Neurocysticercosis Presenting with Epilepsia Partialis Continua: A Clinicopathologic Report and Literature Review
Neurocysticercosis, a disease caused by a tapeworm larva in the central nervous system, is the leading cause of acquired epilepsy in undeveloped regions of the world. In Taiwan, after improvements in sanitation, tapeworm infection became very rare except in mountain areas inhibited by aborigines. Ho...
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Format: | Article |
Language: | English |
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Elsevier
2008-07-01
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Series: | Journal of the Formosan Medical Association |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664608601722 |
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author | Shin-Joe Yeh Ruey-Meei Wu |
author_facet | Shin-Joe Yeh Ruey-Meei Wu |
author_sort | Shin-Joe Yeh |
collection | DOAJ |
description | Neurocysticercosis, a disease caused by a tapeworm larva in the central nervous system, is the leading cause of acquired epilepsy in undeveloped regions of the world. In Taiwan, after improvements in sanitation, tapeworm infection became very rare except in mountain areas inhibited by aborigines. However, in recent years, immigration from other Asian countries has increased rapidly, and parasite infection of the central nervous system may again become an important cause of adult-onset epilepsy in clinical practice. Here, we describe a 27-year-old female Thai immigrant who presented with adult-onset epilepsia partialis continua of the right upper extremity. Electroencephalography showed epileptiform discharge in the left central region, while brain magnetic resonance imaging showed a small enhanced lesion in the left premotor cortex. She underwent operation and pathology of the mass revealed a degenerated cysticercus. In this article, we provide detailed neuroimaging findings, pathologic report, and literature review of this parasitic infection of the central nervous system. This case calls for physicians to be aware of cysticercosis as an etiology of adult-onset epilepsy in immigrants from endemic countries. |
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format | Article |
id | doaj.art-600685c3d50a4eb282dc3a033392ae30 |
institution | Directory Open Access Journal |
issn | 0929-6646 |
language | English |
last_indexed | 2024-12-12T19:04:01Z |
publishDate | 2008-07-01 |
publisher | Elsevier |
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series | Journal of the Formosan Medical Association |
spelling | doaj.art-600685c3d50a4eb282dc3a033392ae302022-12-22T00:15:00ZengElsevierJournal of the Formosan Medical Association0929-66462008-07-01107757658110.1016/S0929-6646(08)60172-2Neurocysticercosis Presenting with Epilepsia Partialis Continua: A Clinicopathologic Report and Literature ReviewShin-Joe Yeh0Ruey-Meei Wu1Department of Neurology, National Taiwan University Hospital, Taipei, TaiwanDepartment of Neurology, National Taiwan University Hospital, Taipei, TaiwanNeurocysticercosis, a disease caused by a tapeworm larva in the central nervous system, is the leading cause of acquired epilepsy in undeveloped regions of the world. In Taiwan, after improvements in sanitation, tapeworm infection became very rare except in mountain areas inhibited by aborigines. However, in recent years, immigration from other Asian countries has increased rapidly, and parasite infection of the central nervous system may again become an important cause of adult-onset epilepsy in clinical practice. Here, we describe a 27-year-old female Thai immigrant who presented with adult-onset epilepsia partialis continua of the right upper extremity. Electroencephalography showed epileptiform discharge in the left central region, while brain magnetic resonance imaging showed a small enhanced lesion in the left premotor cortex. She underwent operation and pathology of the mass revealed a degenerated cysticercus. In this article, we provide detailed neuroimaging findings, pathologic report, and literature review of this parasitic infection of the central nervous system. This case calls for physicians to be aware of cysticercosis as an etiology of adult-onset epilepsy in immigrants from endemic countries.http://www.sciencedirect.com/science/article/pii/S0929664608601722epilepsia partialis continuaepilepsyneurocysticercosisTaenia soliumtapeworm |
spellingShingle | Shin-Joe Yeh Ruey-Meei Wu Neurocysticercosis Presenting with Epilepsia Partialis Continua: A Clinicopathologic Report and Literature Review Journal of the Formosan Medical Association epilepsia partialis continua epilepsy neurocysticercosis Taenia solium tapeworm |
title | Neurocysticercosis Presenting with Epilepsia Partialis Continua: A Clinicopathologic Report and Literature Review |
title_full | Neurocysticercosis Presenting with Epilepsia Partialis Continua: A Clinicopathologic Report and Literature Review |
title_fullStr | Neurocysticercosis Presenting with Epilepsia Partialis Continua: A Clinicopathologic Report and Literature Review |
title_full_unstemmed | Neurocysticercosis Presenting with Epilepsia Partialis Continua: A Clinicopathologic Report and Literature Review |
title_short | Neurocysticercosis Presenting with Epilepsia Partialis Continua: A Clinicopathologic Report and Literature Review |
title_sort | neurocysticercosis presenting with epilepsia partialis continua a clinicopathologic report and literature review |
topic | epilepsia partialis continua epilepsy neurocysticercosis Taenia solium tapeworm |
url | http://www.sciencedirect.com/science/article/pii/S0929664608601722 |
work_keys_str_mv | AT shinjoeyeh neurocysticercosispresentingwithepilepsiapartialiscontinuaaclinicopathologicreportandliteraturereview AT rueymeeiwu neurocysticercosispresentingwithepilepsiapartialiscontinuaaclinicopathologicreportandliteraturereview |