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Neurology 1999;53:1582
© 1999 American Academy of Neurology
Brief Communications

Heavy nonencephalitic cerebral cysticercosis in tapeworm carriers

Hector H. García, MD, Oscar H. Del Brutto, MD and The Cysticercosis Working Group in Perú*

From the Departments of Microbiology and Pathology (Dr. García), Universidad Peruana Cayetano Heredia; the Department of Transmissible Diseases (Dr. García), Instituto Nacional de Ciencias Neurológicas, Lima, Perú; and the Department of Neurology (Dr. Del Brutto), Luis Vernaza Hospital, Guayaquil, Ecuador.

Address correspondence and reprint requests to Dr. Hector H. García, Department of Transmissible Diseases, Instituto Nacional de Ciencias Neurológicas, Jr. Ancash 1271, Barrios Altos, Lima 1, Perú; e-mail: hgarcia{at}pol.com.pe

We describe 11 patients with massive brain infection with viable cysticerci, undetectable inflammatory reaction on CNS imaging, and an unexpectedly high (82%) prevalence of tapeworm infection. With the exception of two individuals with heavy parasite loads, patients had a relatively benign clinical course and tolerated the use of cysticidal drugs. This group of patients represents a particular presentation of neurocysticercosis, different from the previously described syndromes of cysticercotic encephalitis and disseminated systemic cysticercosis.

Key words: Cysticercosis—Neurocysticercosis—Taenia solium—Tapeworm infection.




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