Neurocysticercosis

Abstract

Cysticercosis is one of the most common parasitic diseases of the nervous system in humans, and constitutes a major public health problem for most of the developing world. The clinical manifestations of neurocysticercosis (NCC) largely depend on the the host immune response against the parasite. NCC diagnosis is based upon neuroimaging studies (computerized tomography, magnetic resonance imaging) and antibody/antigen detection in the serum and the cerebrospinal fluid. Anticysticercal therapy has been marked by an intense controversy. Randomized controlled trials evaluating the clinical benefit of treatment have yield conflicting data with some studies indicating a benefit and others failing to show a difference. Prevention strategies must rely on multiple approaches, tailoring each to the special features of the particular endemic area.

Cerebrospinal fluid data compilation and knowledge-based interpretation of bacterial, viral, parasitic, oncological, chronic inflammatory and demyelinating diseases. Diagnostic patterns not to be missed in neurology and psychiatry

“…In neurocysticercosis 33 the restriction of CSF flow by cysticerci in extraparenchymal locations are well known and discussed as source for hydrocephalus 33 . The insensitive detection of extraparenchymal cysticerci by CT and MRI 33 emphasizes quite general the relevance of CSF analysis.…”

“…The insensitive detection of extraparenchymal cysticerci by CT and MRI 33 emphasizes quite general the relevance of CSF analysis. The increased albumin quotient (Qalb) 4 is the indicator for the blockage of CSF flow way in the extraparenchymal, subarachnoidal space and helps to discriminate from parenchymatous neurocysticercosis 2,33 . But, in addition to the sheer analysis of albumin the comparison of blood-derived with brain-derived proteins in lumbar CSF may be a still more specific help.…”

A Rare Case of Enhancing Anterior Interhemispheric Racemose Neurocysticercosis with Foci of Calcification and Direct Parenchymal Extension

“…It is transmitted through ingestion of water and food contaminated by larval forms of Taenia solium (8)(9)(10). It is classified as cisternal-subarachnoid, parenchymal, intraventricular or mixed type, depending on the location (11).…”

Neurocisticercosis: Una Enfermedad Que No Debemos Olvidar.

“…Taenia solium puede medir de 2 a 8 metros, tener 1000-2000 proglótides, producir 50.000 huevos al día y vivir de 10 a 25 años. [1][2][3][4] Los humanos son el único huésped definitivo de Taenia solium (Fig 1). Los cerdos pueden ingerir los huevos liberados en el medio y estos huevos maduran en la luz intestinal porcina a oncosferas que son capaces de atravesar la mucosa intestinal y alcanzar la circulación sanguínea.…”

“…Por tanto si la persona ingiere el cisticerco de la carne de cerdo infestada desarrollará la teniasis intestinal; si ingiere huevos por transmisión persona a persona, transmisión oral-fecal, e incluso autoinfestación, desarrollará cisticercosis. En el 10-25% de los pacientes con NCC existe doble infestación, es decir, tienen teniasis intestinal concomitante [1][2][3][4][5] . En los últimos años se han producido avances en la comprensión de la inmunopatogenia de la NCC.…”