Evidence map›Paper›PMID 36441777›Full record

ArticlePLoS neglected tropical diseases2022

Epidemiological, clinical and radiological characteristics of people with neurocysticercosis in Tanzania-A cross-sectional study.

Dominik Stelzle, Charles Makasi, Veronika Schmidt, Chiara Trevisan, Inge van Damme, Tamara M Welte, Charlotte Ruether, Agnes Fleury, Pierre Dorny, Pascal Magnussen and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06376396 (Assessment of Combined Antiparasitic Drugs Praziquantel and Albendazole Versus Albendazole Alone in the Treatment of Active Parenchymal Neurocysticercosis in Tanzania and Zambia), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.2field-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.

NCT06376396 phase4not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Assessment of Combined Antiparasitic Drugs Praziquantel and Albendazole Versus Albendazole Alone in the Treatment of Active Parenchymal Neurocysticercosis in Tanzania and Zambia

TypeinterventionalSponsorR-Evolution Worldwide S.r.l. Impresa SocialeRan2024 to 2026Enrolled300ConditionsNeurocysticercosisArmsalbendazole and praziquantel, Albendazole
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Seroprevalence and risk factors forFood and waterborne parasitology · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 11 institutions in 7 countries.

Dominik StelzleDepartment of Neurology, Center for Global Health, Faculty of Medicine, Technical University of Munich, Munich, Germany.ORCID 0000-0001-6743-2818
Charles MakasiNational Institute for Medical Research, Muhimbili Medical Research Centre, Dar es Salaam, Tanzania.
Veronika SchmidtDepartment of Neurology, Center for Global Health, Faculty of Medicine, Technical University of Munich, Munich, Germany.
Chiara TrevisanDepartment of Translational Physiology, Infectiology and Public Health, Faculty of Veterinary Medicine, Ghent University, Ghent, Belgium.
Inge van DammeDepartment of Translational Physiology, Infectiology and Public Health, Faculty of Veterinary Medicine, Ghent University, Ghent, Belgium.
Tamara M WelteDepartment of Neurology, Center for Global Health, Faculty of Medicine, Technical University of Munich, Munich, Germany.
Charlotte RuetherDepartment of Radiology, Faculty of Medicine, Technical University of Munich, Munich, Germany.
Agnes FleuryDepartamento de Medicina Genómica y Toxicología ambiental, Instituto de Investigaciones Biomédicas-UNAM / Clínica de neurocisticercosis, Instituto Nacional de Neurología y Neurocirugía, Ciudad de México, Mexico.
Pierre DornyDepartment of Translational Physiology, Infectiology and Public Health, Faculty of Veterinary Medicine, Ghent University, Ghent, Belgium.
Pascal MagnussenFaculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Gideon ZuluMinistry of Health, Lusaka, Zambia.
Kabemba E MwapeDepartment of Clinical Studies, School of Veterinary Medicine, University of Zambia, Lusaka, Zambia.
Emmanuel BottieauDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Sarah GabriëlDepartment of Translational Physiology, Infectiology and Public Health, Faculty of Veterinary Medicine, Ghent University, Ghent, Belgium.
Bernard J NgowiNational Institute for Medical Research, Muhimbili Medical Research Centre, Dar es Salaam, Tanzania.
Andrea S WinklerDepartment of Neurology, Center for Global Health, Faculty of Medicine, Technical University of Munich, Munich, Germany.
SOLID collaborators
Ghent University · BETechnical University of Munich · DEUniversity of Oslo · NOInstituto Nacional de Neurología y Neurocirugía · MXInstituut voor Tropische Geneeskunde · BEMinistry of Health · ZMNational Institute for Medical Research · TZUniversitätsklinikum Erlangen · DEUniversity of Copenhagen · DKUniversity of Dar es Salaam · TZUniversity of Zambia · ZM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurocysticercosis (NCC) is common among people with epilepsy in low-resource settings. Prevalence of NCC and radiological characteristics of patients with NCC vary considerably even within small areas but differences have been poorly characterized so far.

methodsWe conducted a cross-sectional study between August 2018 and April 2020 in three district hospitals in southern Tanzania (Ifisi, Tukuyu and Vwawa). Patients with and without epileptic seizures were included in this study. All patients were tested with a novel antibody-detecting point-of-care test for the diagnosis of Taenia solium cysticercosis. All test positives and a subset of test negatives had a further clinical work-up including medical examination and computed tomography of the brain. NCC was defined according to the Del Brutto criteria. We assessed epidemiological, clinical and radiological characteristics of patients with NCC by presence of epileptic seizures and by serology status.

resultsIn all three district hospitals, more than 30% of all people with epileptic seizures (PWE) had NCC lesions in their brain (38% in Vwawa, 32% in Tukuyu and 31% in Ifisi). Most PWE with NCC had multiple lesions and mostly parenchymal lesions (at least 85%). If patients were serologically positive, they had in the median more lesions than serologically negative patients (15 [interquartile range 8-29] versus 5 [1.8-11]), and only serologically positive patients had active stage lesions. Furthermore, serologically positive PWE had more lesions than serologically positive people without epileptic seizures (10.5 [7-23]), and more often had active lesions. PWE diagnosed with NCC (n = 53) were older, and more commonly had focal onset seizures (68% versus 44%, p = 0.03) and headache episodes (34% versus 14%, p = 0.06), which were also stronger than in PWE without NCC (p = 0.04).

conclusionNCC is common among PWE. A combination of clinical and serological factors could help to establish an algorithm to identify patients potentially suffering from active NCC, who benefit from further clinical investigation including neuroimaging.

Indexed as

NeurocysticercosisCross-Sectional StudiesHumansRadiographySeizuresTanzania

Identifiers

PMID36441777
PMCPMC9704569
OpenAlexW4310089672

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.