active epilepsy as indicator of neurocysticercosis in rural northwest india活跃在印度西北农村癫痫脑囊尾蚴病的指标.pdfVIP

Hindawi Publishing Corporation Epilepsy Research and Treatment Volume 2012, Article ID 802747, 4 pages doi:10.1155/2012/802747 Research Article Active Epilepsy as Indicator of Neurocysticercosis in Rural Northwest India Sunil Kumar Raina,1 Sushil Razdan,2 K. K. Pandita,2 Rajesh Sharma,2 V. P. Gupta,2 and Shiveta Razdan2 1 Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Tanda, Himachal Pradesh, Kangra 176001, India 2 Acharya Shri Chander College of Medical Sciences, Sidhra, Jammu 180017, India Correspondence should be addressed to Sunil Kumar Raina, ojasrainasunil@yahoo.co.in Received 28 January 2012; Accepted 20 March 2012 Academic Editor: Colin P. Doherty Copyright © 2012 Sunil Kumar Raina et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective. To determine the contribution of neurocysticercosis as a cause for active epilepsy and to establish Neurocysticercosis as major definable risk of epilepsy in our setup. Methods. We conducted a door-to-door survey of 2,209 individuals of Bhore Pind and Bhore Kullian villages in Chattah zone of district Jammu (Jumma and Kashmir, Northwest India) to identify patients with symptomatic epilepsy. Patients with active epilepsy were investigated with neuroimaging techniques to establish diagnosis of NCC (neurocysticercosis). Results. Among 25 patients with epilepsy 10(40%) had CT/MR evidence of past or recent NCC infection. This gave us the point prevalence of 4.5/1000 for Neurocysticercosis in our study population. Interpretation. The study shows a high prevalence of NCC accounting for symptomatic epileps