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Multifocal Central Nervous System Lesions in Three Patients With Trichinosis
Axel Ellrodt, MD;
Patricia Halfon, MD;
Philippe Le Bras, MD;
Philippe Halimi, MD;
Patrice Bourée, MD;
Martine Dési, MD;
René Caquet, MD
Arch Neurol. 1987;44(4):432-434.
Abstract
• Three patients with trichinosis developed central nervous system complications. Cerebral computed tomography showed multifocal hypodense lesions in two patients. The lesions were associated with contrast enhancement and cortical gyral enhancement in the first case, suggesting hypoxia and infarction. In the second patient, magnetic resonance imaging showed multiple high-signalintensity lesions. Early cerebral computed tomography was normal in the third patient. All patients recovered after treatment with antiparasitic drugs and corticosteroids. We suggest that neurologic complications of trichinosis should be treated by corticosteroids and flubendazole.
Author Affiliations
From the Departments of Internal Medicine (Drs Ellrodt, Halfon, Le Bras, and Caquet), Neuroradiology (Dr Halimi), Parasitology (Dr Bourée), and Neurology (Dr Desi), Centre Hospitalier Universitaire de Bicêtre, Bicêtre Cedex, France.
Footnotes
Accepted for publication Oct 27, 1986.
Reprint requests to Service de Médecine Interne, Centre Hospitalier Universitaire de Bicêtre, 94275 Bicêtre Cedex, France.
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