2002
DOI: 10.3201/eid0806.010377
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Neurocysticercosis in Radiographically Imaged Seizure Patients in U.S. Emergency Departments1

Abstract: Neurocysticercosis appears to be on the rise in the United States, based on immigration patterns and published cases series, including reports of domestic acquisition. We used a collaborative network of U.S. emergency departments to characterize the epidemiology of neurocysticercosis in seizure patients. Data were collected prospectively at 11 university-affiliated, geographically diverse, urban U.S. emergency departments from July 1996 to September 1998. Patients with a seizure who underwent neuroimaging were… Show more

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Cited by 134 publications
(101 citation statements)
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References 27 publications
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“…We excluded 169 because they were reviews, case reports, letters to editor, editorials, case series, retrospective studies, nonparenchymal neurocysticercosis studies, or active comparator trials (comparing 2 agents, e.g., albendazole with praziquantel). Full texts of the remaining 31 were reviewed; 16 were excluded because these contained data previously published, [16][17][18] 4 RCTs studied agents other than anthelminthics or corticosteroids, [19][20][21][22] 5 included patients with multiple enhancing or cystic lesions, 13,[23][24][25][26] and 4 had no control group for comparison. [27][28][29][30] Eventually, 10 RCTs, involving 765 subjects with SCG, were included in the meta-analysis of anthelminthic treatment.…”
mentioning
confidence: 99%
“…We excluded 169 because they were reviews, case reports, letters to editor, editorials, case series, retrospective studies, nonparenchymal neurocysticercosis studies, or active comparator trials (comparing 2 agents, e.g., albendazole with praziquantel). Full texts of the remaining 31 were reviewed; 16 were excluded because these contained data previously published, [16][17][18] 4 RCTs studied agents other than anthelminthics or corticosteroids, [19][20][21][22] 5 included patients with multiple enhancing or cystic lesions, 13,[23][24][25][26] and 4 had no control group for comparison. [27][28][29][30] Eventually, 10 RCTs, involving 765 subjects with SCG, were included in the meta-analysis of anthelminthic treatment.…”
mentioning
confidence: 99%
“…Further, neurocysticercosis was observed more frequently in emergency departments that had a higher proportion of immigrant Hispanic patients than the other hospitals. 10 The reported patients in our series had remote history of travel to an endemic area, but none in over the last three decades. This highlights the fact that tapeworm carriers and most individuals with taeniasis remain at risk for fecal-oral inoculation of eggs and subsequent development of neurocysticercosis.…”
Section: Discussionmentioning
confidence: 98%
“…Individuals with neurocysticercosis also present for medical attention outside of endemic areas, particularly where there are significant numbers of immigrants. 10 These cases highlight that neurocysticercosis should be considered if risk factors and neurological symptoms varying from mild to severe, including loss of consciousness, exist in a patient presenting with an obstructive hydrocephalus. VP shunt or a temporary ventriculostomy for CSF diversion should be used to relieve the obstruction in emergent situations.…”
Section: Discussionmentioning
confidence: 99%
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“…No entanto, nas últimas décadas foram publicados trabalhos mostrando crescente número de casos nos Estados Unidos da América (Shandera et al, 1994;Ong et al, 2002;Townes et al, 2004;De La Garza et al, 2005;Serpa et al, 2011;Sorvillo et al, 2011) e em países da Europa (Alvarez-Rodriguez et al, 2005;Mas-Sesé et al, 2008;Ruiz et al, 2011 (Takayanagui, 1990). …”
Section: Epidemiologiaunclassified