Cerebral Cysticercosis

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Abstract
To the Editor: A case presented in the weekly clinicopathological exercises (N Engl J Med 297:773–780, 1977) is a clear form of parenchymal cysticercosis. In Mexico cysticercosis abounds in neurologic clinics,1 and the clinical picture enables the staff physicians to pinpoint the majority of cases. The lumbar cerebrospinal-fluid inflammatory response is not marked in the parenchymal form, but pleocytosis, increased protein and lowered cerebrospinal-fluid sugar are evident in the chronic basal meningeal form. Pleocytosis is only moderate in the ventricular forms, and changes in the cerebrospinal fluid must be investigated in ventricular instead of lumbar samples. Obstructive hydrocephalus develops in . . .

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