Neurocisticercose do lobo temporal esquerdo com manifestações epilépticas e psiquiátricas: relato de caso: [revisão] / Neurocysticercosis of the left temporal lobe with epileptic and psychiatric manifestations: case report: [review]
J. epilepsy clin. neurophysiol
; 13(4): 183-185, Dec. 2007. ilus
Article
in Portuguese
| LILACS
| ID: lil-476674
Responsible library:
BR1.1
RESUMO
A neurocisticercose possui um amplo espectro de manifestações clínicas. Entre estas, a mais freqüente são as crises convulsivas, podendo incluir manifestações incomuns como as psiquiátricas. OBJETIVO:
Relatar o caso de uma paciente com crises epilépticas generalizadas e complexas, associado a alterações comportamentais ligadas a libido.MÉTODO:
A paciente foi investigada por tomografia computadorizada (TC) cerebral o qual demonstrou imagem com coeficiente de atenuação semelhante a cisto em lobo temporal esquerdo, com grande efeito de massa, simulando astrocitoma.RESULTADO:
A abordagem neurocirúrgica da lesão comprovou a existência de um cisto parasitário, que após sua retirada, houve regressão total dos sintomas.CONCLUSÃO:
É importante fazermos o diagnóstico diferencial de doenças psiquiátricas de instalação abrupta com lesões do sistema nervoso central, entre estas a neurocisticercose e neoplasias.ABSTRACT
Neurocysticercosis has a broad range of clinical manifestations. Among them, the most frequently found are seizures, but uncommon manifestations as the psychiatric ones are also found. OBJECTIVE:
report the case of a patient presenting with generalized and partial complex seizures associated with libido comportamental changes.METHODS:
on a CT scan, was found an image with cyst-like density on the left temporal lobe, causing a large mass effect, simulating astrocitoma.RESULTS:
neurosurgical approach showed the lesion was a parasitic cyst, and after its removal, symptoms were resolved completely.CONCLUSION:
in psychiatric diseases with sudden onset, it is important to make differential diagnosis with CNS lesions like neurocysticercosis and neoplasms.
Full text:
Available
Collection:
International databases
Health context:
Neglected Diseases
Health problem:
Helminthiasis
/
Neglected Diseases
/
Zoonoses
Database:
LILACS
Main subject:
Astrocytoma
/
Social Behavior Disorders
/
Neurocysticercosis
/
Epilepsy, Temporal Lobe
/
Neurosurgery
Limits:
Female
/
Humans
Language:
Portuguese
Journal:
J. epilepsy clin. neurophysiol
Journal subject:
NEUROCIENCIAS
Year:
2007
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
UCPel/BR