1116 Arq Neuropsiquiat r 2004;62(4)
* Aspect os clínicos, elet romiográf icos e de evolução de pacient es com neuroesquist ossomose ( Resumo). Dissert ação de M est rado,
Universidade de Pernambuco (área: Clínica M édica). Orient ador: Luiz At aíde Júnior; co-orient ador: Ot ávio Gomes Lins.
* * Address : Rua Hermógenes de M orais 230, 50610160 Recif e PE, Brasil. E-mail: ccc@t ruenet .com.br
CLINICAL ASPECTS, ELECTROM YOGRAPHIC AND EVOLUTION OF NEUROSCHISTOSOM IASIS PATIENTS
(ABSTRACT)* . DISSERTATION. RECIFE, 2004.
CAROLINA DA CUNHA CORREIA* *
M ansoni schist osomiasis is a parasit Ic disease t hat
assault nearly 10% of t ot al Brazilian populat ion,
mainly f rom nort hw est , and it const it ut es an
impor-t animpor-t public healimpor-t h problem. The neurological
presen-t apresen-t ion is especially severe because of mopresen-t or, sensipresen-t ive,
sphinct erian and erect ile dist urbances associat ed w it h
neuroschist osomiasis, t hat are diff icult t o recuperat e.
Object if ying t o describe clinical and elect
romyo-graphy aspect s of neuroschist osomot ic pat ient s,
ana-lyzing clinical evolution, the author studied 47 patients,
aging from 14 to 65 years old, 11 (23.4% ) f emales, w ho
at t empt ed emergency or ambulat ory consult at ion
at neurological service of Hospit al da Rest auração,
Recif e, Pernambuco, Brazil, f rom 2000 June t o 2003
June. One has evaluat ed clinical manif est at ions,
mag-net ic resonance image alt erat ions, cellular and
bio-chemical charact erist ics of cerebrospinal f luid, ult
ra-sound hepat osplenic f indings, mot or, sensit ive and
sphinct er evolut ion and elect romyography pat t erns,
besides t he relat ion of t hese f indings and t he mot or
clinical evolut ion af t er a median period of t hree
mont hs af t er hospit al discharge.
M ain clinical manif est at ions included isolat ed
sphinct er dist urbances (100% ), mot or def icit (95.7% )
and sensibilit y alt erat ions (83% ). The anat omical
le-vel most f requent ly involved w as low t horacic
re-gion f rom T6 t o T12 (57.4% ). Thirt y f our (91.9% ) of
37 pat ient s submit t ed t o magnet ic resonance
pre-sent ed hyposignal at T1 and hypersinal at T2, w it h
contrast capture predominantly at thoracic region,
iso-lat ed or ext ended t o spinal cord cone. On
cere-brospinal f luid, t he f indings w ere pleocyt osis (93.6% )
w it h lymphmonocyt ic pat t ern. Hepat osplenomegaly
w as absent f or 32 of 38 (84.2% ) pat ient s submit t ed
t o abdominal ult rasound. Elect romyographic pat
-t ern of 95.2% pa-t ien-t s w as compa-t ible -t o axonal
lumbosacral mult irradiculopat hy, w it h variable
den-ervat ion ext ension, but predominant f rom level L2
t o S2.
Wit hin revaluat ion, mot or dist urbances more f
re-quently disappeared; the sensitive ones got better and
sphinct er ones did not alt er. There w as w orst mot or
recuperat ion on pat ient w it h more ext ensive
dener-vat ion at elect romyography.
KEY WORDS: neuroschist osomiasis, elect
romyo-graphy, diagnosis.
CLINICAL AND DEMOGRAFHICAL CHARACTERISTICS OF PEOPLE WITH EPILEPTIC CRISIS COMING FROM
A CYSTICERCOSIS AND TAENIASIS ENDEM IC AREA IN BAHIA STATE (ABSTRACT)* . DISSERTATION.
SALVADOR, 2003.
EM ÍLIA KATIANE EM BIRUÇU* *
Epilepsy is f requent all over t he w orld, occurring
independent of gender, age, race or social st at us.
The highest prevalence rat es occur in count ries under
development and are due t o inf ect ious parasit ic
dis-eases, like cyst icercosis. Neurocyst icercosis is t he main
cause of secondary epilepsy in t he w orld because of
it s high prevalence in regions w it h precarious
sani-t ary inf rassani-t rucsani-t ure. The ssani-t udy of epilepsani-t ic crisis in
poor communit ies, w it h inadequat e medical care and
poor access t o medicat ion, allow ed t he analysis of a
clinical evolut ion close t o t he disease´s nat ural hist
o-ry. Besides, it represent s t he local communit y´s
real-it y and eliminat es select ion bias, diff erent f rom st
ud-ies conduct ed in ref erence cent ers.
