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PubMed1980

Unusual neuroradiological features of intracranial cysticercosis.

The authors describe various new neuroradiological findings in cysticercosis cerebri. Features discussed include: (a) contrast enhancement in cysticercosis, including enhancement of an intraventricular cyst, basal meningeal enhancement, and enhancement in association with granulomatous reaction to cysticercosis; (b) positional cyst alterations, including cyst mobility and positional changes in cyst configuration; (c) neuroradiological features of foramen of Monro obstruction, which may be unilateral or bilateral, and may be due to cysts or adhesions; and (d) unusual angiographic features, including two cases of ring stains which corresponded to ring enhancement on CT, and a mycotic aneurysm associated with cysticercosis. For this study, the authors evaluated 102 cases of cysticercosis; 12 case reports are presented herein.

Adult↗

PubMed1998

Frequency of cerebral arteritis in subarachnoid cysticercosis: an angiographic study.

BACKGROUND AND PURPOSE: Subarachnoid cysticercosis is a well-recognized cause of cerebral infarction. However, few patients with this infection develop cerebral infarction, and the reason for this is not known. The aim of this study was to determine the frequency of cerebral arteritis in these patients. METHODS: Using cerebral arteriography, we studied 28 patients with subarachnoid cysticercosis admitted to our hospital from July 1993 to February 1996. All patients underwent MRI to detect the presence of basal arachnoiditis. We analyzed demographic data, time to cysticercosis since the first symptom onset, mode of onset, stroke syndromes, neuroimaging features of cysticercosis and cerebral infarction, and arteriographic findings for each patient. RESULTS: Of the 28 patients (mean age, 37 years), 15 patients had angiographic evidence of cerebral arteritis (53%); 12 of the 15 had a stroke syndrome (P=.02). Eight of the 15 patients (53%) with cerebral arteritis had evidence of cerebral infarction on MRI, whereas only one patient without cerebral arteritis had cerebral infarction (P=.05). The most commonly involved vessels were the middle cerebral artery and the posterior cerebral artery. CONCLUSIONS: The frequency of cerebral arteritis in subarachnoid cysticercosis is higher than previously reported, and middle-size vessel involvement is a common finding, even in those patients without clinical evidence of cerebral ischemia.

Adolescent↗

PubMed1992

[Cystic oligodendroglioma and positivity of reactions for cysticercosis: report of a case].

A case of a 32-year old male patient with complaints of frontal headache progressive decrease in visual acuity, altered behaviour, and positive results of immunological tests for cysticercosis performed on the cystic and cerebrospinal fluids is presented. After several clinical and surgical proceedings, the frontal craniotomy was indicated and a multi-lobulated cystic tumor was excised. Biopsy material revealed an oligodendroglioma invading the degenerated membrane of cystic wall. Some aspects related to the possible mechanisms involved in the association of oligodendroglioma with neurocysticercosis in the presented case are discussed. Three different types of conclusions may be reached: (1) neurocysticercosis may have acted as an oncogenetic factor for the oligodendroglioma; (2) the glycoprotein nature of the antigens of gliomas and cysticercosis and the similarity in the molecular weight range of their polypeptides may be responsible for the positivity of the reactions for cysticercosis in the cystic fluid; or (3) the association of oligodendroglioma with cysticercosis may be a simple coincidence. The present study strengthens the opinion that other pathologies should be looked for when clinical treatment of cysticercosis does not follow the expected course.

Adult↗

PubMed2004

[Seroepidemiological survey of human cysticercosis in a municipality of Piauí State, Northeast Brazil].

As part of parasitological studies in the area surrounding the Serra da Capivara National Park, Piauí State, Northeast Brazil, from 1999 to 2001, the current study aimed to evaluate the epidemiological profile of human cysticercosis in the Municipality of João Costa. Clinical and epidemiological data were obtained, and blood samples were drawn for immunoenzymatic serological tests (ELISA and Western blot), using Taenia crassiceps as the antigen. The first stage, in 1999, investigated 169 individuals with a confirmed history or suspicion of infection/disease involving the teniasis/cysticercosis complex, along with the family members. Some 13.6% of the individuals were seroreactive for cysticercosis by the ELISA method. The second stage, in 2001, evaluated 92 serum samples of individuals who had been detected as reactive for cysticercosis in the first stage, along with their family members; 24% of the samples were reactive to cysticercosis by ELISA and 29% by Western blot. During this same stage a coprological survey was performed with 701 individuals, including volunteers. Prevalence of intestinal parasites was 51%, with a higher prevalence of protozoans (95%) than helminths (5%). The results indicate the endemicity of cysticercosis in the area, in addition to the high frequency of intestinal protozoan infections.

Adolescent↗

PubMed1997

MR imaging of intramedullary and intradural-extramedullary spinal cysticercosis.

OBJECTIVE: The purpose of our study was to retrospectively review the MR imaging findings in a group of patients with clinically proven cysticercosis involving the spinal cord, the spinal subarachnoid space, or both. MATERIALS AND METHODS: We retrospectively reviewed images of 16 patients with clinically diagnosed spinal cysticercosis to summarize the imaging characteristics. All patients underwent T1- and T2-weighted sagittal, axial, or both sagittal and axial MR imaging before i.v. administration of paramagnetic contrast media. Thirteen patients also underwent sagittal, axial, or both sagittal and axial T1-weighted MR imaging after i.v. gadolinium administration. In addition, all patients underwent cranial CT, MR imaging, or both to reveal possible evidence of cranial cysticercosis. RESULTS: MR imaging revealed isolated intradural-extramedullary involvement (n = 9), isolated intramedullary involvement (n = 3), combined intradural-extramedullary and intramedullary involvement (n = 3), and/or syringomyelia caused by infection and associated with chronic spinal arachnoiditis (n = 2). Evidence of intradural-extramedullary disease included cystic structures within the subarachnoid space or homogeneous sheetlike enhancement within the subarachnoid space over the surface of the spinal cord. Evidence of intramedullary disease included focal cystic lesions or syringomyelic cavitation of the spinal cord. All patients had evidence of simultaneous intracranial cysticercosis as shown on cranial CT, MR imaging, or both. CONCLUSION: In the absence of scolex visualization, cysticercotic involvement of the spinal cord or spinal subarachnoid space has a nonspecific appearance on MR imaging. On the basis of the findings in this group of patients, we believe that spinal cysticercosis is most often accompanied by intracranial disease.

Adult↗

PubMed1993

Immunization against porcine cysticercosis in an endemic area in Mexico: a field and laboratory study.

An antigenic extract from Taenia solium metacestodes was evaluated for immunogenicity in pig populations from a large area of endemic porcine cysticercosis in the State of Guerrero, Mexico. A total of 3,295 pigs from 18 villages were immunized with a single dose of 250 micrograms of protein administered intramuscularly. Systematic immunization was also performed on pigs (1,076 immunizations) from two of the villages with the highest percentages of cysticercosis. A year after immunization, porcine cysticercosis decreased from 4.8% and 5.4% to 0%. Immunity against the T. solium metacestode was estimated in vitro by measurements of 3H-thymidine uptake and inhibition of leukocyte migration. Peripheral blood lymphocytes from immunized cysticercotic (pigs that had cysticercosis prior to immunization), cysticercotic immunized (pigs that acquired cysticercosis after immunization), and normal control pigs incorporated 3H-thymidine better than lymphocytes from cysticercotic pigs when stimulated with concanavalin A. A significant inhibition in the leukocyte migration inhibition test was also found in leukocytes from immunized cysticercotic pigs (P < 0.01). Histopathologic studies revealed granuloma formation surrounding the metacestodes of the immunized cysticercotic and cysticercotic immunized pigs. These metacestodes exhibited several stages of destruction. Large numbers of eosinophils were frequently observed in a close association with the degeneration and destruction of parasites. Metacestodes in control cysticercotic pigs were intact and surrounded by a minor inflammatory reaction. Finally, the rate of in vitro evagination of scolices was high in metacestodes obtained from cysticercotic pigs and low or absent in those from immunized pigs (P < 0.01).

Animals↗

PubMed1995

[Ocular cysticercosis].

Ocular cysticercosis results from development of Taenia solium larvae, Cysticercus cellulosae, in the eye. This condition is observed all over the world but is particularly common in developing countries. The eye, like nervous system and muscle tissue, is a prime location for parasitic development because of its rich vascularization. Intraorbital cysticercosis accounts for 75 to 85% of cases and if untreated leads to blindness. Intravitreal involvement is the most common followed by subretinal involvement. Involvement of other structures such as the camera aqueosa, iris, and crystalline lens is rare. Diagnosis of intraocular cysticercosis is straightforward when cysticerci are visible. Immunologic testing of aqueous humor using ELISA, western-blot, or immunodetection of circulating antigens can be useful diagnostic techniques in patients with opacification of the eye. Involvement of the orbit, palpebra, conjunctiva, and lacrimal glands is observed in 20 to 25% of cases. Diagnosis of adnexal involvement is facilitated by ultrasonography and CT-scan. Drug therapy for ocular manifestations of cysticercosis is ineffective and hastens progression of the disease by exacerbating the inflammatory response. Surgical treatment is the only alternative. Significant progress has been made thanks to new microsurgical vitreal and retinal procedures but these techniques are often unavailable in developing countries. The severity of ocular cysticercosis and poor management facilities in developing countries underlines the need for prevention by sanitary measures and health education.

Cysticercosis↗

PubMed2002

[Epidemiological study on taeniasis and cysticercosis in Shandong Province].

OBJECTIVE: To investigate current epidemiological status of Taenia solium infection and cysticercosis in Shandong Province. METHODS: By house to house interview in the field, fecal examination and serological tests, the prevalence data of taeniasis and cysticercosis in human and pig population, and epidemiological factors in relation to the diseases were carried out. RESULTS: The prevalence of Taenia infection and cysticercosis in human population were 0.048% and 0.057% respectively. The sero-positive rate of the specific IgG4 of anti-Cysticercus was 1.91%. The prevalence differed among occupations and from region to region, but there was no significant difference between men and women, city and suburb. Unhealthy eating and unhygienic habits commonly practised among residents, 92.3% of the families have "latrines connected to pigsties". The surrounding sanitation and the disposal of fecal material were poor. The detection rate of porcine cysticercosis was 0.06%, and the positive rate of anti-Cysticercus antibody in pigs was 1.99%. CONCLUSION: The prevalence of taeniasis and cysticercosis is decreasing. However, the endemic area is expanding and the epidemiological factors are still existing. Continued effort is therefore needed for sustain the control programme.

Adolescent↗

PubMed2001

[Application of dot immunogold filtration assay in antibody detection for cysticercosis].

OBJECTIVE: To detect serum antibody of cysticercosis by dot immunogold filtration assay for establishing a diagnostic kit for cysticercosis patients. METHODS: Cyst fluid of cysticercus of Taenia solium after dialysis was used as diagnostic antigen in dot immunogold filtration assay and enzyme-linked immunosorbent assay to detect the serum antibody in patients with cysticercosis. Samples to be detected included 71 sera from patients with cysticercosis, 90 sera from healthy people, 20 sera from patients with other parasitic infections or brain tumor. RESULTS: The sensitivity and specificity of dot immunogold filtration assay were 90.1%(64/71) and 95.6%(86/90), respectively. No positive reaction was recorded in cases with other diseases except one serum from a patient with brain tumor. The coincidence rate between dot immunogold filtration assay and enzyme-linked immunosorbent assay was 94.4% (152/161). CONCLUSION: Dot immunogold filtration assay showed promising result for the diagnosis of cysticercosis.

Animals↗

PubMed2005

Cysticercosis of the eye in South India--a case series.

PURPOSE: To study the clinical presentation and treatment outcome of patients with ocular cysticercosis in southern India. METHODS: This study included 10 patients who were diagnosed to have ocular or adnexal cysticercosis over a period of one year in Pondicherry, India. The clinical presentation, results of investigation and treatment outcome of the cases were analysed retrospectively. RESULTS: Age of these patients ranged from 12 to 55 years. Four presented with loss of vision, two with a swelling in the eyelid, one with proptosis, one with diplopia and two with conjunctival involvement. ELISA for cysticercus antibodies in serum was positive in all cases. Albendazole and prednisolone were given for the treatment of these cases. Two patients responded well to treatment and were completely cured of the disease. There was partial improvement in 6 cases. Surgery in the form of excision was performed in two cases following a course of medical therapy. There was no significant change in visual acuity in eyes with intraocular cysticercosis following treatment. CONCLUSION: Ultrasonography B scan and ELISA for anticysticercal antibodies help to establish the diagnosis of ocular cysticercosis. A combination of oral albendazole and corticosteroids is found to be effective in confirmed cases. Intraocular cysticercosis is associated with a poor prognosis for vision.

Adolescent↗

PubMed2005

[Visual system involvement in selected zoontic diseases. III. Cysticercosis T. solium].

Cysticercosis of visual system is a serious clinical problem. Cysticercosis (cysticercus cellulose) may cause damage to different structures of this system, leading sometimes to dangerous consequences (phthisis and total blindness). Involvement of visual system may coexist with cysticercosis of central nervous system. In current paper we present parasytologic and epidemiologic aspects, as well as clinical pathology of T. solium cysticercosis with special attention directed to lesions within visual system. Current laboratory methods (immuno- and radiologic) indispensable for diagnosis of cysticercosis, as well as outline of therapy (pharmacological and surgical), are also presented.

Animals↗

PubMed1991

[Determination of circulating antigen in cysticercosis patients using McAb-based ELISA].

For the first time, the determination of circulating antigen in patients with cysticercosis using specific monoclonal antibody against cysticercus antigen (CCyl) based on inhibitive ELISA was reported. The circulating antigens were detected in the sera from 83 patients with cysticercosis, the positive rate being 71.1%. The range of the detectable serum antigen concentrations was 0.16-128 micrograms/ml. In 41 cases of cysticercosis patients, circulating antigens were determined in both sera and cerebrospinal fluids, the positive rates being 68.3% and 78% respectively, the total positive rate being 90.2%. In 114 sera from normal persons, circulating antigen was absent. In 30 sera from patients with hydatidosis, 30 with clonorchiasis, 20 with schistosomiasis japonica, 24 with paragonimiasis, and 5 sera collected from non-parasitosis patients, serum circulating antigen was not detectable. In another 10 non-parasitosis patients, circulating antigen was not found in cerebrospinal fluid. After chemotherapy for one half to one year, in 21 out of 23 cases of cysticercosis patients, the circulating antigen levels in sera dropped to zero, except for two cases having an antigen level of 0.64 micrograms/ml and 1.6 micrograms/ml, respectively. Our results showed that the determination of the circulating cysticercus antigen was very specific for the diagnosis of active infection of cysticercosis and could be used as a rational tool in monitoring the effectiveness of chemotherapy.

Animals↗

PubMedDate not supplied

Cysticercosis in an urban black South African community: prevalence and risk factors.

Cysticercosis still represents a significant health problem in developing communities, despite supposed improvements in sanitation and personal hygiene. An ELISA for Cysticercosis antibodies was performed on serum from 230 random adult admissions to Baragwanath Hospital. Seventeen patients were seropositive giving a prevalence of 7.39% for this group of urban black South Africans. Twenty-one patients with documented cerebral cysticercosis were selected in order to evaluate risk factors for cysticercosis. Of the risk factors considered only a history of tapeworm infestation appeared to be significant. Even urbanisation has not resulted in n reduction in the prevalence of Cysticercosis and it appears that the disease continues to be endemic in this developing community.

Black or African American↗

PubMedDate not supplied

[Criteria for the diagnosis of epilepsy caused by cerebral cysticercosis in a population of recruits].

Epidemiological and clinical characteristics as well as characteristic of paraclinical findings in epilepsia caused by cerebral cysticercosis in recruit population have been studied. The experimental group consisted of 50 recruits with epilepsia caused by cerebral cysticercosis and the control group consisted of 28 recruits with symptomatic epilepsia of other etiology. By correlation of all the results obtained the criteria for diagnosis of epilepsia caused by cerebral cysticercosis have been defined. The results were graded as reliable, probable and suspected. For diagnosis of epilepsia caused by cerebral cysticercosis the decisive factors have been the results of tests of indirect immunofluorescence to cysticercosis (IIF) and computerized tomography (CT) of the brain. Finally, some clinical signs and paraclinical findings have been grouped on the basis of which it can be established a reliable, probable or suspected diagnosis of the disease.

Adolescent↗

PubMed1989

Distribution of bovine cysticercosis in Washington.

Data from slaughter plants (n = 3) and feedlots (n = 18) in eastern Washington were analyzed to characterize occurrence patterns of cysticercosis in Washington during 1984. Three concurrent peaks in cysticercosis rates (0.6/1,000 to 5/1,000 slaughtered cattle) were detected at 3 slaughter plants. Peaks were observed at 8 feedlots from December 1983 to March 1984, at 6 feedlots from April to July 1984, at 2 feedlots from August to October 1984, and at 3 feedlots from November 1984 to February 1985. Affected feedlots were not closely associated geographically and were feeding cattle from many, predominantly northwestern, origins. For 3 feedlots for which time in the feedlot was available for each slaughter shipment, an increase in cysticercosis rate with increasing time in the feedlot was noticed. Within these 3 feedlots, cases of cysticercosis were widely scattered spatially. The pattern of cysticercosis indicated human fecal contamination of a regionally available feed source. Of feedstuffs in use, potato waste, a byproduct of the processed potato industry, appeared to be the most likely source of Taenia saginata ova.

Abattoirs↗

PubMedDate not supplied

Fine needle aspiration diagnosis of cysticercosis in soft tissue swellings.

The cytomorphologic criteria for diagnosing cysticercosis in fine needle aspirates are described. A retrospective analysis of aspirates from 62 cases with subcutaneous swellings in various sites showed the presence of the parasite in 25 cases. In another 31 cases, the aspiration smears contained no larval parts, but did contain an inflammatory reaction (consisting of large numbers of eosinophils and palasading histiocytes) suggestive of a parasitic cyst. Corresponding histologic material from 19 of these cases were diagnostic of cysticercosis in 9 cases and suggestive of cysticercosis in 10. However, histology was diagnostic of cysticercosis in six cases that produced acellular aspirates. These results show that fine needle aspiration cytology can diagnose or suggest cysticercosis in many cases, but may be falsely negative in a few.

Animals↗

PubMed1986

[Cerebral cysticercosis--report of an operated case].

A rare case of cerebral cysticercosis is reported. The patient, a 49-year-old man, had been to Central America several times since 1963. He had an episode of seizure in March 1980 and again in August 1983, and was admitted to our hospital. Skull X-ray, cerebral angiography, scintigraphy, EEG, CSF examination, Chest X-ray, blood and urine examinations were all normal. CT scan only revealed a small lesion in the left frontal lobe as a well circumscribed round low density area with ring-like enhancement. An operation was performed for a suspected brain tumor. However, a cyst was found in the left frontal lobe and was totally extirpated. The microscopic examination revealed a scolex, hooks, and a cyst characteristic of cysticercosis. Postoperative examinations, X-ray of extremities, abdominal CT and immunological reactions of cysticercosis showed no abnormal findings. Cerebral cysticercosis, a rare disease in Japan, may increase proportionally with the increase of world travel. In this case, CT scan was useful for the diagnosis of cysticercosis.

Brain Diseases↗

PubMed1979

[Cerebrospinal fluid in cysticercosis of the brain].

Cerebrospinal fluid (CSF) changes in brain cysticercosis have long been known. Its characteristic features are a mild or moderate pleocytosis with eosinophils, a slight or moderate protein increase with an elevated gammaglobulin concentration, and a positive complement fixation test. Unfortunately all these abnormalities are not always present together and difficulties may be encountered in the diagnosis. This paper presents a study based on the experience acquired in the CSF Laboratory of the Neurological Department of Escola Paulista de Medicina (São Paulo, Brasil) after 35 years' work, and 120.000 CSF specimens examined. The material consists of 147 cases of brain cysticercosis confirmed by necropsy, surgery, subcutaneous or intraocular cysticercus, x ray of the skull, and of 509 clinical observation with suggestive CSF changes. It is the purpose of this paper to appreciate the importance of each of the CSF tests and to observe the CSF abnormalities during the course of this disease. The results of the study of the 79 cases varified by necropsy or surgery showed that the characteristic CSF changes that make the diagnosis of brain cysticercosis were observed in 54 percent of the cases. The eosinophils were present in 82 percent, protein changes in 78 percent, complement fixation test in 70 per cent, hypertension in 55 per cent, and decreased sugar content in 27 per cent of the cases. In two cases the CSF was normal. As the eosinophils and the protein abnormalities may be seen in several other diseases, the complement fixation test for cysticercus should be regarded as the most important CSF test in the diagnosis of brain cysticercosis. The successive CSF specimens withdrawn of 40 patients during the course of this disease have shown that the abnormalities went on for 4 to 18 years observation, suggesting that the parasites were alive. On the contrary, in 11 other cases it was varified the final CSF normalization after 5 to 14 years, suggesting that the parasites were dead. The CSF was normal in 31 out of 42 patients with opaque nodules visible in skull films (calcified cysticercus). In the remaining 11 cases, the characteristic CSF findings were observed in 3, but in 8 cases the only abnormalities were positive complement fixation test or eosinophils. In 14 out of 26 patients with subcutaneous or introacular cysticercus there were the usual CSF changes but in the other remaining cases the CSF was normal. The absence of treatment for brain cysticercosis is consistent with the persistence of CSF abnormalities in the specimens examined during the course of this disease. This calls for an integrated prophylactic to all Latin-American countries in order to exterminate this serious disease for the well-being of the next generation.

Brain Diseases↗