Abstract

K. Bhavani, Ganeshakumara M.*, Dr. Namratha Dumthi

ABSTRACT

Neurocysticercosis is an insidious parasitic infection of the central nervous system, an infection caused by Taenia solium larvae (cysticerci), the most common manifestations are headache, focal deficits, signs of intracranial hypertension (ICH), A 18 year old male patient admitted with complaints of involuntary rigid movements associated with up rolling of eye, frothing of saliva. Tongue bite episode lasted for 30min, he had past history of 2 episodes of vomiting, and mild frontal  headache on and off since 1month and patient was going to be play in canal water since 2months So the physician has advised to take a report of CBC, serology, biochemistry, serum electrolytes, LFT, MRI -Brain, to identify the cause for the patient complaints and the  results of reports indicate NCC, As a NCC is parasitic infection so anti-helmintic drug was given, to treat the seizures which is the most common clinical  manifestation for this anti-epileptic drug was given, anti-inflammatory drug was given to treat inflammation caused by cyst, along with that supportive treatment was given like pantoprazole and ondansetron, Increasing awareness on the presence of NCC should contribute to a better diagnosis, treatment and hopefully also to reduce the burden of neurological disease resulting from this zoonosis, This 18-year-old male’s presentation with new-onset seizures and MRI findings of ring?enhancing lesions in the left frontal lobe, alongside elevated inflammatory markers and headache, was indicative of parenchymal neurocysticercosis in the colloidal vesicular stage. Early initiation of albendazole, corticosteroids, and antiepileptic therapy—in accordance with WHO and ASTMH/IDSA guidelines[15]—led to clinical stabilization and symptom resolution.