Neurocysticercose a kinshasa : imagerie et clinique a propos de 11 cas

Kabeya-Kabenkama, J.M.; Tshikwela, Michel Lelo; Mpoyo-Mukendi, W.; Said-Mutena, E.

doi:10.1016/s0221-0363(07)81355-2

Cited by 3 publications

(6 citation statements)

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“…In contrast, 23.1% of the patients had lesions of several stages. Kabeya, et al [19] reported in their study that 72% of the patients had lesions of a single evolutionary stage. Shretha, et al [20] also found 89.8% of lesions of a single stage.…”

Section: Discussionmentioning

confidence: 93%

“…We recorded 18 patients with NCC, of which 13 (72%) had epileptic seizures. In the DRC (in Kinshasa), Kabeya, et al found 81% of epilepsy in patients with NCC [19]. In Nepal, Shrestha, et al [20] found a frequency of 83% among patients with NCC; in Bolivia, Miranda, et al [21] found 66%.…”

Section: Discussionmentioning

confidence: 99%

“…Intraparenchymal NCC (the most common clinical form) occurs when the cyst is located in the brain parenchyma [42]. Several studies have found the predominance of parenchymal cysticercus lesions [19,43]. Shrestha, et al [20] found parietal location (40%) followed by frontal location (18.36%).…”

Section: Discussionmentioning

confidence: 99%

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Epilepsy due to Neurocysticercosis: Analysis of a Hospital Cohort

Bugeme¹,

Sow²,

Mukuku³

et al. 2020

J Neurosci Neurol Disord

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Introduction: Neurocysticercosis (NCC) is a common helminthic infection of the nervous system that occurs when humans become intermediate hosts in the life cycle of the pig tapeworm (Taenia solium) after ingesting its eggs. The objective of this study was to analyze socio-demographic, clinical and paraclinical features of patients with NCC in Lubumbashi, DRC. Methods: This is a cross-sectional study conducted over a period of 2 years within the Neuropsychiatric Center of Lubumbashi. Socio-demographic, clinical, paraclinical and therapeutic features were studied. Results: A total of 18 patients with NCC were listed. Epilepsy was found in 72.2% (13/18) of the cases. The mean age of the patients was 30.2 ± 13.5 years; males accounted for 61.2% of the cases. 84.6% were consumers of pork. Generalized epilepsy was found in 84.6% of the cases and hypereosinophilia in 38% of the cases. On the neuroimaging, the parietal location of lesions represented 92.3%; calcifications were the type of lesion in 53.8% of the cases and 69.2% of the cases presented lesions in the 4th evolutionary stage. Electroencephalogram was normal in 84.4% of the cases. Phenobarbital was the antiepileptic drug used in 69.3%; albendazole and prednisone were used in 53.9% of the cases. Conclusion: This study shows that NCC is one of the causes of epilepsy in Lubumbashi. Generalized tonic-clonic seizures are the most common form of presentation and calcified parenchymal lesions are the most common radiological feature of NCC. So, any patient with acute onset of afebrile seizure should be screened for NCC provided other common causes been ruled out.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Epilepsy due to Neurocysticercosis: Analysis of a Hospital Cohort

Bugeme¹,

Sow²,

Mukuku³

et al. 2020

J Neurosci Neurol Disord

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“…La majorité des personnes ayant la NCC sont asymptomatiques [ 6 ]. Dans une étude menée à Kinshasa (RDCongo), le diagnostic de NCC avait été retenu chez 11 patients sur un total de 4233 scanners cérébraux réalisés en 15 ans soit une fréquence de 0,26% [ 7 ]. Malgré que la RDCongo fait partie des pays à haute prévalence de NCC [ 8 ], cette pathologie est de diagnostic plutôt rare en milieu urbain.…”

Section: Discussionunclassified

Neurocysticercose révélée par une épilepsie réfractaire: à propos d’une observation

Bugeme¹,

Mukuku²

2015

Pan Afr Med J

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Nous rapportons une observation de neurocysticercose parenchymateuse chez un homme de 38 ans, consommant régulièrement la viande de porc, qui a présenté une épilepsie réfractaire. Le diagnostic de NCC était basé sur la présence de lésions kystiques montrant le scolex sur les images du scanner cérébrale, la présence de signes cliniques évocateurs de NCC (épilepsie faite des crises convulsives focales évoluant vers des crises bilatérales), la réponse clinique au traitement à l'albendazole et le fait que notre patient vit dans une zone reconnue endémique à la cysticercose. Après un traitement fait d'albendazole et de prednisolone, l’évolution est marquée par la disparition complète des crises épileptiques.

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“…5 Although NCC seems to be present in the DRC, it is seldom diagnosed mostly because of poverty and lack of access to brain imaging, and no prevalence assessments exist, although a few case reports have been published. [8][9][10] The first report described a single case of NCC, and a second one reported seven cases of NCC, in the territory of Madimba, Bas-Congo, in a period of 15 months. In a study conducted in Kinshasa (DRC), of a total of 4,233 brain scans were performed in 15 years, 11 NCC cases were diagnosed.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Three Cases of Neurocysticercosis in Central Africa

Mukuku

Sánchez

Bugeme

et al. 2020

The American Journal of Tropical Medicine and Hygiene

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Neurocysticercosis (NCC) is an infection prevalent in developing countries; however, it is neglected in the Democratic Republic of the Congo (DRC) and in sub-Saharan Africa. Here, we present three different cases seen in a consulting room in Lubumbashi. These cases are evidence that NCC is more common than it was previously thought in sub-Saharan Africa. Neurocysticercosis is a pathology-neglected and ignored infection, not only by the population but also by health professionals and health authorities in the DRC, and because of that, it is important to increase the research about NCC in the DRC to assess the prevalence and risk factors for NCC to assess the severity of the phenomenon and to help designing appropriate prevention and control measures.

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Neurocysticercose a kinshasa : imagerie et clinique a propos de 11 cas

Cited by 3 publications

References 0 publications

Epilepsy due to Neurocysticercosis: Analysis of a Hospital Cohort

Epilepsy due to Neurocysticercosis: Analysis of a Hospital Cohort

Neurocysticercose révélée par une épilepsie réfractaire: à propos d’une observation

Case Report: Three Cases of Neurocysticercosis in Central Africa

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