Stelzle, Dominik ORCID: 0000-0001-6743-2818, Abraham, Annette, Kaminski, Miriam, Schmidt, Veronika, De Meijere, Robert, Bustos, Javier A., Garcia, Hector Hugo, Sahu, Priyadarshi Soumyaranjan, Bobic, Branko, Cretu, Carmen, Chiodini, Peter, Dermauw, Veronique ORCID: 0000-0001-8745-5304, Devleesschauwer, Brecht, Dorny, Pierre, Fonseca, Ana, Gabriel, Sarah, Morales, Maria Angeles Gomez, Laranjo-Gonzalez, Minerva, Hoerauf, Achim, Hunter, Ewan, Jambou, Ronan, Jurhar-Pavlova, Maja, Reiter-Owona, Ingrid, Sotiraki, Smaragda, Trevisan, Chiara, Vilhena, Manuela, Walker, Naomi F., Zammarchi, Lorenzo and Winkler, Andrea Sylvia (2023). Clinical characteristics and management of neurocysticercosis patients: a retrospective assessment of case reports from Europe. J. Travel Med., 30 (1). CARY: OXFORD UNIV PRESS INC. ISSN 1708-8305

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Abstract

Objectives Neurocysticercosis (NCC) is a parasitic disease caused by the larval stage of the tapeworm Taenia solium. NCC mainly occurs in Africa, Latin America and South-East Asia and can cause a variety of clinical signs/symptoms. Although it is a rare disease in Europe, it should nonetheless be considered as a differential diagnosis. The aim of this study was to describe clinical characteristics and management of patients with NCC diagnosed and treated in Europe. Methods We conducted a systematic search of published and unpublished data on patients diagnosed with NCC in Europe (2000-2019) and extracted demographic, clinical and radiological information on each case, if available. Results Out of 293 identified NCC cases, 59% of patients presented initially with epileptic seizures (21% focal onset); 52% presented with headache and 54% had other neurological signs/symptoms. The majority of patients had a travel or migration history (76%), mostly from/to Latin America (38%), Africa (32%) or Asia (30%). Treatment varied largely depending on cyst location and number. The outcome was favorable in 90% of the cases. Conclusions Management of NCC in Europe varied considerably but often had a good outcome. Travel and migration to and from areas endemic for T. solium will likely result in continued low prevalence of NCC in Europe. Therefore, training and guidance of clinicians is recommended for optimal patient management.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Stelzle, DominikUNSPECIFIEDorcid.org/0000-0001-6743-2818UNSPECIFIED
Abraham, AnnetteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kaminski, MiriamUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmidt, VeronikaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
De Meijere, RobertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bustos, Javier A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Garcia, Hector HugoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sahu, Priyadarshi SoumyaranjanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bobic, BrankoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cretu, CarmenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chiodini, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dermauw, VeroniqueUNSPECIFIEDorcid.org/0000-0001-8745-5304UNSPECIFIED
Devleesschauwer, BrechtUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dorny, PierreUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fonseca, AnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gabriel, SarahUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Morales, Maria Angeles GomezUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Laranjo-Gonzalez, MinervaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoerauf, AchimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hunter, EwanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jambou, RonanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jurhar-Pavlova, MajaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Reiter-Owona, IngridUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sotiraki, SmaragdaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Trevisan, ChiaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vilhena, ManuelaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Walker, Naomi F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zammarchi, LorenzoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Winkler, Andrea SylviaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-697524
DOI: 10.1093/jtm/taac102
Journal or Publication Title: J. Travel Med.
Volume: 30
Number: 1
Date: 2023
Publisher: OXFORD UNIV PRESS INC
Place of Publication: CARY
ISSN: 1708-8305
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CYSTICERCOSIS; CLASSIFICATION; METAANALYSIS; ALBENDAZOLE; DIAGNOSIS; MANIFESTATIONS; GUIDELINES; INFECTION; DISEASES; OUTCOMESMultiple languages
Public, Environmental & Occupational Health; Infectious Diseases; Medicine, General & InternalMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69752

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