Cysticercosis natural history, complications and prognosis
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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