Assuntos

Hidrocefalia/etiologia , Doenças Hipotalâmicas/etiologia , Sarcoidose/diagnóstico , Doença Aguda , Adulto , Neoplasias Encefálicas/diagnóstico , Neoplasias do Sistema Nervoso Central/diagnóstico , Diagnóstico Diferencial , Feminino , Guiné , Humanos , Hidrocefalia/líquido cefalorraquidiano , Doenças Hipotalâmicas/líquido cefalorraquidiano , Sarcoidose/líquido cefalorraquidiano , Sarcoidose/patologia

RESUMO

Clinical and pathological findings in three adults with toxoplasmosis of the central nervous system are reported. Symptoms and signs in the first patient, a Haitian woman who had lived in France for 2 years, were suggestive of a right hemispheric space-occupying process. The second case was a woman treated for Hodgkin's disease who showed symptoms and signs of a meningoencephalitis. The presenting lesion in case 3 mimicked a tumor of the posterior fossa. Analysis of these 3 cases and of those previously reported underlines: 1) diagnostic difficulties, particularly in immunodepressed patients; 2) the effectiveness of immunoperoxidase for pathological diagnosis; 3) the poor prognosis due to absence of a specific treatment.

Assuntos

Encefalopatias/patologia , Encéfalo/patologia , Toxoplasmose/patologia , Adolescente , Adulto , Encefalopatias/diagnóstico , Erros de Diagnóstico , Feminino , França , Haiti/etnologia , Doença de Hodgkin/complicações , Humanos , Meningoencefalite/diagnóstico , Tomografia Computadorizada por Raios X , Toxoplasmose/diagnóstico