Cysticercosis natural history, complications and prognosis: Difference between revisions
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===Intestinal Tapeworm infection=== | ===Intestinal Tapeworm infection=== | ||
Tapeworm can grow inside the digestive tract and reach a length of 30 feet. It can cause obstruction at various sites in the GIT as: | [[Tapeworms|Tapeworm]] can grow inside the [[digestive tract]] and reach a length of 30 feet. It can cause obstruction at various sites in the GIT as: | ||
* Appendix | * [[Vermiform appendix|Appendix]] | ||
* Bile duct | * [[Bile duct]] | ||
* Pancreatic duct | * [[Pancreatic duct]] | ||
===CNS cysticercosis (15)=== | ===CNS cysticercosis (15)=== | ||
* Seizures | * [[Seizure|Seizures]] | ||
* Neurological deficits | * Neurological deficits | ||
* Hydrocephalus (80%) | * [[Hydrocephalus]] (80%) | ||
* Cerebral infarcts (64%) | * [[Cerebral infarction|Cerebral infarcts]] (64%) | ||
* Mental | * Mental disorders (43%) | ||
===Ocular cysticercosis=== | ===Ocular cysticercosis=== | ||
Cysticerci can be located anywhere in the orbit .. in the retina, subretinal, | Cysticerci can be located anywhere in the [[orbit]] .. in the [[retina]], subretinal space, [[vitreous]], [[anterior chamber]] or even in the [[extraocular muscles]]. | ||
Many patients go asymptomatic while others may have: | Many patients go asymptomatic while others may have: | ||
* Chorioretinitis | * [[Chorioretinitis]] | ||
* Retinal detachment | * [[Retinal detachment]] | ||
* Blindness in advanced cases after 3-5 years (16) | * [[Blindness]] in advanced cases after 3-5 years (16) | ||
==Prognosis== | ==Prognosis== | ||
* Prognosis differs from patient to patient and depends on the site and number of cysts. | * Prognosis differs from patient to patient and depends on the site and number of [[cysts]]. | ||
* On neuromimaging, single ring enhancing lesion is associated with better prognosis. (17) | * On neuromimaging, single ring enhancing lesion is associated with better prognosis. (17) | ||
Revision as of 04:22, 16 April 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Complications
Intestinal Tapeworm infection
Tapeworm can grow inside the digestive tract and reach a length of 30 feet. It can cause obstruction at various sites in the GIT as:
CNS cysticercosis (15)
- Seizures
- Neurological deficits
- Hydrocephalus (80%)
- Cerebral infarcts (64%)
- Mental disorders (43%)
Ocular cysticercosis
Cysticerci can be located anywhere in the orbit .. in the retina, subretinal space, vitreous, anterior chamber or even in the extraocular muscles. Many patients go asymptomatic while others may have:
- Chorioretinitis
- Retinal detachment
- Blindness in advanced cases after 3-5 years (16)
Prognosis
- Prognosis differs from patient to patient and depends on the site and number of cysts.
- On neuromimaging, single ring enhancing lesion is associated with better prognosis. (17)
References