Cerebral cysticercosis in Campina Grande, Paraíba - northern Brazil: computerized tomography diagnosis importance

Gonçalves-Coêlho, Thiago D.; Coelho, Matheus Diniz G.

doi:10.1590/S0004-282X1996000100015

Abstracts

Neurocysticercosis is the infection of the central nervous system by the larval form of Taenia solium , the Cysticercus cellulosae. We studied 4011 computerized tomographies performed in TomoHPI Radioimaging Service, Hospital Pedro I, Campina Grande PB, Northern Brazil, since its installation on August 1993 to July 1995. 41 patients were diagnosed as having Cysticercus cerebral infestation, corresponding to an incidence of 1.02%. No cases were related in Campina Grande PB during 1991 according to hospitalizations under prospective payment rates. After this radioimaging service installation, we observed 1.86 cases per month. We conclude that Campina Grande has to be included as an endemic area of neurocysticercosis, needing health service measures to cease the cycle Taenia-Cysticercus, the only way to get rid of such a serious problem.

cysticercosis; neurocysticercosis; central nervous system infection; computed tomography; epidemiology; radiology

Neurocisticercose é a infecção do sistema nervoso central pela larva da Taenia solium, o Cysticercus cellulosae. Estudamos 4011 tomografias computadorizadas feitas no Serviço de Radioimagem do Hospital Pedro I, Campina Grande PB, desde sua instalação em setembro de 1993 a junho de 1995. 41 pacientes foram diagnosticados como apresentando infestação cerebral por Cysticercus, correspondendo a 1,02 % . Nenhum caso de neurocisticercose foi diagnosticado em Campina Grande no ano de 1991, ao se analisar as causas das internações na Rede Hospitalar de Campina Grande conveniada ao SUS durante tal ano. Após a instalação deste serviço de radioimagem, observamos, em média, 1,86 casos por mês. Concluímos ser Campina Grande área endêmica para neurocisticercose, necessitando de medidas de saúde pública no intuito de cessar o ciclo Taenia-Cysticercus, a única maneira de erradicar tal afecção.

cisticercose; neurocisticercose; infecção do sistema nervoso central; tomografía computadorizada; epidemiologia; radiologia

Thiago D. Gonçalves-Coêlho^I; Matheus Diniz G. Coelho^II

^IMedicine Stundent, Faculty of Medicine Federal University of Paraíba, Campina Grande PB

^IIBiochemistry Student, Faculty of Pharmacy, Federal University of Paraíba, João Pessoa PB

ABSTRACT

Neurocysticercosis is the infection of the central nervous system by the larval form of Taenia solium , the Cysticercus cellulosae. We studied 4011 computerized tomographies performed in TomoHPI Radioimaging Service, Hospital Pedro I, Campina Grande PB, Northern Brazil, since its installation on August 1993 to July 1995. 41 patients were diagnosed as having Cysticercus cerebral infestation, corresponding to an incidence of 1.02%. No cases were related in Campina Grande PB during 1991 according to hospitalizations under prospective payment rates. After this radioimaging service installation, we observed 1.86 cases per month. We conclude that Campina Grande has to be included as an endemic area of neurocysticercosis, needing health service measures to cease the cycle Taenia-Cysticercus, the only way to get rid of such a serious problem.

Key words: cysticercosis, neurocysticercosis, central nervous system infection, computed tomography, epidemiology, radiology.

RESUMO

Neurocisticercose é a infecção do sistema nervoso central pela larva da Taenia solium, o Cysticercus cellulosae. Estudamos 4011 tomografias computadorizadas feitas no Serviço de Radioimagem do Hospital Pedro I, Campina Grande PB, desde sua instalação em setembro de 1993 a junho de 1995. 41 pacientes foram diagnosticados como apresentando infestação cerebral por Cysticercus, correspondendo a 1,02 % . Nenhum caso de neurocisticercose foi diagnosticado em Campina Grande no ano de 1991, ao se analisar as causas das internações na Rede Hospitalar de Campina Grande conveniada ao SUS durante tal ano. Após a instalação deste serviço de radioimagem, observamos, em média, 1,86 casos por mês. Concluímos ser Campina Grande área endêmica para neurocisticercose, necessitando de medidas de saúde pública no intuito de cessar o ciclo Taenia-Cysticercus, a única maneira de erradicar tal afecção.

Palavras-chave: cisticercose, neurocisticercose, infecção do sistema nervoso central, tomografía computadorizada, epidemiologia, radiologia.

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Acknowlegdements - We would like to thank to Dr. Carlos Alberto Regis Toscano, Radiologist of TomoHPI Radioimaging Service, Hospital Pedro I, Campina Grande PB. We would also like to thank to Prof. Heitor Gonçalves Coelho, Mrs. Eunice Diniz Coelho and Mrs. Magna Rosiane Leite Oliveira Gonçalves.

Aceite: 3-novembro-1995.

Hospital Pedro I, TOMOHPI Radioimaging Center, Campina Grande, Paraíba, Brasil.

Thiago D. Gonçalves-Coêlho - Rua Monsenhor Palmeira 454 - 58135-000 Esperança PB - Brasil.

1. Agapejev S. Incidence od neurocysticercosis at the University Hospital, Faculty of Medicine of Botucatu, State University of São Paulo (Abstr.). Thesis. Arq Neuropsiquiatr 1995; 53:170-171.
2. Arruda WO, Camargo NJ, Coelho RC. Neurocysticercosis: an epidemiological survey in two small rural communities. Arq Neuropsiquiatr 1990; 48:417-424.
3. Carbajal JR, Palácios E, Azar-Kia B, Churchill R. Radiology of cysticercosis of the central nervous system including CT. Radiology 1977; 125:127-131.
4. Chequer RS, Vieira VLF. Neurocisticercose no Espírito Santo: avaliação de 45 casos. Arq Neuropsiquiatr 1990; 48:431-440.
5. Coêlho TDG. Doenças do cérebro em Campina Grande, Paraíba: incidência. Arq Neuropsiquiatr 1994; 52:56-61.
6. Colli, BO, Martelli N, Assirati JA Jr, Machado HR, Salvarani CP, Sassoli VP, Forjaz SV. Cysticercosis of the CNS: I. Surgical treatment of cerebral cysticercosis: a 23 years experience in the Hospital das Clínicas of Ribeirão Preto Medical School. Arq Neuropsiquiatr 1994; 52:166-186.
7. de Kaninski RG. Taeniasis-Cysticercosis in Honduras. Trans R Soc Trop Med Hyg 1991; 85:531-534.
8. Kramer LD, Locke GE, Byrd SF, Daryabagi J. Cerebral cysticercosis: documentation of natural history with CT Radiology 1989; 171:459-462.
9. Machado LR, Nóbrega JPS, Barros NG, Livramento JA, Bacheschi LA, Spina-França A. Computed tomography in neurocysticercosis: a 10-year evolution analysis of 100 patients with an appraisal of a new classification. Arq Neuropsiquiatr 1990; 48:414-418.
10. Schantz PM, Moore AC, Muñoz JL, Hartman BJ, Schaefer JA, Aron AM, Persaud D, Sarti E, Wilson M, Flisser A. Neurocysticercosis in an orthodox Jewish community in New York City. N Engl J Med 1992; 327:692-695.
11. Schaefer D. Neurocysticercosis: two hundred thirty-eight cases from a California Hospital. Arch Neurol 1988; 45:777-780.
12. Shibata AK, Bianco E, Moreira FA, Almeida GM. Forma tumoral da cisticercose cerebral: diagnóstico pela tomografia computadorizada. Arq Neuropsiquiatr 1980; 38:399-403.
13. Spina-França A, Livramento JA, Machado LR. Cysticercosis of the CNS and cerebrospinal fluid. Arq Neuropsiquiatr 1993; 51:16-20.
14. Takayanagui OM, Jardim E. Aspectos clínicos da neurocisticercose: análise de 500 casos. Arq Neuropsiquiatr 1983; 41:50-63.

Cerebral cysticercosis in Campina Grande, Paraíba - northern Brazil: computerized tomography diagnosis importance

Cisticercose cerebral em Campina Grande, Paraíba - Nordeste do Brasil: importância diagnóstica da tomografia computadorizada

Publication Dates

Publication in this collection
07 Dec 2010
Date of issue
Mar 1996

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Agapejev S. Incidence od neurocysticercosis at the University Hospital, Faculty of Medicine of Botucatu, State University of São Paulo (Abstr.). Thesis. Arq Neuropsiquiatr 1995; 53:170-171.

[2] 2. Arruda WO, Camargo NJ, Coelho RC. Neurocysticercosis: an epidemiological survey in two small rural communities. Arq Neuropsiquiatr 1990; 48:417-424.

[3] 3. Carbajal JR, Palácios E, Azar-Kia B, Churchill R. Radiology of cysticercosis of the central nervous system including CT. Radiology 1977; 125:127-131.

[4] 4. Chequer RS, Vieira VLF. Neurocisticercose no Espírito Santo: avaliação de 45 casos. Arq Neuropsiquiatr 1990; 48:431-440.

[5] 5. Coêlho TDG. Doenças do cérebro em Campina Grande, Paraíba: incidência. Arq Neuropsiquiatr 1994; 52:56-61.

[6] 6. Colli, BO, Martelli N, Assirati JA Jr, Machado HR, Salvarani CP, Sassoli VP, Forjaz SV. Cysticercosis of the CNS: I. Surgical treatment of cerebral cysticercosis: a 23 years experience in the Hospital das Clínicas of Ribeirão Preto Medical School. Arq Neuropsiquiatr 1994; 52:166-186.

[7] 7. de Kaninski RG. Taeniasis-Cysticercosis in Honduras. Trans R Soc Trop Med Hyg 1991; 85:531-534.

[8] 8. Kramer LD, Locke GE, Byrd SF, Daryabagi J. Cerebral cysticercosis: documentation of natural history with CT Radiology 1989; 171:459-462.

[9] 9. Machado LR, Nóbrega JPS, Barros NG, Livramento JA, Bacheschi LA, Spina-França A. Computed tomography in neurocysticercosis: a 10-year evolution analysis of 100 patients with an appraisal of a new classification. Arq Neuropsiquiatr 1990; 48:414-418.

[10] 10. Schantz PM, Moore AC, Muñoz JL, Hartman BJ, Schaefer JA, Aron AM, Persaud D, Sarti E, Wilson M, Flisser A. Neurocysticercosis in an orthodox Jewish community in New York City. N Engl J Med 1992; 327:692-695.

[11] 11. Schaefer D. Neurocysticercosis: two hundred thirty-eight cases from a California Hospital. Arch Neurol 1988; 45:777-780.

[12] 12. Shibata AK, Bianco E, Moreira FA, Almeida GM. Forma tumoral da cisticercose cerebral: diagnóstico pela tomografia computadorizada. Arq Neuropsiquiatr 1980; 38:399-403.

[13] 13. Spina-França A, Livramento JA, Machado LR. Cysticercosis of the CNS and cerebrospinal fluid. Arq Neuropsiquiatr 1993; 51:16-20.

[14] 14. Takayanagui OM, Jardim E. Aspectos clínicos da neurocisticercose: análise de 500 casos. Arq Neuropsiquiatr 1983; 41:50-63.