Neurocysticercosis: A study of clinical profile from a services hospital in India
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH - Year 2018, Vol 10, Issue 9
Abstract
Introduction: This study was carried out at a tertiary care services hospital in central India. The main aim of the study was to evaluate the clinical profile, diagnosis, treatment and follow-up in 26 pediatric neurocysticercosis patients over a duration of five years (from Jul 2011 To Jul 2016). Materials and Methods: Detailed history, Clinical features, Computed tomography (CT) and or Magnetic Resonance Imaging scan were the basis of diagnosis of neurocysticercosis along with exclusion of other causes. Patients symptomatic with seizures and active, transitional cysts treated with anticonvulsants, steroids, and albendazole. Seven of the children required multiple courses of albendazole. Results: A total of 26 patients completed this study. Mean age of the presentation was 9.6 ± 4.9 years, 58% of the patients were female. The clinical profile of patients was as follows - partial seizures 63.3%, generalized seizures- 37.7%, headache - 67%, vomiting in 19 %, focal neurological deficit in 11% and a combination of symptoms in 70% cases. Contrast CT brain showed a solitary lesion in 18 (71.1%) and multiple lesions in the rest. To begin with CT/MRI lesions were transitional in 64%, inactive in 21% and mixed in 36%, All the children were seizure free after two years of treatment and follow up, with normal electroencephalography (EEG). During the course of follow-up CT scan brain, lesions disappeared in 69.4% of the cases and 29.6% of them got calcified, Conclusion: Neurocysticercosis was the commonest cause of seizure disorder in children in this study. The commonest CT picture at presentation was a Solitary ring enhancing lesions (transitional stage) involving the parietal lobe. Partial/focal seizure was the most common type of seizure. Albendazole is effective in single as well as multiple ring enhancing lesions of neurocysticercosis. Praziquantel alone or in combination was not tried in this study.
Authors and Affiliations
Dr. Om Prakash Singh, Dr. Pushp Kant Tiwari, Dr. Singh, J. P. , Dr. Rishabh Singh
Keywords
Related Articles
- EP ID EP403622
- DOI -
- Views 114
- Downloads 0
Introduction Of Commented Video Sequences During Anatomy Lectures
Because of the advent of new technologies of information and communication, teaching methods are changing in medical schools. The use of video for teaching anatomy is an interesting innovation, because studies show that...
Full mouth rehabilitation using all on 4 implant concept in a patient with generalised aggressive periodontitis – A case report with 4 year follow up
Aggressive periodontitis renders a great challenge to the conventional implant due to the risks of infection and ongoing marginal bone loss (MBL).The “All-on-Four” concept is based on the placement off our implants (two...
Study on aefi (adverse event following immunization) in the department of paediatrics, gauhati medical college & hospital, Guwahati (Assam)”,
Background: Immunization programme is an important determinant of the health status in a region. Full awareness regarding usefulness and safety of vaccines are required. Proper evaluation of vaccine related adverse event...
Comparison of caudal Tramadol-bupivacaine and Fentanyl-bupivacaine for post-operative analgesia in pediatric Hypospadias surgery
Background: Caudal epidural analgesia with bupivacaine is very popular in pediatric anesthesia for providing intra and post-operative analgesia. Several adjuvants have been used to prolong the action of bupivacaine. Obje...
Utility of real time pcr in culture negative acute bacterial meningitis in pediatric age group
Introduction & objective: Acute Bacterial Meningitis (ABM) is a medical emergency which warrants early diagnosis. Pretreatment with antibiotic before lumbar puncture make interpretation of CSF culture difficult. Clinicia...