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conferenceseries
.com
Volume 6, Issue 6 (Suppl)
OMICS J Radiol, an open access journal
ISSN: 2167-7964
Neuroradiology 2017
October 30 to November 01, 2017
October 30 to November 01, 2017 | San Antonio, USA
2
nd
International Conference on
Neuroscience, Neuroimaging & Interventional Radiology
Neurocysticercosis: A case report of a neglected cause of seizure in a child
Hannah Grace B Segocio
Davao Medical School Foundation Hospital, Philippines
N
eurocysticercosis is a significant but neglected cause of preventable seizure worldwide. This study aimed to report the case of a
9 year-old, Filipino, female who developed new-onset, right-sided seizures and hemiparalysis. Cranial CT scan revealed a non-
calcified cystic mass with rim enhancement and surrounding edema at the left frontal lobe. This was confirmed by brain MRI with
an additional finding of a scolex, which is pathognomonic for neurocysticercosis. The patient received Albendazole for 7 days with
Dexamethasone and was discharged with an anticonvulsant, Levetiracetam, maintained for 5 months. Repeat MRI was normal after
2 months. The patient has been seizure-free for almost two years now. Neurocysticercosis is caused by the encysted larva of Taenia
solium in the central nervous system. Despite being recognized as the most common cause of acquired epilepsy in literatures, there
have only been few well-documented cases of neurocysticercosis in children. Clinical manifestations vary and depend on the cyst’s
location, number, stage and the host immune response. Criteria for diagnosis include a combination of clinical, radiologic, serologic,
histologic and epidemiologic parameters. Neuroimaging suggestive of a single, small, cystic lesion with ring enhancement should
raise suspicion of neurocysticercosis. This case highlights the need to consider neurocysticercosis in endemic areas wherein a child
presented with new-onset, non-febrile seizure with focal characteristic. Management includes symptomatic therapy with the use of
anticonvulsants and definitive therapy with the use of cysticidal drugs, in combination with corticosteroids or surgery, if indicated.
Prevention should place emphasis on the improvement of hygiene and sanitation.
hannah.theophilia@gmail.comOMICS J Radiol 2017, 6:6, (Suppl)
DOI: 10.4172/2167-7964-C1-019