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Co-existence of cerebral cysticercosis with Japanese encephalitis: a prognostic modulator

Published online by Cambridge University Press:  01 April 1997

A. DESAI ,
S. K. SHANKAR ,
P. N. JAYAKUMAR ,
A. CHANDRAMUKI ,
M. GOURIE-DEVI ,
B. V. RAVIKUMAR  and
V. RAVI
A. DESAI
Affiliation:
Department of Neurovirology, National Institute of Mental Health & Neuro Sciences, Bangalore 560029, India
S. K. SHANKAR
Affiliation:
Department of Neuropathology, National Institute of Mental Health & Neuro Sciences, Bangalore 560029, India
P. N. JAYAKUMAR
Affiliation:
Department of Neuroradiology, National Institute of Mental Health & Neuro Sciences, Bangalore 560029, India
A. CHANDRAMUKI
Affiliation:
Department of Neurovirology, National Institute of Mental Health & Neuro Sciences, Bangalore 560029, India
M. GOURIE-DEVI
Affiliation:
Department of Neurology, National Institute of Mental Health & Neuro Sciences, Bangalore 560029, India
B. V. RAVIKUMAR
Affiliation:
Astra Research Centre India, Bangalore 560003, India
V. RAVI
Affiliation:
Department of Neurovirology, National Institute of Mental Health & Neuro Sciences, Bangalore 560029, India
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Abstract

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In this study, we investigated the frequency of co-existence of cerebral cysticercosis (CC) in Japanese encephalitis (JE) cases with special emphasis on its role in predicting the final clinical outcome. Amongst the 163 confirmed cases of JE, 37·42% (61/163) had co-existent CC. This was confirmed by antibody detection in the CSF of 45 cases, CT scan of the brain in 6 cases and at autopsy in 3 cases. In 2 cases confirmation was possible by CT scan as well as at autopsy, in 4, CSF antibody levels and CT scan were suggestive of CC while in 1, CSF antibodies and autopsy were suggestive of CC. The co-occurrence of Cysticercus cellulosae in the brain emerged as a prognosticator of poor outcome in JE cases (P<0·03).

Type
Research Article
Information
Epidemiology & Infection , Volume 118 , Issue 2 , April 1997 , pp. 165 - 171
Copyright
© 1997 Cambridge University Press