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1.
Am J Trop Med Hyg ; 104(1): 298-302, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33124542

RESUMO

Spinal sparganosis of the cauda equina has been rarely reported. A 54-year-old man presented at the hospital after having experienced lower back pain for 10 months, progressive weakness and numbness of the left leg for 4 months, and urinary incontinence for 3 weeks. Magnetic resonance imaging of the lumbosacral spine revealed a heterogeneous enhancing mass at the T12-S1 level. Spinal sparganosis was diagnosed by histological examination and molecular identification of the parasite in the tissue section. The patient was treated with a high dose of praziquantel because the parasitic mass was only partially removed and symptoms worsened following surgery.


Assuntos
Cauda Equina/parasitologia , Esparganose/diagnóstico , Anti-Helmínticos/administração & dosagem , Anti-Helmínticos/uso terapêutico , Antiulcerosos/administração & dosagem , Antiulcerosos/uso terapêutico , Cauda Equina/diagnóstico por imagem , Cauda Equina/patologia , Cimetidina/administração & dosagem , Cimetidina/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Polirradiculopatia/etiologia , Praziquantel/administração & dosagem , Praziquantel/uso terapêutico , Esparganose/patologia , Esparganose/cirurgia
2.
Prev Med Rep ; 19: 101118, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32509508

RESUMO

Motorcycles are the most common type of vehicle involved in traffic deaths in developing countries. Although helmets can provide protection against injury, there is limited evidence available regarding which type of helmet best protects against head and neck injuries in this setting. This review was conducted based on articles in the PubMed, Scopus, and Web of Science databases. We compared full-face helmets with other types of helmet with regard to head and neck injury prevention in road accidents involving motorcyclists. Of 702 studies, six were eligible with a total of 6,529 participants. When compared with partial and open helmets, the odds ratio of full-face helmets was 0.356 (95% CI of 0.280, 0.453) and 0.636 (95% CI of 0.453, 0.894), respectively, for reduction of head and neck injuries. In conclusion, full-face helmets reduced head and neck injuries in motorcycle accidents to a greater extent than other types of helmet. Policy makers should recommend that motorcyclists use full-face helmets.

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