Navegando por Palavras-chave "Myelitis"
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- ItemAcesso aberto (Open Access)Diagnóstico diferencial das lesões inflamatórias e infecciosas do cone medular utilizando a ressonância magnética(Colégio Brasileiro de Radiologia e Diagnóstico por Imagem, 2013-02-01) Carvalho, Gustavo Balthazar Da Silveira [UNIFESP]; Sandim, Gabriel Barbosa [UNIFESP]; Tibana, Luis Antônio Tobaru [UNIFESP]; Tertulino, Franklin Freitas [UNIFESP]; Idagawa, Marcos Hideki [UNIFESP]; Abdala, Nitamar [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The conus medullaris is frequently affected by inflammatory and infectious lesions which many times are hardly differentiated because of the similarity of their clinical history and physical examination among the different etiologies. Magnetic resonance imaging presents high sensitivity in the detection of these lesions and plays a relevant role in the diagnosis as well as in the evolutive control of the condition. The present pictorial essay with selected cases from the archives of the authors' institution is aimed at demonstrating imaging findings which might help in the diagnosis of a specific etiology amongst inflammatory an infectious conditions and in the differentiation with diseases of neoplastic and vascular etiologies, for example. Findings such as enhancement pattern, presence of cysts, edema and involvement of other regions of the central nervous system are important for this differentiation, and may define a specific etiology as associated with clinical and laboratory tests findings.
- ItemSomente MetadadadosEncephalitis and myelitis in tropical countries: Report from the Task Force on Tropical Diseases by the World Federation of Societies of Intensive and Critical Care Medicine(W B Saunders Co-Elsevier Inc, 2017) Silva, Gisele Sampaio [UNIFESP]; Richards, Guy A.; Baker, Tim; Amin, Pravin R.Tropical diseases are those that occur primarily or solely in the tropics, and as such include infectious diseases that are particularly prevalent in hot, humid conditions. The incidence of encephalitis in tropical countries is reported to be as high as 6.34/100,000/year. The term encephalitis implies inflammation of the brain and includes the presence of encephalopathy with two and more of the following features: fever, seizures and/or focal neurological findings; a cerebrospinal fluid pleocytosis; electroencephalographic findings or abnormal neuroimaging suggestive of encephalitis. Transverse myelitis (TM) is an inflammation of the spinal cord which has a wide variety of clinical presentations depending on the degree (severity of myelin and neuronal injury) and site of spinal cord involvement. In the present article we discuss the various forms of tropical, viral encephalitides and myelitis and the diagnosis and management. (C) 2017 Elsevier Inc. All rights reserved.