Shrestha Bandana, Mainali Prabha, Sayami Sujan, Shrestha Om Kumar
Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
JNMA J Nepal Med Assoc. 2013 Jul-Sep;52(191):483-8.
Neurocysticercosisis common in developing countries including Nepal. Clinicalpresentations vary depending on the CT scan findings of head. Adequate information of neurocysticercosis in children from Western Nepal is lacking. This study was conducted with an objective of evaluating the most common clinical and radiological picture in children suffering from NCC at a tertiary care teaching hospital in Western Nepal.
Hospital records of all pediatric inpatients, admitted from 16th June 2010 to 15th December 2012, consistent with the diagnosis of Neurocysticercosis were reviewed.
Forty nine cases of neurocysticercosis were enrolled. Their age varied 2.6 years to 14 years with the mean age of 10.6 years and the peak age was at 12 years with slight male predominance, ratio being male:female 1.2:1. The commonest presentation was seizures (n=38; 77.5 %); partial seizures being most common. Most of the lesions were single (n=44; 89.8%), predominantly in the parietal region (n=20; 40.8%) and most were in transitional stage (61.22%) in Computed tomography (CT).However, number of lesions from CT scan of head showed no significance in association with seizure types (p=0.84). In addition, perilesional edema and scolex within the lesion were noted in 67.34% and 18.36% of the cases respectively.
Any child presenting with acute onset of afebrile seizure should be screened for neurocysticercosis provided other common infective and metabolic causes are ruled out. CT scan is the valuable diagnostic tool to support our diagnosis.
神经囊尾蚴病在包括尼泊尔在内的发展中国家很常见。临床表现因头部CT扫描结果而异。尼泊尔西部儿童神经囊尾蚴病的充分信息尚缺。本研究旨在评估尼泊尔西部一家三级护理教学医院中患神经囊尾蚴病儿童最常见的临床和放射学表现。
回顾了2010年6月16日至2012年12月15日期间收治的所有符合神经囊尾蚴病诊断的儿科住院患者的医院记录。
纳入了49例神经囊尾蚴病病例。他们的年龄在2.6岁至14岁之间，平均年龄为10.6岁，发病高峰年龄为12岁，男性略占优势，男女比例为1.2:1。最常见的表现是癫痫发作（n=38；77.5%）；部分性癫痫发作最为常见。大多数病变为单发（n=44；89.8%），主要位于顶叶区域（n=20；40.8%），在计算机断层扫描（CT）中大多数处于过渡阶段（61.22%）。然而，头部CT扫描的病变数量与癫痫发作类型无关（p=0.84）。此外，分别在67.34%和18.36%的病例中观察到病变周围水肿和病变内头节。
对于任何出现无热惊厥急性发作的儿童，在排除其他常见感染和代谢原因后，应筛查神经囊尾蚴病。CT扫描是支持我们诊断的有价值的诊断工具。
