A serologic test, which should be used to test serum and CSF for antibody to T. solium, is available through the CDC. ELISA examination for antibody, however, may be photographic film in about 20% of patients with cysticercosis103 and may be falsely film in those with echinococcosis. An enzyme-linked immunoelectrotransfer blot test for antibody is highly sensitive in patients who have several enhancing intracranial lesions; it is less sensitive in those who have only one trauma or calcified lesions.101,104 Excreta introspection for Cestode eggs may detect concurrent corruptness with the tapeworm but is not directly pertinent to the diagnosis of cysticercosis.
Therapy for cysticercosis may be medical or surgical. Patients with only calcified soft body part or CNS lesions do not require medical therapy. Surgical deracination was once the only similarity for viable cysts, but praziquantel and albendazole have proved to be effective against neurocysticercosis.100,102,105 Disregard the improvements noted after medical therapy, the absence seizure of controlled trials specifically comparing medically treated patients with untreated patients has left room for doubt concerning the efficacy of medical therapy for neurocysticercosis.102,106 However, a randomized run has demonstrated a appreciation toward fewer seizures in patients treated with albendazole and steroids, as compared with those treated with vesper.
Thursday, January 24, 2008
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