Chimelli L, Lovalho A F, Takayanagui O M
Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), Brasil.
Arq Neuropsiquiatr. 1998 Sep;56(3B):577-84. doi: 10.1590/s0004-282x1998000400010.
Neurocysticercosis is a serious public health problem in several countries of Asia, Africa and Latin America. The objective of the present study is to present autopsy findings of neurocysticercosis in the Pathology Division of the University Hospital, Medical School of Ribeirão Preto, University of São Paulo, from 1992 to 1997. Neurocysticercosis was detected in 38 (1.5%) of 2522 autopsies. In twenty two (57.9%) of these, the diagnosis was made post-mortem, while 16 (42.1%) had a previous diagnosis of cysticercosis based on laboratory and imaging studies. Reviewing the medical records, we found that 21 patients (55.2%) were neurologically asymptomatic, while the various clinical manifestations in the others were in accordance with the literature. The high frequency of asymptomatic individuals detected only post-mortem indicates the importance of autopsies as an additional source of data to consolidate the compulsory notification of cysticercosis. Considering the results of this study, the new coefficient of prevalence of cysticercosis in Ribeirão Preto is 67 cases/100,000 inhabitants.
神经囊尾蚴病在亚洲、非洲和拉丁美洲的多个国家都是一个严重的公共卫生问题。本研究的目的是呈现1992年至1997年期间圣保罗大学医学院里贝朗普雷图分校大学医院病理科神经囊尾蚴病的尸检结果。在2522例尸检中，有38例（1.5%）检测出神经囊尾蚴病。其中22例（57.9%）是在死后做出诊断，而16例（42.1%）之前基于实验室和影像学研究已诊断为囊尾蚴病。查阅病历后，我们发现21例患者（55.2%）无神经系统症状，而其他患者的各种临床表现与文献报道一致。仅在死后才检测出的无症状个体的高频率表明尸检作为巩固囊尾蚴病强制通报的额外数据来源的重要性。考虑到本研究结果，里贝朗普雷图囊尾蚴病的新患病率系数为67例/10万居民。
