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Polineuropatia craniana: uma série hospitalar

Polyneuritis cranialis: portuguese hospital case series
Authors: Costa, S; Simões, V; Inácio, N; Herrero Valverde, A;

Polineuropatia craniana: uma série hospitalar

Abstract

Objectivos: Caracterização clínica, etiológica e prognósti- ca das polineuropatias cranianas. Métodologia: Revisão dos processos clínicos dos doentes internados no serviço de neurologia de um hospital distrital de Janeiro/2003 a Dezembro/2007 com o diagnóstico de poli- neuropatia craniana. Resultados: Incluídos 11 doentes, 7 do sexo feminino e 4 do sexo masculino, média de idades de 50,6 +/- 17,9 anos. Sete doentes tiveram envolvimento de 2 nervos cranianos e 4 doentes envolvimento de 3 nervos. Os nervos envolvidos foram III, V, VI, VII, VIII, sendo os mais frequentemente afecta- dos o III e o VII, em 5 e 6 doentes respectivamente cada. Em 4 casos a instalação foi aguda e nos restantes subaguda. Em 9 dos doentes foi estabelecido diagnóstico definitivo: um linfo- ma leptomeníngeo não Hodgkin B de alto grau, três s. Tolosa- Hunt, um s. Ramsay-Hunt, duas meningites tuberculosas e duas borrelioses. Dois casos foram considerados idiopáticos. O doente com s. Ramsay-Hunt teve recuperação parcial com Valaciclovir, dos doentes com s. Tolosa-Hunt, dois apresenta- ram recorrência do quadro clínico após suspensão da cortico- terapia, nos restantes casos secundários houve remissão total da sintomatologia após terapêutica dirigida em 1 a 8 meses. Dos casos idiopáticos um remitiu espontaneamente e o outro após terapêutica com corticoides. Conclusões: Na nossa série a apresentação clínica foi pleo- mórfica, de predomínio motor e afectando exclusivamente movimentos oculares e mímica facial. A etiologia foi predomi- nantemente infecciosa / inflamatória. O prognóstico foi glo- balmente favorável, com melhoria/resolução completa dos sintomas apresentados.

Country
Portugal
Keywords

Polineuropatia craniana

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
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Green