[The not choreic neurological complications of rheumatic disease (author's transl)].
The authors discuss the importance of neurological complications of rheumatic disease, which differ from those of Sydenham's chorea: encephalitis; acute cerebral circulatory insufficiency of cardiovascular basis; thrombosis and cerebral haemorrhage; cerebral emboli; and vasculitis. The case of a 13 year old boy who presented with an acute cerebral episode during an active phase of rheumatic fever is described. The E.E.G. showed a right hemisphere disturbance with a slight involvement of the controlateral hemisphere. The cardiac evidence was indicative of a rheumatic carditis. The clinical progress and EEG were rapidly favourable. The possible pathogenetic hypotheses of this case are taken into consideration, and the authors suggest that one must suspect a rheumatic etiology when an acute cerebral syndrome is established in a child or a young adult with current or previous rheumatic fever.
D000208:Acute Disease; D000293:Adolescent; D001927:Brain Diseases / Q000175:diagnosis / Q000209:etiology*; D002819:Chorea / Q000175:diagnosis; D003937:Diagnosis, Differential; D004569:Electroencephalography; D006801:Humans; D008297:Male; D012213:Rheumatic Fever / Q000150:complications*
Le complicanze neurologiche non coreiche della malattia reumatica. Considerazioni a proposito di un case