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Epilepsy and neurocysticercosis in a village in Huaraz, Peru |
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| Authors: | Garcia H H Talley A Gilman R H Zorrilla L Pretell J |
| Institution: | a Departments of Microbiology and Pathology, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, S.M.P., Lima, Peru b Department of Transmissible Diseases, Instituto Nacional de Ciencias Neurologicas, Jr. Ancash 1271, Barrios Altos, Lima 1, Lima, Peru c Mount Sinai School of Medicine, New York, NY, USA d A.B.PRISMA, Carlos Gonzales 251, Sn Miguel, Lima, Peru e Department of International Health, School of Hygiene and Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, USA f Hospital de Apoyo Huari, Huari, Peru |
| Abstract: | Sixteen individuals presenting with seizures in a rural village of Peru were screened for antibodies to Taenia solium, and those willing to attend were offered a complete neurological work-up including EEG and cerebral CT scan in a reference center. Seroprevalence using immunoblot was 35% (5/16). Eight individuals came for examination. CT scans were abnormal in all four seropositive cases (an enhancing lesion in one case, multiple live cysts and calcifications in one case, and multiple calcifications in two cases), and normal in the four seronegative individuals. Electroencephalographic tracings were normal in six cases, and abnormal in one seronegative and in one seropositive individual. Neurocysticercosis (NCC) is frequently found in epileptic individuals in most developing countries, and is probably the major cause of seizures in this zone. |
| Keywords: | Cysticercosis Taenia solium EITB CT Scan Epilepsy Epidemiology |
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