Cranial computed tomography in partial motor seizures

Hussain, Jageer; Srinivasan, S; Serane, Tiroumourougane V; Mahadevan, Subramanian; Elangovan, S.; Bhuvaneswari, V.

doi:10.1007/bf02724126

Cited by 10 publications

(12 citation statements)

References 23 publications

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“…There were a few earlier reports from other provinces in the country showing a similar occurrence of cysticercal etiology of childhood seizure 11 , 33 . NCC has been diagnosed on imaging studies in 34.6% of patients with seizure disorder of any type, 59.2% of those with a single seizure, 23.7% of those with recurrent seizure disorder as reported in a recent review 27 .…”

Section: Discussionmentioning

confidence: 70%

Neurocysticercosis in Children Presenting With Afebrile Seizure: Clinical Profile, Imaging and Serodiagnosis

Sahu

Seepana²,

Padela³

et al. 2014

Rev. Inst. Med. trop. S. Paulo

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Neurocysticercosis (NCC) is one of the major causes of childhood seizures in developing countries including India and Latin America. In this study neurological pediatric cases presenting with afebrile seizures were screened for anti-Cysticercus antibodies (IgG) in their sera in order to estimate the possible burden of cysticercal etiology. The study included a total of 61 pediatric afebrile seizure subjects (aged one to 15 years old); there was a male predominance. All the sera were tested using a pre-evaluated commercially procured IgG-ELISA kit (UB-Magiwell Cysticercosis Kit ™). Anti-Cysticercus antibody in serum was positive in 23 of 61 (37.7%) cases. The majority of cases with a positive ELISA test presented with generalized seizure (52.17%), followed by complex partial seizure (26.08%), and simple partial seizure (21.73%). Headaches were the major complaint (73.91%). Other presentations were vomiting (47.82%), pallor (34.78%), altered sensorium (26.08%), and muscle weakness (13.04%). There was one hemiparesis case diagnosed to be NCC. In this study one child without any significant findings on imaging was also found to be positive by serology. There was a statistically significant association found between the cases with multiple lesions on the brain and the ELISA-positivity (p = 0.017). Overall positivity of the ELISA showed a potential cysticercal etiology. Hence, neurocysticercosis should be suspected in every child presenting with afebrile seizure especially with a radio-imaging supportive diagnosis in tropical developing countries or areas endemic for taeniasis/cysticercosis.

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Section: Discussionmentioning

confidence: 70%

Neurocysticercosis in Children Presenting With Afebrile Seizure: Clinical Profile, Imaging and Serodiagnosis

Sahu

Seepana²,

Padela³

et al. 2014

Rev. Inst. Med. trop. S. Paulo

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“…In another five studies, NCC was assessed among PWE attending a health clinic [10]–[12], [29]–[30]. In addition, in three studies, NCC was specifically measured among children with partial seizures [13]–[14], [31].…”

Section: Resultsmentioning

confidence: 99%

“…In Peru, the percentage of NCC in children with partial seizures was 52.0% (95% CI: 38.5%–65.2%) [31]. This estimate was considerably lower in two studies conducted among children with partial seizures in India (Table 2) [13]–[14]. The latter two studies did not consider solitary calcified cysts as NCC lesions.…”

Section: Resultsmentioning

confidence: 99%

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A Systematic Review of the Frequency of Neurocyticercosis with a Focus on People with Epilepsy

et al. 2010

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BackgroundThe objective of this study is to conduct a systematic review of studies reporting the frequency of neurocysticercosis (NCC) worldwide.Methods/Principal FindingsPubMed, Commonwealth Agricultural Bureau (CAB) abstracts and 23 international databases were systematically searched for articles published from January 1, 1990 to June 1, 2008. Articles were evaluated for inclusion by at least two researchers focusing on study design and methods. Data were extracted independently using standardized forms. A random-effects binomial model was used to estimate the proportion of NCC among people with epilepsy (PWE). Overall, 565 articles were retrieved and 290 (51%) selected for further analysis. After a second analytic phase, only 4.5% of articles, all of which used neuroimaging for the diagnosis of NCC, were reviewed. Only two studies, both from the US, estimated an incidence rate of NCC using hospital discharge data. The prevalence of NCC in a random sample of village residents was reported from one study where 9.1% of the population harboured brain lesions of NCC. The proportion of NCC among different study populations varied widely. However, the proportion of NCC in PWE was a lot more consistent. The pooled estimate for this population was 29.0% (95%CI: 22.9%–35.5%). These results were not sensitive to the inclusion or exclusion of any particular study.Conclusion/SignificanceOnly one study has estimated the prevalence of NCC in a random sample of all residents. Hence, the prevalence of NCC worldwide remains unknown. However, the pooled estimate for the proportion of NCC among PWE was very robust and could be used, in conjunction with estimates of the prevalence and incidence of epilepsy, to estimate this component of the burden of NCC in endemic areas. The previously recommended guidelines for the diagnostic process and for declaring NCC an international reportable disease would improve the knowledge on the global frequency of NCC.

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“…In the beginning there had been only non specific symptoms like headache, exhaustion, loss of weight and appetite in the history of our case, convulsion was occurred in the later stages. The most important factor affecting the prognosis in CNS tuberculosis and brain tuberculomas is early beginning of the therapy (Hussain et al 2004). The probability of irreversible brain destruction, and formation of sequel lesion increase with late initiation of the therapy (Parsons 1989;Humpries et al 1990).…”

Section: Discussionmentioning

confidence: 99%

Miliary Tuberculosis Associated with Multiple Intracranial Tuberculomas

Ceylan

Gençer

2005

Tohoku J. Exp. Med.

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Cranial computed tomography in partial motor seizures

Abstract: Awareness of the existence of disappearing SREL lesions is essential to avoid unnecessary treatment with antituberculous or anticysticercal therapy and provides ample justification in treating with anticonvulsant drugs only.

Cited by 10 publications

References 23 publications

Neurocysticercosis in Children Presenting With Afebrile Seizure: Clinical Profile, Imaging and Serodiagnosis

Neurocysticercosis in Children Presenting With Afebrile Seizure: Clinical Profile, Imaging and Serodiagnosis

A Systematic Review of the Frequency of Neurocyticercosis with a Focus on People with Epilepsy

Miliary Tuberculosis Associated with Multiple Intracranial Tuberculomas

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