NEUROCYSTICERCOSIS - A REVIEW WITH TWO CASE REPORTS
Abstract
Abstract : Neurocysticercosis is an endemic disease in India. It is the most common helminthic infection of the CNS and the most common cause of adult onset seizures worldwide. Rightly designated among 'neglected infections of poverty' by the CDC, this devastating disease has few case-control studies for management, less practical diagnostic criteria and lesser clear treatment guidelines. In this article we present 2 unusual presentations of neurocysticercosis. The first is a case of parenchymal neurocysticercosis with all stages simultaneously found in a single patient. The second is the rare subarachnoid variety with fatal outcome. We also review the pathogenesis, types and stages with radiologic-pathologic correlation, dilemmas in diagnosis and treatment and current trends in management of neurocysticercosis.
Keyword :neurocysticercosis, parenchymal, subarachnoid, taeniasis, cysticercosis, racemose
Full Text:
PDFReferences
Carpio A, Escobar A and Hauser WA 1998 Cysticercosis and epilepsy: a critical review; Epilepsia 39: 1025–1040.
Del Brutto O H, Santibanez R, Idrovo L et al 2005 Epilepsy and neurocysticercosis in Atahualpa: a door-to-door survey in rural coastal Ecuador; Epilepsia 46: 583–587.
Rajshekhar V M, Raghava V, Prabhakaran V et al 2006 Active epilepsy as an index of burden of neurocysticercosis in Vellore district, India; Neurology 67: 2135–2139.
Kashinath Prasad, Amit Prasad, Avantika Verma et al 2008 Human cysticercosis and Indian scenario: A review; J. Biosci 33(4): 571-582.
Villagran-Uribe J, Olvera-Rabiela JE. 1988 Cisticercosis humana: estudio clínico y patológico de 481 casos de autopsia; Patologia 26:149–156.
Eric T. Kimura-Hayama, Jesús A. Higuera, Roberto Corona- Cedillo 2002 Neurocysticercosis- A Radio-Pathologic correlation; Am J Roentgenol 154(3): 857-886.
F. Barinagarrementeria and C. Cantu, 1998 Frequency of cerebral arteritis in subarachnoid cysticercosis: an angiographic study; Stroke 29(1): 123–125.
Verma A, Prasad KN, Gupta RK, et al. 2010 Tolllike receptor 4 polymorphism and its association with symptomatic neurocysticercosis; J Infect Dis 202(8):1219–1225
Antoniuk SA, Bruck I, Dos Santos LH, et al. 2001 Seizures associated with calcifications and edema in neurocysticercosis; Pediatr Neurol. 25: 309–311.
Nash TE, Pretel EJ, Lescano AG et al 2008 Perilesional brain oedema and seizure activity in patients with calcified neurocysticercosis: a prospective cohort and nested case-control study; Lancet Neyrol. 7(12): 1099-1105.
Winnie W. Ooi , Subhashie Wijemanne , Christine B. Thomas et al Short Report : A calcified Taenia solium granuloma asssociated with recurrent perilesional edema causing refractory seizures: histopathological features; Am. J. Trop. Med. Hyg. 85(3): 460-463.
TE Nash, OH Del Brutto, JA Butman et al 2004 Calcific neurocysticercosis and epileptogenesis; Neurology 62(11): 1934-1938.
HH Garcia, Carlton AW Evans, TE Nash et al 2002 Current Consensus Guidelines for Treatment of Neurocysticercosis; Clinical Microbiology Reviews 15(4): 747-756.
J Efferson, VP Roano, I Gnacio et al 2001 Maedical treatment of neurocysticercosis characterised by giant subarachnoid cysts; N Engl J Med. 345(12): 879-885.
Carpio, A., F. Santillan, P. Leon, C. Flores, and W. A. Hauser 1995 Is the course of neurocysticercosis modified by treatment with antihelminthic agents? Arch. Intern. Med 155: 1982–1988.
Thussu A, Arora A and Prabakar S 2002 Acute symptomatic seizures due to single CT lesions: How long to treat with anitepileptics?; Neurpl India 50(2): 141-144
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An initiative of The Tamil Nadu Dr M.G.R. Medical University