Book contents
- Uncommon Causes of Stroke
- Uncommon Causes of Stroke
- Copyright page
- Contents
- List of Contributors
- Preface
- PART I: INFECTIOUS AND INFLAMMATORY CONDITIONS
- 1 ISOLATED ANGIITIS OF THE CENTRAL NERVOUS SYSTEM
- 2 TEMPORAL ARTERITIS
- 3 VARICELLA ZOSTER AND OTHER VIRUS-RELATED CEREBRAL VASCULOPATHY
- 4 TAKAYASU DISEASE
- 5 BÜRGER’S DISEASE (THROMBOANGIITIS OBLITERANS)
- 6 NEUROSYPHILIS AND STROKE
- 7 VASCULITIS AND STROKE DUE TO TUBERCULOSIS
- 8 STROKE DUE TO FUNGAL INFECTIONS
- 9 STROKE AND VASCULITIS IN PATIENTS WITH CYSTICERCOSIS
- 10 STROKE IN PATIENTS WITH LYME DISEASE
- 11 BEHÇET’S DISEASE
- 12 STROKE AND NEUROSARCOIDOSIS
- 13 KAWASAKI DISEASE: CEREBROVASCULAR AND NEUROLOGIC COMPLICATIONS
- 14 CEREBROVASCULAR PROBLEMS IN CHAGAS’ DISEASE
- 15 STROKE IN PERSONS INFECTED WITH HIV
- PART II: HEREDITARY AND GENETIC CONDITIONS AND MALFORMATIONS
- PART III: VASCULAR CONDITIONS OF THE EYES, EARS, AND BRAIN
- PART IV: DISORDERS INVOLVING ABNORMAL COAGULATION
- PART V: SYSTEMIC DISORDERS THAT ALSO INVOLVE THE CEREBROVASCULAR SYSTEM
- PART VI: NONINFLAMMATORY DISORDERS OF THE ARTERIAL WALL
- PART VII: VENOUS OCCLUSIVE CONDITIONS
- PART VIII: VASOSPASTIC CONDITIONS AND OTHER MISCELLANEOUS VASCULOPATHIES
- PART IX: OTHER MISCELLANEOUS CONDITIONS
- Index
14 - CEREBROVASCULAR PROBLEMS IN CHAGAS’ DISEASE
from PART I: - INFECTIOUS AND INFLAMMATORY CONDITIONS
Published online by Cambridge University Press: 06 January 2010
Book contents
- Uncommon Causes of Stroke
- Uncommon Causes of Stroke
- Copyright page
- Contents
- List of Contributors
- Preface
- PART I: INFECTIOUS AND INFLAMMATORY CONDITIONS
- 1 ISOLATED ANGIITIS OF THE CENTRAL NERVOUS SYSTEM
- 2 TEMPORAL ARTERITIS
- 3 VARICELLA ZOSTER AND OTHER VIRUS-RELATED CEREBRAL VASCULOPATHY
- 4 TAKAYASU DISEASE
- 5 BÜRGER’S DISEASE (THROMBOANGIITIS OBLITERANS)
- 6 NEUROSYPHILIS AND STROKE
- 7 VASCULITIS AND STROKE DUE TO TUBERCULOSIS
- 8 STROKE DUE TO FUNGAL INFECTIONS
- 9 STROKE AND VASCULITIS IN PATIENTS WITH CYSTICERCOSIS
- 10 STROKE IN PATIENTS WITH LYME DISEASE
- 11 BEHÇET’S DISEASE
- 12 STROKE AND NEUROSARCOIDOSIS
- 13 KAWASAKI DISEASE: CEREBROVASCULAR AND NEUROLOGIC COMPLICATIONS
- 14 CEREBROVASCULAR PROBLEMS IN CHAGAS’ DISEASE
- 15 STROKE IN PERSONS INFECTED WITH HIV
- PART II: HEREDITARY AND GENETIC CONDITIONS AND MALFORMATIONS
- PART III: VASCULAR CONDITIONS OF THE EYES, EARS, AND BRAIN
- PART IV: DISORDERS INVOLVING ABNORMAL COAGULATION
- PART V: SYSTEMIC DISORDERS THAT ALSO INVOLVE THE CEREBROVASCULAR SYSTEM
- PART VI: NONINFLAMMATORY DISORDERS OF THE ARTERIAL WALL
- PART VII: VENOUS OCCLUSIVE CONDITIONS
- PART VIII: VASOSPASTIC CONDITIONS AND OTHER MISCELLANEOUS VASCULOPATHIES
- PART IX: OTHER MISCELLANEOUS CONDITIONS
- Index
Summary
Chagas' cardiomyopathy is the most frequent and severe clinical manifestation of chronic Chagas' disease, and is associated with poor prognosis and high mortality rate. Cardiac arrhythmias may cause palpitations, lightheadedness, dizziness, and syncope. Autonomic dysfunction results in marked heart rate abnormalities, especially bradycardia. Sudden death is an occasional complication that may be precipitated by exercise and can be explained by ventricular tachycardia or fibrillation or complete heart block. Mural thrombi form in cardiac chambers and may result in systemic emboli. Stroke is the most important complication of embolism in Chagas' cardiomyopathy. The most commonly used diagnostic test is based on complement fixation, immunofluorescence, or enzyme-linked immunofluorescence assays. Chagas' disease can be diagnosed with greater sensitivity by the detection of Trypanosoma cruzi-specific sequence of DNA. Chagas' disease patients with acute ischemic stroke may also benefit from recombinant tissue plasminogen activator (rtPA).
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- Uncommon Causes of Stroke , pp. 87 - 92Publisher: Cambridge University PressPrint publication year: 2008