RESUMO
OBJECTIVE: To describe a new clinical sign associated with left unilateral neglect syndrome (UNS) in patients with ischemic stroke. METHOD: Head computed tomography (CT) and National Institute of Health Stroke Scale were obtained in 150 patients with ischemic stroke. Those with right cerebral vascular lesions, left hemiplegia and right leg persistently crossed over the left were submitted to specific tests for UNS. The tests were also applied to 30 patients with right cerebral vascular lesions, left hemiplegia but without crossed legs. RESULTS: From 9 patients with persistent tendency to cross the right leg over the left, UNS was detected in 8. One patient died before the clinical tests were applied. Of the 30 patients without the crossed legs, 20 had normal clinical tests for UNS and 10 had minimal alterations, not sufficient for the diagnosis of UNS. CONCLUSION: The right leg crossed over the left may represent a new neurological semiotic sign associated with left hemiplegia and left UNS.
Assuntos
Isquemia Encefálica/fisiopatologia , Hemiplegia/fisiopatologia , Perna (Membro)/fisiopatologia , Acidente Vascular Cerebral/fisiopatologia , Idoso , Idoso de 80 Anos ou mais , Isquemia Encefálica/diagnóstico por imagem , Progressão da Doença , Feminino , Hemiplegia/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Fatores de Risco , Acidente Vascular Cerebral/diagnóstico por imagem , Síndrome , Tomografia Computadorizada por Raios XAssuntos
Humanos , Feminino , Adolescente , Encefalomielite Aguda Disseminada/diagnóstico , Encefalomielite Aguda Disseminada/diagnóstico por imagem , Espectroscopia de Ressonância Magnética/diagnóstico , Tomografia Computadorizada de Emissão , Hemiplegia/diagnóstico , Hemiplegia/diagnóstico por imagem , ArgentinaRESUMO
A 49-year-old man with meningeal cysticercosis presented with a pure motor hemiparesis. Computed tomography and magnetic resonance imaging showed a capsular infarction and a suprasellar cyst with surrounding arachnoiditis. Cerebrospinal fluid analysis confirmed the diagnosis as it showed positive immunologic reactions to cysticerci. This is the first reported case of pure motor hemiparesis due to a parasitic disease of the central nervous system.