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Titolo:
Parenchymatous cerebral neurocysticercosis in a quadriplegic patient
Autore:
Al-Khodairy, AT; Annoni, JM; Uebelhart, D;
Indirizzi:
Univnit,p Geneva, Dept Clin Neurosci, Div Phys Med & Rehabil, Spinal Cord U Univ Hosp Geneva Geneva Switzerland 14 Phys Med & Rehabil, Spinal Cord U Univ Hosp Geneva, Dept Clin Neurosci, Neurol Clin, Geneva, Switzerland Univ Hosp Geneva Geneva Switzerland i, Neurol Clin, Geneva, Switzerland UniverlandGeneva, Dept Clin Neurosci, Div Phys Med & Rehabil, Geneva, Switz Univ Hosp Geneva Geneva Switzerland v Phys Med & Rehabil, Geneva, Switz Rush Presbyterian St Lukes Med Ctr, Dept Biochem, Chicago, IL 60612 USA Rush Presbyterian St Lukes Med Ctr Chicago IL USA 60612 ago, IL 60612 USA
Titolo Testata:
SPINAL CORD
fascicolo: 2, volume: 37, anno: 1999,
pagine: 142 - 146
SICI:
1362-4393(199902)37:2<142:PCNIAQ>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRAZIQUANTEL; CYSTICERCOSIS; CIMETIDINE;
Keywords:
spinal cord injuries; cysticercosis; autonomic nervous system diseases;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Al-Khodairy, AT Univnit,p Geneva, Dept Clin Neurosci, Div Phys Med & Rehabil, Spinal Cord U Univ Hosp Geneva 26 Ave de Beau Sejour Geneva Switzerland 14
Citazione:
A.T. Al-Khodairy et al., "Parenchymatous cerebral neurocysticercosis in a quadriplegic patient", SPINAL CORD, 37(2), 1999, pp. 142-146

Abstract

Objective: To present and discuss a case of cerebral neurocysticercosis ina quadriplegic patient. Design: Case report of a case of neurocysticercosis in a high level spinalcord injury (SCI) patient who developed episodes of autonomic dysreflexia and orthostatic hypotension associated with transient neurologic deficits and seizures. Setting: Spinal Cord Unit of the University Hospital of Geneva, Switzerland. Subject: Single patient case report. Main outcome measure: Clinical and radiological magnetic resonance imagingfollow-up of the patient between July 1995 and October 1997. Results: Treatment of cysticercosis with praziquantel relieved the patientfrom autonomic dysreflexia, symptomatic orthostatic hypotension, transitory neurological deficits and seizures. Conclusion: Diagnosis of neurocysticercosis in a quadriplegic patient might be difficult because of frequent overlaps with some usual symptoms occurring in high level SCI, mostly autonomic dysreflexia and orthostatic hypotension. Neurocysticercosis should be kept in mind when a SCI patient living in, or coming from endemic zones presents with new neurological abnormalities and seizures, Magnetic resonance imaging appears to be more sensitive than computerised tomography to confirm the diagnosis of active cysticercosis. Treatment with praziquantel associated with cimetidine to increase the drug bioavailability and prednisone to reduce the inflammatory reaction gives good results.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/09/20 alle ore 07:08:50