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Letters to the Editor
6 (
3
); 452-452

Commentary

Address for correspondence: Dr. Mehrdad Emami, Neurosciences Research Center, Chamran Hospital, Chamran Boulevard, Shiraz University of Medical Sciences, Shiraz, Iran. E-mail: mehrdade1984@gmail.com

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This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Disclaimer:
This article was originally published by Medknow Publications & Media Pvt Ltd and was migrated to Scientific Scholar after the change of Publisher; therefore Scientific Scholar has no control over the quality or content of this article.

I read with interest the study by Wiwanitkit and Wiwanitkit, which has summarized the previous publications on Thai patients with racemose neurocysticercosis (NCC).[1] The authors described the clinical manifestations and paraclinical findings in five reported Thai cases.

Racemose NCC is a rare form of the NCC, which develops at the basal subarachnoid region. NCC is the most common cause of parasitic infection in the human central nervous system. This infection causes a wide variety of neurological symptoms from headache to focal neurological loss or hemiparesis. In addition, it is the main cause of adult-onset epilepsy in endemic areas.[23] NCC is a relatively common infection in developing countries. Additionally, due to immigration and traveling in recent decades, physicians in westerns countries have been faced with incidental cases of NCC.[45]

This study not only revealed the difficulties with the proper diagnosis of this disease due to its various clinical presentations and the limited role of imaging techniques, but also suggested considering the possibility of concomitant medical problems in some cases. In general, clinicians need to be aware of these facts and consider the possibility of racemose NCC in confronting patients from high-risk regions who have signs or symptoms of central nervous system involvement.

References

  1. , , . Racemose cysticercosis: A summary of 5 reported Thai cases. J Neurosci Rural Pract. 2015;6:451.
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  2. , , . Taenia solium cysticercosis. Infect Dis Clin North Am. 2000;14:97-119. ix
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  3. , , , , . Racemose neurocysticercosis. Semin Neurol. 2012;32:550-5.
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  4. , , , . Neurocysticercosis. Curr Infect Dis Rep. 2006;8:293-300.
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  5. , , . Neurocysticercosis in Europe: Still a public health concern not only for imported cases. Acta Trop. 2013;128:18-26.
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