

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Summary: Purpose: To assess the clinical profile of pediatric patients with epilepsy and neurocysticercosis (NC), and compare them with a group of pediatric patients with benign partial epilepsy to determine clinical differences, response to treatment, and prognosis. Methods: We studied 28 patients (16 girls) with probable or definitive diagnosis of NC and epilepsy and 32 patients (16 girls) with partial benign epilepsy (BE). All patients had normal neurologic examination. We compared NC and BE patients looking for differences in demographics (age at first seizure, gender, family history); clinical presentation (type, frequency, duration, and total number of seizures, duration of epilepsy, status epilepticus, cluster, and postictal deficit); treatment [duration, number of antiepileptic drugs (AEDs), maximal dose, drug association, number of seizure‐free patients, time to obtain control and recurrence after medication discontinuation]; complementary examinations (the first and the last EEG). Results: The mean follow‐up was 5.4 years for the 28 NC patients and 4.6 years for the 32 BE patients (p = 0.98). We did not find statistical differences between NC and BE in gender, family history, types of seizures, frequency and length of seizures, previous status epilepticus, seizure clustering, and presence of postictal deficits. However, we found that NC compared with BE patients had significant longer AED treatment, more seizures after AED introduction, tried more AEDs and at maximal dose, and in 20%, required polytherapy. The recurrence rate in NC was 54.4% and this was not significantly associated with number of lesions and disease activity seen on CT scans or the presence of EEG abnormalities. Conclusions: NC presents with a mild form of epilepsy in terms of seizure severity; however, it is more challenging in regard to drug management and has a less favorable long‐term prognosis in terms of seizure remission. The number of lesions or disease activity seen on computed tomography (CT) as well as EEG abnormalities have no prognostic value in childhood epilepsy due to NC.

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mentioning

confidence: 99%

Childhood Epilepsy Due to Neurocysticercosis: A Comparative Study

Ferreira¹,

Zanardi

Scotoni³

et al. 2001

Epilepsia

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“…A cisticercose humana é causada pela presença da forma larvária da Taenia solium em tecidos, principalmente no sistema nervoso central, onde assume características peculiares, sendo denominada neurocisticercose. Atualmente, a localização no sistema nervoso central é a forma mais estudada, pela gravidade dos sintomas, elevadas morbidade e letalidade [2].…”

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Protocolo de tratamento fisioterapêutico para pacientes portadores de neurocisticercose

Silva¹

2018

Fisioter Bras

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A neurocisticercose humana é causada pelo parasitismo de larvas de Taenia solium no sistema nervoso central, com conseqüente aparecimento de sintomas motores que estão relacionados à resposta imune do hospedeiro, ao número e à fase de involução dos parasitas. Os objetivos deste artigo foram descrever o quadro clínico apresentado por um paciente do sexo masculino, de 60 anos, com presença de neurocisticercose nos hemisférios cerebrais e cerebelo com importantes alterações cinético-funcionais; fazer um levantamento da literatura e enfatizar a indispensabilidade da fisioterapia no tratamento das seqüelas motoras causadas pelas doenças parasitárias. O estudo foi realizado no hospital universitário da UNIG, localizado em Mesquita, Rio de Janeiro, no período de maio de 2003 a março de 2004. Após a aplicação do protocolo de cinesioterapia, observou-se uma ampla recuperação no âmbito funcional do paciente. Conclui-se que as doenças parasitárias, e suas possíveis seqüelas, vêm reafirmando a atuação do fisioterapeuta em saúde pública e, em especial, na atenção primária. Palavras-chave: neurocisticercose, alterações funcionais.

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