The association between calcified neurocysticercosis and cognitive performance: A case-control study nested to a population-based cohort

Oscar H. Del Brutto, Robertino M. Mera, Mauricio Zambrano, Aldo F. Costa, Gustavo C. Román

Research output: Contribution to journalArticle

Abstract

Mechanisms implicated in the association between neurocysticercosis (NCC) and cognitive impairment remain unknown. Atahualpa residents aged ≥ 40 years with calcified NCC were identified as case patients and paired 1:1 to age- and gender-matched controls. The selection process generated 79 pairs. Cognitive performance was measured by the Montreal Cognitive Assessment (MoCA). A conditional logistic regression model revealed no differences in MoCA scores across case patients and controls, after adjusting for education, epilepsy, depression, and hippocampal atrophy. The single covariate remaining significant was hippocampal atrophy. When participants were stratified according to this covariate, linear models showed lowerMoCAscores among case patients (but not controls) with hippocampal atrophy. In a fully adjusted linear regression model, age remained as the single covariate explaining cognitive impairment among NCC patients. This study demonstrates an association between hippocampal atrophy and poor cognitive performance among patients with calcified NCC, most likely attributable to the effect of age.

Original languageEnglish (US)
Pages (from-to)323-326
Number of pages4
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume100
Issue number2
DOIs
StatePublished - 2019

ASJC Scopus subject areas

  • Parasitology
  • Virology
  • Infectious Diseases

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