Pre-treatment with corticosteroids and a single cycle of high dose albendazole for subarachnoidal cysticercosis
| Autor: | Fernando Góngora-Rivera, Rosa Hernandez, José Luis Soto-Hernández, C. Márquez-Caraveo, J Santos Zambrano |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Letter Premedication Neurocysticercosis Neurological disorder Albendazole Drug Administration Schedule Epilepsy Adrenal Cortex Hormones medicine Humans Anthelmintics Dose-Response Relationship Drug business.industry Cerebrospinal Fluid Proteins Cysticercosis Middle Aged medicine.disease Surgery Psychiatry and Mental health Glucose Treatment Outcome Antigens Helminth Parasitic disease Drug Therapy Combination Female Neurology (clinical) Arachnoid Arachnoiditis Vasculitis business medicine.drug |
| Zdroj: | Journal of Neurology, Neurosurgery & Psychiatry. 75:938-939 |
| ISSN: | 0022-3050 |
| Popis: | Cysticercosis is a common parasitic disease of the central nervous system and a pleomorphic neurological disorder. It is an endemic problem in developing countries and is now increasing in industrialised nations.1 In Mexico neurocysticercosis is one of the main reasons for neurological consultation, and the first cause of epilepsy in adults.2 The treatment of neurocysticercosis is controversial and depends on the clinical and neuroimaging features, as well as the extent and severity of the associated inflammatory reaction.3 Basal subarachnoidal cysticercosis and racemose disease of sylvian fissure may behave aggressively producing intracranial hypertension, obstructive hydrocephalus, chronic arachnoiditis, vasculitis, and cerebral infarctions.4 Subarachnoidal cysticercosis may have a chronic course and a poor prognosis, and is still treated surgically. In a recent open trial of 33 patients with subarachnoidal cysts of at least 50 mm in diameter, treatment with albendazole at a dose of 15 mg/kg/day during 28 days produced an adequate response in 12 patients (36%). The remaining 21 patients (64%) required repeated courses of albendazole and 10 treatments … |
| Databáze: | OpenAIRE |
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