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.
[The not choreic neurological complications of rheumatic disease (author's transl)]. / M. G. Terzano;G. C. Manzoni;S. Calzetti;D. Mancia;A. Lechi. - In: L'ATENEO PARMENSE. SEZIONE I, ACTA BIO-MEDICA. - ISSN 0004-6531. - 47(1976), pp. 573-583.
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