Overview
Coenurosis is a rare parasitic disease caused by larval stages of cestodes, primarily affecting the central nervous system (CNS), leading to neurological manifestations such as intracranial mass effects and arteritis. 1Diagnosis
Clinical Presentation: Transient neurological deficits, often hemiparesis, and signs of intracranial mass.
Imaging: Angiography and MRI/CT showing intracranial lesions and vascular abnormalities.
CSF Analysis: Lymphocytosis and increased immunoglobulin levels.
Parasitological Confirmation: Rarely feasible due to localization; consider in context of clinical and imaging findings.Management
Surgical Intervention: Removal of the cyst when feasible, particularly for symptomatic lesions.
Antiparasitic Therapy: Albendazole or praziquantel may be considered, though specific dosing is not detailed in the abstract. 1
Supportive Care: Management of symptoms, including anticonvulsants for seizures and corticosteroids for inflammation.Special Populations
No Specific Guidance: Limited data in abstracts regarding pregnancy, pediatrics, elderly, or comorbidities. 1Key Recommendations
Consider coenurosis in the differential diagnosis of meningovascular disease associated with intracranial mass lesions, especially in endemic areas. (Evidence: Expert opinion) 1
Utilize neuroimaging (angiographic studies, MRI/CT) for diagnosis, focusing on both mass effect and vascular involvement. (Evidence: Moderate) 1
Evaluate cerebrospinal fluid for lymphocytosis and elevated immunoglobulins as supportive diagnostic markers. (Evidence: Moderate) 1References
1 Michal A, Regli F, Campiche R, Cavallo RJ, de Crousaz G, Oberson R et al.. Cerebral coenurosis. Report of a case with arteritis. Journal of neurology 1977. link