Sir,
The recent publication on racemose neurocysticercosis (NCC) and reversible dementia is very interesting.[1] Sharma et al. reported that “The outcome of dementia patients with NCC seems favorable in most cases; therefore, a high index of suspicion for NCC should be kept, especially in endemic areas.”[1] Indeed, the neurological symptom is not rate in NCC. Indeed, the existing of dementia and cognitive function impairment in NCC is more common in non-calcified active NCC.[2] Nearly, 40% of all non-calcified active NCC can present with dementia. In the real life, dementia might be lately detected and clinical work-up does usually not include looking for NCC. Focusing on the outcome; although, the present report showed favorable outcome.[1] Some previous reports mentioned for discordant observation after complete treatment.[3]
References
- 1.Sharma S, Modi M, Lal V, Prabhakar S, Bhardwaj A, Sehgal R. Reversible dementia as a presenting manifestation of racemose neurocysticercosis. Ann Indian Acad Neurol. 2013;16:88–90. doi: 10.4103/0972-2327.107706. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Rodrigues CL, de Andrade DC, Livramento JA, Machado LR, Abraham R, Massaroppe L, et al. Spectrum of cognitive impairment in neurocysticercosis: Differences according to disease phase. Neurology. 2012;78:861–6. doi: 10.1212/WNL.0b013e31824c46d1. [DOI] [PubMed] [Google Scholar]
- 3.Ciampi de Andrade D, Rodrigues CL, Abraham R, Castro LH, Livramento JA, Machado LR, et al. Cognitive impairment and dementia in neurocysticercosis: A cross-sectional controlled study. Neurology. 2010;74:1288–95. doi: 10.1212/WNL.0b013e3181d9eda6. [DOI] [PubMed] [Google Scholar]