Cysticercosis physical examination: Difference between revisions
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===Neurocysticercosis=== | ===Neurocysticercosis=== | ||
====Parenchymal:==== | ====[[Parenchymal]]:==== | ||
Physical signs on [[Neurological examination|neurological examion]] are highly variable and depend on the number, site and size of the lesions: | Physical signs on [[Neurological examination|neurological examion]] are highly variable and depend on the number, site and size of the lesions: | ||
| Line 14: | Line 14: | ||
*[[Decreased level of consciousness]] | *[[Decreased level of consciousness]] | ||
*Speech and Language deficits | *Speech and Language deficits | ||
*Cerecellar and | *[[Cerebellar|Cerecellar]] and [[Extrapyramidal system|extrapyramida]]<nowiki/>l deficits | ||
====Extraparenchymal:==== | ====Extraparenchymal:==== | ||
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* Retinal and subretinal infestaion have the worst prognosis and are the most difficult to treat. | * Retinal and subretinal infestaion have the worst prognosis and are the most difficult to treat. | ||
<u>2. Extraparenchymal in the brain ventricles and | <u>2. Extraparenchymal in the [[Ventricles|brain ventricles and subarachno]][[Subarachnoid space|id space]]:</u> | ||
Signs of increased intracranial pressure: | Signs of [[increased intracranial pressure]]: | ||
*[[Papilledema]] | *[[Papilledema]] | ||
Revision as of 11:09, 18 April 2017
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Cysticercosis Microchapters |
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Cysticercosis physical examination On the Web |
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American Roentgen Ray Society Images of Cysticercosis physical examination |
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Risk calculators and risk factors for Cysticercosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Neurocysticercosis
Parenchymal:
Physical signs on neurological examion are highly variable and depend on the number, site and size of the lesions:
- Motor imapirment: Most common finding and can be in the form of hemiparesis or focal motor deficit.
- Sensory deficit
- Decreased level of consciousness
- Speech and Language deficits
- Cerecellar and extrapyramidal deficits
Extraparenchymal:
1. Ocular cysticercosis:
- Symptoms depend on the exact site of infestation in the eye.
- Retinal and subretinal infestaion have the worst prognosis and are the most difficult to treat.
2. Extraparenchymal in the brain ventricles and subarachnoid space:
Signs of increased intracranial pressure:
- Papilledema
- High opening pressure on lumbar puncture
- In advanced cases: reflex bradycardia and decreased level of consciousness
3. Spinal cord cysticercosis:
It is very rare (1.5-3% of all the cases).[1]The presentaion depends on the site of the lesion.
- Paralysis of limbs below the level of compression
- Decreased sensation below the level of compression
- Lhermitte's sign (intermittent shooting electrical sensation)
- Hyperreflexia may be present.
- Babinski sign positive
Extraneural
Muscular cysticercosis
- Muscular pseudohypertrophy, which presents with muscle swelling
- Muscular atrophy and fibrosis at later stage
Cutaneous cysticercosis
- Subcutaneous cysts are in the form of firm, mobile nodules, occurring mainly on the trunk and extremities.
Gallery
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![Presence of a cysticercus, the larval form of the Taenia solium pork tapeworm in the pupil of this patient’s left eye. Although rare, cysticerci may float in the eye and cause blurry or disturbed vision. Infection in the eyes may cause swelling or detachment of the retina. From Public Health Image Library (PHIL). [2]](/images/b/bc/Taenia_solium01.jpeg)
Presence of a cysticercus, the larval form of the Taenia solium pork tapeworm in the pupil of this patient’s left eye. Although rare, cysticerci may float in the eye and cause blurry or disturbed vision. Infection in the eyes may cause swelling or detachment of the retina. From Public Health Image Library (PHIL). [2]
![Presence of a cysticercus, the larval form of the Taenia solium pork tapeworm in the pupil of this patient’s left eye. Although rare, cysticerci may float in the eye and cause blurry or disturbed vision. Infection in the eyes may cause swelling or detachment of the retina. From Public Health Image Library (PHIL). [2]](/index.php/File:Taenia_solium01.jpeg)
References
- ↑ Alsina GA, Johnson JP, McBride DQ, Rhoten PR, Mehringer CM, Stokes JK (2002). "Spinal neurocysticercosis". Neurosurg Focus. 12 (6): e8. PMID 15926787.
- ↑ "Public Health Image Library (PHIL)".