Neurocysticercosis: Two Hundred Thirty-Eight Cases From a California Hospital

doi:10.1001/archneur.1988.00520310087022

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Vol. 45 No. 7, July 1988

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Neurocysticercosis

Two Hundred Thirty-Eight Cases From a California Hospital

David Scharf, MD

Arch Neurol. 1988;45(7):777-780.

Abstract

• Neurocysticercosis is no longer a medical curiosity inthe United States. Two hundred thirty-eight patients with neurocysticercosiswere studied between 1981 and 1986 at the Los Angeles County-Universityof Southern California Medical Center, Los Angeles. Presentingsigns and symptoms were protean—ranging from a singleconvulsion to coma and death. Fifty-one patients (21%) presentedwith an acute increase in intracranial pressure. There were71 patients who ultimately required a shunting procedure orcraniotomy. Presentation, diagnosis, management, and laboratoryadjuncts (the role of cysticercosis titers and the electroencephalogram)are discussed. Mortality and morbidity can be reduced by maintaininga high degree of suspicion in populations at increased riskfor cysticercosis.

Author Affiliations

From the Department of Neurology, Los Angeles County-University of Southern California Medical Center, Los Angeles.

Footnotes

Accepted for publication Dec 21, 1987.

Reprint requests to Department of Neurology, Los Angeles County-Universityof Southern California Medical Center, Los Angeles, CA 90033(Dr Scharf).

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