Electroencephalographic abnormalities and imaging profile of neurocysticercosis: analysis of 60 cases in children
DOI:
https://doi.org/10.18203/2349-3933.ijam20172566Keywords:
Electroencephalogram, Imaging, NeurocysticercosisAbstract
Background: To study the electroencephalographic abnormalities and imaging profile of 60 children suffering from neurocysticercosis at a tertiary care centre over a period of two years.
Methods: A diagnosis of Neurocysticercosis was made mainly on the basis of clinical features, imaging studies and serological tests. Patients were evaluated for different types of abnormalities on electroencephalogram (EEG) of their brains. This study group was subsequently evaluated for nature, type and site of lesion on computed tomographic scan and Magnetic Resonance Imaging of brain.
Results: 28 (57.14%) cases had abnormal EEG finding in which nonspecific background changes was the commonest abnormalities. Solitary lesion (71.66%) were most common type of lesion. Parietal lobe was most common affected lobe followed by frontal lobe (18.6%). Transitional lesion (71.66%) in the form of ring enhancement following contrast administration was the prominent nature of lesion.
Conclusions: Electroencephalographic abnormalities are not directly related to site and type of involvement. Parietal lobe was the most common affected lobe probably due to middle cerebral artery involvement.
References
Blanton R. Cysticercosis. In: Kliegman RM, Jenson HB, Behrman RE, Stanton BF, eds. Nelson Textbook of Paediatrics. Philadelphia: Saunders Elsevier; 2007:1514-1516.
Bhattacharjee S, Biswas P. Childhood seizure-A case of neurocysticercosis involving left parietal lobe. Turk Noroloji Dergisi. 2011;17:167-70.
Antoniuk S, Bruck I, Santos LH, Souza LP, Fugimura S. Neurocysticercosis in Children: clinical study and follow up of 112 patients. Rev Neurol. 2006;42(3):S97-101.
Del Brutto OH, Rajshekhar V, White AC Jr, Tsang VC, Nash TE, Takayanagui OM, et al. Proposed diagnostic criteria for neurocysticercosis. Neurol. 2001;57:177-83.
White AC Jr, Weller PF. Cestodes. In: Kasper DL, Fauci AS, Longo DL, Braunwald E, Hauser SL, Jameson JL, et al, eds. Harrison’s Principles of Internal Medicine. New York: McGraw Hill; 2008:1337-1338.
Singhi P, Ray M, Singhi S, Khandelwal N. Clinical spectrum of 500 children with neurocysticercosis and response to albendazole therapy. J Child Neurol. 2000;15:207-13.
Singhi P. Neurocysticercosis. Ther Adv Neurol Disord. 2011;4:67-81.
Gauchan E, Malla T, Basnet S, Rao KS. Variability of presentations and CT-scan findings in children with neurocysticercosis. Kathmandu Univ Med J. (KUMJ). 2011;9:17-21.
Prasad R, Anil, Mishra OP, Mishra SP, Upadhyay RS, Singh TB. Oxidative stress in children with neurocysticercosis. Pediatr Infect Dis J. 2012;31:1012-5.
Kalra V, Sethi A. Childhood neurocysticercosis-Epidemiology, diagnosis and course. Acta Paediatr Jpn. 1992;34:365-70.
Carpio A. Neurocysticercosis: An update. Lancet Infect Dis. 2002;2:751-62.
Kalra V. Neurocysticercosis. In: Parthasarathy A, Menon PS, Agarwal RK, Choudhury P, Thacker CN, Ugra D, et al. eds. IAP Textbook of Paediatrics. New Delhi: Jaypee Brothers Medical Publishers; 2009:469-470.
Roos KL, Tyler KL. Meningitis, encephalitis, brain abscess and empyema. In: Kasper DL, Braunwald E, Jameson JL, Hauser S, Fauci AS, Longo DL, et al. eds. Harrison’s Principles of Internal Medicine. New York: McGraw Hill; 2005:2485.
