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Acta Neurológica Colombiana

Print version ISSN 0120-8748On-line version ISSN 2422-4022

Abstract

HURTADO CAMPO, Karolina Stefany et al. Neurocysticercosis and epilepsy in a university hospital in Popayán, Colombia: A case series. Acta Neurol Colomb. [online]. 2023, vol.39, n.1, pp.14-19.  Epub Apr 05, 2023. ISSN 0120-8748.  https://doi.org/10.22379/24224022437.

INTRODUCTION:

Neurocysticercosis is an infection of the central nervous system caused by the larval stage of the cestode Taenia solium, it has been estimated to produce up to 30% of the cases in countries where this parasitosis is endemic. The objective of this study was to determine the frequency of patients who presented epilepsy as a sequel of neurocysticercosis in a university hospital in Popayán.

MATERIALS AND METHODS:

A retrospective study was conducted with all patients with a diagnosis of neurocysticercosis who were admitted to the Hospital Universitario San José between January 2014 and December 2018 who met the inclusion criteria.

RESULTS:

We found 50 patients, 40 (80%) of which were readmitted and 37 (74%) presented epilepsy as sequela. The most affected age-group was 41 to 60 years; 48 (96%) were from the department of Cauca, especially Mercaderes, and 33 (66%) from rural areas. Convulsive syndrome was the most frequent clinical manifestation on admission. CT was the imaging technique of choice.

CONCLUSION:

The department of Cauca is considered as an endemic area for neurocysticercosis, and secondary epilepsy was a common consequence.

Keywords : Epilepsy; Helminths; Neurocysticercosis; Seizures; Taenia solium (MeSH).

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