曼氏血吸虫所致脊髓炎早期临床评估中神经根功能障碍占优势
Radicular dysfunction preponderance at early phase clinical evaluation in myelitis by Schistosoma mansoni.
作者信息
Vidal Claudio Henrique Fernandes, Silva Joacil Carlos da, Souza Jefferson Jane Oliveira, Bernardino Sara Pimentel Belleza, Ferreira Maria Lucia Brito
机构信息
Departamento de Pós-graduação em Neuropsiquiatria e Ciências Comportamentais, Centro de Ciências da Saúde, Universidade Federal de Pernambuco, Recife, PE, Brazil.
出版信息
Arq Neuropsiquiatr. 2011 Apr;69(2A):188-91. doi: 10.1590/s0004-282x2011000200009.
UNLABELLED
In neuroschistosomiasis, the spinal cord is the most common place of the disease. In high prevalent areas for schistosomiasis mansoni, the clinical alertness is important for an early diagnostic, in order to decrease the final neurological damage. This study provides some useful neurologic information about a series of patients with schistosomal myelitis.
METHOD
The sample consisted of 13 schistosomiasis mansoni carriers examined at the moment of the diagnosis of myelitis.
RESULTS
The classical triad (lumbago, weakness at the lower limbs and urinary dysfunctions) was documented in 11 (86.61%) patients. The distribution of the clinical forms was: myeloradicular in six patients (46.15%), radicular in four (30.76%) and myelitic in three (23.07%).
CONCLUSION
The radicular dysfunction and their clinical associated forms were the most prominent pattern during the early phase of this disease.
未标注
在神经血吸虫病中，脊髓是该疾病最常见的发病部位。在曼氏血吸虫病高流行地区，临床警觉性对于早期诊断很重要，以便减少最终的神经损伤。本研究提供了一系列血吸虫性脊髓炎患者的一些有用的神经学信息。
方法
样本包括13例在诊断脊髓炎时接受检查的曼氏血吸虫病携带者。
结果
11例（86.61%）患者出现典型三联征（腰痛、下肢无力和排尿功能障碍）。临床类型分布为：脊髓神经根型6例（46.15%），神经根型4例（30.76%），脊髓型3例（23.07%）。
结论
神经根功能障碍及其临床相关类型是该疾病早期最突出的表现形式。
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