Worm on the Brain - seizures

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Worm on the Brain

Woman Recuperating After Doctors Remove Parasite

http://more.abcnews.go.com/sections/us/dailynews/brainworm010410.html

April 13 — An Arizona woman says she's feeling good, a little more

than a week after undergoing six hours of surgery to remove a worm

that had lodged in her brain.

Dawn Becerra and her doctors believe the parasite got into her system

three years ago, when she ate a pork taco while on a visit to Mexico.

Becerra said she was ill for three weeks after eating the taco. Soon

after, she began suffering violent seizures. Later, doctors

determined she had a parasitic worm in her brain and it had caused

neurocysticercosis — a lesion in her brain.

Poor Sanitation Allows Parasite to Spread

Doctors at Arizona's Mayo Clinic in sdale believe the taco

contained Taenia solium, a parasite that is common in Latin America.

It can be transmitted by infected food prepared by someone who has

not followed proper sanitation procedures after coming into contact

with the creature's eggs, which can be present in human feces.

Some experts point out that it is difficult to know for certain that

the taco was the source of the worm.

However Becerra ingested the parasite, it attached itself as an egg

to her intestinal wall. Eventually, the egg developed into the worm,

which moved into her blood stream and to her brain, said Dr. ph

Sirven, who operated on Becerra.

Once in the brain, the worm causes little harm until it eventually

dies and decays, thereby inflaming surrounding tissue.

" It's after the worm dies that the body reacts to something foreign, "

Sirven explained.

Undergoing Brain Surgery While Awake

Although Becerra seems to have kept a good attitude — she even gave

the worm a nickname, Tonya — she said the seizures it caused were

devastating. She reached a point where she could no longer tolerate

them.

" You have to be conscious that you can have them at any time, "

Becerra told ABCNEWS' Good Morning America on Thursday, " and I lived

with the thought that there was a worm in my brain. "

She made the decision to have it removed and just when she thought

the situation couldn't get any worse — it did.

Doctors told her that she would have to undergo brain surgery while

she was completely conscious because the procedure would take them

into an extremely sensitive area of the brain.

`She Was Very Lucky'

Beccera underwent the six-hour procedure last week — awake the entire

time. She received only acupuncture and a mild anesthesia to deal

with the pain.

Doctors spoke to the bilingual Becerra in both Spanish and English

during the operation.

Eventually, they found the decayed worm and removed it — without

doing any long-term damage to their patient.

" She was very lucky because she had only one cyst, " said Sirven.

" She should be in good shape now. "

Becerra is recovering quickly, and doctors say she won't need a

checkup for six months.

But it has still been a bizarre and difficult ordeal for her.

" The fascinating part about this is that it's much more common than

people think, " notes Sirven. And through good sanitation and cooking

pork thoroughly, he says, " it's very, very preventable. "

The World Health Organization says neurocysticercosis is a common

cause of epilepsy in Africa, Asia and Latin America.