Neurological manifestations of gnathostomiasis
| Autor: | Thamrong Chirachariyavej, Athasit Vejjajiva, Sawang Chuahirun, Nongnuj Siridej, Prida Phuapradit, Prasert Boongird |
|---|---|
| Rok vydání: | 1977 |
| Předmět: |
Adult
Male Nervous system Pathology medicine.medical_specialty Adolescent Gnathostoma spinigerum Neurologic Manifestations Leukocyte Count Paralysis medicine Humans Nematode Infections Radiculopathy Gnathostoma Cerebrospinal Fluid Gnathostomiasis biology business.industry Cranial nerves Headache Middle Aged Myelitis medicine.disease biology.organism_classification Eosinophils Pneumonia medicine.anatomical_structure Spinal Cord Neurology Radicular pain Encephalitis Female Neurology (clinical) medicine.symptom business Spiruroidea Brain Stem |
| Zdroj: | Journal of the Neurological Sciences. 31:279-291 |
| ISSN: | 0022-510X |
| DOI: | 10.1016/0022-510x(77)90113-7 |
| Popis: | Neurological features of 24 patients with nervous system gnathostomiasis were reviewed. The commonest presenting features were radiculomyelitis or radiculomyelitis terminating with encephalitis, and subarachnoid haemorrhage. A primary encephalitic form was noted in 2 patients. The salient feature of the disease was a sudden onset of extremely severe radicular pain and/or headache followed by paralysis of the extremities and/or the cranial nerves. Migration signs were also the hallmark of nervous system gnathostomiasis. No single area of the nervous system was inaccessible to the highly invasive gnathostome lava. Multiplicity and/or rapid progress of lesions beyond the degree of cerebral oedema could only be explained by further migration of the parasite. Death occurred in 6 patients from direct extensive involvement of vital centres in the brain stem or from complications such as pneumonia or septicaemia. Multiple cranial nerve palsies were usually bad prognostic signs. |
| Databáze: | OpenAIRE |
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