Diagnóstico da neurocisticercose através da tomografia axial computadorizada de crânio: análise de 2030 casos

Autor: Avelino Jose Soares Narciso, Eliana Christina de Figueiredo Wanderley, Damacio Ramón Kaimen Maciel, Mauricio Michalak Sendeski, Lamartine Corrêa de Moraes Junior, Wander Miguel Tamburus, Fahd Haddad
Rok vydání: 1995
Předmět:
Zdroj: Semina: Ciências Biológicas e da Saúde. 16:317
ISSN: 1679-0367
1676-5435
DOI: 10.5433/1679-0367.1995v16n2p317
Popis: The diagnosis ofneurocysticercosis using computed tomographic (C7) scans is safe, reliable and non= invasive; it identifies the various phases of the disease, and is more sensitive than immunologic tests in CSF. Our objective was to evaluate the population in wich neurocysticercosis was diagnosed in the Instituto de Tomogafia Axial Computadorizada (I. T.A. C.) ofLondrina, as well as the appearances found in the exams. We reviewed ali the skull CT scans performed in the I. T.A. C. ofLondrinabetween september 1986 and may 1994, and studied those in wich the diagnosis ofneurocysticercosis was made. The appearances ofcalcificafion, vesicles, granulomas and hydrocephalus were analysed, as well as the age, sex and origin from rural or urban communities. There were 2030 patients in wich neurocysticercosis was diagnosed. The majority (47, 6%) was between the ages of20 and 40; 886 (43,7%) were ma/e, and 1144 (56,3%) were fema/e. Only 85 patients were from rural communities. Among the appearances we found, there were 983 singre calciflCations (48,4%), 873 multipie calcifications (43,0%), 199 cysts orvesicles (9,8%) and 121 granulomas (5,9%). Hydrocephalus was present in 135exams (6, 7%), and in 86 exams there were parasites in two or more evolutional phases. The results are discussed based on the available literature. KEY-WORDS: Computed tomography; Neurocysticercosis. Semlna CI. BIoI.lSIJI1de, v. 16, n. 2, p. 317-320 . 319 REFERENCIAS BIBLIOGRAFICAS ALMEIDA-PINTO, J.; VEIGA-PIRES, JA.; STOCKER, A.; COELHO, T.; MONTEIRO, L. Cysticercosis of the brain: the value of tomography. Acta Raclologlea, v. 29, n. 6, p. 6211-628, 1988. ANTONIUK, S.A.; BRUCK, I.; WlTTIG, E.; ACCORSI, A. Neurocisticercose na infincia: 11. Tomografia computadorizada de 24 pacientes em relacAo ao tratamento sintomatico e com praziquantel. Arq. NeurrrPsiquiat, v. 49, n. 1, p. 47-51, 1991. ARRUDA, O.A.; CAMARGO, N.J.; COELHO, C.C. Neurocysticercosis: an epdemiologlcal survey in two small rural communities. Arq. Neuro-Psiquiat., v. 48, n. 4, p. 4111-420, 1990. BYRD, S.E.; LOCKE, G.E.; BlGGERS, S.; PERCY, A.K. The computed tomographic appearance of cerebral cysticercosis in adults and children. Radiology, v. 144, p.819-823,1982. CHEQUER, R.S.; VIEIRA, V.L.F. Neurocisticercose no estado do Espirito Santo. Arq. NeurrrPsiquiat, v. 48, n. 4, p. 431-439, 1990. GUERREIRO, M.M.; FACURE, N.O.; GUERREIRO, CA.M. Aspectos da tomografia computadorizada craniana na neurocisticercose na infincia. Arq. Neuro-Psiqulat, v. 47, n. 2, p. 1111-158, 1989. JOZZOLlNO, D.A. Aspectos regionais da neurocisticercose: incidencia e avaliacio pela tomografia computlJdorizada em 1000 exames consecutivos. Rev. Imagem, v. 6, n. 1
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