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Neuroimaging in Neurocysticercosis

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Next-generation sequencing of cerebrospinal fluid for the diagnosis of neurocysticercosis.

Xiaofei Fei, Chaoyang Li, Yun Zhang, Hongya Zhang, Xuewu Liu, Xinchao Ji, Yajun Shi, Na Liu, Mengli Wu, Fang Du, Yining Yang, Wen Dai, TingTing Liu, Ying He, Ting Bian, Huimin Zhou, Xingyue An, Zheng Cai, Jian Shi, Guodong Feng, Ming Shi, Gang Zhao,

OBJECTIVE:Neurocysticercosis (NCC) is the most common parasitic disease of the human central nervous system (CNS). However, a diagnosis of NCC may be hard to make if the specific clinical and routine neuroimaging manifestations are lacking, which hinders physicians from considering further immunodiagnostic tests. PATIENTS AND METHODS:Seven patients presented with fever, ... Read more >>

Clin Neurol Neurosurg (Clinical neurology and neurosurgery)
[2020, 193:105752]

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Twenty-five years of evolution of standard diagnostic criteria for neurocysticercosis. How have they impacted diagnosis and patient outcomes?

Oscar H Del Brutto,

Introduction: Neurocysticercosis (NCC) is the most common helminthic infection of the central nervous system and a global public health problem. However, its diagnosis is complicated since histological demonstration of the parasite is often not feasible, clinical manifestations are nonspecific, most neuroimaging findings are not pathognomonic, and immunological tests have problems ... Read more >>

Expert Rev Neurother (Expert review of neurotherapeutics)
[2020, 20(2):147-155]

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High frequency of Taenia solium antigen positivity in patients admitted for neurological disorders in the Rural Hospital of Mosango, Democratic Republic of Congo.

Deby MUKENDI, Jean-Roger Kalo, Pascal Lutumba, Barbara Barbé, Jan Jacobs, Cedric Yansouni, Sarah Gabriël, Pierre Dorny, François Chappuis, Marleen Boelaert, Andrea Winkler, Kristiern Verdonck, Emmanuel Bottieau,

<title>Abstract</title> <p> Background The epidemiology of human cysticercosis and neurocysticercosis, caused by the larval stage of the pork tapeworm Taenia solium, is not well known in the Democratic Republic of Congo (DRC). As part of an etiological study, we consecutively evaluated from 2012 to 2016 all patients older ... Read more >>

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Neurocysticercosis.

Tayyaba Siddiqua, Ayesha Habeeb,

Neurocysticercosis (NCC) is one of the common parasitic central nervous system (CNS) infections. Improperly cooked pork and eggs of the tapeworm Taenia solium, entering the body through the feco-oral route, are the common sources of its infection. Affected person may remain asymptomatic for long periods and can present with a ... Read more >>

Saudi J Kidney Dis Transpl (Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia)
[2020, 31(1):254-258]

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A Case Report of Intraparenchymal Neurocysticercosis in a Postpartum Female in Saudi Arabia.

Foziah Jabbar Alshamrani, Abdulla Alsulaiman, Ghadah Faisal Shareefi, Alaa Nabil Turkistani,

Neurocysticercosis is a neurologic disease caused by infection with larvae of Taenia solium. It is most commonly transmitted by consumption of pork, water contaminated with T. solium or poor hygiene habits. As only few cases of neurocysticercosis have been documented in Saudi Arabia, the authors report a case of neurocysticercosis ... Read more >>

Saudi J Med Med Sci (Saudi journal of medicine & medical sciences)
[2020, 8(1):60-63]

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Optimal Treatment for Subarachnoid Neurocysticercosis: Closer, but Not There yet.

A Clinton White, Agnes Fleury,

Am. J. Trop. Med. Hyg. (The American journal of tropical medicine and hygiene)
[2020, 102(1):1-2]

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Cerebral schistosomiasis in a patient travelling from São Tomé and Príncipe.

Rui Duarte Armindo, Sónia Costa, Vânia Almeida, Cândida Barroso,

Aiming to raise awareness for the possibility of schistosomal involvement of the central nervous system in travellers returning from endemic areas and/or immigrants to nonendemic areas, the authors report a case of neuroschistosomiasis in a Portuguese patient coming from the Republic of São Tomé and Príncipe with good clinical outcome ... Read more >>

BJR Case Rep (BJR case reports)
[2020, 6(1):20190055]

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Quantitative assessment of lesion load and efficacy of 3 cycles of albendazole in disseminated cysticercosis: a prospective evaluation.

Sudhakar Pandey, Hardeep Singh Malhotra, Ravindra Kumar Garg, Kiran Preet Malhotra, Neeraj Kumar, Imran Rizvi, Amita Jain, Neera Kohli, Rajesh Verma, Praveen Sharma, Ravi Uniyal, Shweta Pandey,

BACKGROUND:The management of disseminated cysticercosis is unclear and largely considered hazardous. The role of albendazole remains controversial in such patients. METHODS:A tertiary care, University hospital-based prospective intervention study was conducted from December 2015 to December 2017. Patients with disseminated cysticercosis, defined as the presence of multiple viable neurocysticerci (≥ 3) ... Read more >>

BMC Infect. Dis. (BMC infectious diseases)
[2020, 20(1):220]

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Atypical radiological presentation of multiple cystic brain metastases from lung cancer simulating neurocysticercosis.

Filomena Barbone, Marta Peri, Michela Vitale, Vincenzo Di Stefano,

Brain metastases (BMs) are usually characterised by vasogenic oedema and mass effect, but cystic appearance can rarely occur, mimicking parasitosis, such as neurocysticercosis (NCC). A woman in her mid-50s was admitted for dizziness and upper left extremity paresis. Neuroimaging showed multiple cystic lesions consistent with multiple stages of NCC evolution, ... Read more >>

BMJ Case Rep (BMJ case reports)
[2019, 12(10):]

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Cerebellar Neurocysticercosis as Long-Term Complication of Allogeneic Haematopoietic Stem Cell Transplantation from Haploidentical Donor.

Federico Meconi, Giulia Ciangola, Benedetta Mariotti, Raffaella Cerretti, Laura Cudillo, William Arcese, Alessandra Picardi,

Neurocysticercosis, an infection of the central nervous system with the larval stage of the cestode Taenia solium, is uncommon in developed countries. We report a case of allogeneic haematopoietic stem cell transplantation from a haploidentical donor complicated, in the long term, by T. solium infection of the central nervous system ... Read more >>

Case Rep Infect Dis (Case reports in infectious diseases)
[2019, 2019:4603130]

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A longitudinal analysis of albendazole treatment effect on neurocysticercosis cyst evolution using multistate models.

Michelle A Montgomery, Marcel Ramos, Elizabeth A Kelvin, Arturo Carpio, Alexander Jaramillo, W Allen Hauser, Hongbin Zhang,

BACKGROUND:In neurocysticercosis, the larval form of the pork tapeworm Taenia solium appears to evolve through three phases-active, degenerative and sometimes calcification-before disappearance. The antihelmintic drug, albendazole, has been shown to hasten the resolution of active cysts in neurocysticercosis. Little is known about the time cysts take to progress through each ... Read more >>

Trans. R. Soc. Trop. Med. Hyg. (Transactions of the Royal Society of Tropical Medicine and Hygiene)
[2019, 113(12):781-788]

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To scan or not to scan? Examining the controversial issue of performing neuroimaging in adolescent patients presenting to a tertiary psychiatric inpatient unit.

Zureida Khan, Anusha Lachman,

Background:Imaging techniques such as computerised tomography (CT), magnetic resonance imaging (MRI) and single photon emission computed tomography (SPECT) scans are used in various clinical and diagnostic neuropsychiatric assessments. However, these investigations may be costlier when compared to their clinical utility. Aim:To examine the clinical utility of neuroimaging in an acute ... Read more >>

S Afr J Psychiatr (The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa)
[2020, 26:1383]

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Value of Multimodal Imaging Approach to Diagnosis of Neurosarcoidosis.

Ilaria Sammarra, Gaetano Barbagallo, Angelo Labate, Baldassare Mondello, Giuseppe Albonico, Maurizio Maisano, Giuseppe Lucio Cascini, Aldo Quattrone, Antonio Gambardella,

BACKGROUND:Neurosarcoidosis is a highly variable condition with many clinical and radiological manifestations, that can lead to difficult identification of isolated central nervous system (CNS) forms, because it could mimic inflammatory, infective or neoplastic disorders. Conventional magnetic resonance imaging (MRI) is gold standard to evaluate CNS involvement in neurosarcoidosis, despite the ... Read more >>

Brain Sci (Brain sciences)
[2019, 9(10):]

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Taenia solium cysticercosis and taeniasis in urban settings: Epidemiological evidence from a health-center based study among people with epilepsy in Dar es Salaam, Tanzania.

Veronika Schmidt, Marie-Claire O'Hara, Bernard Ngowi, Karl-Heinz Herbinger, John Noh, Patricia Procell Wilkins, Vivien Richter, Christian Kositz, William Matuja, Andrea Sylvia Winkler,

In Africa, urbanization is happening faster than ever before which results in new implications for transmission of infectious diseases. For the zoonotic parasite Taenia solium, a major cause of acquired epilepsy in endemic countries, the prevalence in urban settings is unknown. The present study investigated epidemiological, neurological, and radiological characteristics ... Read more >>

PLoS Negl Trop Dis (PLoS neglected tropical diseases)
[2019, 13(12):e0007751]

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A Large Cohort of Neurocysticercosis in Shandong Province, Eastern China, 1997-2015.

Xiaodan Huang, Zhonglei Wang, Jingxuan Kou, Hongmei Liu, Dehua Mao, Zhenhua Yu, Xin Liu, Peng Cheng, Maoqing Gong,

Neurocysticercosis (NCC) has a wide spectrum of neurologic and psychiatric manifestations, including epileptic seizures, high intracranial pressure, cognitive dysfunction, and meningoencephalitis. This study presents the clinical diagnosis of 2539 NCC patients in Shandong Province, Eastern China, from 1997 to 2015. The diagnosis was based primarily on clinical features, neuroimaging, immunology, ... Read more >>

Vector Borne Zoonotic Dis. (Vector borne and zoonotic diseases (Larchmont, N.Y.))
[2019, 19(12):901-907]

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Neurocysticercosis & Starry Sky Appearance on Brain Imaging.

Rizwan Ahmad,

QJM (QJM : monthly journal of the Association of Physicians)
[2019, :]

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Disseminated neurocysticercosis with bilateral papilledema: a case report.

Ruchi Shrestha, Amin Kumar Shrestha,

BACKGROUND:Ocular cysticercosis is a disease which rarely involves cutaneous skin and the optic nerve. Patients with clinical presentation of subcutaneous nodules and papilledema should always be evaluated for cysticercosis. CASE PRESENTATION:We report a rare case of ocular cysticercosis with multiple disseminated subcutaneous nodules and papilledema in both eyes. A 22-year-old ... Read more >>

J Med Case Rep (Journal of medical case reports)
[2019, 13(1):295]

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Clinical characteristics of migraine in patients with calcified neurocysticercosis.

Sunil Pradhan, Animesh Das, Sucharita Anand, Anirudh Rao Deshmukh,

BACKGROUND:Patients with neurocysticercosis (NCC) may have an increased frequency of migraine. We studied the characteristics of migraine attacks in patients with calcified NCC on brain imaging. METHODS:Of 350 migraine patients who visited our outpatient department from January 2016 through June 2018, 166 had undergone brain imaging. Seventy-two patients with migraines ... Read more >>

Trans. R. Soc. Trop. Med. Hyg. (Transactions of the Royal Society of Tropical Medicine and Hygiene)
[2019, 113(7):418-423]

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A radiological and clinical description of metastatic angiosarcoma simulating a hydatid cyst

Blair Ortiz, Carolina Hernández, Norma Carolina Barajas,

Angiosarcoma is the most malignant sarcoma originating in endothelial vascular cells. It has a wide differential diagnosis due to its similarities with other entities, such as parasitic diseases. More often, angiosarcoma is diagnosed by exclusion. Neurocysticercosis and hydatid disease, or echinococcosis, are parasitic infections that may involve the central nervous ... Read more >>

Biomedica (Biomedica : revista del Instituto Nacional de Salud)
[2019, 39(3):440-447]

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The World Health Organization 2030 goals for Taenia solium: Insights and perspectives from transmission dynamics modelling: CystiTeam Group for Epidemiology and Modelling of Taenia solium Taeniasis/Cysticercosis.

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Taenia solium (TS), responsible for porcine cysticercosis, human taeniasis and (neuro)cysticercosis, was included in the World Health Organization neglected tropical disease (NTD) roadmap published in 2012. Targets set in this roadmap have not been met, but T. solium has been included in the consultation process for the new 2030 goals ... Read more >>

Gates Open Res (Gates open research)
[2019, 3:1546]

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Albendazole Sulfoxide Plasma Levels and Efficacy of Antiparasitic Treatment in Patients With Parenchymal Neurocysticercosis.

Gianfranco Arroyo, Javier A Bustos, Andres G Lescano, Isidro Gonzales, Herbert Saavedra, Silvia Rodriguez, E Javier Pretell, Pierina S Bonato, Vera L Lanchote, Osvaldo M Takayanagui, John Horton, Armando E Gonzalez, Robert H Gilman, Hector H Garcia, ,

BACKGROUND:The efficacy of albendazole therapy in patients with parenchymal neurocysticercosis (NCC) is suboptimal. Plasma levels of albendazole sulfoxide (ASOX), the active metabolite of albendazole, are highly variable among patients. We hypothesized that high ASOX plasma levels during albendazole therapy may be associated with an increased antiparasitic efficacy. METHODS:ASOX plasma levels ... Read more >>

Clin. Infect. Dis. (Clinical infectious diseases : an official publication of the Infectious Diseases Society of America)
[2019, 69(11):1996-2002]

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Detection of Taenia solium DNA in the Urine of Neurocysticercosis Patients.

Luz Toribio, Miryam Romano, Alan L Scott, Isidro Gonzales, Herbert Saavedra, Hector H Garcia, Clive Shiff, For The Cysticercosis Working Group In Peru,

Neurocysticercosis (NCC), caused by Taenia solium larvae that reside in the central nervous system, results in serious public health and medical issues in many regions of the world. Current diagnosis of NCC is complex requiring both serology and costly neuroimaging of parasitic cysts in the brain. This diagnostic pipeline can ... Read more >>

Am. J. Trop. Med. Hyg. (The American journal of tropical medicine and hygiene)
[2019, 100(2):327-329]

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The Association between Calcified Neurocysticercosis and Cognitive Performance: A Case-Control Study Nested to a Population-Based Cohort.

Oscar H Del Brutto, Robertino M Mera, Mauricio Zambrano, Aldo F Costa, Gustavo C Román,

Mechanisms implicated in the association between neurocysticercosis (NCC) and cognitive impairment remain unknown. Atahualpa residents aged ≥ 40 years with calcified NCC were identified as case patients and paired 1:1 to age- and gender-matched controls. The selection process generated 79 pairs. Cognitive performance was measured by the Montreal Cognitive Assessment ... Read more >>

Am. J. Trop. Med. Hyg. (The American journal of tropical medicine and hygiene)
[2019, 100(2):323-326]

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Neurocysticercosis and Hippocampal Atrophy: MRI Findings and the Evolution of Viable or Calcified Cysts in Patients With Neurocysticercosis.

Job Monteiro C Jama-António, Clarissa L Yasuda, Fernando Cendes,

Neurocysticercosis (NC) is the most common parasitic infection of the central nervous system (CNS). Several studies have reported an association between NC and mesial temporal lobe epilepsy (MTLE). We intended to evaluate the frequency of hippocampal atrophy (HA), clinical evolution and imaging findings in patients with calcified neurocysticercotic lesions (CNLs). ... Read more >>

Front Neurol (Frontiers in Neurology)
[2019, 10:449]

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3D-Double-Inversion recovery detects perilesional gliosis better than 3D-FLAIR and postcontrast T1 imaging in calcified neurocysticercosis.

Jitender Saini, Pradeep Kumar Gupta, Praveen Gupta, Ravi Yadav, Nishtha Yadav, Rakesh Kumar Gupta,

Background:Perilesional gliosis is an important substrate for seizures in patients harboring a calcified neurocysticercosis (NCC) lesion and magnetic resonance imaging (MRI) is useful for evaluating gliosis. Aims:The purpose of this study was to evaluate the usefulness of double-inversion recovery (DIR) sequence for identifying perilesional gliosis. Settings and Design:Hospital-based cross-sectional study. ... Read more >>

Neurol India (Neurology India)
[2019, 67(1):136-141]

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