PURPOSE: To estimate the lifetime prevalence of neurocysticercosis (NCC)-associated epilepsy and the proportion of NCC among people with epilepsy in three Burkina Faso villages. METHODS: Three villages were selected to represent three types of pig-rearing methods: (1) Batondo, where pigs are left to roam; (2) Pabré, where pigs are mostly tethered or penned; and (3) Nyonyogo, where the majority of residents are Muslim and few pigs are raised. In Batondo and Nyonyogo, all concessions (a group of several households) were included. Half of the concessions in Pabré were randomly chosen. All households of selected concessions were included, and one person per household was randomly selected for epilepsy screening and serologic testing for cysticercosis. Self-reported cases of epilepsy were also examined and confirmed cases included in analyses other than the estimate of NCC-associated epilepsy prevalence. Epilepsy was defined as ever having had more than one episode of unprovoked seizures. Individuals with medically confirmed epilepsy had a computerized tomography (CT) scan of the brain before and after contrast medium injection. The diagnosis of NCC was made using a modification of the criteria of Del Brutto et al. KEY FINDINGS: Thirty-nine (4%) of 888 randomly selected villagers and 33 (94%) of 35 self-reported seizures cases were confirmed to have epilepsy by medical examination. Among the 68 participants with epilepsy who had a CT scan, 20 patients were diagnosed with definitive or probable NCC for a proportion of 46.9% (95% confidence interval [CI] 30.2-64.1) in Batondo and 45.5% (95% CI 19.0-74.1) in Pabré. No cases of NCC were identified in Nyonyogo. SIGNIFICANCE: All the definitive and probable cases of NCC were from the two villages where pig breeding is common. Prevention policies intended to reduce the burden of epilepsy in this country should include measures designed to interrupt the life cycle of Taenia solium. Wiley Periodicals, Inc.
PURPOSE: To estimate the lifetime prevalence of neurocysticercosis (NCC)-associated epilepsy and the proportion of NCC among people with epilepsy in three Burkina Faso villages. METHODS: Three villages were selected to represent three types of pig-rearing methods: (1) Batondo, where pigs are left to roam; (2) Pabré, where pigs are mostly tethered or penned; and (3) Nyonyogo, where the majority of residents are Muslim and few pigs are raised. In Batondo and Nyonyogo, all concessions (a group of several households) were included. Half of the concessions in Pabré were randomly chosen. All households of selected concessions were included, and one person per household was randomly selected for epilepsy screening and serologic testing for cysticercosis. Self-reported cases of epilepsy were also examined and confirmed cases included in analyses other than the estimate of NCC-associated epilepsy prevalence. Epilepsy was defined as ever having had more than one episode of unprovoked seizures. Individuals with medically confirmed epilepsy had a computerized tomography (CT) scan of the brain before and after contrast medium injection. The diagnosis of NCC was made using a modification of the criteria of Del Brutto et al. KEY FINDINGS: Thirty-nine (4%) of 888 randomly selected villagers and 33 (94%) of 35 self-reported seizures cases were confirmed to have epilepsy by medical examination. Among the 68 participants with epilepsy who had a CT scan, 20 patients were diagnosed with definitive or probable NCC for a proportion of 46.9% (95% confidence interval [CI] 30.2-64.1) in Batondo and 45.5% (95% CI 19.0-74.1) in Pabré. No cases of NCC were identified in Nyonyogo. SIGNIFICANCE: All the definitive and probable cases of NCC were from the two villages where pig breeding is common. Prevention policies intended to reduce the burden of epilepsy in this country should include measures designed to interrupt the life cycle of Taenia solium. Wiley Periodicals, Inc.
Authors: P Dorny; I K Phiri; J Vercruysse; S Gabriel; A L Willingham; J Brandt; B Victor; N Speybroeck; D Berkvens Journal: Int J Parasitol Date: 2004-04 Impact factor: 3.981
Authors: G Román; J Sotelo; O Del Brutto; A Flisser; M Dumas; N Wadia; D Botero; M Cruz; H Garcia; P R de Bittencourt; L Trelles; C Arriagada; P Lorenzana; T E Nash; A Spina-França Journal: Bull World Health Organ Date: 2000 Impact factor: 9.408
Authors: Andrea Sylvia Winkler; Joachim Blocher; Herbert Auer; Thaddaeus Gotwald; William Matuja; Erich Schmutzhard Journal: Epilepsia Date: 2008-11-19 Impact factor: 5.864
Authors: O Shey-Njila; P A Zoli; J Awah-Ndukum; E Assana; P Byambas; P Dorny; J Brandt; S Geerts Journal: J Helminthol Date: 2003-12 Impact factor: 2.170
Authors: Kenneth Ayuurebobi Ae-Ngibise; Bright Akpalu; Anthony Ngugi; Albert Akpalu; Francis Agbokey; Patrick Adjei; Damien Punguyire; Christian Bottomley; Charles Newton; Seth Owusu-Agyei Journal: Pan Afr Med J Date: 2015-05-13
Authors: Uffe Christian Braae; Christopher F L Saarnak; Samson Mukaratirwa; Brecht Devleesschauwer; Pascal Magnussen; Maria Vang Johansen Journal: Parasit Vectors Date: 2015-06-12 Impact factor: 3.876
Authors: Helena Ngowi; Ivan Ozbolt; Athanase Millogo; Veronique Dermauw; Télesphore Somé; Paul Spicer; Lori L Jervis; Rasmané Ganaba; Sarah Gabriel; Pierre Dorny; Hélène Carabin Journal: Infect Dis Poverty Date: 2017-06-01 Impact factor: 4.520
Authors: Jesica A Herrick; Biswajit Maharathi; Jin Suh Kim; Gerardo G Abundis; Anjali Garg; Isidro Gonzales; Herbert Saavedra; Javier A Bustos; Hector H Garcia; Jeffrey A Loeb Journal: Ann Clin Transl Neurol Date: 2018-04-10 Impact factor: 4.511