Cisticercose medular: relato de dois casos, revisäo da literatura e comentários sobre a patogenia / Medullary cysticercosis: report of 2 cases, review of the literature and comments about its pathogeny

Relato de dois casos de cisticercose medular, sendo o primeiro referente a uma paciente de 13 anos de idade, apresentando a forma intramedular, e o segundo a uma paciente de 51 anos de idade com cisticercose espinhal leptomeníngea. Numa revisäo de literatura (desde 1856), foram encontrados 95 casos publicados de cisticercose medular somados a dois de nossa casuística, mostrando a freqüência da doença. Dentro da patogenia da forma extramedular, os autores defendem a hipótese da migraçäo dos cisticercos do espaço subaracnóide intracranianao para o espinhal, baseando-se na distribuiçäo topográfica dos parasitos na medula

Migratory effects on the body surface of Angiostrongylus cantonensis from subarachnoid space to pulmonary artery in rats.

Juvenile worms of Angiostrongylus cantonensis recovered from subarachnoid spaces and pulmonary arteries of rats, respectively, at 28 days post-infection have been compared with respect to their surface composition, antigenicity of surface proteins and morphological appearance. Quantitative and qualitative differences were shown between surface proteins of these two stages of worms. One major and 6 minor proteins appeared on brain stage worm's surface as assessed by surface-labelling and SDS-PAGE techniques. The same, but more predominant banding pattern, with one additional major protein of Mr 80,000 kDa presented on the lung stage worm's surface. Surface components from both stages were antigenic in permissive rat hosts but refractory in nonpermissive human hosts. The surface antigens are common to both stages within the rat. Observed by scanning electron microscopy, the surface appearance of brain stage worms is thickened, rough and irregular. Besides, particle clusters adhere randomly, without cluster adherence but transverse and longitudinal clefts were shown on the surface, before the outer layer was shed. The possible mechanisms of evasion from the host's immune attack with the surface-shedding phenomenon remain to be elucidated.