Padda Inderbir, Aziz Daniel, Mahtani Arun, Sethi Yashendra, Sebastian Sneha Annie, Sexton Jaime, Karroum Paul, Fabian Daniel, Fulton Matthew
Department of Internal Medicine, Richmond University Medical Center/Mount Sinai, 355 Bard Ave, Staten Island, NY 10310, USA.
Department of Internal Medicine, Rutgers, Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Radiol Case Rep. 2023 Jun 22;18(9):3084-3088. doi: 10.1016/j.radcr.2023.05.064. eCollection 2023 Sep.
Neurocysticercosis (NCC) is the most common parasitic infection of the nervous system and acquired epilepsy in low-resource settings due to the pork tapeworm, . Humans contract the intestinal infection of the adult tapeworm (taeniasis) through the fecal-oral route after consuming undercooked food, particularly pork or water, contaminated with tapeworm eggs. When the larvae invades the central nervous system (CNS), the infection causes NCC, which often manifests as late-onset seizures, chronic headaches, and intracranial hypertension. We describe a 31-year-old Hispanic multigravida woman from Guatemala, at 33 weeks of gestation, who presented with multiple syncopal and hypotensive episodes prompting a Computed tomography (CT) image of the head revealing multiple small cerebral calcifications indicating NCC. In this article, we highlight the significance of early symptom recognition and diagnostic workup for NCC in areas with diverse immigrant populations. We also discuss the epidemiology, clinical manifestations, and current treatment modalities available for NCC.
神经囊尾蚴病（NCC）是资源匮乏地区最常见的神经系统寄生虫感染及后天性癫痫病因，由猪肉绦虫引起。人类在食用未煮熟的、被绦虫卵污染的食物（尤其是猪肉或水）后，通过粪口途径感染成虫绦虫的肠道感染（绦虫病）。当幼虫侵入中枢神经系统（CNS）时，感染会导致神经囊尾蚴病，其通常表现为迟发性癫痫发作、慢性头痛和颅内高压。我们描述了一名来自危地马拉的31岁西班牙裔多产妇，在妊娠33周时出现多次晕厥和低血压发作，促使头部计算机断层扫描（CT）图像显示多个小的脑钙化，提示神经囊尾蚴病。在本文中，我们强调了在移民人口多样化地区对神经囊尾蚴病进行早期症状识别和诊断检查的重要性。我们还讨论了神经囊尾蚴病的流行病学、临床表现和现有的治疗方式。
