Epilepsy due to Cerebral Cysticercosis

Arseni, C; Cristescu, A

doi:10.1111/j.1528-1157.1972.tb05259.x

Cited by 38 publications

(12 citation statements)

References 8 publications

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“…Epileptic manifestations lasted from a few days to 30 years, and their incidence was the highest (71%) when hemispheres were affected. The intracranial pressure was increased in 55% of cases (Arseni and Cristescu 1972). A few years later, Arseni et al (1981) published their observations regarding 176 of the above-mentioned cases.…”

Section: Cysticercosismentioning

confidence: 91%

Epidemiology and history of human parasitic diseases in Romania

2011

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Intestinal parasitic diseases such as enterobiasis, giardiasis, and ascariasis are detected most frequently in Romania, but their importance is definitely surpassed by trichinellosis, cystic echinococcosis, and toxoplasmosis. Malaria was common until its eradication in 1963, and only imported cases are reported nowadays. The aim of this review was to bring together essential data on the epidemiology and history of human parasitoses in Romania. Information on 43 parasitic diseases was collected from numerous sources, most of them unavailable abroad or inaccessible to the international scientific community. Over time, Romanian people of all ages have paid a significant tribute to the pathogenic influences exerted by the parasites. Sanitary and socio-economical consequences of the parasites diseases have great negative impact on the quality of life of affected individuals and the overall well-being of the population. Implementation of efficient public health measures and informative campaigns for the masses as well as changing the inadequate habits that are deeply rooted in the population are mandatory for cutting successfully this Gordian knot.

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Section: Cysticercosismentioning

confidence: 91%

Epidemiology and history of human parasitic diseases in Romania

2011

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“…The case material used as a basis for this report was gathered from the neurosurgical services at the Los Angeles County-University of Southern California Medical Center during a 5-year period terminating in (5) cystic (5) transcallosal excision (4) none stereotaxic (1) none third ventricle (12) cystic (9) ventriculostomy (2) none: died transcallosal interforniceal excision (6) none transcortical excision (1) none cystic with ependymitis (1) transcortical (1) VP shunt (1) ependymitis (2) VP shunt (2) none aqueduct of Sylvius (4) stenosis (ependymitis) (4) VP shunt (4) none fourth ventricle (24) cystic (17) excision (11) none VP shunt (6) cyst excision (2) cystic with ependymitis (7) excision (6) VP shunt (6) VP shunt (1) cyst excision (1) * Numbers in parentheses indicate number of cases. VP = ventriculoperitoneal.…”

Section: Clinical Materialsmentioning

confidence: 99%

Surgical considerations in treatment of intraventricular cysticercosis

Apuzzo¹,

Dobkin²,

Zee³

et al. 1984

Journal of Neurosurgery

141

124

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Infestations of the human brain with the larval stage of Taenia solium, once an infrequent diagnosis in the United States, is now a more frequently encountered clinical entity especially in population centers with high immigrant flux. During a recent 5-year period 45 cases of intraventricular cysticerosis have been evaluated and treated. Modes of involvement included isolated cyst formation, ependymitis, or combinations of both. Evidence of associated parenchymatous involvement was present in 20% of cases. Sites of infestation included the lateral ventricle (five cases), third ventricle (12 cases), Sylvian aqueduct (four cases), and fourth ventricle (24 cases). Mean post-therapy follow-up periods for this series exceed 36 months. This experience indicates that direct excision is the treatment of choice for ventricular cystic lesions, but that management, operative planning, and expectations should be influenced by considerations of: 1) the potential for acute clinical deterioration (38%); 2) the potential for cyst migration; 3) attendant ependymitis, defined by computerized tomography or verified at surgery; 4) the potential for increase in cyst volume with local mass effect; 5) selection and institution of corridors of surgical access that establish alternative routes of cerebrospinal fluid flow; and 6) the possibility of cyst excision by a stereotaxic endoscopic procedure.

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“…ELISA was negative in Patient 2, even though the diagnosis seems correct from clinical course and radiological findings. The reason for this is obscure, but it is possible that some patients remain seronegative (9,10). since a few cysticerci in the brain may represent only a very minor stimulus for the immune system (van Knapen, pers comm).…”

Section: Discussionmentioning

confidence: 99%

Cerebral cysticercosis in Norway

Dietrichs

Aanonsen

et al. 2009

Acta Neurologica Scandinavica

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Neurocysticercosis is caused by central nervous system infestation by the larval stage of the pork tapeworm Taenia sofium (1, review). Cysticercosis has been rare in the Scandinavian countries. To our knowledge no cases from Norway and only three from Denmark and Sweden (2-4) have been reported. We present four patients treated for neurocysticercosis in our department the last two years. Case reportsPatient 1 (Norwegian-born man, age 52) over three weeks developed general weakness, poor appetite, weight loss, speech problems, confusion and somnolence. On admission, he had impressive and expressive aphasia, dilated pupilla on the right side, right homonymous hemianopsia, dyspraxia and neglect of the right side, and brisk, but symmetrical reflexes. Cerebral computer tomography (CT) and magnetic resonance imaging (MRI) showed an area with central low attenuation and circular contrast enhancement deep in the left temporal lobe. It was surrounded by substantial edema displacing the falx and the third ventricle (Fig. IA). In spite of treatment with dexamethason and mannitol, his intracranial pressure increased. The left temporal lobe was, therefore, resected to avoid herniation. The resected tissue showed chronic inflammatory changes with eosinophilic granulocytes and granulomas, suggestive of parasite infection. Standard blood tests were normal. CSF showed a slight pleocytosis (16 white blood cells/mm3), oligoclonal bands on agar electrophoresis, and an ELISA test for cysticercus IgG was positive (RIVM, National Institute of Public Health and Environmental Protection, Bilthoven, The Netherlands). ELISA against cysticercus IgG in serum was also positive (1:160).The patient was treated with praziquantel(70 mg/ kg/day) for two weeks. He improved slowly. Aftertwo years there was no sign of a relapse, but he had dysphasia, dyspraxia and right hemianopsia sequelae.Patient 2 (Vietnamese-born man, age 41) had for three years experienced short episodes with dysphasia and paresis and paresthesia on the right side. He was referred after three days with several complex partial seizures with right arm convulsions. On admission expressive dysphasia and right hemiparesis were apparent. Cerebral CT and MRI showed several small calcifications and circular lesions with contrast enhancement in both hemispheres (Fig. lB,C). A lesion in the left sylvian fissure region showed a conspicuous surrounding edema. Standard blood and CSF tests were normal. Serological tests for various parasite infections including cysticercosis, toxoplasmosis and echinococcosis were negative in CSF and serum (RIVM).Antiepileptic medication (carbamazepin) was started. On clinical suspicion of cysticercosis the patient was treated with dexamethason and praziquantel 70 mg/kg/day. He improved rapidly, and after two weeks all neurological symptoms had disappeared. CT control showed calcifications as before, but no circular lesions with contrast enhancement. After 18 months there was no sign of a relapse.Patient 3 (woman born in India, age 19) was admitted after three...

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Epilepsy due to Cerebral Cysticercosis

Abstract: development 75 (41%) 29 (16%) 104 (57%) Later Sex and age distributionOf the 104 patients who developed epilepsy in the later stages of the disease, 45 (43 %)were female and 59 (57 %)were male. The age range for this group was from 4-63

Cited by 38 publications

References 8 publications

Epidemiology and history of human parasitic diseases in Romania

Epidemiology and history of human parasitic diseases in Romania

Surgical considerations in treatment of intraventricular cysticercosis

Cerebral cysticercosis in Norway

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