Cysticercosis Cerebri and Its Operative Treatment

Stepień, L; Choróbski, Jerzy

doi:10.1001/archneurpsyc.1949.02310110034002

Cited by 58 publications

(18 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A schizophrenic illness has been described as the presenting sign of neurocysticercosis [8], and in a case with a similar presentation to ours, a 25 year old man was diagnosed with psychosis but was not found to have innumerable cerebral cystic lesions until a generalized tonic-clonic seizure prompted cranial CT imaging [9]. In studies from the pre-imaging era, increased ICP often accompanied the described psychiatric symptoms [10], but it is unclear if this observation was specific to the proposed subtype of disease or represented typically late identification of the cases. In our case we found symptoms of hypomania early in the disease course with signs and symptoms of increased ICP not occurring until later.…”

Section: Discussionsupporting

confidence: 52%

Neurocysticercosis Presenting as Bipolar Disorder and Chronic Papilledema: A Rare Case Report and Review

Sune¹

2014

J Clin Exp Ophthalmol

View full text Add to dashboard Cite

A 40 year old female presented with mania, abnormal behaviour, headache & gradual progressive diminution of vision & history of pork consumption. Anterior segment examination OU was normal. Fundus of both eyes showed B/L established papilledema. Visual Acuity was 20/125 both eyes. CT & MRI with contrast revealed multiple well defined rounded CSF density cysts with a central mural nodule representing a scolex showing ring enhancement and perilesional edema. The largest lesion was 7.7×9 mm and multiple lesions were noted in both cerebral hemisphere and internal capsular regions, right cerebellar hemisphere and pons suggestive of disseminated neurocysticercosis. B-scan revealed disc edema and increased optic nerve diameter by more than 5 mm in both eyes confirming papilledema. She was prescribed albendazole, praziquantel, steroids, mannitol, acetazolamide and lithium. With this treatment her mania and headache resolved and her vision in both eyes improved to 20/40. Fundus examination after 3 months showed resolving papilledema. CT & MRI now showed marked decrease in number and regression in size of cyst and lesions. Bipolar disorder (mania & abnormal behavior) can be the first presenting sign of neurocysticercosis and papilledema. The probable explanation for maniac presentation in neurocystecercosis is due to some changes in neurotransmitter level. Papilledema was due to raised ICP suggested by perilesional edema in CT scan & MRI, and disc edema with increased optic nerve diameter in both eyes by more than 5 mm in B-scan.

show abstract

Section: Discussionsupporting

confidence: 52%

Neurocysticercosis Presenting as Bipolar Disorder and Chronic Papilledema: A Rare Case Report and Review

Sune¹

2014

J Clin Exp Ophthalmol

View full text Add to dashboard Cite

show abstract

“…There are thought to be about 600,000 natives of Poland, the Ukraine, and neighbouring countries living in this country at the present time and coming under our medical care. When one considers that in Warsaw, at the Neurological Institute, between 1926 and 1936, cerebral cysticercosis formed 1.25% of all admissions-I in 80 patients (Stepien and Chorobski, 1949)-it would be surprising if among such a community one did not encounter many examples.…”

Section: Discussionmentioning

confidence: 99%

Cerebral Cysticercosis

1961

The Lancet

View full text Add to dashboard Cite

Of the children who were vomiting food more than once daily 57.7% stopped vomiting within a few days after the treatment, and in another 20% vomiting was relieved.Decompression treatment is usually unsuccessful at a stage of the disease earlier than two and a half weeks and is harmful to the acutely ill case with pyrexia, cyanosis, or appreciable atelectasis.The results reported are based on careful selection of cases and combined assessment by parents and doctors. An adequate controlled experiment has not yetbeen done but should be attempted when opportunity offers.The mechanism of the action of decompression in whooping-cough has not been elucidated. Further trials should preferably include biochemical studies. Though cerebral infestation with the larval stage of the Taenia solium has been recognized since the middle of the last century, it was after the extensive work of MacArthur (1934), Dixon and Smithers (1934), Brailsford (1941), andDixon and Hargreaves (1944) that cysticercosis was given an important place among the conditions causing epilepsy. So well known is this that the diagnosis is unlikely to escape consideration in a patient suffering convul6ions who has lived or served in India or the Far East.It is the purpose of this paper to emphasize the clinical manifestations of this disease, other than epileptic convulsions, which, though both important and common, have received scant attention in this country. At the same time it will be seen that India and the Far East are not the only, nor even the main, areas where the condition may easily be acquired. Brief illustrative case histories are given, grouped under appropriate subheadings, but, as will be evident, the same patient may show several different features. Periods of Disordered BehaviourThis group includes a wide variety of abnormal manifestations, unassociated with any true convulsion, but occurring during periods of disturbed consciousness, accompanied sometimes by involuntary micturition, and often consisting of bizarre or violent behaviour. -Case 1.-A Polish male aged 41 was examined on May 28, 1954 Since 1945 he had been subject to frequent attacks of violent behaviour, lasting three to five minutes, accompanied occasionally by involuntary micturition, stopping suddenly, and followed by several hours' deep sleep. The day before examination he had, without warning or provocation, attacked a friend with a chair, resisted the restraint of five men, and then suddenly passed into a deep sleep, having no memory of the incident on waking. Physical examination was negative, but a white blood count showed an eosinophilia of 800 to 950 per c.mm. Skull x-ray films were normal, but x-ray films of the thigh muscles sh,owed typical calcified cysticerci. The attacks were greatly improved by the use of primidone.Case 2.-This patient, a Polish boy aged 11, was born in Austria and had lived five years in the Ukraine. Since early 1954 he had been subject to attacks, usually during breakfast, in which he would make grimacing movements of the face for one minu...

show abstract

“…Evolução -Stepien & Chorobski 19 referem que nestes casos o prognóstico é pobre e a cirurgia descompressiva pode oferecer melhora temporária. Pupo 17 refere que nos casos com hipertensão endocraniana dependendo da meningoencefalite difusa, a evolução pode ser mais insidiosa mas quase sempre para a morte.…”

Section: Cardenasunclassified

“…A cefaléia e os vômitos estão sempre presentes, o papiledema é geralmente acentuado e a perda rápida da visão é comum 19 . O curso da doença é variável, podendo ser rápido ou lento e ter períodos de reagudização.…”

unclassified

See 1 more Smart Citation

Forma edematosa da neurocisticercose: registro de 4 casos

Braga

Ferraz

1981

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

É uma das características da neurocisticercose o polimorfismo, resultado da multiplicidade de apresentação de quadros anatomopatológicos, dependendo do número, tamanho e localização das vesfculas do parasita, assim como das alterações produzidas no tecido cerebral, leptomeninges e circulação liquórica.Sendo muito freqüente em nosso País, a neurocisticercose tem sido bem estudada em seus vários aspectos e sempre novos subsídios têm sido acrescentados a esta patologia.Uma forma clínico patológica mais rara, já definida por alguns autores 2 » 19 ' 24 , até hoje não foi devidamente enfatizada em nosso meio. Trata-se da forma edematosa, difusa, disseminada, encefalftica ou hidrópica que se caracteriza pela presença de intenso edema cerebral que leva a um quadro de hipertensão endocraniana. O papiledema acentuado, associado a crises convulsivas focais e ventrículo cerebrais pequenos, formam o quadro clínico semiótico mais freqüente.A boa evolução com corticoidoterapia é um dos aspectos interessantes. A hipertensão endocraniana nesta forma, não se deve ao bloqueio da circulação liquórica, mas ao intenso edema cerebral causado pela grande quantidade de vesículas do parasita e pelas reações próprias do sistema nervoso à presença dos mesmos. Distingue-se desta maneira, da conhecida forma obstrutiva onde o hidrocéfalo interno é o fator mais importante na produção da hipertensão. No sentido de dar mais realce a esta forma edematosa passamos a apresentar 4 casos, cuja seqüência vem sendo feita há vários anos.

show abstract

Cysticercosis Cerebri and Its Operative Treatment

Cited by 58 publications

References 10 publications

Neurocysticercosis Presenting as Bipolar Disorder and Chronic Papilledema: A Rare Case Report and Review

Neurocysticercosis Presenting as Bipolar Disorder and Chronic Papilledema: A Rare Case Report and Review

Cerebral Cysticercosis

Forma edematosa da neurocisticercose: registro de 4 casos

Contact Info

Product

Resources

About