{"id":2206,"date":"2018-03-25T03:04:08","date_gmt":"2018-03-25T03:04:08","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=998"},"modified":"2026-02-23T20:52:35","modified_gmt":"2026-02-23T20:52:35","slug":"revised-neurocysticercosis","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/revised-neurocysticercosis\/","title":{"rendered":"Revised Diagnostic Criteria for Neurocysticercosis"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>This simplified revised set of diagnostic criteria may facilitate its\u00a0more uniform and widespread applicability in different clinical\u00a0scenarios and environments.\u00a0<!--more--><br \/>\n<strong>Revised diagnostic criteria and degrees of diagnostic certainty for neurocysticercosis. <\/strong><\/p>\n<p><strong>Absolute criteria:<\/strong><\/p>\n<ul>\n<li>Histological demonstration of the parasite from biopsy of a brain or spinal cord lesion.<\/li>\n<li>Visualization of subretinal cysticercus.<\/li>\n<li>Conclusive demonstration of a scolex within a cystic lesion on neuroimaging studies.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Neuroimaging criteria<\/strong><\/p>\n<p><strong>Major neuroimaging criteria:<\/strong><\/p>\n<ul>\n<li>Cystic lesions without a discernible scolex.<\/li>\n<li>Enhancing lesions.*<\/li>\n<li>Multilobulated cystic lesions in the subarachnoid space.<\/li>\n<li>Typical parenchymal brain calcifications.*<\/li>\n<\/ul>\n<p><strong>Confirmative neuroimaging criteria:<\/strong><\/p>\n<ul>\n<li>Resolution of cystic lesions after cysticidal drug therapy.<\/li>\n<li>Spontaneous resolution of single small enhancing lesions.**<\/li>\n<li>Migration of ventricular cysts documented on sequential neuroimaging studies.*<\/li>\n<\/ul>\n<p><strong>Minor neuroimaging criteria:<\/strong><\/p>\n<ul>\n<li>Obstructive hydrocephalus (symmetric or asymmetric) or abnormal enhancement of basal leptomeninges.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Clinical\/exposure criteria:<\/strong><\/p>\n<p><strong>Major clinical\/exposure:<\/strong><\/p>\n<ul>\n<li>Detection of specific anticysticercal antibodies or cysticercal antigens by well-standardized immunodiagnostic tests.*<\/li>\n<li>Cysticercosis outside the central nervous system.*<\/li>\n<li>Evidence of a household contact with T. solium infection.<\/li>\n<\/ul>\n<p><strong>Minor clinical\/exposure:<\/strong><\/p>\n<ul>\n<li>Clinical manifestations suggestive of neurocysticercosis.*<\/li>\n<li>Individuals coming from or living in an area where cysticercosis is endemic.*<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Degrees of diagnostic certainty<\/strong><\/p>\n<p><strong>Definitive diagnosis:<\/strong><\/p>\n<ul>\n<li>One absolute criterion.<\/li>\n<li>Two major neuroimaging criteria plus any clinical\/exposure criteria.<\/li>\n<li>One major and one confirmative neuroimaging criteria plus any clinical\/exposure criteria.<\/li>\n<li>One major neuroimaging criteria plus two clinical\/exposure criteria (including at least one major clinical\/exposure criterion), together with the exclusion of other pathologies producing similar neuroimaging findings.<\/li>\n<\/ul>\n<p><strong>Probable diagnosis:<\/strong><\/p>\n<ul>\n<li>One major neuroimaging criteria plus any two clinical\/exposure criteria.<\/li>\n<li>One minor neuroimaging criteria plus at least one major clinical\/exposure criteria.<\/li>\n<\/ul>\n<p>* Operational definitions. Cystic lesions: rounded, well defined lesions with liquid contents\u00a0of signal similar to that of CSF on CT or MRI; enhancing lesions: single or multiple,\u00a0ring- or nodular-enhancing lesions of 10\u201320 mm in diameter, with or without surrounding\u00a0edema, but not displacing midline structures; typical parenchymal brain calcifications:\u00a0single or multiple, solid, and most usually &lt;10 mm in diameter; migration of ventricular\u00a0cyst: demonstration of a different location of ventricular cystic lesions on sequential CTs\u00a0or MRIs; well-standardized immunodiagnostic tests: so far, antibody detection by enzymelinked\u00a0immunoelectrotransfer blot (EITB) assay using lentil lectin-purified T. solium antigens,\u00a0and detection of cysticercal antigens by monoclonal antibody-based ELISA; cysticercosis\u00a0outside the central nervous system: demonstration of cysticerci from biopsy of subcutaneous\u00a0nodules, X-ray films or CT showing cigar-shape calcifications in soft tissues, or visualization\u00a0of the parasite in the anterior chamber of the eye; suggestive clinical manifestations:\u00a0mainly seizures (often starting in individuals aged 20\u201349 years; the diagnosis of seizures\u00a0in this context is not excluded if patients are outside of the typical age range), but other\u00a0manifestations include chronic headaches, focal neurologic deficits, intracranial hypertension\u00a0and cognitive decline; cysticercosis-endemic area: a place where active transmission is\u00a0documented.<br \/>\n** The use of corticosteroids makes this criterion invalid<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Del Brutto OH, Nash TE, White AC Jr, Rajshekhar V, Wilkins PP, Singh G, Vasquez CM, Salgado P, Gilman RH, Garcia HH. Revised diagnostic criteria for neurocysticercosis.\u00a0J Neurol Sci. 2017 Jan 15;372:202-210. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28017213\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Bustos JA, Garc\u00eda HH, Del Brutto OH. Reliability of Diagnostic Criteria for Neurocysticercosis for Patients with Ventricular Cystic Lesions or Granulomas: A systematic review.\u00a0Am J Trop Med Hyg. 2017 Sep;97(3):653-657. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28820689\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Van Acker L, Toribio L, Chachage M, Zeng H, Devleesschauwer B, Garcia HH, Gabri\u00ebl S; NeuroSolve Consortium. Accuracy of immunological tests on serum and urine for diagnosis of Taenia solium neurocysticercosis: A systematic review. PLoS Negl Trop Dis. 2024 Nov 11;18(11):e0012643. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39527651\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Mar 22, 2018.<br \/>\nUp-date Feb 23, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[16,15,14,13,492,493,8,7],"class_list":["post-2206","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-neurocisticercosis","tag-neurocysticercosis","tag-revisados","tag-revised"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2206","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2206"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2206\/revisions"}],"predecessor-version":[{"id":10670,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2206\/revisions\/10670"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2206"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}