Gonçalves-Coêlho T D, Coêlho M D
Faculty of Medicine of the Fereral University of Paraiba (UFPB), Esperinça PB, Brasil.
Arq Neuropsiquiatr. 1996 Dec;54(4):565-70. doi: 10.1590/s0004-282x1996000400003.
Neurocysticercosis is the central nervous system infestation by Cysticercus cellulosae, the larval form of Taenia solium. It is related to poor hygiene habits and sanitation; although Northeast is poorest Region of Brazil, it has been always stated as a non-endemic area. After the installation of computed tomography (CT) service, the incidence of neurocysticercosis began to raise in neurology services in Campina Grande PB, a city where people from the interior Paraíba can find specialized medical facilities. We analyse 5,883 CT record of the TomoHPI Computed Tomography Service from August 1993 to December 1995, observing 1.02% suggestive neurocysticercosis cases and classified them according to sex and age, procedence and socioeconomic condition. Distribution of cases according to age is homogeneous until the age of 50 (mean: 28.36 years old). Men and women are equally affected. Urban areas inhabitants represented 83.33%. Residents of Campina Grande represented 48.33% and 48.34% were residents of cities around Campina Grande (until 50 Km around) and other cities of Paraíba State. Fifty-eight patients were dependent to public health care system. We conclude that neurocysticercosis seems to be endemic in Paraiba State, demanding a more detailed study to determine its incidence/prevalence.
神经囊尾蚴病是由猪带绦虫幼虫形式的猪囊尾蚴引起的中枢神经系统感染。它与不良的卫生习惯和环境卫生有关；尽管东北部是巴西最贫困的地区，但一直被认为是非流行地区。在安装计算机断层扫描（CT）服务后，在巴西帕拉伊巴州大坎皮纳市的神经科服务中，神经囊尾蚴病的发病率开始上升，在这个城市，来自帕拉伊巴内陆的人们可以找到专业的医疗设施。我们分析了1993年8月至1995年12月TomoHPI计算机断层扫描服务的5883份CT记录，观察到1.02%的疑似神经囊尾蚴病病例，并根据性别、年龄、来源和社会经济状况对其进行了分类。在50岁之前，病例按年龄分布是均匀的（平均年龄：28.36岁）。男性和女性受影响程度相同。城市地区居民占83.33%。大坎皮纳市居民占48.33%，大坎皮纳市周边城市（半径50公里以内）和帕拉伊巴州其他城市的居民占48.34%。58名患者依赖公共卫生保健系统。我们得出结论，神经囊尾蚴病在帕拉伊巴州似乎是地方病，需要进行更详细的研究以确定其发病率/患病率。
