Angiostrongyliasis : Treatment
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8.12.08
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- Analgesics are usually needed.
- Steroids (e.g. prednisolone 60 mg/day x 2 weeks or dexamethasone) shorten the duration of the headache.
- When performing a spinal tap, the opening pressure is increased in about 60% of patients (average 23 cm water; normal 10-20 cm). Many patients notice an improvement after a spinal tap. Repeated spinal taps to reduce the intracranial pressure are sometimes performed.
- Antihelminthics are thought by some not to be effective and considered to worsen the symptoms, probably because of the inflammatory reaction to antigens released by dying worms. Some clinicians use mebendazole or albendazole, but controlled studies are lacking.
Category: Medicine Notes
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