title: Effect of anticysticercal treatment on the prognosis of epilepsy in neurocysticercosis: a pilot trial.
abstract: Epilepsy secondary to active or inactive neurocysticercosis (NCC) is a major public health problem in Latin American countries. In an open-label pilot trial, we evaluated and followed (mean = 13 months) 16 patients with epilepsy resulting from active NCC which was treated with anticisticercal (ACC) drugs. These patients were aged 12-68 years with confirmed active NCC and seizures not controlled by adequate antiepileptic drug (AED) therapy. Patients were treated with albendazole or praziquantel (ALB and PZQ, ACC drugs) and AED monotherapy. The number of NCC cysts was markedly reduced by ACC therapy. Thirteen patients remained seizure-free and 2 had only one seizure during follow-up. Our data suggest a positive effect of ACC treatment on the prognosis of epilepsy caused by active NCC, but a prospective, double-blind, controlled study with long-term follow-up must be performed to determine whether ACC therapy improves long-term seizure control.
authors.affiliation: National Autonomous University of Honduras, Tegucigalpa.
authors.forename: M T
authors.initials: MT
authors.lastname: Medina
authors.forename: P
authors.initials: P
authors.lastname: Genton
authors.forename: M C
authors.initials: MC
authors.lastname: Montoya
authors.forename: S
authors.initials: S
authors.lastname: Córdova
authors.forename: C
authors.initials: C
authors.lastname: Dravet
authors.forename: J
authors.initials: J
authors.lastname: Sotelo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015766:Albendazole / Q000627:therapeutic use*; D000927:Anticonvulsants / Q000627:therapeutic use; D001927:Brain Diseases / Q000150:complications / Q000188:drug therapy*; D002648:Child; D003551:Cysticercosis / Q000150:complications / Q000188:drug therapy*; D004827:Epilepsy / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011223:Praziquantel / Q000627:therapeutic use*; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D000927:Anticonvulsants; D011223:Praziquantel; D015766:Albendazole