Cysticercosis history and symptoms
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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:
Many cases (up to 80%) can remain asymptomatic and discovered either in autopsies or accidentally during routine imaging. 19
- Seizures: Most common manifestation of parenchymal neuroccysticercosis.20Seizers 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 (20)
Extraparenchymal:
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.
- 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.
Headache Nausea and vomiting Decreased visual acuity Seizures
- Spinal cord cysticercosis:
very rare (1.5-3%) of all the cases. (21) Presentaion depends on the site of the lesion.
Paraesthesia radicular pain Muscular weakness due to LMN lesions
Extraneural cysticercosis:
Cutanuous:
May be asymtomatic Irritation and disfigurement by the nodules
Muscular:
Asymptoamtic Muscle aches and weakness