Cognitive changes and quality of life in neurocysticercosis: a longitudinal study.
BACKGROUND
Few studies have focused on the cognitive morbidity of neurocysticercosis (NCC), one of the most common parasitic infections of the central nervous system. We longitudinally assessed the cognitive status and quality of life (QoL) of patients with incident symptomatic NCC cases and matched controls.


RESULTS
The setting of the study was the Sabogal Hospital and Cysticercosis Unit, Department of Transmissible Diseases, National Institute of Neurological Sciences, Lima, Peru. The design was a longitudinal study of new onset NCC cases and controls. Participants included a total of 14 patients with recently diagnosed NCC along with 14 healthy neighborhood controls and 7 recently diagnosed epilepsy controls. A standardized neuropsychological battery was performed at baseline and at 6 months on NCC cases and controls. A brain MRI was performed in patients with NCC at baseline and 6 months. Neuropsychological results were compared between NCC cases and controls at both time points. At baseline, patients with NCC had lower scores on attention tasks (p<0.04) compared with epilepsy controls but no significant differences compared to healthy controls. Six months after receiving anti-parasitic treatment, the NCC group significantly improved on tasks involving psychomotor speed (p<0.02). QoL at baseline suggested impaired mental function and social function in both the NCC and epilepsy group compared with healthy controls. QoL gains in social function (p=0.006) were noted at 6 months in patients with NCC.


CONCLUSIONS
Newly diagnosed patients with NCC in this sample had mild cognitive deficits and more marked decreases in quality of life at baseline compared with controls. Improvements were found in both cognitive status and quality of life in patients with NCC after treatment.
Neurology Service, Department of Veterans Affairs Medical Center, Washington, D.C., USA. mitchell.wallin@va.gov
Mitchell T
MT
Wallin
E Javier
EJ
Pretell
Javier A
JA
Bustos
Marianella
M
Caballero
Mercedes
M
Alfaro
Robert
R
Kane
Jeffrey
J
Wilken
Cynthia
C
Sullivan
Timothy
T
Fratto
Hector H
HH
Garcia
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D016022:Case-Control Studies; D003072:Cognition Disorders / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D020019:Neurocysticercosis / Q000150:complications*; D009483:Neuropsychological Tests; D010568:Peru / Q000453:epidemiology; D011788:Quality of Life / Q000523:psychology*; D011859:Radiography