Fatal intracerebral hemorrhage secondary to Lonomia obliqua caterpillar envenoming: case report.

The case of a 70 year-old, previously healthy woman who developed a severe bleeding diathesis shortly after touching a Lonomia obliqua caterpillar and finally died from multiple intracerebral hemorrhages is described. Brain hemorrhages are the leading cause of death in patients envenomed by the Lonomia species. The pertinent literature is reviewed and the most relevant clinical features highlighted, with emphasis on diagnosis.

[Transcranial Doppler in the neurological practice].

Transcranial Doppler (TCD) was described in 1982 by Rune Aaslid and introduced in Brazil in 1992 by Roberto Hirsh in the University of São Paulo. Since the acquisition of TCD by Neurology Division of Hospital de Clínicas of Universidade Federal do Paraná (HC-UFPR) in 2001, the knowledge about TCD clinical utility has been increasing for diagnosis, follow-up and management of patients with cerebrovascular diseases. The objective of this study is to describe the current TCD indications and medical specialties indicators in our hospital.