RESUMEN
An experimental Taenia crassiceps mouse model was used to assess the role of Taenia solium metacestode factor (Fac) in human neurocysticercosis. Intraperitoneal infection with T. crassiceps metacestodes or subcutaneous inoculation with a T. crassiceps metacestode factor (Fac) produced significant impairment of performance (learning) in the Barnes maze and induced bilateral hippocampal sclerosis in mice. Several staining techniques revealed important cell dispersion, extensive apoptosis and cell loss in the dentate gyrus, hilus and CA1-CA3 regions of both hippocampi, as well as intense deterioration of the adjacent cortex. An outstanding disruption of its histoarchitecture in the surrounding tissue of all these regions and apoptosis of the endothelial cells were also observed.
Asunto(s)
Proteínas del Helminto/metabolismo , Hipocampo/parasitología , Neurocisticercosis/parasitología , Esclerosis/parasitología , Taenia/metabolismo , Teniasis/parasitología , Animales , Apoptosis , Femenino , Proteínas del Helminto/genética , Hipocampo/patología , Hipocampo/fisiopatología , Humanos , Ratones , Ratones Endogámicos BALB C , Neurocisticercosis/fisiopatología , Esclerosis/patología , Esclerosis/fisiopatología , Taenia/genética , Teniasis/patología , Teniasis/fisiopatologíaAsunto(s)
Epilepsia del Lóbulo Temporal/complicaciones , Hipocampo/patología , Neurocisticercosis/complicaciones , Esclerosis/complicaciones , Epilepsia del Lóbulo Temporal/parasitología , Epilepsia del Lóbulo Temporal/patología , Hipocampo/parasitología , Humanos , Esclerosis/parasitología , Esclerosis/patologíaRESUMEN
The objective of this case report is to describe magnetic resonance imaging (MRI) evidence of mesial temporal sclerosis (MTS) in a patient with new onset temporal lobe epilepsy (TLE) and acute neurocysticercosis with multiple cysts. A 56 years old man with new onset headache, Simple Partial Seizures and Complex Partial Seizures underwent CT scan and lumbar puncture as diagnose proceeding. Multiple cysts and meningitis were identified, with a positive immunology for cysticercosis. Seizures were recorded over the left temporal region in a routine EEG. Treatment with albendazole was performed for 21 days, with clinical improvement and seizure remission after 4 months. An MRI scan 11 months after treatment, showed complete resolution of those cystic lesions and a left hippocampal atrophy (HA) with hyperintense T2 signal. The presence of HA and hyperintense T2 signal in this patient has not, to date, been associated with a poor seizure control. CONCLUSIONS: This patient presented with MRI evidence of left MTS after new onset partial seizures of left temporal lobe origin. Although we did not have a previous MRI scan, it is likely that this hippocampal abnormality was due to the acute inflammatory response to cysticercosis associated to repeated partial seizures. This suggests that acute neurocysticercosis associated with repeated seizures may cause MTS and late onset TLE
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Epilepsia del Lóbulo Temporal/parasitología , Neurocisticercosis/complicaciones , Enfermedad Aguda , Albendazol/uso terapéutico , Antihelmínticos/uso terapéutico , Epilepsia del Lóbulo Temporal/tratamiento farmacológico , Estudios de Seguimiento , Imagen por Resonancia Magnética , Neurocisticercosis/tratamiento farmacológico , Esclerosis/tratamiento farmacológico , Esclerosis/parasitologíaRESUMEN
114 autopsy cases found during 3 years in Tomsk are analysed. A relationship between the strictures of the gallbladder duct and the duration and intensity of the opisthorchiasis invasion is established. The opisthorchiasis hinders the evacuation of the bile facilitates the development of the acute and chronic infection and cholelithiasis.