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[Neurocysticercosis].

O H del Brutto1

  • 1Departamento de Neurología, Hospital Luis Vernaza, Guayaquil, Ecuador. odbrutto@srv1.telconet.net

Revista De Neurologia
|December 10, 1999
PubMed
Summary
This summary is machine-generated.

Neurocysticercosis, a parasitic nervous system disease, is increasingly diagnosed with advanced imaging and treated with antiparasitic drugs like albendazole and praziquantel. While prognosis has improved, some cases remain challenging despite therapy.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Parasitology

Background:

  • Neurocysticercosis is the most common parasitic disease affecting the nervous system, caused by ingesting Taenia solium eggs.
  • It is endemic in developing regions but increasingly seen in industrialized nations due to immigration.
  • Clinical presentations are diverse, including epilepsy and increased intracranial pressure, necessitating diagnostic tests beyond clinical symptoms.

Purpose of the Study:

  • To review current literature on neurocysticercosis.
  • To emphasize recent advancements in diagnosis and therapy for neurocysticercosis.

Main Methods:

  • Literature review of neurocysticercosis.
  • Analysis of diagnostic modalities including neuroimaging (CT/MRI) and immunological tests.

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  • Evaluation of therapeutic options such as antiparasitic drugs (albendazole, praziquantel) and surgical interventions.

    • Main Results:

    • Neuroimaging (CT/MRI) is crucial for diagnosing neurocysticercosis by visualizing parasites and inflammation.
    • Immunological tests for antibodies lack specificity and sensitivity, limiting their standalone diagnostic value.
    • Albendazole and praziquantel are effective treatments, with surgery indicated for specific complications like hydrocephalus.

    Conclusions:

    • Modern diagnostic tools and effective cestocidal drugs have significantly improved neurocysticercosis outcomes.
    • Despite advances, some neurocysticercosis cases exhibit persistent or difficult-to-treat clinical courses.