Agapejev S
Department of Neurology, School of Medicine, State University of São Paulo (UNESP), Brazil.
Rev Inst Med Trop Sao Paulo. 1996 May-Jun;38(3):207-16. doi: 10.1590/s0036-46651996000300008.
A revision of literature was done with the objective of tracing an epidemiologic profile of neurocysticercosis (NCC) in Brazil. The prevalence was 0.12-9% in autopsies. The frequency was 0.03-7.5% in clinical series and 0.68-5.2% in seroepidemiological studies. The disease corresponds to 0.08-2.5% of admissions to general hospitals. Patient origin was rural in 30-63% of cases. The most involved age range (64-100%) was 11 to 60 years, with a predominance (22-67%) between 21 and 40 years. The male sex was the most affected (51-80%). In the severe forms there was a predominance of urban origin (53-62%) and of the female sex (53-75%). The period of hospitalization ranges from 1 to 254 days and 33 to 50% of patients suffer 1.7 +/- 1.4 admissions. The clinical picture was variable, with a predominance of epileptic syndrome (22-92%) and intracranial hypertension (19-89%). Psychiatric manifestations were associated in 9-23% of patients. Lethality was 0.29% in terms of all diseases in general and 4.8-25.9% in terms of neurologic diseases. The asymptomatic form was detected in 6% of patients in clinical series and in 48.5% of case from autopsies. The racemose form and ventricular localization also was observed as asymptomatic form. Among the patients with cutaneous cysticercosis 65% of them showed neurologic manifestations.
为追踪巴西神经囊尾蚴病（NCC）的流行病学概况，我们对文献进行了回顾。尸检中的患病率为0.12%-9%。临床系列研究中的发病率为0.03%-7.5%，血清流行病学研究中的发病率为0.68%-5.2%。该疾病占综合医院入院人数的0.08%-2.5%。30%-63%的病例患者来自农村。最常受累的年龄范围（64%-100%）为11至60岁，其中21至40岁的人群占主导（22%-67%）。男性受影响最为严重（51%-80%）。在严重病例中，城市居民（53%-62%）和女性（53%-75%）占多数。住院时间从1天到254天不等，33%-50%的患者平均住院1.7±1.4次。临床表现多样，以癫痫综合征（22%-92%）和颅内高压（19%-89%）为主。9%-23%的患者伴有精神症状。总体而言，所有疾病的致死率为0.29%，神经系统疾病的致死率为4.8%-25.9%。临床系列研究中6%的患者以及尸检病例中48.5%的患者被检测出无症状感染。葡萄状和脑室型囊尾蚴病也可表现为无症状感染。皮肤囊尾蚴病患者中，65%出现神经系统症状。
