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Neurocysticercosis in an Orthodox Jewish Community in New York City NEJM 327:692-695, 7271992., Schantz,P.M.,et al, 1992 See this aricle in Pubmed Article Abstract The four patients had recurrent seizures and brain lesions that were radiographically consistent with the presence of cysticerci.The diagnosis was confirmed in two patients by a brain biopsy,and in two by immunoblot assays for cystcercus antibodies.Of 17 immediate family members screened serologically,7 from two families had cysticercus antibodies.Magnetic resonance imaging of the brain showed cystic lesions in two of the seropositive family members,one of whom had a seizure.Examinations of six domestic employees from all four households revealed an active infection with taenia species in one and a positive serologic test in another.Since these women had recently emigrated from Latin America countries where T. soluim infection is endemic,they were the most likely sources of infection in the members of these households.A diagnosis of neurocysticercosis should be considered in patients with seizures and radiologic evidence of cystic brain lesions,even in those who did not eat pork and who have not traveled to a country in which T.solium infection is endemic should be screened for tapeworm infection in their stools before they are employed as housekeepers or food handlers.

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(click to filter results - removes previous filter) brain biopsy central nervous system,infection of cyst,cortical parenchyma cysticercosis cysticercosis,cerebral epidemiology of neurology Jewish MRI MRI,abnormal seizure serologic testing

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