CNS Cysticercosis

doi:10.1001/archneur.1982.00510210010003

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Vol. 39 No. 9, September 1982

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CNS Cysticercosis

J. Santiago Grisolia, MD; W. C. Wiederholt, MD

Arch Neurol. 1982;39(9):540-544.

Abstract

• Worldwide, cysticercosis is the most common CNS parasite.Because of immigration from endemic areas, cysticercosis hasbecome more common in the United States. Seventeen cases havebeen seen at the University of California Medical Center, SanDiego (La Jolla) over the last ten years. Eight patients hadintracranial hypertension; three, seizures; three, intracranialhypertension and seizures; two, strokes; and one, retinal involvement.Diagnosis was by surgical biopsy in five cases and by clinicalsetting plus positive serologic findings in 12. Twelve patientsunderwent surgical procedures during their illness, one patientdied, and five improved with steroid therapy. Clinical, serologic,and pathologic criteria permit definitive diagnosis. Therapyis currently directed toward complications of the primary infection,which usually is inactive at the time of presentation.

Author Affiliations

From the Department of Neurosciences, University of California San Diego Medical Center, La Jolla.

Footnotes

Accepted for publication April 15, 1982.

Reprint requests to Department of Neurosciences (M-008), Universityof California, San Diego, La Jolla, CA 92093 (Dr Wiederholt).

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