Work

Neurocysticercosis in transition: expanding clinical spectrum, evolving diagnostics, and emerging therapies

Year: 2026
Type: article
Abstract: larvae, remains a leading cause of acquired epilepsy in endemic regions and an increasingly recognized imported disease elsewhere. The traditional view of NCC as a solitary parenchymal cyst causing seizures has shifted to a heterogeneous syndrome shaped by parasite burden, stage, location, and host immune response. Clinical manifestations extend beyond seizures to headaches, cognitive impairment, psychiatric symptoms, visual loss, movement disorders, and stroke. Progress in neuroimaging, serology, and molecular diagnostics has improved case detection and disease phenotyping, while management increasingly relies on stage and compartment specific combinations of antiparasitic drugs, anti-inflammatory therapy, and neurosurgical or endoscopic interventions for extraparenchymal disease and hydrocephalus. Persistent gaps include limited randomized evidence, incomplete validation of diagnostic algorithms, and constrained access to advanced care in high-burden regions, underscoring the need for coordinated research and implementation strategies to reduce NCC's global neurological impact.
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W7130512690
FWCI: 4.401
Cites: 33
Cited by: 1
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