Journal of Neurosciences in Rural Practice
 


 
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LETTER TO THE EDITOR
Year : 2015  |  Volume : 6  |  Issue : 3  |  Page : 452  

Commentary


Neurosciences Research Center, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran

Date of Web Publication16-Jun-2015

Correspondence Address:
Dr. Mehrdad Emami
Neurosciences Research Center, Chamran Hospital, Chamran Boulevard, Shiraz University of Medical Sciences, Shiraz
Iran
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Emami M. Commentary. J Neurosci Rural Pract 2015;6:452

How to cite this URL:
Emami M. Commentary. J Neurosci Rural Pract [serial online] 2015 [cited 2019 May 20];6:452. Available from: http://www.ruralneuropractice.com/text.asp?2015/6/3/452/158752

I read with interest the study by Wiwanitkit and Wiwanitkit, which has summarized the previous publications on Thai patients with racemose neurocysticercosis (NCC). [1] The authors described the clinical manifestations and paraclinical findings in five reported Thai cases.

Racemose NCC is a rare form of the NCC, which develops at the basal subarachnoid region. NCC is the most common cause of parasitic infection in the human central nervous system. This infection causes a wide variety of neurological symptoms from headache to focal neurological loss or hemiparesis. In addition, it is the main cause of adult-onset epilepsy in endemic areas. [2],[3] NCC is a relatively common infection in developing countries. Additionally, due to immigration and traveling in recent decades, physicians in westerns countries have been faced with incidental cases of NCC. [4],[5]

This study not only revealed the difficulties with the proper diagnosis of this disease due to its various clinical presentations and the limited role of imaging techniques, but also suggested considering the possibility of concomitant medical problems in some cases. In general, clinicians need to be aware of these facts and consider the possibility of racemose NCC in confronting patients from high-risk regions who have signs or symptoms of central nervous system involvement.

 
   References Top

1.
Wiwanitkit S, Wiwanitkit V. Racemose cysticercosis: A summary of 5 reported Thai cases. J Neurosci Rural Pract 2015;6:451.  Back to cited text no. 1
  Medknow Journal  
2.
Garcia HH, Del Brutto OH. Taenia solium cysticercosis. Infect Dis Clin North Am 2000;14:97-119, ix.  Back to cited text no. 2
    
3.
Das RR, Tekulve KJ, Agarwal A, Tormoehlen LM. Racemose neurocysticercosis. Semin Neurol 2012;32;550-5.  Back to cited text no. 3
    
4.
Marconi VC, Garcia HH, Katz JT. Neurocysticercosis. Curr Infect Dis Rep 2006;8:293-300.  Back to cited text no. 4
    
5.
Fabiani S, Bruschi F. Neurocysticercosis in Europe: Still a public health concern not only for imported cases. Acta Trop 2013;128:18-26.  Back to cited text no. 5
    




 

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