Annals of Tropical Medicine and Public Health

LETTER TO THE EDITOR
Year
: 2015  |  Volume : 8  |  Issue : 4  |  Page : 146-

Epilepsy due to brain cysticercosis


Sora Yasri1, Viroj Wiwanitkit2,  
1 Medical Center, KMT Primary Care Center, Bangkok, Thailand
2 Department of Tropical Medicine, Hainan Medical University, Hainan, China

Correspondence Address:
Sora Yasri
Medical Center, KMT Primary Care Center, Bangkok
Thailand




How to cite this article:
Yasri S, Wiwanitkit V. Epilepsy due to brain cysticercosis.Ann Trop Med Public Health 2015;8:146-146


How to cite this URL:
Yasri S, Wiwanitkit V. Epilepsy due to brain cysticercosis. Ann Trop Med Public Health [serial online] 2015 [cited 2020 Aug 9 ];8:146-146
Available from: http://www.atmph.org/text.asp?2015/8/4/146/162403


Full Text

Dear Sir,

Epilepsy is a common neurological disorder that can be seen around the world. The management of epilepsy is usually complex and the diagnosis is a very important step. There are many important underlying conditions of epilepsy, including infectious causes - many infectious diseases can result in epilepsy. In the tropical world, the case of "epilepsy due to brain cysticercosis" [1] is worth discussion. Orjuela-Rojas et al. in their report discussed "the link between specific brain areas and the symptoms." [1] In fact, the diagnosis of patients with epilepsy is difficult and some new investigations such as neuronuclear assessment can serve as useful diagnostic tools. [2] In case of neurocysticercosis with epilepsy, the problem is usually due to the calcified lesion, and it is rare for there to be additional clinical symptoms. [3],[4],[5] It is in those types of neurocysticercosis cases that Ferreira et al. found that "the number of lesions or disease activity seen on computed tomography (CT) as well as EEG abnormalities have no prognostic value." [6] Ferreira et al. also observed that epilepsy symptoms were usually stably persistent. [6] In cases with additional symptoms, searching for additional etiologies, such as drug use, should be carefully done.

References

1Orjuela-Rojas JM, Ramírez-Bermúdez J, Martínez-Juárez IE, Kerik NE, Diaz Meneses I, Pérez-Gay FJ. Visual hallucinations of autobiographic memory and asomatognosia: A case of epilepsy due to brain cysticercosis. Neurocase 2014:1-7. [Epub ahead of print].
2Goffin K, Dedeurwaerdere S, Van Laere K, Van Paesschen W. Neuronuclear assessment of patients with epilepsy. Semin Nucl Med 2008;38:227-39.
3Carpio A, Romo ML. The relationship between neurocysticercosis and epilepsy: An endless debate. Arq Neuropsiquiatr 2014;72:383-90.
4Bhattacharjee S, Biswas P, Mondal T. Clinical profile and follow-up of 51 pediatric neurocysticercosis cases: A study from Eastern India. Ann Indian Acad Neurol 2013;16:549-55.
5Rodrigues CL, de Andrade DC, Livramento JA, Machado LR, Abraham R, Massaroppe L, et al. Spectrum of cognitive impairment in neurocysticercosis: Differences according to disease phase. Neurology 2012;78:861-6.
6Ferreira LS, Zanardi VA, Scotoni AE, Li LM, Guerreiro MM. Childhood epilepsy due to neurocysticercosis: A comparative study. Epilepsia 2001;42:1438-44.