Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
CYSTICERCOSIS AND EPILEPSY - A CRITICAL-REVIEW
Autore:
CARPIO A; ESCOBAR A; HAUSER WA;
Indirizzi:
POB 0101-719 CUENCA ECUADOR UNIV CUENCA,FAC MED CUENCA ECUADOR UNIV CUENCA,RES INST CUENCA ECUADOR NATL INST NEUROL & NEUROSURG MEXICO,DEPT PATHOL MEXICO CITY DF MEXICO UNIV MEXICO,INST BIOMED RES,DEPT NEUROBIOL MEXICO CITY DF MEXICO COLUMBIA UNIV COLL PHYS & SURG,GERTRUDE H SERGIEVSKY CTR NEW YORK NY 10032
Titolo Testata:
Epilepsia
fascicolo: 10, volume: 39, anno: 1998,
pagine: 1025 - 1040
SICI:
0013-9580(1998)39:10<1025:CAE-AC>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
TAENIA-SOLIUM TAENIASIS; 1ST UNPROVOKED SEIZURE; LINKED IMMUNOELECTROTRANSFER BLOT; ORTHODOX JEWISH-COMMUNITY; CT SCAN ABNORMALITIES; LATE-ONSET EPILEPSY; CEREBRAL CYSTICERCOSIS; MEDICAL-TREATMENT; FOLLOW-UP; INTRAVENTRICULAR CYSTICERCOSIS;
Keywords:
EPILEPSY; CYSTICERCOSIS; EPIDEMIOLOGY; ANTIHELMINTHIC TREATMENT; IMAGING STUDIES;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
199
Recensione:
Indirizzi per estratti:
Citazione:
A. Carpio et al., "CYSTICERCOSIS AND EPILEPSY - A CRITICAL-REVIEW", Epilepsia, 39(10), 1998, pp. 1025-1040

Abstract

Neurocysticercosis (NC) remains a major public health problem in developing and some developed countries. Currently, the best procedures for diagnosing NC are neuroimaging studies. Immunoserologic assays, suchas enzyme-linked immunoelectrotransfer blot assay (EITB) or enzyme-linked immunosorbent assay (ELISA), detect antibodies against Taenia solium, or cysticercus. Consequently, they are useful in idenfying a population at risk of contact with the parasite but do not necessarily indicate a systemic active infection. Most seropositive individuals are asymptomatic. No data from prospective studies concern the proportion of these individuals that will develop seizures or other neurologic symptoms. Then is a discrepancy between the results of serologic assays and neuroimaging studies: >50% of those individuals with NC diagnosed by computed tomography (CT) scan test EITB negative. Pathophysiologic classification of NC into active, transitional, and inactive forms permits a good correlation between clinical manifestations and neuroimaging procedures and facilitates medical and surgical management and research. The most frequent clinical manifestations of NC are seizures. We assume that NC is the main cause of symptomatic epilepsy in developingcountries; however, no case-control or cohort studies demonstrate this association. Most patients with NC with seizures have a good prognosis; nevertheless, further studies analyzing factors related to recurrence of seizures and possibilities of discontinuation of antiepileptic medications (AEDs) are needed. Regarding treatment of NC with antihelminthic drugs, no controlled clinical trials exist that establish specific indications, definitive doses, and duration of treatment. The mosteffective approach to taeniasis/cysticercosis infection is prevention. This should be a primary public health focus for developing countries. We critically review the available information regarding the epidemiology and diagnosis of human cysticercosis, the physiopathology and imaging correlation of the parasite in the central nervous system (CNS)of the host, the relation between seizures or epilepsy and NC, and the issues surrounding the treatment and prognosis of NC, including the use of antihelminthic therapy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 03:02:05