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CASE REPORTS
Journal of Neurosurgical Sciences 2001 March;45(1):43-6
Copyright © 2001 EDIZIONI MINERVA MEDICA
language: English
Neurocysticercosis. Case report
Carangelo B. 1, Erra S. 2, Del Basso De Caro M. L. 2, Bucciero A. 1, Vizioli L. 1, Panagiotopoulos K. 1, Cerillo A. 1
1 Department of Neurosurgery and Neuroradiology, Institute of Neurosurgery, University of Naples, School of Medicine, Naples, Italy; 2 Department of Surgical Pathology and Cytopathology, University of Naples, School of Medicine, Naples, Italy
In the present review we report a case of a 53-year-old woman affected with a cyst solitary cerebral hemispheric lesion causing acute generalized seizure. Clinical and neuroradiologic diagnosis of cystic astrocytoma was performed and the patient was operated. Microscopic analysis of the surgical specimen led to a diagnosis of parasitic infection, consistent with neurocysticercosis (NCC). NCC is the most frequent parasitosis of the central nervous system (CNS) in the world. The infective agent is taenia solium larvae. It is endemic in Latin America, Africa and some Asiatic countries, such as India. In Europe, many cases have been reported in Portugal, Spain, Poland and Romania. In Italy NCC is a rare disease. In recent years no cases have been described, but with high rate of immigration from endemic areas (Africa and East Europe) this parasitosis will be found in our country too, particularly affecting communities where hygienic conditions are poor. In conclusion we briefly analyze the relationship between pathogenesis of this parasitosis and its clinical symptoms.