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Extraparenchymal neurocysticercosis: Demographic, clinicoradiological, and inflammatory features.

Abstract Extraparenchymal neurocysticercosis (ExPNCC), an infection caused by Taenia solium cysticerci that mainly occurs in the ventricular compartment (Ve) or the basal subarachnoid space (SAb), is more severe but less frequent and much less studied than parenchymal neurocysticercosis (ParNCC). Demographic, clinical, radiological, and lumbar cerebrospinal fluid features of patients affected by ExPNCC are herein described and compared with those of ParNCC patients.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title plos neglected tropical diseases
Publication Year Start




PMID- 28599004
OWN - NLM
STAT- Publisher
DA  - 20170609
LR  - 20170609
IS  - 1935-2735 (Electronic)
IS  - 1935-2727 (Linking)
VI  - 11
IP  - 6
DP  - 2017 Jun 09
TI  - Extraparenchymal neurocysticercosis: Demographic, clinicoradiological, and
      inflammatory features.
PG  - e0005646
LID - 10.1371/journal.pntd.0005646 [doi]
AB  - BACKGROUND: Extraparenchymal neurocysticercosis (ExPNCC), an infection caused by 
      Taenia solium cysticerci that mainly occurs in the ventricular compartment (Ve)
      or the basal subarachnoid space (SAb), is more severe but less frequent and much 
      less studied than parenchymal neurocysticercosis (ParNCC). Demographic, clinical,
      radiological, and lumbar cerebrospinal fluid features of patients affected by
      ExPNCC are herein described and compared with those of ParNCC patients.
      METHODOLOGY AND PRINCIPAL FINDINGS: 429 patients with a confirmed diagnosis of
      neurocysticercosis, attending the Instituto Nacional de Neurologia y
      Neurocirugia, a tertiary reference center in Mexico City, from 2000 through 2014,
      were included. Demographic information, signs and symptoms, radiological
      patterns, and lumbar cerebrospinal fluid (CSF) laboratory values were retrieved
      from medical records for all patients. Data were statistically analyzed to assess
      potential differences depending on cyst location and to determine the effects of 
      age and sex on the disease presentation. In total, 238 ExPNCC and 191 ParNCC
      patients were included. With respect to parenchymal cysts, extraparenchymal
      parasites were diagnosed at an older age (P = 0.002), chiefly caused intracranial
      hypertension (P < 0.0001), were more frequently multiple and vesicular (P <
      0.0001), and CSF from these patients showed higher protein concentration and cell
      count (P < 0.0001). SAb patients were diagnosed at an older age than Ve patients,
      and showed more frequently seizures, vesicular cysticerci, and higher CSF
      cellularity. Gender and age modulated some traits of the disease. CONCLUSIONS:
      This study evidenced clear clinical, radiological, and inflammatory differences
      between ExPNCC and ParNCC, and between SAb and Ve patients, and demonstrated that
      parasite location determines different pathological entities.
FAU - Marcin Sierra, Mariana
AU  - Marcin Sierra M
AD  - Research Unit on Neuroinflammation, Instituto de Investigaciones Biomedicas -
      Universidad Nacional Autonoma de Mexico / Facultad de Medicina - Universidad
      Nacional Autonoma de Mexico / Instituto Nacional de Neurologia y Neurocirugia,
      Mexico City, Mexico.
FAU - Arroyo, Mariana
AU  - Arroyo M
AD  - Research Unit on Neuroinflammation, Instituto de Investigaciones Biomedicas -
      Universidad Nacional Autonoma de Mexico / Facultad de Medicina - Universidad
      Nacional Autonoma de Mexico / Instituto Nacional de Neurologia y Neurocirugia,
      Mexico City, Mexico.
FAU - Cadena Torres, May
AU  - Cadena Torres M
AD  - Research Unit on Neuroinflammation, Instituto de Investigaciones Biomedicas -
      Universidad Nacional Autonoma de Mexico / Facultad de Medicina - Universidad
      Nacional Autonoma de Mexico / Instituto Nacional de Neurologia y Neurocirugia,
      Mexico City, Mexico.
FAU - Ramirez Cruz, Nancy
AU  - Ramirez Cruz N
AD  - Research Unit on Neuroinflammation, Instituto de Investigaciones Biomedicas -
      Universidad Nacional Autonoma de Mexico / Facultad de Medicina - Universidad
      Nacional Autonoma de Mexico / Instituto Nacional de Neurologia y Neurocirugia,
      Mexico City, Mexico.
FAU - Garcia Hernandez, Fernando
AU  - Garcia Hernandez F
AD  - Research Unit on Neuroinflammation, Instituto de Investigaciones Biomedicas -
      Universidad Nacional Autonoma de Mexico / Facultad de Medicina - Universidad
      Nacional Autonoma de Mexico / Instituto Nacional de Neurologia y Neurocirugia,
      Mexico City, Mexico.
FAU - Taboada, Diana
AU  - Taboada D
AD  - Research Unit on Neuroinflammation, Instituto de Investigaciones Biomedicas -
      Universidad Nacional Autonoma de Mexico / Facultad de Medicina - Universidad
      Nacional Autonoma de Mexico / Instituto Nacional de Neurologia y Neurocirugia,
      Mexico City, Mexico.
FAU - Galicia Martinez, Angeles
AU  - Galicia Martinez A
AD  - Research Unit on Neuroinflammation, Instituto de Investigaciones Biomedicas -
      Universidad Nacional Autonoma de Mexico / Facultad de Medicina - Universidad
      Nacional Autonoma de Mexico / Instituto Nacional de Neurologia y Neurocirugia,
      Mexico City, Mexico.
FAU - Govezensky, Tzipe
AU  - Govezensky T
AD  - Immunology Department, Instituto de Investigaciones Biomedicas - Universidad
      Nacional Autonoma de Mexico, Mexico City, Mexico.
FAU - Sciutto, Edda
AU  - Sciutto E
AD  - Immunology Department, Instituto de Investigaciones Biomedicas - Universidad
      Nacional Autonoma de Mexico, Mexico City, Mexico.
FAU - Toledo, Andrea
AU  - Toledo A
AD  - Research Unit on Neuroinflammation, Instituto de Investigaciones Biomedicas -
      Universidad Nacional Autonoma de Mexico / Facultad de Medicina - Universidad
      Nacional Autonoma de Mexico / Instituto Nacional de Neurologia y Neurocirugia,
      Mexico City, Mexico.
FAU - Fleury, Agnes
AU  - Fleury A
AUID- ORCID: http://orcid.org/0000-0002-8930-2202
AD  - Research Unit on Neuroinflammation, Instituto de Investigaciones Biomedicas -
      Universidad Nacional Autonoma de Mexico / Facultad de Medicina - Universidad
      Nacional Autonoma de Mexico / Instituto Nacional de Neurologia y Neurocirugia,
      Mexico City, Mexico.
AD  - Neurocysticercosis Clinic, Instituto Nacional de Neurologia y Neurocirugia,
      Mexico City, Mexico.
LA  - eng
PT  - Journal Article
DEP - 20170609
PL  - United States
TA  - PLoS Negl Trop Dis
JT  - PLoS neglected tropical diseases
JID - 101291488
EDAT- 2017/06/10 06:00
MHDA- 2017/06/10 06:00
CRDT- 2017/06/10 06:00
PHST- 2016/10/07 [received]
PHST- 2017/05/17 [accepted]
AID - 10.1371/journal.pntd.0005646 [doi]
AID - PNTD-D-16-01810 [pii]
PST - aheadofprint
SO  - PLoS Negl Trop Dis. 2017 Jun 9;11(6):e0005646. doi: 10.1371/journal.pntd.0005646.

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