Small calcified lesions suggestive of neurocysticercosis are associated with mesial temporal sclerosis

Recent studies have suggested a possible relationship between temporal lobe epilepsy with mesial temporal sclerosis (MTS) and neurocysticercosis (NC). We performed a case-control study to evaluate the association of NC and MTS. Method: : We randomly selected patients with different epilepsy types, i...

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Detalhes bibliográficos
Autores: Oliveira, Marcos Castello Barbosa de, Martin, Maria da Graça Morais, Tsunemi, Miriam Harumi [UNESP], Vieira, Gilson, Castro, Luiz Henrique Martins
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2014
País:Brasil
Recursos:Universidade Estadual Paulista (UNESP)
Repositório:Repositório Institucional da UNESP
Idioma:inglês
OAI Identifier:oai:repositorio.unesp.br:11449/129958
Acesso em linha:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000700510&lng=en&nrm=iso&tlng=en
http://hdl.handle.net/11449/129958
Access Level:Acceso aberto
Palavra-chave:Hippocampal sclerosis
Cysticercosis
Temporal lobe epilepsy
Mesial temporal sclerosis
Neurocysticercosis
Calcifications
Esclerose de hipocampo
Cisticercose
Epilepsia do lobo temporal
Esclerose mesial temporal
Neurocisticercose
Calcificações
Descrição
Resumo:Recent studies have suggested a possible relationship between temporal lobe epilepsy with mesial temporal sclerosis (MTS) and neurocysticercosis (NC). We performed a case-control study to evaluate the association of NC and MTS. Method: : We randomly selected patients with different epilepsy types, including: MTS, primary generalized epilepsy (PGE) and focal symptomatic epilepsy (FSE). Patients underwent a structured interview, followed by head computed tomography (CT). A neuroradiologist evaluated the scan for presence of calcified lesions suggestive of NC. CT results were matched with patients'data. Results: : More patients in the MTS group displayed calcified lesions suggestive of NC than patients in the other groups (p=0.002). On multivariate analysis, MTS was found to be an independent predictor of one or more calcified NC lesions (p=0.033). Conclusion: : After controlling for confounding factors, we found an independent association between NC calcified lesions and MTS.