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and usually manifest as subcutaneous nodules, primarily in thearms, legs, and chest. However, penetration of the larval stage(cysticercus) into the central nervous system can produce hydrocephalus,intracranial hypertension, stroke, and seizure activity. 42Epileptic seizures (50% to 80%) may be the presenting symptomsin patients with neurocysticercosis (see Table 124–3 ). 42 , 45 Clinicalpresentation, primarily seizure history, together with radiographicdemonstration (CT and magnetic resonance imaging) of thecysticercus within the bladder or calcified cysts in the centralnervous system, is diagnostic for neurocysticercosis. 41 , 42 Serologicdiagnosis is made by the use of an enzyme-linked immunoelectrotransferblot assay, which is considered highly sensitive andspecific for cysticercosis. 41 , 42 , 45 , 46
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