Polineuropatia aguda atipica na vigencia de doença de Chagas cronica: registro de um caso

O autor apresenta o caso de paciente chagásico de 47 anos, que desenvolveu de modo agudo uma polineuropatia atípica, cujo elemento mais saliente consistiu de uma ptose palpebral unilateral completa. A nomenclatura e a conceituação clínica da síndrome de Guillain-Barré-Strohl e de suas variantes são discutidas, com maior ênfase para a síndrome de Miller Fisher. É discutida também uma eventual participação da tripanosomíase no quadro neurológico

Herpes zoster and its neurological complications.

Ninety-three Chinese patients with cutaneous herpes zoster were seen during a 4-year period. Thoracic zoster occurred most commonly, followed by ophthalmic, cervical and lumbosacral zoster. Neurological complications were present in eleven patients (11.8%), the commonest being Ramsay-Hunt syndrome and segmental limb paresis. The clinical picture, pathogenesis, treatment and outcome of segmental limb paresis, myelitis and delayed contralateral hemiparesis following zoster ophthalmicus are discussed. Nine immunocompromised patients received intravenous adenine arabinoside (vidarabine) or acycloguanosine (acyclovir), and no cutaneous or visceral spread occurred in these patients