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A Proposal for Classification of Neurocysticercosis

Published online by Cambridge University Press:  18 September 2015

Arturo Carpio*
Affiliation:
School of Medicine and Research Institute of Health Sciences of the University of Cuenca, Ecuador and G.H. Sergievsky Center, Faculty of Medicine, Columbia University in the city of New York
Marcelo Placencia
Affiliation:
the Department of Neurology, “Carlos Andrade Mann” Hospital of the Ecuadorian Institute of Social Security, Quito, Ecuador
Franklin Santillán
Affiliation:
the School of Medicine and Research Institute of Health Sciences of the University of Cuenca, Ecuador
Alfonso Escobar
Affiliation:
the Department of Pathology of the National Institute of Neurology and Neurosurgery of Mexico, and Department of Neurobiology Institute for Biomedical Research, University of Mexico
*
Visiting Professor, G.H. Sergievsky Center, Faculty of Medicine, Columbia University, 630W 168 Street, New York, New York 10032 U.S.A., (After July 1994: P.O. Box 719, Cuenca, Ecuador)
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Abstract:

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The complicated pathophysiological and immunological changes in the central nervous system of patients with neurocysticercosis produce a variety of signs and symptoms, which complicate the clinical and surgical management of this disease. A complete and objective classification is needed, to improve the medical approach as a whole. We studied 336 patients, in whom we classified neurocysticerosis according to criteria of viability and location of the parasite in the CNS: active form (37.2%) when the cysticercus is alive, transitional form (32.8%) when it is in the degenerative phase, and inactive form (30%) when the parasite is dead. This classification establishes the correlation between the different forms of neurocysticerosis and its clinical manifestations, and can be used for planning therapeutic strategies.

Type
Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1994

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