Camargo José Augusto, Bertolucci Paulo Henrique Ferreira
Departamento De Neurologia E Neurocirurgia Da Universidade Federal De São Paulo/Hospital São Paulo, São Paulo, Brasil.
Open Neurol J. 2015 Jun 10;9:15-20. doi: 10.2174/1874205X01509010015. eCollection 2015.
Neurocysticercosis is a parasitic disease that affects the central nervous system. Its main clinical manifestations are epileptic seizures. The objective of this study was to investigate the correlation between neurotransmitter concentrations in cerebrospinal fluid (CSF) and the different evolutive forms of neurocysticercosis with or without seizures.
Neurotransmitter concentrations (Aspartate, Glutamate, GABA, Glutamine, Glycine, Taurine) were determined in CSF samples from 42 patients with neurocysticercosis divided into patients with the active cystic form (n = 24, 12 with and 12 without seizures) and patients with calcified form (n = 18, 12 with and 6 without seizures), and a control group consisting of 59 healthy subjects.
Alterations in amino acid concentration were observed in all patients with neurocysticercosis.
We conclude that disturbances in amino acid metabolism accompany the presentation of neurocysticercosis. Replacement of the terms inactive cyst by reactive inactive cyst and calcification by reactive calcification is suggested.
神经囊尾蚴病是一种影响中枢神经系统的寄生虫病。其主要临床表现为癫痫发作。本研究的目的是调查脑脊液(CSF)中神经递质浓度与有或无癫痫发作的神经囊尾蚴病不同演变形式之间的相关性。
测定了42例神经囊尾蚴病患者脑脊液样本中的神经递质浓度(天冬氨酸、谷氨酸、γ-氨基丁酸、谷氨酰胺、甘氨酸、牛磺酸),这些患者分为活动期囊泡型患者(n = 24,12例有癫痫发作,12例无癫痫发作)和钙化型患者(n = 18,12例有癫痫发作,6例无癫痫发作),以及由59名健康受试者组成的对照组。
在所有神经囊尾蚴病患者中均观察到氨基酸浓度的改变。
我们得出结论,氨基酸代谢紊乱伴随着神经囊尾蚴病的出现。建议将非活动期囊泡替换为反应性非活动期囊泡,将钙化替换为反应性钙化。