Cysticercosis as a major cause of epilepsy in Peru. The Cysticercosis Working Group in Peru (CWG)
- PMID: 8093496
- PMCID: PMC2917763
- DOI: 10.1016/0140-6736(93)90064-n
Cysticercosis as a major cause of epilepsy in Peru. The Cysticercosis Working Group in Peru (CWG)
Abstract
In countries where cysticercosis is endemic, the proportion of epilepsy due to cysticercosis is not well documented. To investigate the association between cysticercosis and epilepsy, we used the enzyme-linked immunoelectrotransfer blot (EITB) assay to detect serum antibodies to Taenia solium in 498 consecutive outpatients at a neurology clinic in Lima, Peru. Every patient was classified as epileptic (n = 189) or non-epileptic (n = 309) after neurological, and where possible electroencephalographic, examination. A substantially higher proportion of epileptic than non-epileptic patients was seropositive in the EITB (22 [12%] vs 8 [3%], p < 0.001). 19% of epileptic patients born outside Lima, 20% of those with late-onset epilepsy, and 29% of patients with both these characteristics were seropositive. Thus, in Peru, cysticercosis is an important aetiological factor for epilepsy.
Comment in
-
Neurocysticercosis and epilepsy.Lancet. 1993 Feb 27;341(8844):568. doi: 10.1016/0140-6736(93)90338-h. Lancet. 1993. PMID: 8094816 No abstract available.
References
-
- Mahajan RC. Geographical distribution of human cysticercosis. In: Flisser A, Willms K, Laclette JP, Larralde C, Ridaura C, Beltran F, editors. Cysticercosis: present state of Knowledge and perspectives. Academic Press; New York: 1982. pp. 39–46.
-
- Del Brutto OH, Sotclo J. Ncurocysticercosis: an update. Rev Infect Dis. 1988;10:1075–87. - PubMed
-
- Nash TE, Neva FA. Recent advances in the diagnosis and treatment of cerebral cysticercosis. N Engl J Med. 1984;311:1492–96. - PubMed
-
- McCormick GF, Zee CS, Heiden J. Cysticercosis cerebri: review of 127 cases. Arch Neurol. 1982;39:534–39. - PubMed
-
- Dixon HBF, Hargreaves WH. Cysticercosis (T solium): a further ten years clinical study, covering 284 cases. Q J Med. 1944;13:107–21.
