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:

Focal neurologic signs depend on the site, size and number of the lesions. It is described in up to 20% of cysticercosis patients. (20)

  1. Motor deficit (most common)
  2. Sensory dysfunction
  3. Speech deficulties
  4. 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

Extraneural cysticercosis:

Cutanuous:

May be asymtomatic Irritation and disfigurement by the nodules

Muscular:

Asymptoamtic Muscle aches and weakness

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