Fortes-Rêgo J, Macedo V O, Prata A
Arq Neuropsiquiatr. 1980 Mar;38(1):45-52. doi: 10.1590/s0004-282x1980000100006.
The authors review the literature about the cronic nervous form of Chagas' disease, directing their attention toward peripheral neurological aspects. Specifically, they analyse the results obtained from a "bind" research realized in a small community in the countryside of the state of Bahia, Brazil, where a high frequency of infection by Trypanosoma cruzi is reported. From 99 individuals examined, 50 showed a positive sorological test for Chagas' disease. The most frequent neurological findings in the total of 99 individuals were sensory loss and impairment of the deep reflexes. Among those with abolition of deep reflexes, there were 18 cases carrying a positive sorology for Chagas' disease, being that 15 from these 18 cases additionally presented a mild sensory deficit, characterizing a polyneuritic syndrome. In conclusion, they suggest that there is a neuritic form, as subdivision of a nervous form of Chagas' disease, particularly identified as a mixed polyneuritis.
作者回顾了关于恰加斯病慢性神经型的文献，将注意力集中在外周神经方面。具体而言，他们分析了在巴西巴伊亚州农村一个小社区进行的一项“捆绑”研究所得出的结果，该社区报告克氏锥虫感染率很高。在接受检查的99人中，50人的恰加斯病血清学检测呈阳性。在这99人当中，最常见的神经学表现是感觉丧失和深部反射受损。在深部反射消失的患者中，有18例恰加斯病血清学检测呈阳性，其中这18例中的15例还伴有轻度感觉障碍，表现为一种多神经炎综合征。总之，他们认为存在一种神经炎型，作为恰加斯病神经型的一个细分类型，特别表现为混合性多神经炎。
