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Copyright (c) 2020 Ledmar J. Vargas Rodríguez
This work is licensed under a Creative Commons Attribution 4.0 International License.
Neurocysticercosis: Clinical Case
Corresponding Author(s) : Ledmar J. Vargas Rodríguez
Ciencia e Innovación en Salud,
2020
Abstract
Neurocysticercosis (NCC) is a parasitic infection of the nervous system caused by Taenia Solium. Case report: A 42-year-old patient with headache. The tomography and the resonance can be used with nerocisticercosis, additionally in the ELISA test in CSF it was positive for T. Solium. Discussion: It is a low prevalence entity. It can be classified as parenchymal, subarachnoid, ventricular, spinal and / or mixed. The diagnosis has been oriented from the presence of risk factors, the clinical picture and the imaging findings. The treatment is necessary with albendazole.
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- Jiménez OH, Nagore N. Endoscopic evidence of ventricular and cisternal inflammatory changes after intraoperative cysticercal rupture during endoscopic third-ventriculostomy removal. Br J Neurosurg. 2013; 27:137– 8. DOI: 10.3109/02688697.2012.703348
- Clinton A, Coyle C, Rajshekhar V, Singh G, Allen W, Mohanty A, et al. Diagnosis and Treatment of Neurocysticercosis: 2017 Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Clin Infect Dis. 2017; 66 (15): 49 – 75. DOI: 10.1093/cid/cix1084
- Astrid Carolina Flórez Sánchez, Sandra Magnolia Pastrán, Nirley Stella Vargas, Mauricio Beltrán, Yamile Enriquez, Adriana Paola Peña, et al. Cisticercosis en Colombia. Estudio de seroprevalencia 2008 – 2010. Acta Neurol Colomb. 2013; 29 (2): 73 - 86. Disponible en: http://www.scielo.org.co/scielo.php?pid=S0120-87482013000200003&script=sci_abstract&tlng=es
- Moyano LM, O’Neal SE, Ayvar V. Cysticercosis Working Group in Peru. High prevalence of asymptomatic neurocysticercosis in an endemic rural community in Peru. PLoS Negl Trop Dis 2016; 10: e0005130. DOI: 10.1371/journal.pntd.0005130
- Garcia HH, Nash TE, Del Brutto OH. Clinical symptoms, diagnosis, and treatment of neurocysticercosis. Lancet Neurol. 2014; 13:1202–15. DOI: 10.1016/S1474-4422(14)70094-8
- O’Neal SE, Flecker RH. Hospitalization frequency and charges for neurocysticercosis, United States, 2003–2012. Emerg Infect Dis 2015; 21:969–76. DOI: 10.3201/eid2106.141324
- Del Brutto OH, Lama J. The importance of neurocysticercosis in stroke in rural areas of a developing Latin American country. Am J Trop Med Hyg 2013; 89:374–381. DOI: 10.4269/ajtmh.13-0196
- Hernández RD, Durán BB, Lujambio PS. Magnetic resonance imaging in neurocysticercosis. Top Magn Reson Imaging 2014; 23 (3):191–8. DOI: 10.1097/RMR.0000000000000026
- Carod JF, Randrianarison M, Razafimahefa J. Evaluation of the performance of 5 commercialized enzyme immunoassays for the detection of Taenia solium antibodies and for the diagnosis of neurocysticercosis. Diagn Microbiol Infect Dis 2012; 72:85–9. DOI: 10.1016/j.diagmicrobio.2011.09.014
- Del Brutto, O. H., V. Rajshekhar, A. C. White, Jr., V. C. Tsang, T. E. Nash, O. M. Takayanagui, P. M. Schantz, C. A. Evans, A. Flisser, D. Correa, D. Botero, J. C. Allan, E. Sarti, A. E. Gonzalez, R. H. Gilman, and H. H. Garcia. 2001. Proposed diagnostic criteria for neurocysticercosis. Neurology 57:177-183. DOI: 10.1212/wnl.57.2.177
- Del Brutto, O. H., N. H. Wadia, M. Dumas, M. Cruz, V. C. Tsang, and P. M. Schantz. 1996. Proposal ofdiagnostic criteria for human cysticercosis and neurocysticercosis. J. Neurol. Sci. 142:1-6. DOI: 10.1016/0022-510x(96)00130-x
- Garcia HH, Evans CA, Nash TE, Takayanagui OM, White AC Jr, Botero D, Rajshekhar V, Tsang VC,Schantz PM, Allan JC, Flisser A, Correa D, Sarti E, Friedland JS, Martinez SM, Gonzalez AE, Gilman RH,Del Brutto OH. Current consensus guidelines for treatment of neurocysticercosis. Clin Microbiol Rev. 2002Oct;15(4):747-56. DOI: 10.1128/CMR.15.4.747-756.2002
- Serpa JA, Graviss EA, Kass JS, White AC. Neurocysticercosis in Houston, Texas: an update. Medicine(Baltimore) 2011; 90:81–6. DOI: 10.1097/MD.0b013e318206d13e
- Carrillo Mezo R, Lara García J, Arroyo M, Fleury A. Relevance of 3D magnetic resonance imaging sequencesin diagnosing basal subarachnoid neurocysticercosis. Acta Trop 2015; 152:60. DOI: 10.1016/j.actatropica.2015.08.017
- Lerner A, Shiroishi MS, Zee CS, Law M, Go JL. Imaging of neurocysticercosis. Neuroimaging Clin N Am2012; 22:659–76. DOI: 10.1016/j.nic.2012.05.004
- Del Brutto OH, Nash TE, White AC Jr, et al. Revised diagnostic criteria for neurocysticercosis. J Neurol Sci2017; 372:202–10. DOI: 10.1016/j.jns.2016.11.045
- Garcia HH, Castillo Y, Gonzales I, et al. Low sensitivity and frequent cross-reactions in commercially availableantibody detection ELISA assays for Taenia solium cysticercosis. Trop Med Int Health 2018; 23:101 – 7. DOI: 10.1111/tmi.13010
- Albenza (albendazole). Product information. Philadelphia, PA: SmithKline Beecham. Disponible en:https://www.accessdata.fda.gov/drugsatfda_docs/ label/2015/207844s000lbl.pdf
- Garcia HH, Lescano AG, Gonzales I. Cysticercosis Working Group in Peru. Cysticidal efficacy of combinedtreatment with praziquantel and albendazole for parenchymal brain cysticercosis. Clin Infect Dis 2016; 62:1375–9. DOI: 10.1093/cid/ciw134
- .Romo ML, Wyka K, Carpio A, et al. Ecuadorian Neurocysticercosis Group. The effect of albendazoletreatment on seizure outcomes in patients with symptomatic neurocysticercosis. Trans R Soc Trop Med Hyg2015; 109:738–46. DOI: 10.1093/trstmh/trv078
- Carpio A, Kelvin EA, Bagiella E. Ecuadorian Neurocysticercosis Group. Effects of albendazole treatment onneurocysticercosis: a randomised controlled trial. J Neurol Neurosurg Psychiatry 2008; 79:1050–5. DOI: 10.1136/jnnp.2008.144899
- Solís AM, Tello Chumpitaz TJ, Quinte DH, Ramírez SE. Prevalencia y factores de riesgo asociados aneurocisticercosis en trabajadores del camal Conchucos, El Agustino, Perú. Acta Méd. Peru. 2007; 24 (3):167-171. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172007000300007
- Saavedra Herbert, Gonzales Isidro, Alvarado Manuel A., Porras Miguel A., Vargas Victor, Cjuno Román A.et al. Diagnóstico y manejo de la neurocisticercosis en el Perú. Rev. Perú. med. exp. Salud pública [Internet]. 2010 Oct [citado 2020 Jul 19]; 27(4): 586-591. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1726-46342010000400015&lng=es
References
Jiménez OH, Nagore N. Endoscopic evidence of ventricular and cisternal inflammatory changes after intraoperative cysticercal rupture during endoscopic third-ventriculostomy removal. Br J Neurosurg. 2013; 27:137– 8. DOI: 10.3109/02688697.2012.703348
Clinton A, Coyle C, Rajshekhar V, Singh G, Allen W, Mohanty A, et al. Diagnosis and Treatment of Neurocysticercosis: 2017 Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Clin Infect Dis. 2017; 66 (15): 49 – 75. DOI: 10.1093/cid/cix1084
Astrid Carolina Flórez Sánchez, Sandra Magnolia Pastrán, Nirley Stella Vargas, Mauricio Beltrán, Yamile Enriquez, Adriana Paola Peña, et al. Cisticercosis en Colombia. Estudio de seroprevalencia 2008 – 2010. Acta Neurol Colomb. 2013; 29 (2): 73 - 86. Disponible en: http://www.scielo.org.co/scielo.php?pid=S0120-87482013000200003&script=sci_abstract&tlng=es
Moyano LM, O’Neal SE, Ayvar V. Cysticercosis Working Group in Peru. High prevalence of asymptomatic neurocysticercosis in an endemic rural community in Peru. PLoS Negl Trop Dis 2016; 10: e0005130. DOI: 10.1371/journal.pntd.0005130
Garcia HH, Nash TE, Del Brutto OH. Clinical symptoms, diagnosis, and treatment of neurocysticercosis. Lancet Neurol. 2014; 13:1202–15. DOI: 10.1016/S1474-4422(14)70094-8
O’Neal SE, Flecker RH. Hospitalization frequency and charges for neurocysticercosis, United States, 2003–2012. Emerg Infect Dis 2015; 21:969–76. DOI: 10.3201/eid2106.141324
Del Brutto OH, Lama J. The importance of neurocysticercosis in stroke in rural areas of a developing Latin American country. Am J Trop Med Hyg 2013; 89:374–381. DOI: 10.4269/ajtmh.13-0196
Hernández RD, Durán BB, Lujambio PS. Magnetic resonance imaging in neurocysticercosis. Top Magn Reson Imaging 2014; 23 (3):191–8. DOI: 10.1097/RMR.0000000000000026
Carod JF, Randrianarison M, Razafimahefa J. Evaluation of the performance of 5 commercialized enzyme immunoassays for the detection of Taenia solium antibodies and for the diagnosis of neurocysticercosis. Diagn Microbiol Infect Dis 2012; 72:85–9. DOI: 10.1016/j.diagmicrobio.2011.09.014
Del Brutto, O. H., V. Rajshekhar, A. C. White, Jr., V. C. Tsang, T. E. Nash, O. M. Takayanagui, P. M. Schantz, C. A. Evans, A. Flisser, D. Correa, D. Botero, J. C. Allan, E. Sarti, A. E. Gonzalez, R. H. Gilman, and H. H. Garcia. 2001. Proposed diagnostic criteria for neurocysticercosis. Neurology 57:177-183. DOI: 10.1212/wnl.57.2.177
Del Brutto, O. H., N. H. Wadia, M. Dumas, M. Cruz, V. C. Tsang, and P. M. Schantz. 1996. Proposal ofdiagnostic criteria for human cysticercosis and neurocysticercosis. J. Neurol. Sci. 142:1-6. DOI: 10.1016/0022-510x(96)00130-x
Garcia HH, Evans CA, Nash TE, Takayanagui OM, White AC Jr, Botero D, Rajshekhar V, Tsang VC,Schantz PM, Allan JC, Flisser A, Correa D, Sarti E, Friedland JS, Martinez SM, Gonzalez AE, Gilman RH,Del Brutto OH. Current consensus guidelines for treatment of neurocysticercosis. Clin Microbiol Rev. 2002Oct;15(4):747-56. DOI: 10.1128/CMR.15.4.747-756.2002
Serpa JA, Graviss EA, Kass JS, White AC. Neurocysticercosis in Houston, Texas: an update. Medicine(Baltimore) 2011; 90:81–6. DOI: 10.1097/MD.0b013e318206d13e
Carrillo Mezo R, Lara García J, Arroyo M, Fleury A. Relevance of 3D magnetic resonance imaging sequencesin diagnosing basal subarachnoid neurocysticercosis. Acta Trop 2015; 152:60. DOI: 10.1016/j.actatropica.2015.08.017
Lerner A, Shiroishi MS, Zee CS, Law M, Go JL. Imaging of neurocysticercosis. Neuroimaging Clin N Am2012; 22:659–76. DOI: 10.1016/j.nic.2012.05.004
Del Brutto OH, Nash TE, White AC Jr, et al. Revised diagnostic criteria for neurocysticercosis. J Neurol Sci2017; 372:202–10. DOI: 10.1016/j.jns.2016.11.045
Garcia HH, Castillo Y, Gonzales I, et al. Low sensitivity and frequent cross-reactions in commercially availableantibody detection ELISA assays for Taenia solium cysticercosis. Trop Med Int Health 2018; 23:101 – 7. DOI: 10.1111/tmi.13010
Albenza (albendazole). Product information. Philadelphia, PA: SmithKline Beecham. Disponible en:https://www.accessdata.fda.gov/drugsatfda_docs/ label/2015/207844s000lbl.pdf
Garcia HH, Lescano AG, Gonzales I. Cysticercosis Working Group in Peru. Cysticidal efficacy of combinedtreatment with praziquantel and albendazole for parenchymal brain cysticercosis. Clin Infect Dis 2016; 62:1375–9. DOI: 10.1093/cid/ciw134
.Romo ML, Wyka K, Carpio A, et al. Ecuadorian Neurocysticercosis Group. The effect of albendazoletreatment on seizure outcomes in patients with symptomatic neurocysticercosis. Trans R Soc Trop Med Hyg2015; 109:738–46. DOI: 10.1093/trstmh/trv078
Carpio A, Kelvin EA, Bagiella E. Ecuadorian Neurocysticercosis Group. Effects of albendazole treatment onneurocysticercosis: a randomised controlled trial. J Neurol Neurosurg Psychiatry 2008; 79:1050–5. DOI: 10.1136/jnnp.2008.144899
Solís AM, Tello Chumpitaz TJ, Quinte DH, Ramírez SE. Prevalencia y factores de riesgo asociados aneurocisticercosis en trabajadores del camal Conchucos, El Agustino, Perú. Acta Méd. Peru. 2007; 24 (3):167-171. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172007000300007
Saavedra Herbert, Gonzales Isidro, Alvarado Manuel A., Porras Miguel A., Vargas Victor, Cjuno Román A.et al. Diagnóstico y manejo de la neurocisticercosis en el Perú. Rev. Perú. med. exp. Salud pública [Internet]. 2010 Oct [citado 2020 Jul 19]; 27(4): 586-591. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1726-46342010000400015&lng=es