Cysticercosis history and symptoms: Difference between revisions
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Depending on the site of compression, signs of spinal cord compression vary | Depending on the site of compression, signs of spinal cord compression vary | ||
* | *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 cysticercosis:=== | ===Extraneural cysticercosis:=== | ||
Revision as of 19:57, 14 April 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
History and Symptoms
Presenting symptoms vary with according to the site of infestation:
Neurocysticercosis
Parenchymal:
Focal neurologic signs depend on the site, size and number of the lesions. It is described in up to 20% of cysticercosis patients. (20)
- Motor deficit (most common)
- Sensory dysfunction
- Speech deficulties
- Cerebellar ataxia
Extraparenchymal:
1. Ocular cysticercosis:
- Decreased visual acuity.
- Depending on the site of infestation .. patient may present with uveitis, retinitis or endophthalmitis
2. Extraparenchymal in the brain ventricles and subarachnoid space:
Signs of increased intracranial pressure:
- Papilledema
- Increased opening pressure of lumber puncture
- In late stages, reflex bradycardia and decreased level of consciousness
3. Spinal cord cysticercosis:
Depending on the site of compression, signs of spinal cord compression vary
- 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 cysticercosis:
Cutanuous:
May be asymtomatic Irritation and disfigurement by the nodules
Muscular:
Asymptoamtic Muscle aches and weakness