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ORIGINAL ARTICLE
Year : 2019  |  Volume : 3  |  Issue : 3  |  Page : 73-76

Phenotypic characteristics and diagnostic outcomes of patients presenting with and without seizure-related neurocysticercosis: A cross-sectional analysis of tertiary hospital episodes in Qatar (2015–2018)


1 Department of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
2 Department of Medicine, Hamad General Hospital, Hamad Medical Corporation; Weill Cornell Medicine-Qatar, Doha, Qatar
3 Department of Medicine, Hamad General Hospital, Hamad Medical Corporation; Weill Cornell Medicine-Qatar; College of Medicine, Qatar University, Doha, Qatar

Correspondence Address:
Dr. Shaikha Daoud Al-Shokri
Department of Medicine, Hamad General Hospital, Hamad Medical Corporation, P.O. Box 3050, Doha
Qatar
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/LJMS.LJMS_40_19

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Background: In resource-poor settings, neurocysticercosis (NCC) is a common cause of acute presentation with seizures. There remains an uncertainty regarding its changing epidemiology in resource-rich settings such as Qatar. Patients and Methods: We carried out a retrospective review of case notes and electronic records of 2450 patients presenting to an acute admissions unit with suspected NCC between January 2015 and May 2018. Results: Of the 2450 records reviewed, 26 cases satisfied the Del Brutto criteria for NCC. The mean age at presentation was 31 ± 9.74 years, made up of an entirely male population. There was a higher proportion of patients (n = 20) presenting with seizures 76.9%, of which the most dominant subtype was generalized tonic–clonic seizures 73.7% (n = 14). Advancing age and intracerebral calcifications were associated with an increased risk of having seizures (confidence interval [CI]: 1.18–18.8, P = 0.019, and CI: 0.034–0.9, P = 0.036, respectively). Conclusion: The migrant population in Qatar continues to account for the preponderance of NCC morbidity with seizure, in its various phenotypes, the most common mode of presentation. To our knowledge, this is the most up-to-date account of this disease with interesting and changing demographics in this part of the world.


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