Medicine in Images
Neurocysticercosis
Neurocisticercosis
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Detección e intervención tempranas en diabetes mellitus tipo 2" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 939 "Ancho" => 2496 "Tamanyo" => 165917 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Progressive development of type 2 diabetes. <span class="elsevierStyleItalic">Abbreviations</span>: CVDRFs: cardiovascular disease risk factors; DM2: type 2 diabetes mellitus; HBP: high blood pressure.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Gómez-Peralta, C. Abreu, X. Cos, R. 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Rosales-Castillo, C. López-Robles, C. Fernández-Roldán" "autores" => array:3 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Rosales-Castillo" "email" => array:1 [ 0 => "anrocas90@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "López-Robles" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "C." "apellidos" => "Fernández-Roldán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Universitario Virgen de las Nieves, Granada, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Enfermedades Infecciosas, Hospital Virgen de las Nieves, Granada, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neurocisticercosis" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2450 "Ancho" => 700 "Tamanyo" => 166755 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 26-year-old Bolivian man residing in Spain for the past 12 years, with no known history, was admitted to the emergency department due to an episode compatible with a generalized self-limiting tonic–clonic seizure, with no apparent trigger and no previous episodes. Laboratory tests showed no ionic or red blood cell abnormalities, just a C reactive protein (CRP) level of 7.4<span class="elsevierStyleHsp" style=""></span>mg/L. An electroencephalogram showed no pathological abnormalities; however, computed tomography revealed cortical–subcortical cystic lesions in various locations (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Anticonvulsant treatment with levetiracetam was initiated, and the patient was admitted for study.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">We performed a serological study (including <span class="elsevierStyleItalic">Strongyloides stercoralis</span>), which was positive only for <span class="elsevierStyleItalic">Echinococcus granulosus;</span> lymphocyte and immunoglobulin counts were normal. Magnetic resonance imaging with contrast confirmed 10 cystic lesions, predominantly in the subarachnoid spaces and cortical sulci, with a hyperintense interior nodule and contrast enhancement (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B and C), compatible with neurocysticercosis in various evolutionary stages. After an ophthalmic exam, which ruled out ocular impairment, and given the presence of active lesions, we treated the patient with albendazole and praziquantel, along with dexamethasone in a descending regimen and levetiracetam at minimum doses; no new seizures were observed.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Neurocysticercosis is produced when an individual, as an intermediate host, is infected with the egg of the <span class="elsevierStyleItalic">Taenia solium</span> parasite through contaminated food or the fecal–oral pathway. Neurocysticercosis is the most common cause of epileptic seizures in endemic areas and can present in up to 50% of cases. The diagnosis is performed according to radiological, histological, serological and epidemiological criteria. Treatment is individualized depending on the number and activity of the lesions, with albendazole and praziquantel the drugs of choice.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-02-20" "fechaAceptado" => "2019-03-18" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rosales-Castillo A, López-Robles C, Fernández-Roldán C. Neurocisticercosis. Rev Clin Esp. 2020;220:305–306.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2450 "Ancho" => 700 "Tamanyo" => 166755 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022000000005/v1_202006100751/S2254887419300992/v1_202006100751/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022000000005/v1_202006100751/S2254887419300992/v1_202006100751/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419300992?idApp=WRCEE" ]
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