Siddique Nasir F, Fisher Kristy A, Chang Joshua, Alvarez Villalba Clara L
Nova Southeastern University Dr. Kiran. C. Patel College of Allopathic Medicine.
Aventura Hospital and Medical Center, Aventura, FL.
HCA Healthc J Med. 2021 Jun 28;2(3):195-202. doi: 10.36518/2689-0216.1217. eCollection 2021.
Description Neurocysticercosis, a parasitic infection of the central nervous system (CNS) caused by the Taenia solium cestode, presents clinically with a large and diverse spectrum of symptomatology, dependent upon lesion number, locale and ensuing inflammatory response. To this date, there are only two documented cases of psychosis presenting in patients with neurocysticercosis, both of which were published in India. This case presentation depicts the first documented case of Psychotic Disorder Due to Another Medical Condition: Neurocysticercosis in the United States. The authors postulate that the atypical presentation of the neuropsychiatric instability with the aberrant recurrence of neurocysticercosis is predominantly attributable to the parasitic infection itself, along with its resultant cyst formation and inflammatory response. Further research is necessary to expand upon our knowledge and understanding of the neuropsychiatric effects and optimal management of neurocysticercosis, as well as its possible recurrent nature.
描述 神经囊尾蚴病是一种由猪带绦虫引起的中枢神经系统(CNS)寄生虫感染,临床表现因病变数量、部位及随之而来的炎症反应而异,症状范围广泛。迄今为止,仅有两例神经囊尾蚴病患者出现精神病症状的记录,均发表于印度。本病例报告描述了美国首例因另一种医学状况(神经囊尾蚴病)导致的精神障碍病例。作者推测,神经囊尾蚴病异常复发导致的神经精神不稳定的非典型表现主要归因于寄生虫感染本身及其所致的囊肿形成和炎症反应。有必要进一步开展研究,以加深我们对神经囊尾蚴病的神经精神影响、最佳治疗方法及其可能的复发特性的认识和理解。