Magnetic Resonance Imaging in Neurocysticercosis

“…La TC permite la identificación de calcificaciones y a menudo es suficiente para diagnosticar cisticercos parenquimatosos. Sin embargo, la RM es mejor que la TC para la detección de quistes en base del cerebro, en tronco, intraventriculares o espinales 12 . Los hallazgos imagenológicos dependen de la localización, estadio de la lesión y de la respuesta inmune del huésped.…”

Section: Discussionunclassified

Neurocisticercosis raquídea diagnosticada por punción lumbar

Huamaní

Galindo

Aldave

2018

An Fac med

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La neurocisticercosis es una enfermedad frecuente, su principal ubicación es en el parénquima cerebral; sin embargo, menos del 5% de los casos son de ubicación espinal donde producen cuadros clínicos pseudotumorales u obstructivos. Presentamos el caso de un paciente que ingresa por cefalea crónica con signos de hipertensión endrocraneana, sin clínica medular, y en quien se obtuvo durante el estudio de punción lumbar una membrana cisticercótica y líquido cefalorraquídeo con gran consumo de glucosa (3mg/dL). El hallazgo de un cisticerco de ubicación intradural-extramedular durante una punción lumbar es un hallazgo muy raro, solo descrito en pacientes con clínica evidente. Recomendamos sospecharla cuando no haya evidencia clínica de compromiso medular pero se tenga sugerencia de cisticercosis cerebral y líquido cefalorraquídeo alterado, ampliando el estudio con neuroimágenes.

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“…137 MRI demonstrates subarachnoid or less often intramedullary cysts (most of which are in the thoracic region). 138 Diagnosis is established with characteristic imaging/epidemiology, and serologies followed by Western blot support the diagnosis. Treatment is with steroids and albendazole, although subarachnoid cysts may require surgical removal.…”

Section: Parasitic Myelopathiesmentioning

confidence: 99%

Emergency Evaluation and Management of Encephalitis and Myelitis in Adults

Bradshaw

Venkatesan

2019

Semin Neurol

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Infection of the central nervous system is often a life-threatening emergency. In many cases, the clinician faces an unknown pathogen and must rely upon clinical acumen and a thorough, systematic diagnostic investigation to establish a diagnosis and initiate appropriate treatment. Because patients typically present with a syndrome, such as temporal lobe encephalitis, rather than a known pathogen (e.g., herpes simplex virus 1 encephalitis), we describe diagnostic considerations in the context of their neuroanatomic tropisms and patterns of disease. This paradigm reflects the challenges clinicians face; however, tropisms are not absolute, patterns of disease are not specific, and this approach does not obviate the need for empirical treatment while a systematic diagnostic investigation is underway. Specific treatment is available for many infectious agents, including bacterial, fungal, and parasitic pathogens, as well as the herpesviruses. In cases with no specific treatment, clinicians must strive to establish the diagnosis (and thereby spare unneeded treatment), anticipate and recognize complications and pitfalls, and initiate appropriate supportive care, all of which are best achieved with a well-prepared multidisciplinary team.

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Magnetic Resonance Imaging in Neurocysticercosis

Cited by 22 publications

References 18 publications

Diagnosis and Treatment of Neurocysticercosis: 2017 Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH)

Diagnosis and Treatment of Neurocysticercosis: 2017 Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH)

Neurocisticercosis raquídea diagnosticada por punción lumbar

Emergency Evaluation and Management of Encephalitis and Myelitis in Adults

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