Cysticercosis history and symptoms: Difference between revisions
Jump to navigation
Jump to search
Rim Halaby (talk | contribs) No edit summary |
m (Bot: Removing from Primary care) |
||
| (35 intermediate revisions by 5 users not shown) | |||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Cysticercosis}} | {{Cysticercosis}} | ||
{{CMG}} | {{CMG}};{{AE}}{{AY}} | ||
==Overview== | |||
Presenting symptoms differ according to the site of the cysticerci. [[Parenchymal]] neurocysticercosis causes all the symptoms and signs of [[Space occupying lesion|space occupying lesions]]. Extraparenchymal neurocysticercosis causes manifestations of [[increased intracranial pressure]] if cysts are present in the [[subarachnoid space]] or in the [[ventricles]], manifestations of [[spinal cord compression]] if present in the spinal cord or causes eye disease if cysts are present in the [[orbit]]. | |||
== History and Symptoms == | |||
Presenting symptoms vary according to the site of infestation: | |||
===Neurocysticercosis=== | |||
====Parenchymal:==== | |||
Many cases (up to 80%) can remain [[asymptomatic]] and discovered either in [[autopsies]] or accidentally during routine imaging.<ref name="pmid2913118">{{cite journal |vauthors=Isnard RN, Pannier BM, Laurent S, London GM, Diebold B, Safar ME |title=Pulsatile diameter and elastic modulus of the aortic arch in essential hypertension: a noninvasive study |journal=J. Am. Coll. Cardiol. |volume=13 |issue=2 |pages=399–405 |year=1989 |pmid=2913118 |doi= |url=}}</ref> | |||
*[[Seizures]]: Most common manifestation of [[Parenchymal|parenchymal neuroccysticercosis]].<ref name="pmid3261519">{{cite journal |vauthors=Oot RF, Melville GE, New PF, Austin-Seymour M, Munzenrider J, Pile-Spellman J, Spagnoli M, Shoukimas GM, Momose KJ, Carroll R |title=The role of MR and CT in evaluating clival chordomas and chondrosarcomas |journal=AJR Am J Roentgenol |volume=151 |issue=3 |pages=567–75 |year=1988 |pmid=3261519 |doi=10.2214/ajr.151.3.567 |url=}}</ref>Seizers can be [[Focal seizures|focal]], [[Generalized seizure|generalized]] or focal with secondary generalization. | |||
*[[Headache]] | |||
*[[Nausea and vomiting]] | |||
*Psychiatric disorders: has a wide variatoin from abnormal dysfunction and up to [[dementia]] <ref name="pmid3261519">{{cite journal |vauthors=Oot RF, Melville GE, New PF, Austin-Seymour M, Munzenrider J, Pile-Spellman J, Spagnoli M, Shoukimas GM, Momose KJ, Carroll R |title=The role of MR and CT in evaluating clival chordomas and chondrosarcomas |journal=AJR Am J Roentgenol |volume=151 |issue=3 |pages=567–75 |year=1988 |pmid=3261519 |doi=10.2214/ajr.151.3.567 |url=}}</ref> | |||
====Extraparenchymal:==== | |||
<u>1. Ocular cysticercosis:</u> | |||
* Symptoms depend on the exact site of infestation in the eye. | |||
<u>2. Extraparenchymal in the brain ventricles and subarachnoid space:</u> | |||
Cysticerci obstruct of the flow of the [[CSF]] and cause [[hydrocephalus]]. Symptoms usually result from [[increased intracranial pressure]]. | |||
*[[Headache]] | |||
*[[Nausea and vomiting]] | |||
*[[Decreased visual acuity]] | |||
*[[Seizure|Seizures]] | |||
== | <u>3. Spinal cord cysticercosis:</u> | ||
== | It is very rare (1.5-3% of all the cases).<ref name="pmid15926787">{{cite journal |vauthors=Alsina GA, Johnson JP, McBride DQ, Rhoten PR, Mehringer CM, Stokes JK |title=Spinal neurocysticercosis |journal=Neurosurg Focus |volume=12 |issue=6 |pages=e8 |year=2002 |pmid=15926787 |doi= |url=}}</ref>The presentaion depends on the site of the lesion. | ||
* | *[[Low back pain]] that may radiate down the legs | ||
*Weakness in the legs and feet | |||
*[[Loss of sensation]] in the legs and feet | |||
*Bladder and bowel [[incontinence]] | |||
*[[Sexual dysfunction]] | |||
*[[Foot drop]] | |||
*Decreased or absent reflexes in the legs | |||
*Pain in the chest and/or back | |||
*[[Loss of sensation]] below the level of the compression | |||
*Paralysis of respiratory muscles | |||
===Extraneural=== | |||
====Muscular cysticercosis==== | |||
*Can be [[asymptomatic]] and [[calcification]] discovered accidentally on imaging | |||
*[[Muscle aches]] and weakness | |||
====Cutaneous cysticercosis==== | |||
*Can be [[asymptomatic]] | |||
*Discomfort, pruritis and excoriations | |||
==References== | ==References== | ||
| Line 23: | Line 59: | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
[[Category:Disease]] | |||
[[Category:Needs overview]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Neurology]] | |||
[[Category:Dermatology]] | |||
Latest revision as of 21:11, 29 July 2020
|
Cysticercosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Cysticercosis history and symptoms On the Web |
|
American Roentgen Ray Society Images of Cysticercosis history and symptoms |
|
Risk calculators and risk factors for Cysticercosis history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Presenting symptoms differ according to the site of the cysticerci. Parenchymal neurocysticercosis causes all the symptoms and signs of space occupying lesions. Extraparenchymal neurocysticercosis causes manifestations of increased intracranial pressure if cysts are present in the subarachnoid space or in the ventricles, manifestations of spinal cord compression if present in the spinal cord or causes eye disease if cysts are present in the orbit.
History and Symptoms
Presenting symptoms vary according to the site of infestation:
Neurocysticercosis
Parenchymal:
Many cases (up to 80%) can remain asymptomatic and discovered either in autopsies or accidentally during routine imaging.[1]
- Seizures: Most common manifestation of parenchymal neuroccysticercosis.[2]Seizers can be focal, generalized or focal with secondary generalization.
- Headache
- Nausea and vomiting
- Psychiatric disorders: has a wide variatoin from abnormal dysfunction and up to dementia [2]
Extraparenchymal:
1. Ocular cysticercosis:
- Symptoms depend on the exact site of infestation in the eye.
2. Extraparenchymal in the brain ventricles and subarachnoid space: Cysticerci obstruct of the flow of the CSF and cause hydrocephalus. Symptoms usually result from increased intracranial pressure.
3. Spinal cord cysticercosis: It is very rare (1.5-3% of all the cases).[3]The presentaion depends on the site of the lesion.
- Low back pain that may radiate down the legs
- Weakness in the legs and feet
- Loss of sensation in the legs and feet
- Bladder and bowel incontinence
- Sexual dysfunction
- Foot drop
- Decreased or absent reflexes in the legs
- Pain in the chest and/or back
- Loss of sensation below the level of the compression
- Paralysis of respiratory muscles
Extraneural
Muscular cysticercosis
- Can be asymptomatic and calcification discovered accidentally on imaging
- Muscle aches and weakness
Cutaneous cysticercosis
- Can be asymptomatic
- Discomfort, pruritis and excoriations
References
- ↑ Isnard RN, Pannier BM, Laurent S, London GM, Diebold B, Safar ME (1989). "Pulsatile diameter and elastic modulus of the aortic arch in essential hypertension: a noninvasive study". J. Am. Coll. Cardiol. 13 (2): 399–405. PMID 2913118.
- ↑ 2.0 2.1 Oot RF, Melville GE, New PF, Austin-Seymour M, Munzenrider J, Pile-Spellman J, Spagnoli M, Shoukimas GM, Momose KJ, Carroll R (1988). "The role of MR and CT in evaluating clival chordomas and chondrosarcomas". AJR Am J Roentgenol. 151 (3): 567–75. doi:10.2214/ajr.151.3.567. PMID 3261519.
- ↑ Alsina GA, Johnson JP, McBride DQ, Rhoten PR, Mehringer CM, Stokes JK (2002). "Spinal neurocysticercosis". Neurosurg Focus. 12 (6): e8. PMID 15926787.