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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Main Authors: Shin-Joe Yeh, Ruey-Meei Wu
Format: Article
Language:English
Published: Elsevier 2008-07-01
Series:Journal of the Formosan Medical Association
Subjects:
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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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