Estatus convulsivo por cisticerco / Convulsive status by cysticercus
Acta pediatr. esp
; 71(8): e237-e244, sept. 2013. tab, ilus
Artigo
em Espanhol
| IBECS
| ID: ibc-116761
Biblioteca responsável:
ES1.1
Localização: BNCS
RESUMEN
La neurocisticercosis consiste en la afectación del SNC por el estado larvario de algunas tenias, generalmente Taenia solium. Endémica en prácticamente todos los países en desarrollo, es cada vez más frecuente en Europa por la inmigración y adopción internacional. Su diagnóstico se basa en datos clínicos, epidemiológicos, serológicos y de neuroimagen, clasificándose en definitivo o probable. Presentamos el caso de una niña colombiana de 6 años, con antecedente de crisis comicial, tras la que no recibió tratamiento antiepiléptico, que ingresa por estatus convulsivo controlado con la administración de diazepam y ácido valproico por vía endovenosa. Tras la realización de las pruebas complementarias, se establece un diagnóstico probable de neurocisticercosis cerebral en fase IV, por lo que se inició tratamiento con albendazol y dexametasona, manteniéndose el valproico oral. Evolucionó favorablemente, estando asintomática a los 6 meses del ingreso, con lesiones neurocisticercoides en resolución, permitiendo retirada progresiva del tratamiento anticomicial (AU)
ABSTRACT
The neurocysticercosis consists of CNS involvement by the larval stage of certain tapeworms, Taenia solium generally. Endemic in almost all developing countries, is increasing the frequency in Europe by immigration and international adoption. Diagnosis is based on clinical, epidemiological, serological and neuroimaging, classifying it in definitive or probable. We report the case of a Colombian girl six years old, with a history of seizure, after which she did not receive antiepileptic treatment, was admitted to the hospital with a status epileptic, which was controlled by the administration of diazepam and intravenous valproic acid. After performing additional tests, it was established a probable diagnosis of brain neurocysticercosis in stage IV, then she was treated with albendazole and dexamethasone, remaining the oral treatment with valproic acid. The patient evolution was favorable, being asymptomatic at 6 months after admission with neurocisticercoides injured in resolution, allowing the withdrawal of the anticonvulsant treatment (AU)
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Coleções:
Bases de dados nacionais
/
Espanha
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
Doenças Negligenciadas
Problema de saúde:
Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
Helmintíase
/
Doenças Negligenciadas
/
Zoonoses
Base de dados:
IBECS
Assunto principal:
Estado Epiléptico
/
Neurocisticercose
Limite:
Criança
/
Feminino
/
Humanos
Idioma:
Espanhol
Revista:
Acta pediatr. esp
Ano de publicação:
2013
Tipo de documento:
Artigo
Instituição/País de afiliação:
Complejo Hospitalario Universitario de Ferrol/España