Ojo Omotayo Abimbola, Onyia Chiazor Udochukwu, Lawal Badirat Olukemi, Awolola Nicholas Awodele
Neurosurgery Unit, Department of Surgery, College of Medicine, University of Lagos, Nigeria.
Neurosurgery unit, Department of Surgery, Lagoon Hospitals, Lagos, Nigeria.
World Neurosurg X. 2024 Apr 4;23:100380. doi: 10.1016/j.wnsx.2024.100380. eCollection 2024 Jul.
Neurocysticercosis is a rarely diagnosed but significant clinical problem from infestation with taenia solium. It occurs as a result of ingestion of infested pork and the mode of transmission is usually feco-oral. It is commonly associated with non-specific neurologic manifestations expected of intracranial space-occupying lesions with its most common neurological presentation being seizures. However, its diagnosis without seizure is rarely reported. We report a recent experience in this regard and outcome of this disease which was inadvertently managed surgically. A good history and high index of suspicion especially in developing and low socioeconomic region is helpful for diagnosis in the presence of appropriate radiological findings. Prognosis is good when treatment is tailored to well selected cases. Treatment options include medical with or without surgical removal of encapsulated cyst. A high index of suspicion will be helpful in making appropriate diagnosis and proper management of this disease.
神经囊尾蚴病是由猪带绦虫感染引起的一种临床问题，虽较少被诊断出，但较为严重。它是因摄入受感染的猪肉而发生，传播方式通常为粪口传播。它常与颅内占位性病变所预期的非特异性神经表现相关，其最常见的神经表现是癫痫发作。然而，很少有不伴有癫痫发作而被诊断出该病的报道。我们报告了近期在这方面的经验以及该疾病意外接受手术治疗的结果。良好的病史和高度的怀疑指数，尤其是在发展中及社会经济水平较低地区，在存在适当影像学表现时有助于诊断。当针对精心挑选的病例进行治疗时，预后良好。治疗选择包括药物治疗以及有或无手术切除包囊。高度的怀疑指数将有助于对该疾病做出恰当诊断和合理管理。
