Assuntos
Doenças dos Bovinos/congênito , Coccidiose/veterinária , Mielite/veterinária , Neospora , Polirradiculoneuropatia/veterinária , Animais , Animais Recém-Nascidos , Bovinos , Doenças dos Bovinos/parasitologia , Coccidiose/congênito , Feminino , Mielite/congênito , Mielite/parasitologia , Polirradiculoneuropatia/congênito , Polirradiculoneuropatia/parasitologiaRESUMO
A 4 weeks old girl presented a macrocephalus, elevated intracranial pressure and paralysis of both legs. The CT scan showed a hydrocephalus internus with stenosis of the aqueduct and periventricular calcifications. The cranial and spinal MRT scan revealed numerous lesions of the cerebral parenchyma and the spinal cord, which were detected after injection of Gadolinium Dimethylentriaminaceticacid (Gd DTPA). The serological examination confirmed the diagnosis of congenital toxoplasmosis.
Assuntos
Hidrocefalia/diagnóstico , Mielite/congênito , Toxoplasmose Congênita/diagnóstico , Animais , Anticorpos Antiprotozoários/análise , Encéfalo/patologia , Calcinose/diagnóstico , Calcinose/imunologia , Meios de Contraste , Feminino , Seguimentos , Gadolínio DTPA , Humanos , Hidrocefalia/imunologia , Lactente , Mielite/diagnóstico , Mielite/imunologia , Compostos Organometálicos , Ácido Pentético/análogos & derivados , Medula Espinal/patologia , Toxoplasma/imunologia , Toxoplasmose Congênita/imunologiaRESUMO
We report a case of neurosyphilis of the spinal cord in a 38-year-old-man presenting with urinary incontinence and Argyll-Robertson sign. Anamnesis revealed the congenital origin of the disease. Urodynamics findings were consistent with a conus medullaris involvement and CSF study revealed a specific lymphocytic meningitis. A specific spinal arteritis was found by angiography. A quarterly 15 to 20 days course of intravenous penicillin was then instituted during 2 years. A specific treatment of urinary symptoms resulted in complete disappearance of sphincter dyssynergia. Antibiotic therapy was followed by clinical improvement and regression of most of the CSF abnormalities.