Neurocysticercosis: declining incidence among patients admitted to a large public hospital in Guayaquil, Ecuador

被引:5
作者
Alarcon, Tomas A. [1 ,2 ]
Del Brutto, Oscar H. [3 ,4 ]
机构
[1] Hosp Reg Teodoro Maldonado Carbo, Inst Ecuatoriano Seguridad Social, Neurol Serv, Guayaquil, Ecuador
[2] Univ Guayaquil, Sch Med, Guayaquil, Ecuador
[3] Hosp Clin Kennedy, Dept Neurol Sci, Guayaquil, Ecuador
[4] Univ Especialidades Espiritu Santo, Sch Med, Guayaquil, Ecuador
关键词
Cysticercosis; Neurocysticercosis; Incidence; Guayaquil; LATE-ONSET EPILEPSY; MILLENNIUM; MEXICO;
D O I
10.1179/2047773212Y.0000000044
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
It has been stated that new cases of neurocysticercosis (NCC) are declining in some endemic regions over the past years. To confirm this assertion, we evaluated all NCC patients (n=362) admitted to the Neurological Service of our Hospital from 1982 to 2011, and we noted a significant reduction in the incidence of NCC, when compared with the total number of patients admitted to the Service over the study years (6.4% of 2,723 patients from 1982 to 1991, 2.7% of 3,056 patients from 1992 to 2001, and 3.5% of 2,996 patients from 2002 to 2012; p < 0.0001). It is likely that improved sanitation, together with increased availability of neuroimaging machines which allow prompt recognition and management of NCC cases avoiding disease progression, were the main responsibles for our findings.
引用
收藏
页码:310 / 311
页数:2
相关论文
共 8 条
[1]   Proposed diagnostic criteria for neurocysticercosis [J].
Del Brutto, OH ;
Rajshekhar, V ;
White, AC ;
Tsang, VCW ;
Nash, TE ;
Takayanagui, OM ;
Schantz, PM ;
Evans, CAW ;
Flisser, A ;
Correa, D ;
Botero, D ;
Allan, JC ;
Sarti, E ;
Gonzalez, AE ;
Gilman, RH ;
García, HH .
NEUROLOGY, 2001, 57 (02) :177-183
[2]   Reduced percentage of neurocysticercosis cases among patients with late-onset epilepsy in the new millennium [J].
Del Brutto, Oscar H. ;
Del Brutto, Victor J. .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2012, 114 (09) :1254-1256
[3]   Changing pattern of neurocysticercosis in an urban endemic center (Guayaquil, Ecuador) [J].
Del Brutto, Oscar H. ;
Del Brutto, Victor J. .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2012, 315 (1-2) :64-66
[4]   Neurocysticercosis May No Longer Be a Public Health Problem in Mexico [J].
Flisser, Ana ;
Correa, Dolores .
PLOS NEGLECTED TROPICAL DISEASES, 2010, 4 (12) :1-5
[5]   Neurocysticercosis: updated concepts about an old disease [J].
Garcia, HH ;
Del Brutto, OH .
LANCET NEUROLOGY, 2005, 4 (10) :653-661
[6]   Reduction in rate of epilepsy from neurocysticercosis by community interventions: The Salama, Honduras Study [J].
Medina, Marco T. ;
Aguilar-Estrada, Rafael L. ;
Alvarez, Allan ;
Duron, Reyna M. ;
Martinez, Lizandro ;
Dubon, Sofia ;
Estrada, Ana L. ;
Zuniga, Concepcion ;
Cartagena, Dora ;
Thompson, Arnold ;
Ramirez, Eunice ;
Banegas, Lenin ;
Osorio, Juan R. ;
Delgado-Escueta, Antonio V. ;
Collins, Julianne S. ;
Holden, Kenton R. .
EPILEPSIA, 2011, 52 (06) :1177-1185
[7]   Neurocysticercosis: Changes after 25 Years of Medical Therapy [J].
Sotelo, Julio ;
Diaz-Olavarrieta, Claudia .
ARCHIVES OF MEDICAL RESEARCH, 2010, 41 (01) :62-63
[8]  
Suástegui R, 2009, REV INVEST CLIN, V61, P354