Neurocisticercose em pacientes internados por epilepsia no Hospital Regional de Chapecó região oeste do Estado de Santa Catarina

Neurocysticercosis (NC) is an endemic condition in several areas of Brazil. It is most likely the major responsible for the high prevalence of epilepsy in our country, estimated in 1-2% of general population. We performed a study to evaluate NC as aetiology of epilepsy in the west of Santa Catarina. This state belong to southern Brazil and it has a very developed economy. However, due the widespread swine farming in the west district, many of them without any sanitary control, the national health authorities have considered all this area at risk to NC. The study was carried out in Chapeco, the main town in that region, where CT Scan service was started in 1995. All patients put on hospital care due epileptic seizures in 1995-96 were considered. Febrile convulsions were excluded of the sample. We found a very expressive prevalence rate of NC among patients suffering from epilepsy. Roughly 24% of these patients, showed unequivocal tomography evidences for the diagnosis of NC. Our data suggest cysticercosis as a real endemic trouble in the area and, overdosis of information in proper language, diffuse to the whole population, seems to be the only remedy to fight against it. Moreover, we should pay special attention to everyone related to swine farming, does not matter how this activity has been classificated.

[1]  W. Arruda,et al.  Neurocysticercosis: an epidemiological survey in two small rural communities. , 1990, Arquivos de neuro-psiquiatria.

[2]  Ivanilton Galhardo,et al.  Neurocisticercose no estado do rio grande do norte , 1995 .

[3]  N. Becker,et al.  Epilepsia em um hospital psiquiátrico , 1990 .

[4]  Nevair R. Gallani,et al.  Cisticercose medular relato de dois casos, revisão da literatura e comentários sobre a patogenia , 1992 .

[5]  R. Chequer,et al.  [Neurocysticercosis in the State of Espiríto Santo, Brazil: evaluation of 45 cases]. , 1990, Arquivos de neuro-psiquiatria.

[6]  O. Takayanagui,et al.  Aspectos clinicos da neurocisticercose: análise de 500 casos , 1983 .

[7]  O. D. Brutto Prognostic factors for seizure recurrence after withdrawal of antiepileptic drugs in patientswith neurocysticercosis , 1994 .

[8]  J. Sotelo,et al.  Neurocysticercosis: A New Classification Based on Active and Inactive Forms: A Study of 753 Cases , 1985 .

[9]  O. D. Del Brutto Prognostic factors for seizure recurrence after withdrawal of antiepileptic drugs in patientswith neurocysticercosis , 1994, Neurology.

[10]  O. D. Brutto,et al.  Epilepsy due to neurocysticercosis , 1992, Neurology.

[11]  W. Arruda,et al.  Brainstem cysticercose simulating cystic tumor lesion: a case report , 1994 .

[12]  J. Livramento,et al.  Cysticercosis of the central nervous system and cerebrospinal fluid. Immunodiagnosis of 1573 patients in 63 years (1929-1992). , 1993, Arquivos de neuro-psiquiatria.

[13]  E. Wittig,et al.  [Neurocysticercosis in childhood. I. Clinical and laboratory diagnosis]. , 1991, Arquivos de neuro-psiquiatria.

[14]  M. D. Coêlho,et al.  Neurocysticercosis in Paraiba, Northeast Brazil. An endemic area? , 1996, Arquivos de neuro-psiquiatria.

[15]  J. Nóbrega,et al.  Computed tomography in neurocysticercosis: a 10-year long evolution analysis of 100 patients with an appraisal of a new classification. , 1990, Arquivos de neuro-psiquiatria.

[16]  Angela Maria Magosso Takayanagui,et al.  Notificação compulsória da cisticercose em Ribeirão Preto - SP , 1996 .