A retrospective analysis of variability of clinical presentations and brain imaging findings in children with neurocysticercosis in rural population of West Bengal
Background: Neurocysticercosis (NCC) is a common, widely prevalent parasitic infestation of the central nervous system in children of developing countries leading to neurological morbidities. Objectives: To study the variability of initial clinical presentations and brain imaging findings in chil...
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Manipal College of Medical Sciences, Pokhara
2015-04-01
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doaj-4d80e827e8154288acfe72b2afea26902020-11-25T02:26:47ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762015-04-01653135https://doi.org/10.3126/ajms.v6i5.11628A retrospective analysis of variability of clinical presentations and brain imaging findings in children with neurocysticercosis in rural population of West BengalMonojit Mondal0Resident, Department of Pediatric Medicine, Burdwan Medical College, BurdwanBackground: Neurocysticercosis (NCC) is a common, widely prevalent parasitic infestation of the central nervous system in children of developing countries leading to neurological morbidities. Objectives: To study the variability of initial clinical presentations and brain imaging findings in children with NCC in the rural population of West Bengal. Methods: A retrospective analysis was done in the Department of Pediatric Medicine, Burdwan Medical College, Burdwan, India from August 2011 to August 2013. Results: Out of 952 admitted children with seizure, 113 children were diagnosed as having NCC (11.9%). Out of them, 62 (54.9%) were boys and 51 (45.1%) were girls. The age of presentation varied from 3 years to 12 years, with mean age 9.4 years. The commonest age of presentation was between 10 to 12 years (n=62; 54.9%). The maximum number of patients were from Burdwan district (n=72; 63.7%) followed by Birbhum (n=25; 22.1%). The commonest initial presentation with seizure (n=93; 82.3 %); partial seizure were present in 76 patients (81.7%). On brain imaging study, the commonest location of lesions was found in the parietal region (n=69; 61.1 %), the right parietal region being more common. Single lesions were found in 102 patients(90.3%). Conclusion: NCC is a major cause of neurological morbidity in children of developing nations and it should be suspected in any children presenting with a first episode of afebrile partial seizure. A screening brain imaging should be performed earlier to prevent undue mortality and morbidity.https://www.nepjol.info/index.php/AJMS/article/view/11628neurocysticercosisparasitic infestationcentral nervous systemmorbiditieschildren |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Monojit Mondal |
spellingShingle |
Monojit Mondal A retrospective analysis of variability of clinical presentations and brain imaging findings in children with neurocysticercosis in rural population of West Bengal Asian Journal of Medical Sciences neurocysticercosis parasitic infestation central nervous system morbidities children |
author_facet |
Monojit Mondal |
author_sort |
Monojit Mondal |
title |
A retrospective analysis of variability of clinical presentations and brain imaging findings in children with neurocysticercosis in rural population of West Bengal |
title_short |
A retrospective analysis of variability of clinical presentations and brain imaging findings in children with neurocysticercosis in rural population of West Bengal |
title_full |
A retrospective analysis of variability of clinical presentations and brain imaging findings in children with neurocysticercosis in rural population of West Bengal |
title_fullStr |
A retrospective analysis of variability of clinical presentations and brain imaging findings in children with neurocysticercosis in rural population of West Bengal |
title_full_unstemmed |
A retrospective analysis of variability of clinical presentations and brain imaging findings in children with neurocysticercosis in rural population of West Bengal |
title_sort |
retrospective analysis of variability of clinical presentations and brain imaging findings in children with neurocysticercosis in rural population of west bengal |
publisher |
Manipal College of Medical Sciences, Pokhara |
series |
Asian Journal of Medical Sciences |
issn |
2467-9100 2091-0576 |
publishDate |
2015-04-01 |
description |
Background: Neurocysticercosis (NCC) is a common, widely prevalent parasitic infestation of the central nervous system in children of developing countries leading to neurological morbidities.
Objectives: To study the variability of initial clinical presentations and brain imaging findings in children with NCC in the rural population of West Bengal.
Methods: A retrospective analysis was done in the Department of Pediatric Medicine, Burdwan Medical College, Burdwan, India from August 2011 to August 2013.
Results: Out of 952 admitted children with seizure, 113 children were diagnosed as having NCC (11.9%). Out of them, 62 (54.9%) were boys and 51 (45.1%) were girls. The age of presentation varied from 3 years to 12 years, with mean age 9.4 years. The commonest age of presentation was between 10 to 12 years (n=62; 54.9%). The maximum number of patients were from Burdwan district (n=72; 63.7%) followed by Birbhum (n=25; 22.1%). The commonest initial presentation with seizure (n=93; 82.3 %); partial seizure were present in 76 patients (81.7%). On brain imaging study, the commonest location of lesions was found in the parietal region (n=69; 61.1 %), the right parietal region being more common. Single lesions were found in 102 patients(90.3%).
Conclusion: NCC is a major cause of neurological morbidity in children of developing nations and it should be suspected in any children presenting with a first episode of afebrile partial seizure. A screening brain imaging should be performed earlier to prevent undue mortality and morbidity. |
topic |
neurocysticercosis parasitic infestation central nervous system morbidities children |
url |
https://www.nepjol.info/index.php/AJMS/article/view/11628 |
work_keys_str_mv |
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