01/02/2025
๐ก๐ฒ๐๐ฟ๐ผ๐ฐ๐๐๐๐ถ๐ฐ๐ฒ๐ฟ๐ฐ๐ผ๐๐ถ๐
The most common central nervous system parasitic infection Neurocysticercosis.
The commonest presentation of neurocysticercosis is ๐๐๐ข๐ณ๐ฎ๐ซ๐๐ฌ.
These is wide variety of presentation of Neurocysticercosis depending on the -
1. intensity of the infestation
2. the localization of cysticerci
3. the degree of inflammatory reaction.
Cysticercosis is infection with the ๐ฅ๐๐ซ๐ฏ๐๐ฅ ๐ฌ๐ญ๐๐ ๐ (๐๐ฒ๐ฌ๐ญ๐ข๐๐๐ซ๐๐ฎ๐ฌ ๐๐๐ฅ๐ฅ๐ฎ๐ฅ๐จ๐ฌ๐๐) ๐จ๐ ๐๐ข๐ง๐๐ ๐ฌ๐จ๐ฅ๐ข๐ฎ๐ฆ (๐๐๐๐ ๐ญ๐๐ฉ๐-๐ฐ๐จ๐ซ๐ฆ).
The lesion of neurocysticercosis is readily visualized by ๐๐๐ ๐จ๐ซ ๐๐ ๐๐๐๐ง.
๐๐๐ซ๐๐ง๐๐ก๐ฒ๐ฆ๐๐ฅ ๐๐ซ๐๐ข๐ง ๐๐๐ฅ๐๐ข๐๐ข๐๐๐ญ๐ข๐จ๐ง๐ฌ are the most common findings on NCCT.
These cysts are located in order of frequency in:
a. CNS (Neurological manifestations are the most common)
b. Subcutaneous tissue
c. Striated muscle
d. Globe of the eye
๐๐ซ๐๐ข๐ง ๐๐๐ซ๐๐ง๐๐ก๐ฒ๐ฆ๐ is the most common site of neurocysticercosis. "๐๐ก๐ ๐ฏ๐๐ง๐ญ๐ซ๐ข๐๐ฎ๐ฅ๐๐ซ ๐ฌ๐ฒ๐ฌ๐ญ๐๐ฆ" is the second most common site of neurocysticercosis.
Most common sites of Neurocysticercosis:
Parenchymatous> interventricular > subarachnoid> spinal> orbital.
๐๐ซ๐๐๐ญ๐ฆ๐๐ง๐ญ ๐จ๐ ๐ง๐๐ฎ๐ซ๐จ๐๐ฒ๐ฌ๐ญ๐ข๐๐๐ซ๐๐จ๐ฌ๐ข๐ฌ:
1. Albendazole and praziquantel are both effective in treatment.
2. Drug of Choice is Albendazole.
3. Anticonvulsants (antiepileptics) should be given during drug treatment and probably for an indefinite time afterwards.
4. Corticosteroids are used during the acute phase of cysticercotic encephalitis, if intracranial hypertension is present. (it is used for the prevention of development of hydrocephalus, and does not have much role once hydrocephalus is already present.)
5. Niclosamide is ineffective for neurocysticercosis
6. Surgery
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