Acta médica portuguesa
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Diagnostic and therapeutic management options in cases of subarachnoid hemorrhage secondary to aneurysm rupture are discussed. Particular emphasis is given to the diagnosis, medical treatment and timing of surgery. The problems raised by the presence of an intracerebral hematoma, acute hydrocephalus and multiple aneurysms are reviewed. The author also discusses the management of incidental aneurysms, partially treated lesions, familial and genetic aneurysms, lesions which ruptured during pregnancy or associated with arterio-venous malformations, and the question of a negative angiogram in cases of subarachnoid hemorrhage.
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Acta médica portuguesa · Mar 1993
Review Case Reports[Cerebral toxoplasmosis in a kidney transplant patient. A clinical case and review of the literature].
Infection caused by Toxoplasma gondii is a frequent event in Portugal. When this occurs in immunocompetent individuals it is rarely a matter of concern; the contrary occurs with immunosuppressed patients or in pregnancy. Transplant patients are treated with immunosuppressive drugs which mainly disturb their mechanisms of cellular immunity, and that opens the way to infections by opportunistic intracellular microorganisms. We recently treated a renal transplant patient who suffered from cerebral toxoplasmosis, and this provided an opportunity for a review of the other 20 patients reported in medical literature to date.