Neurocysticercosis: a rare cause of new-onset seizures
Neurocysticercosis, a prevalent helminthic infection of the central nervous system, is primarily transmitted through the faeco-oral route via contaminated water or vegetables. The revised diagnostic criteria (2017) provide a standardized framework for categorizing cases based on diagnostic certaint...
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| Format: | Article |
| Language: | English |
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Sri Lanka College of Internal Medicine
2025-03-01
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| Series: | Asian Journal of Internal Medicine |
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| Online Access: | https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/218 |
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| author | J. Phetcharat S. Noppakun |
| author_facet | J. Phetcharat S. Noppakun |
| author_sort | J. Phetcharat |
| collection | DOAJ |
| description |
Neurocysticercosis, a prevalent helminthic infection of the central nervous system, is primarily transmitted through the faeco-oral route via contaminated water or vegetables. The revised diagnostic criteria (2017) provide a standardized framework for categorizing cases based on diagnostic certainty and diagnostic criteria. Neuroimaging modalities, computed tomography (CT) and magnetic resonance imaging (MRI), are the gold standard for diagnosis. We report a case of an immunocompetent patient residing in an endemic region with minimal exposure to risk factors, who presented with new-onset seizures. Neurocysticercosis was diagnosed based on radiological evidence of a single enhancing lesion with the characteristic "hole-with-dot" appearance. The patient received anti-inflammatory, antiepileptic, and analgesic medications, followed by antiparasitic treatment. Clinical improvement was observed with resolution of perilesional edema and successful seizure control.
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| format | Article |
| id | doaj-art-98194fcae41248bc946220c26da1aa53 |
| institution | DOAJ |
| issn | 2827-7260 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Sri Lanka College of Internal Medicine |
| record_format | Article |
| series | Asian Journal of Internal Medicine |
| spelling | doaj-art-98194fcae41248bc946220c26da1aa532025-08-20T02:52:38ZengSri Lanka College of Internal MedicineAsian Journal of Internal Medicine2827-72602025-03-014110.4038/ajim.v4i1.218Neurocysticercosis: a rare cause of new-onset seizuresJ. Phetcharat0S. Noppakun1Banrai hospital, Uthai Thani Provincial Public Health Office, Uthai ThaniUthai Thani hospital, Uthai Thani Provincial Public Health Office, Uthai Thani Neurocysticercosis, a prevalent helminthic infection of the central nervous system, is primarily transmitted through the faeco-oral route via contaminated water or vegetables. The revised diagnostic criteria (2017) provide a standardized framework for categorizing cases based on diagnostic certainty and diagnostic criteria. Neuroimaging modalities, computed tomography (CT) and magnetic resonance imaging (MRI), are the gold standard for diagnosis. We report a case of an immunocompetent patient residing in an endemic region with minimal exposure to risk factors, who presented with new-onset seizures. Neurocysticercosis was diagnosed based on radiological evidence of a single enhancing lesion with the characteristic "hole-with-dot" appearance. The patient received anti-inflammatory, antiepileptic, and analgesic medications, followed by antiparasitic treatment. Clinical improvement was observed with resolution of perilesional edema and successful seizure control. https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/218NeurocysticercosisTaenia soliumParasitic diseasesNew-onset seizure |
| spellingShingle | J. Phetcharat S. Noppakun Neurocysticercosis: a rare cause of new-onset seizures Asian Journal of Internal Medicine Neurocysticercosis Taenia solium Parasitic diseases New-onset seizure |
| title | Neurocysticercosis: a rare cause of new-onset seizures |
| title_full | Neurocysticercosis: a rare cause of new-onset seizures |
| title_fullStr | Neurocysticercosis: a rare cause of new-onset seizures |
| title_full_unstemmed | Neurocysticercosis: a rare cause of new-onset seizures |
| title_short | Neurocysticercosis: a rare cause of new-onset seizures |
| title_sort | neurocysticercosis a rare cause of new onset seizures |
| topic | Neurocysticercosis Taenia solium Parasitic diseases New-onset seizure |
| url | https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/218 |
| work_keys_str_mv | AT jphetcharat neurocysticercosisararecauseofnewonsetseizures AT snoppakun neurocysticercosisararecauseofnewonsetseizures |