Left sylvian subarachnoid neurocysticercosis: a therapeutic challenge
Introduction: Neurocysticercosis is a disease with high neurological morbidity, where subarachnoid subtype is a severe form. Secondary vasculitis is rare, but it can cause a stroke. The diagnosis is made by serology with enzyme-linked immunotransfer blot (ELIB) and tomography or resonance images wit...
| Autores: | , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | Perú |
| Institución: | Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo |
| Repositorio: | Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo |
| Idioma: | español |
| OAI Identifier: | oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1865 |
| Acceso en línea: | https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1865 |
| Access Level: | acceso abierto |
| Palabra clave: | Neurocisticercosis Taenia solium Albendazol Convulsiones Western Blotting Neurocysticercosis Albendazole Seizures Blotting Western |
| Sumario: | Introduction: Neurocysticercosis is a disease with high neurological morbidity, where subarachnoid subtype is a severe form. Secondary vasculitis is rare, but it can cause a stroke. The diagnosis is made by serology with enzyme-linked immunotransfer blot (ELIB) and tomography or resonance images with 3D sequence. Treatment is mainly medical. Case of report: A 28-year-old male with headache, expression aphasia and dysarthria. The images show a left frontal stroke, as well as a non-viable left temporal cyst and another viable left sylvian lesion, with positive ELIB. He was treated with clinical improvement. At 8 months, imaging control was performed due to new stroke. We saw reduction in size of the lesions, but still positive ELIB, so medical treatment was restarted with slow improvement of symptoms. Conclusion: Subarachnoid neurocysticercosis is a complex pathology, which requires multidisciplinary treatment, mainly medical, with difficult adherence to it due to its prolonged duration. |
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