Evidence map›Paper›PMID 32556276›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Frequency and Determinant Factors for Calcification in Neurocysticercosis.

Javier A Bustos, Gianfranco Arroyo, Robert H Gilman, Percy Soto-Becerra, Isidro Gonzales, Herbert Saavedra, E Javier Pretell, Theodore E Nash, Seth E O'Neal, Oscar H Del Brutto and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Calcified Neurocysticercosis: Understanding Dead (Not Necessarily Inactive) Parasites.The American journal of tropical medicine and hygiene · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Epilepsy Due to Solitary Calcified Cysticercus Granuloma.Pathogens (Basel, Switzerland) · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. Parasitic Infections of the Nervous System.Continuum (Minneapolis, Minn.) · 2021
    Review
  15. Mortality in Parenchymal and Subarachnoid Neurocysticercosis.The American journal of tropical medicine and hygiene · 2021
    Article
  16. [Reactivation of neurocysticercosis in patient under study on suspicion of dengue].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 3 countries.

Javier A BustosCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
Gianfranco ArroyoCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
Robert H GilmanDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Percy Soto-BecerraCenter for Global Health, School of Public Health and Management, and School of Sciences and Philosophy, Universidad Peruana Cayetano Heredia, Lima, Perú.
Isidro GonzalesCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
Herbert SaavedraCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
E Javier PretellCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
Theodore E NashLaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Seth E O'NealCenter for Global Health, School of Public Health and Management, and School of Sciences and Philosophy, Universidad Peruana Cayetano Heredia, Lima, Perú.
Oscar H Del BruttoSchool of Medicine, Universidad Espíritu Santo-Ecuador, Samborondón, Ecuador.
Armando E GonzalezCenter for Global Health, School of Public Health and Management, and School of Sciences and Philosophy, Universidad Peruana Cayetano Heredia, Lima, Perú.
Hector H GarciaCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
Cysticercosis Working Group in Peru
Instituto Nacional de Enfermedades Neoplásicas · PEUniversidad Peruana Cayetano Heredia · PECenter for Global Health · USInstituto Nacional de Ciencias NeurológicasJohns Hopkins University · USNational Institute of Allergy and Infectious Diseases · USUniversidad de Especialidades Espíritu Santo · EC

Funding

Training in Parasitic Diseases and Central Nervous System Infections in Peru.D43TW001140 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI GARCIA, HECTOR HUGO, GILMAN, ROBERT H · 1999 to 2025
$5.7M
Scientific CoreU19AI129909 · NIAID · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI GARCIA, HECTOR HUGO · 2017 to 2021
$2.8M
Neurocysticercosis: Combined Treatment with Praziquantel and AlbendazoleR01NS054805 · NINDS · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI GARCIA, HECTOR HUGO · 2006 to 2012
$2.7M
Use of bisphosphonates to reduce the calcification process in animal models of cysticercosisR01AI116456 · NIAID · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI BUSTOS, JAVIER A · 2015 to 2019
$651k
FIC NIH HHS D43 TW001140NIAID NIH HHS R01 AI116456NIAID NIH HHS U19 AI129909NIH HHS 05-I-N124NINDS NIH HHS R01 NS054805NINDS NIH HHS RO1-NS054805
6 · The paper itself

Abstract

backgroundNeurocysticercosis is a major cause of acquired epilepsy. Larval cysts in the human brain eventually resolve and either disappear or leave a calcification that is associated with seizures. In this study, we assessed the proportion of calcification in parenchymal neurocysticercosis and risk factors associated with calcification.

methodsData for 220 patients with parenchymal NCC from 3 trials of antiparasitic treatment were assessed to determine what proportion of the cysts that resolved 6 months after treatment ended up in a residual calcification at 1 year. Also, we evaluated the risk factors associated with calcification.

resultsThe overall proportion of calcification was 38% (188/497 cysts, from 147 patients). Predictors for calcification at the cyst level were cysts larger than 14 mm (risk ratio [RR], 1.34; 95% confidence interval [CI], 1.02-1.75) and cysts with edema at baseline (RR, 1.39; 95% CI, 1.05-1.85). At the patient level, having had more than 24 months with seizures (RR, 1.25; 95% CI, 1.08-1.46), mild antibody response (RR, 1.14; 95% CI, 1.002-1.27), increased dose albendazole regime (RR, 1.26; 95% CI, 1.14-1.39), lower doses of dexamethasone (RR, 1.36; 95% CI, 1.02-1.81), not receiving early antiparasitic retreatment (RR, 1.45; 95% CI, 1.08-1.93), or complete cure (RR, 1.48; 95% CI, 1.29-1.71) were associated with a increased risk of calcification.

conclusionsApproximately 38% of parenchymal cysts calcify after antiparasitic treatment. Some factors associated with calcification are modifiable and may be considered to decrease or avoid calcification, potentially decreasing the risk for seizure relapses.

Indexed as

NeurocysticercosisTaenia soliumAlbendazoleAnimalsAntiparasitic AgentsBrainHumansSeizuresAlbendazoleAntiparasitic AgentscalcificationcysticercosisPerurisk factorsTaenia solium

Identifiers

PMID32556276
PMCPMC8563199
OpenAlexW3036258183

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.