Description

Carpio et al reported criteria for the diagnosis of parenchymal neurocysticercosis. The authors are from multiple institutions in South and Central America, North America and Europe.


Definitive diagnosis - one or more of the following:

(1) parenchymal cyst with pathologic diagnosis

(2) MRI or CT with >= 1 parenchymal cyst(s) with >= 1 show a scolex

(3) both of the following

(3a) MRI or CT with multiple parenchymal cyst(s) without scolex

(3b) one or both of the following

(3b1) seizures (focal or generalized tonic-clonic)

(3b2) positive serum or CSF serology for T. solium

(4) multiple parenchymal cysts in different evolutive stages (vesicular, degenerative, calcified)

 

Probable diagnosis - one of the following:

(1) both of the following

(1a) single parenchymal calcification or vesicle without scolex OR degenerating cyst(s)

(1b) >= 2 of the following

(1b1) seizures (focal or generalized tonic-clonic)

(1b2) subcutaneous or muscle cysts confirmed by biopsy

(1b3) positive serum or CSF serology for T. solium

(1b4) plain X-ray showing cigar-shaped calcifications in skeletal muscles

(1b5) history of living or traveling frequently to an endemic country

(2) both of the following:

(2a) multiple parenchymal calcifications

(2b) history of living or traveling frequently to an endemic country

(2c) other causes of calcifications excluded


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