Childhood neurocysticercosis--epidemiology, diagnosis and course

Acta Paediatr Jpn. 1992 Jun;34(3):365-70. doi: 10.1111/j.1442-200x.1992.tb00973.x.

Abstract

Neurocysticercosis was diagnosed in 0.89% of children enrolled in our Child Neurology Clinic in the years 1979 to 1990. The commonest presenting symptom was seizures (90%) followed by raised intracranial pressure (44%). CT scans revealed a variety of lesions including low and high attenuation cysts, periventricular edema, hydrocephalus and calcification. ELISA was useful in substantiating the diagnosis in almost 70% of cases. Only 18 patients who had active disease merited treatment with praziquantel. The clinical and CT response was good. Follow-up revealed spontaneous quiescence in many patients with inactive disease.

MeSH terms

  • Adolescent
  • Animals
  • Antibodies, Helminth / analysis
  • Brain / diagnostic imaging
  • Brain / parasitology*
  • Child
  • Child, Preschool
  • Cysticercosis / complications
  • Cysticercosis / diagnosis
  • Cysticercosis / epidemiology*
  • Cysticercosis / parasitology
  • Cysticercus / immunology
  • Encephalitis / complications
  • Encephalitis / diagnosis
  • Encephalitis / epidemiology*
  • Encephalitis / parasitology
  • Female
  • Humans
  • India / epidemiology
  • Infant
  • Male
  • Pseudotumor Cerebri / diagnosis*
  • Pseudotumor Cerebri / etiology
  • Seizures / diagnosis*
  • Seizures / etiology
  • Tomography, X-Ray Computed
  • Urban Population

Substances

  • Antibodies, Helminth