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Original Article

Neurocysticercosis: Clinical Characteristics and Changes from 26 Years of Experience in an University Hospital in Korea

Hyo-Ju Son1, Min Jae Kim1,*, Kyung Hwa Jung1, Sungim Choi1, Jiwon Jung1, Yong Pil Chong1, Sung-Han Kim1, Sang-Oh Lee1, Sang-Ho Choi1, Yang Soo Kim1, Jun Hee Woo1, Bong-Kwang Jung2, Hyemi Song2, Jong-Yil Chai2
The Korean Journal of Parasitology 2019;57(3):265-271.
Published online: June 30, 2019

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*Corresponding author (nahani99@gmail.com)
• Received: March 17, 2019   • Revised: May 9, 2019   • Accepted: May 10, 2019

Copyright © 2019 by The Korean Society for Parasitology and Tropical Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Neurocysticercosis: Clinical Characteristics and Changes from 26 Years of Experience in an University Hospital in Korea
Korean J Parasitol. 2019;57(3):265-271.   Published online June 30, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.3.265
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Neurocysticercosis: Clinical Characteristics and Changes from 26 Years of Experience in an University Hospital in Korea
Korean J Parasitol. 2019;57(3):265-271.   Published online June 30, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.3.265
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Neurocysticercosis: Clinical Characteristics and Changes from 26 Years of Experience in an University Hospital in Korea
Image Image
Fig. 1 Numbers of patients, age group distributions and median ages according to period of diagnosis. *Mean age at diagnosis.
Fig. 2 Number of patients according to lesion location. *Parenchymal disease included cases with the nodules, cysts or calcifications located only in the parenchyma. †Extraparenchymal disease included cases with cystic lesions in the ventricles or in the subarachnoid spaces. ‡Mixed disease included cases with both parenchymal and extraparenchymal lesions.

Fig. 1

Fig. 2

Neurocysticercosis: Clinical Characteristics and Changes from 26 Years of Experience in an University Hospital in Korea

Comparison of clinical and radiological characteristics of parenchymal, extraparenchymal and mixed neurocysticercosis

Age at diagnosis, years (mean±S.D)c Parenchymal (n=40) (%) Extra-parenchymal (n=25) (%) Mixed (n=16) (%) P1a P2b
53.8±10.8 54.0±16.6 56.9±10.7 0.959 0.533
Sex
 Male 35 (87.5) 16 (64.0) 13 (81.3) 0.025 0.236
Symptoms
 Headache 10 (25.0) 16 (64.0) 8 (50.0) 0.002 0.375
 Seizure 15 (37.5) 0 (0) 2 (12.5) <0.001 0.146
 Gait disturbance 4 (10.0) 5 (20.0) 3 (18.8) 0.288 0.999
 Voiding difficulty 2 (5.0) 0 (0) 0 (0) 0.519 N/A
 Cranial nerve palsy 4 (10.0) 3 (12.0) 1 (6.2) 0.999 0.999
 Focal neurological deficit 7 (17.5) 3 (12.0) 3 (18.8) 0.729 0.662
Involvement of spinal cord
 Brain only 37 (92.5) 21 (84.0) 14 (87.5) 0.282 0.757
 Spinal cord only 3 (7.5) 4 (16.0) 0 (0) 0.415 0.143
 Brain and spinal cord 0 (0) 0 (0) 2 (12.5) N/A 0.146
Image findings
 Subarachnoid cyst 0 (0) 22 (88.0) 15 (93.8) <0.001 0.545
 Intraventricular cyst 0 (0) 5 (20.0) 2 (12.5) 0.053 0.685
 Hydrocephalus 5 (12.5) 14 (56.0) 4 (25.0) <0.001 0.063
 Calcification 26 (65.0) 0 (0) 2 (12.5) 0.019 0.146
 Leptomeningeal enhancement 3 (7.5) 5 (20.0) 3 (18.8) 0.243 0.999
Method of diagnosis
 Positive pathology 14 (35.0) 9 (36.0) 3 (18.8) 0.935 0.305
 Positive CSF ELISA Ab 27 (67.5) 17 (68.0) 13 (81.2) 0.967 0.350
CSF characteristics
 Cells (/ml) 37.2±109.9 46.0±42.3 69.2±79.9 0.758 0.338
 Protein (mg/dl) 47.8±20.2 95.6±50.3 60.5±24.7 0.002 0.078
 Glucose (mg/dl) 65.3±22.9 35.1±19.7 61.3±8.7 <0.001 0.001
Surgical treatment
 Worm removal 14 (35.0) 12 (48.0) 3 (18.8) 0.298 0.097
 VP shunt 1 (2.5) 10 (40.0) 6 (37.5) <0.001 0.873
Follow-up period in months (mean±S.D) 103.3±83.2 65.0±63.6 57.1±76.3 0.054 0.721
Clinical complication 3 (7.5) 6 (24.0) 5 (31.2) 0.076 0.609
 Spinal cord compression 0 (0) 2 (8.0) 1 (6.2) 0.144 0.999
 Vascular infarction 0 (0) 0 (0) 1 (6.2) N/A 0.390
 Uncontrolled seizure 2 (5.0) 0 (0) 0 (0) 0.519 N/A
 Uncontrolled ICP 1 (2.5) 4 (16.0) 2 (12.5) 0.068 0.999
 Recurrent meningitis 0 (0) 0 (0) 1 (6.2) N/A 0.390

aP1: comparing parenchymal and extraparenchymal neurocysticercosis.

bP2: comparing extraparenchymal and mixed neurocysticercosis.

cS.D: standard deviation.

Table 1 Comparison of clinical and radiological characteristics of parenchymal, extraparenchymal and mixed neurocysticercosis

P1: comparing parenchymal and extraparenchymal neurocysticercosis.

P2: comparing extraparenchymal and mixed neurocysticercosis.

S.D: standard deviation.

Table 1

PHD : Parasites, Hosts and Diseases

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