Laboratory Testing

The most common CSF abnormality in persons with NCC is pleocytosis (Table 36.7). Laboratory diagnosis of NCC can be made by EITB, ELISA, immunodot or immunoelectropheresis (IEF), but the test of choice is serum EITB. Serum ELISA may be more sensitive than CSF ELISA.

Table 36.6. Location of neurocysticercosis within the neuraxis and associated neurologic manifestations.

Location

Neurologic manifestations

Other

Parenchymal

Seizures or encephalitis; may be associated with dementia or behavioral abnormality

Most frequent site of NCC

Meningeal

Meningeal signs (photophobia, nuchal

If cysts proliferate at base of brain, basilar meningitis

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