Cysticercosis history and symptoms: Difference between revisions
Jump to navigation
Jump to search
Ahmed Younes (talk | contribs) No edit summary |
Ahmed Younes (talk | contribs) |
||
| Line 9: | Line 9: | ||
====Parenchymal:==== | ====Parenchymal:==== | ||
Many cases (up to 80%) can remain [[asymptomatic]] and discovered either in [[autopsies]] or accidentally during routine imaging. | Many cases (up to 80%) can remain [[asymptomatic]] and discovered either in [[autopsies]] or accidentally during routine imaging.<ref name="pmid2913118">{{cite journal |vauthors=Isnard RN, Pannier BM, Laurent S, London GM, Diebold B, Safar ME |title=Pulsatile diameter and elastic modulus of the aortic arch in essential hypertension: a noninvasive study |journal=J. Am. Coll. Cardiol. |volume=13 |issue=2 |pages=399–405 |year=1989 |pmid=2913118 |doi= |url=}}</ref> | ||
*Seizures: Most common manifestation of [[Parenchymal|parenchymal neuroccysticercosis]]. | *Seizures: Most common manifestation of [[Parenchymal|parenchymal neuroccysticercosis]].<ref name="pmid3261519">{{cite journal |vauthors=Oot RF, Melville GE, New PF, Austin-Seymour M, Munzenrider J, Pile-Spellman J, Spagnoli M, Shoukimas GM, Momose KJ, Carroll R |title=The role of MR and CT in evaluating clival chordomas and chondrosarcomas |journal=AJR Am J Roentgenol |volume=151 |issue=3 |pages=567–75 |year=1988 |pmid=3261519 |doi=10.2214/ajr.151.3.567 |url=}}</ref>Seizers can be [[Focal seizures|focal]], [[Generalized seizure|generalized]] or focal with secondary generalization. | ||
*[[Headache]] | *[[Headache]] | ||
*[[Nausea and vomiting]] | *[[Nausea and vomiting]] | ||
*Psychiatric disorders: has a wide variatoin from abnormal dysfunction and up to [[dementia]] | *Psychiatric disorders: has a wide variatoin from abnormal dysfunction and up to [[dementia]] <ref name="pmid3261519">{{cite journal |vauthors=Oot RF, Melville GE, New PF, Austin-Seymour M, Munzenrider J, Pile-Spellman J, Spagnoli M, Shoukimas GM, Momose KJ, Carroll R |title=The role of MR and CT in evaluating clival chordomas and chondrosarcomas |journal=AJR Am J Roentgenol |volume=151 |issue=3 |pages=567–75 |year=1988 |pmid=3261519 |doi=10.2214/ajr.151.3.567 |url=}}</ref> | ||
====Extraparenchymal:==== | ====Extraparenchymal:==== | ||
| Line 33: | Line 33: | ||
<u>3. Spinal cord cysticercosis:</u> | <u>3. Spinal cord cysticercosis:</u> | ||
It is very rare (1.5-3% of all the cases). | It is very rare (1.5-3% of all the cases).<ref name="pmid15926787">{{cite journal |vauthors=Alsina GA, Johnson JP, McBride DQ, Rhoten PR, Mehringer CM, Stokes JK |title=Spinal neurocysticercosis |journal=Neurosurg Focus |volume=12 |issue=6 |pages=e8 |year=2002 |pmid=15926787 |doi= |url=}}</ref>The presentaion depends on the site of the lesion. | ||
*[[Low back pain]] that may radiate down the legs | *[[Low back pain]] that may radiate down the legs | ||
Revision as of 04:45, 16 April 2017
|
Cysticercosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Cysticercosis history and symptoms On the Web |
|
American Roentgen Ray Society Images of Cysticercosis history and symptoms |
|
Risk calculators and risk factors for Cysticercosis history and symptoms |
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:
Many cases (up to 80%) can remain asymptomatic and discovered either in autopsies or accidentally during routine imaging.[1]
- Seizures: Most common manifestation of parenchymal neuroccysticercosis.[2]Seizers can be focal, generalized or focal with secondary generalization.
- Headache
- Nausea and vomiting
- Psychiatric disorders: has a wide variatoin from abnormal dysfunction and up to dementia [2]
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:
Cysticerci obstruct of the flow of the CSF and cause hydrocephalus. Symptoms usually result from increased intracranial pressure.
3. Spinal cord cysticercosis:
It is very rare (1.5-3% of all the cases).[3]The presentaion depends on the site of the lesion.
- Low back pain that may radiate down the legs
- Weakness in the legs and feet
- Loss of sensation in the legs and feet
- Bladder and bowel incontinence
- Sexual dysfunction
- Foot drop
- Decreased or absent reflexes in the legs
- Pain in the chest and/or back
- Loss of sensation below the level of the compression
- Paralysis of respiratory muscles
Extraneural
Muscular cysticercosis
- Can be asymptomatic and calcification discovered accidentally on imaging
- Muscle aches and weakness
Cutaneous cysticercosis
- Can be asymptomatic
- Discomfort, pruritis and excoriations
References
- ↑ Isnard RN, Pannier BM, Laurent S, London GM, Diebold B, Safar ME (1989). "Pulsatile diameter and elastic modulus of the aortic arch in essential hypertension: a noninvasive study". J. Am. Coll. Cardiol. 13 (2): 399–405. PMID 2913118.
- ↑ 2.0 2.1 Oot RF, Melville GE, New PF, Austin-Seymour M, Munzenrider J, Pile-Spellman J, Spagnoli M, Shoukimas GM, Momose KJ, Carroll R (1988). "The role of MR and CT in evaluating clival chordomas and chondrosarcomas". AJR Am J Roentgenol. 151 (3): 567–75. doi:10.2214/ajr.151.3.567. PMID 3261519.
- ↑ Alsina GA, Johnson JP, McBride DQ, Rhoten PR, Mehringer CM, Stokes JK (2002). "Spinal neurocysticercosis". Neurosurg Focus. 12 (6): e8. PMID 15926787.