Abstract
Chagas disease is caused by the flagellated par- asite Trypanosoma cruzi. In Ecuador, this disease has been recognized since 1936, with a prevalence of 1.38% in the general population. Between 15 and 30% of infected persons can develop chronic disease with predominance of chronic cardiac and digestive symptoms. Among its major neuro- logical complications is stroke. Here, we report 3 cases of patients between 53 and 63 years with embolic stroke. In all cases two serological tests for Chagas disease were positive. Comprehensive studies were performed utilizing transtho- racic and transesophageal echocardiography, CT and MRI of the brain and followed up for three years. Case 1 had a left temporal-parietal stroke, Case 2 had an infarct of right middle cerebral artery with hemorrhagic transformation, and Case 3 had left striatal infarction adjacent to the old and new stroke. Chronic of Chagas disease should be included in the differential diagnosis of embolic stroke in individuals from Chagas-endemic areas.
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