Epilepsy, interictal EEG abnormalities and hippocampal atrophy in patients with calcified neurocysticercosis: a population study in an endemic milieu (notice n° 611577)
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| fixed length control field | 03045cam a2200289 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121162603.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Del Brutto, Oscar H. |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Epilepsy, interictal EEG abnormalities and hippocampal atrophy in patients with calcified neurocysticercosis: a population study in an endemic milieu |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2021.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 22 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | ObjectiveCalcified neurocysticercosis has been associated with hippocampal atrophy (HA). However, the pathogenesis of this association is still elusive. This study assessed the role of epilepsy or interictal EEG abnormalities in the occurrence of HA in the Atahualpa Project cohort.MethodsAtahualpa residents aged ≥20 years, identified by means of door-to-door surveys, were offered an unenhanced head CT to identify neurocysticercosis cases. Individuals with cysticercotic parenchymal brain calcifications (121/1,299; 9.3%) underwent brain MRI, scalp EEG, and neurological evaluation to assess history of epilepsy. The independent association between combined exposures (epilepsy and/or EEG abnormalities) and HA (outcome) was assessed using univariate logistic regression models and a multivariate model adjusted for age, sex, level of education, alcohol intake and characteristics of calcifications.ResultsA total of 112 NCC patients were enrolled (mean age: 52.2 ± 16.9 years; 67% women); the remaining nine declined consent. A single calcification was noticed in 70% of cases. Thirty-one patients (27.7%) had HA, which was asymmetrical in 14. Calcification burden was higher among patients with HA than in their non-atrophic counterparts (p=0.012). Eighteen patients had epilepsy, abnormal EEG recordings, or both. Nine of these 18 patients (50%) had HA as opposed to 22 of 94 patients (23%) with a normal EEG and no history of epilepsy (p=0.025). This association became borderline significant based on a multivariate logistic regression model, after adjusting for all covariates (OR: 3.26; 95% CI: 0.91-11.68; p=0.070). In this model, having only one calcification was inversely associated with HA (OR: 0.32; 95% CI: 0.11-0.95; p=0.039).SignificanceEpilepsy and EEG abnormalities play a minor contributory role in the development of HA in neurocysticercosis patients. The burden of infection, leading to recurrent bouts of inflammation around calcified cysticerci, is a more likely contributor to HA development in patients with neurocysticercosis. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hippocampal atrophy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | population study |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cysticercosis |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | EEG abnormalities |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | neurocysticercosis |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | inflammation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | epilepsy |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mera, Robertino M. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Wu, Shasha |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Recalde, Bettsy Y. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Issa, Naoum P. |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Epileptic Disorders | Vol 23 | 2 | 2021-02-01 | p. 357-365 | 1294-9361 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-epileptic-disorders-2021-2-page-357?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-epileptic-disorders-2021-2-page-357?lang=en&redirect-ssocas=7080</a> |
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