Can neurocysticercosis be cured? What are the symptoms of neurocysticercosis at the beginning?

Of course you can, neurocysticercosis - **.

1. Cysticercosis: Commonly used drugs are:

Neurocysticercosis 1 Praziquantel: It is a broad-spectrum antihelminth drug that also has a good ** effect on cysts. The usual dose is 120 mg kg, taken orally over 6 days (three times a day).

Taking the drug cyst can cause swelling, degeneration and necrosis, resulting in inflammatory reaction and allergic reaction in the brain tissue around the cyst, and some patients can also have cerebral edema of varying degrees, increased cerebrospinal fluid pressure and cell number, and even intracranial hypertension crisis in severe cases.

2 Prothhimazole, also a broad-spectrum antihelminthic drug. The usual dose is 15-20 mg kg per day for 10 days. Common side effects are itching, urticaria, dizziness, fever, seizures, and increased intracranial pressure.

3 Mebendazole: The commonly used dose is 100mg, 3 times a day, for three consecutive days, and the common side effects are abdominal pain, diarrhea, itching and headache.

In order to reduce the allergic reaction caused by a large number of deaths in the body in the process of anticyst **, generally start with a small dose and gradually increase the dose, such as praziquantel from 100mg first, 3 times a day, if there is no adverse reaction, increase by 100mg each time, until the ** dose is reached, and then continue to use for 6 days and then stop use. Dehydration drugs such as mannitol** should be used promptly after symptoms of increased intracranial pressure, and steroids should be used as appropriate. If severe intracranial hypertrophy occurs, in addition to stopping anticystic drugs and dehydration and anti-allergic treatment, subtemporal muscle decompression can also be used to prevent intracranial hypertension crisis.

2. Surgery**: Patients diagnosed with ventricular type should be surged**. Second, surgery may also be considered in patients with persistently elevated intracranial pressure and limited neurologic signs and CT-confirmed lesions**.

3. Tapeworm repellent**: For those who still have tapeworm parasites in the intestine, in order to prevent their own reinfection, tapeworm repellent** should be performed. The commonly used drug is chlorsulfamine (niclosamide), 2 grams, chewed and swallowed once, and laxative should be given once 3-4 hours after taking the drug to expel proglottids and eggs.

The power of loved ones is the best medicine.

Symptoms may be subtle at first, such as headache, dizziness, and nausea.

It can cause convulsions and even intracranial hypertension.

Note the presence of small nodules under the skin.

Disease analysis: It is possible for neurocysticercosis to be completely **, but it depends on the situation, such as the location of the worm body in the brain, how much, the impact on the brain, the effect of deworming other parts, the patient's physical condition and other factors. The first is the question of whether surgery is needed, which mainly depends on the location of the worm body in the brain, how much, the severity of the condition (such as frequent seizures, etc.), and the second is whether the patient's physical condition is suitable for surgery.

If the bug happens to be in an important functional area, such as a language center, it may be considered not to be removed.

Suggestions: Secondly, the method of surgery, neurocysticercosis is now generally used with gamma knife, which is accurate and has little damage to the surrounding tissues, but it is inevitable that there will be some radiation radiation. Whether the worms are eventually absorbed by the body or form scarring (epilepsy may occur) depends on the method of surgery**, such as the dose used for gamma knife, and on the patient's own reaction to these**.

Of course, it is necessary to deworm before the operation**, to ensure that there are no worms in other places that lay eggs and run into the brain, and after the operation, we should pay attention to not eating raw meat and so on, the doctor will explain in detail.

Seizures or multifocal and diverse central nervous system symptoms, with a history of fecal tapeworm proglottids, or subcutaneous nodules confirmed by biopsy as cysticetes, and positive serologic cerebrospinal fluid are important diagnostic criteria for this disease, and the pathological diagnosis of cystic nodules and typical cystic images of brain CT and magnetic resonance are the basis for diagnosis. Laboratory tests that can help with diagnosis include:

1.Cerebrospinal fluid.

Cerebrospinal fluid cytology shows markedly elevated eosinophils. Protein and other white blood cell increases may also be seen.

2.Immunological tests.

Cerebrospinal fluid cyst complement fixation test, indirect hemagglutination test, and ELISA of cyst antibody are more significant.

3.CT of the skull

Brain parenchyma, ventricular hypodense cyst opacities, or hyperdense cyst calcifications may be seen.

4.Magnetic resonance.

T1-weighted imaging appears as a well-demarcated low-signal area, while T2-weighted imaging is a high-signal area.

1.Cause of disease**.

The results of experimental and clinical studies have proved that praziquantel and albendazole are the main drugs against cysticerci, which are suitable for cysticerci in the active stage and partially degenerative and dead stages, and have good clinical effects on subcutaneous muscle type and cerebral cysticercosis; Inactive and partially metamorphosed cysticerci do not require insect resistance**. Praziquantel has an insecticidal effect, with fast effect and short course of treatment, but it is large. Albendazole mainly affects the normal metabolism of the worm, the drug effect is mild, the course of treatment is slightly longer, and the drug is smaller.

Experiments with methoxydazole on cysticerci have shown that its efficacy is significantly better than that of praziquantel and albendazole, and no obvious *** has been seen. It may be the most promising drug for cysticercosis, which has yet to be expanded for clinical validation.

2.Symptomatic**.

For patients with increased intracranial pressure, 250ml intravenous infusion of 20% mannitol injection can be given first, and dexamethasone can be added for 3 consecutive days before starting the pathogen**. Epilepsy and allergic reactions should be treated accordingly.

3.Surgery**.

Intraocular cysticercosis should be surgically removed. If praziquantel** is used, it can cause inflammation and worsen visual impairment or blindness after the worm body is killed. Intracerebral cysticercosis, especially cysticerci in the third and fourth ventricles, is mostly isolated and can be surgically removed.

This disease should be carried out under the guidance of a doctor, and the original symptoms may be aggravated during the process, so the condition should be closely observed and dealt with in a timely manner. The preferred ** drugs are praziquantel and prothhimazole.

The dose of praziquantel **** muscle cystis is 60 mg kg divided into 2 3 doses, 2 days as a course of treatment, and the efficacy can reach 100%. The daily dose of neurocysticercosis is the same as above, 3 days for a course of treatment, 2 3 courses of treatment, each course of treatment intervals of 2 3 months. There is also a total dose of 310 mg kg, orally taken twice a day in 7 days, 7 days as a course of treatment, a total of 5 courses of treatment, each course of treatment interval of 3 months.

Caution must be exercised to prevent aggravation of symptoms.

Propimidazole has milder adverse effects than praziquantel. The commonly used dose is 14 15 mg kg, taken in 2 divided doses, 10 days for a course of treatment,**, and 1 2 courses for muscle cysticercosis. Neurocysticercosis requires 2 3 courses or longer, with an interval of 2 to 3 weeks between each course of treatment, and the drug has a slow effect and no obvious accumulation, so the course of treatment can be extended by 20 to 28 days to reduce the number of treatments.

Taking the drug after a meal or at the same time as a small dose of praziquantel can increase the absorption of the drug and improve the efficacy. In addition, children or older people, or patients with underlying medical conditions, use prothhimazole**, 15 mg kg, 10 days as a course of treatment, but also pay attention to the drug *** or individual response to the drug.