Achados neurológicos e laboratoriais em população de área endêmica para teníase-cisticercose, Lagamar, MG, Brasil (1992-1993)
Autor(a) principal: | |
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Data de Publicação: | 1994 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/29175 |
Resumo: | A clinic-epidemiological enquiry was conducted on in an endemic area for teniasis-cysticercosis. From the whole population 1080 (32.2%) individuals were examined. We found 198 (18.3%) individuals refering teniasis-bearing in the past, and 103 (9.5%) affirming to have had convulsions, either in the past or present. From the last group, 39 (37.8%) indicated that the crisis had begun in adulthood. From the group of patients presenting convulsions, 62 (62%) had laboratory tests performed. Computed tomography showed intracranial calcifications in 21 (33.8%) patients, variable in number and location, suggesting neurocysticercosis and no evidence of disease activity. Electroencephalograms showed abnormal waves in 21 (33.8%) patients and cerebrospinal fluid analyses were altered in 27 (43.5%) cases, having detected eosinophils only in 3 (4.8%) patients. Spinal fluid tests for cysticercosis through enzyme linked immunosorbent assay (ELISA) or indirect imunofluorescence were taken in only 26 (41.9%) patients, obtaining positive results in 6 (23%) samples. Varying upward shifts of protein levels were found in spinal fluid analysis. Assuming that all epidemiologic risk factors for teniasis-cysticercosis in the studied region and its correlation with the laboratory alterations described in convulsing crisis, a prevalence of 1.9% for neurocysticercosis was found. |
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Achados neurológicos e laboratoriais em população de área endêmica para teníase-cisticercose, Lagamar, MG, Brasil (1992-1993) Neurologic and laboratory findings in population of endemic area for teniasis-cysticercosis, Lagamar, MG, Brazil (1992-1993) TeníaseNeurocisticercoseConvulsõesCalcificações intracranianasTomografia A clinic-epidemiological enquiry was conducted on in an endemic area for teniasis-cysticercosis. From the whole population 1080 (32.2%) individuals were examined. We found 198 (18.3%) individuals refering teniasis-bearing in the past, and 103 (9.5%) affirming to have had convulsions, either in the past or present. From the last group, 39 (37.8%) indicated that the crisis had begun in adulthood. From the group of patients presenting convulsions, 62 (62%) had laboratory tests performed. Computed tomography showed intracranial calcifications in 21 (33.8%) patients, variable in number and location, suggesting neurocysticercosis and no evidence of disease activity. Electroencephalograms showed abnormal waves in 21 (33.8%) patients and cerebrospinal fluid analyses were altered in 27 (43.5%) cases, having detected eosinophils only in 3 (4.8%) patients. Spinal fluid tests for cysticercosis through enzyme linked immunosorbent assay (ELISA) or indirect imunofluorescence were taken in only 26 (41.9%) patients, obtaining positive results in 6 (23%) samples. Varying upward shifts of protein levels were found in spinal fluid analysis. Assuming that all epidemiologic risk factors for teniasis-cysticercosis in the studied region and its correlation with the laboratory alterations described in convulsing crisis, a prevalence of 1.9% for neurocysticercosis was found. Realizou-se um inquérito clínico-epidemiológico em área endêmica para teníase-cisticercose. Foram examinados 1080 (32,2%) indivíduos da população total, encontrando-se 198 (18,3%) indivíduos referindo antecedente de teníase, e 103 (9,5%) apresentaram história anterior ou atual de convulsões. Destes últimos, 39 (37,8%) referiram início das crises na vida adulta, e 62 (60%) foram avaliados laboratorialmente. Em 21 (33,8%) casos, o resultado da tomografia mostrou calcificações intracranianas compatíveis com neurocisticercose, em número e localização variáveis, mas sem evidência de atividade da doença. Traçados eletroencefalográficos anormais foram lidos em 21 (33,8%) pacientes e alterações no exame do líquido cefalorraquiano (LCR) detectadas em 27 (43,5%), em 3 (4,8%) foi verificada presença de eosinófilos. Somente LCR de 26 (41,9%) pacientes foram submetidos a pesquisa de anticorpos para cisticerco, obtendo-se positividade em 6 (23%) deles, por ensaio imunoenzimático (ELISA) ou reação de imunofluorescência indireta. Outras alterações do LCR foram devidas a aumento variável das proteínas. Considerando-se os fatores epidemiológicos de risco para teníase-cisticercose na região estudada e sua correlação com as alterações laboratoriais mencionadas acima com as crises convulsivas, encontra-se uma provável prevalência de 1,9% para a neurocisticercose. Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo1994-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/29175Revista do Instituto de Medicina Tropical de São Paulo; Vol. 36 No. 4 (1994); 335-342 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 36 Núm. 4 (1994); 335-342 Revista do Instituto de Medicina Tropical de São Paulo; v. 36 n. 4 (1994); 335-342 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTporhttps://www.revistas.usp.br/rimtsp/article/view/29175/31032Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessSilva-Vergara, Mario LeónVieira, Cláudio de OliveiraCastro, João HenriqueMicheletti, Luciane GirotoOtaño, Arturo SantanaFranquini Jr., JoãoCabral, MariniceLeboreiro, AlfredoMarques, Jaime OlavoSouza, Wandir Ferreira deCosta-Cruz, Julia MariaPrata, Aluízio2012-07-02T01:37:57Zoai:revistas.usp.br:article/29175Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:50:55.658578Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Achados neurológicos e laboratoriais em população de área endêmica para teníase-cisticercose, Lagamar, MG, Brasil (1992-1993) Neurologic and laboratory findings in population of endemic area for teniasis-cysticercosis, Lagamar, MG, Brazil (1992-1993) |
title |
Achados neurológicos e laboratoriais em população de área endêmica para teníase-cisticercose, Lagamar, MG, Brasil (1992-1993) |
spellingShingle |
Achados neurológicos e laboratoriais em população de área endêmica para teníase-cisticercose, Lagamar, MG, Brasil (1992-1993) Silva-Vergara, Mario León Teníase Neurocisticercose Convulsões Calcificações intracranianas Tomografia |
title_short |
Achados neurológicos e laboratoriais em população de área endêmica para teníase-cisticercose, Lagamar, MG, Brasil (1992-1993) |
title_full |
Achados neurológicos e laboratoriais em população de área endêmica para teníase-cisticercose, Lagamar, MG, Brasil (1992-1993) |
title_fullStr |
Achados neurológicos e laboratoriais em população de área endêmica para teníase-cisticercose, Lagamar, MG, Brasil (1992-1993) |
title_full_unstemmed |
Achados neurológicos e laboratoriais em população de área endêmica para teníase-cisticercose, Lagamar, MG, Brasil (1992-1993) |
title_sort |
Achados neurológicos e laboratoriais em população de área endêmica para teníase-cisticercose, Lagamar, MG, Brasil (1992-1993) |
author |
Silva-Vergara, Mario León |
author_facet |
Silva-Vergara, Mario León Vieira, Cláudio de Oliveira Castro, João Henrique Micheletti, Luciane Giroto Otaño, Arturo Santana Franquini Jr., João Cabral, Marinice Leboreiro, Alfredo Marques, Jaime Olavo Souza, Wandir Ferreira de Costa-Cruz, Julia Maria Prata, Aluízio |
author_role |
author |
author2 |
Vieira, Cláudio de Oliveira Castro, João Henrique Micheletti, Luciane Giroto Otaño, Arturo Santana Franquini Jr., João Cabral, Marinice Leboreiro, Alfredo Marques, Jaime Olavo Souza, Wandir Ferreira de Costa-Cruz, Julia Maria Prata, Aluízio |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Silva-Vergara, Mario León Vieira, Cláudio de Oliveira Castro, João Henrique Micheletti, Luciane Giroto Otaño, Arturo Santana Franquini Jr., João Cabral, Marinice Leboreiro, Alfredo Marques, Jaime Olavo Souza, Wandir Ferreira de Costa-Cruz, Julia Maria Prata, Aluízio |
dc.subject.por.fl_str_mv |
Teníase Neurocisticercose Convulsões Calcificações intracranianas Tomografia |
topic |
Teníase Neurocisticercose Convulsões Calcificações intracranianas Tomografia |
description |
A clinic-epidemiological enquiry was conducted on in an endemic area for teniasis-cysticercosis. From the whole population 1080 (32.2%) individuals were examined. We found 198 (18.3%) individuals refering teniasis-bearing in the past, and 103 (9.5%) affirming to have had convulsions, either in the past or present. From the last group, 39 (37.8%) indicated that the crisis had begun in adulthood. From the group of patients presenting convulsions, 62 (62%) had laboratory tests performed. Computed tomography showed intracranial calcifications in 21 (33.8%) patients, variable in number and location, suggesting neurocysticercosis and no evidence of disease activity. Electroencephalograms showed abnormal waves in 21 (33.8%) patients and cerebrospinal fluid analyses were altered in 27 (43.5%) cases, having detected eosinophils only in 3 (4.8%) patients. Spinal fluid tests for cysticercosis through enzyme linked immunosorbent assay (ELISA) or indirect imunofluorescence were taken in only 26 (41.9%) patients, obtaining positive results in 6 (23%) samples. Varying upward shifts of protein levels were found in spinal fluid analysis. Assuming that all epidemiologic risk factors for teniasis-cysticercosis in the studied region and its correlation with the laboratory alterations described in convulsing crisis, a prevalence of 1.9% for neurocysticercosis was found. |
publishDate |
1994 |
dc.date.none.fl_str_mv |
1994-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/29175 |
url |
https://www.revistas.usp.br/rimtsp/article/view/29175 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/29175/31032 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 36 No. 4 (1994); 335-342 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 36 Núm. 4 (1994); 335-342 Revista do Instituto de Medicina Tropical de São Paulo; v. 36 n. 4 (1994); 335-342 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
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||revimtsp@usp.br |
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1798951641010929664 |