Navegando por Palavras-chave "esquistossomose raquimedular"

Agora exibindo 1 - 1 de 1
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Líquido cefalorraquidiano no diagnóstico da esquistossomose raquimedular
    (Academia Brasileira de Neurologia - ABNEURO, 2005-09-01) Tesser, Egídio; Reis, Maria de Lourdes Amud Ali dos [UNIFESP]; Borelli, Primavera; Matas, Sandro Luiz de Andrade [UNIFESP]; Reis Filho, João Baptista dos [UNIFESP]; Universidade Estadual de Londrina Centro de Ciências da Saúde; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)
    Cerebrospinal fluid (CSF) changes in spinal shistosomiasis have been described. Its characteristic features are mild to moderate pleocytosis, presence of eosinophils, slight to moderate protein increase, elevated gamma globulin concentration and a positive immune assay. Nevertheless, these abnormalities are not always present together and therefore difficulties may arise in the assessment of the diagnosis. The purpose of this paper is to evaluate the importance of each CSF alteration concerning the diagnosis in 22 cases of spinal shistosomiasis. According to the results, only 20% of the cases had all the five feature that are considered to be characteristic of spinal shistomiasis. Abnormal cell count was present in 86%, protein increase in 77.3%, immunoglobulin G increase in 60,8%, eosinophils were present in 36.8% and indirect fluorescent antibody test was positive in 68.2%. In three cases all CSF parameters studied were within the normal limits. As the most specific test among those described was the indirect fluorescent antibody test, it should be regarded for the diagnosis.