NEUROCYSTICERCOSIS AS A RARE CAUSE OF POST PARTUM CONVULSIONS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 3
Abstract
PRESENTATION OF CASE 23 year old female came with history of 2 episodes of convulsions on her 5th postpartum day at home. She was apparently alright before this. She had another episode of generalised tonic clonic convulsions in casualty, each episode lasting for 2-3mins associated with frothing of saliva, up rolling of eyes, tongue bite and post-ictal confusion. No history of involuntary urination/defecation. There was no preceding history of blurred vision, headache, epigastric pain, pedal oedema, fever, breathlessness, weakness of limbs or pain in the calf muscles. Following episode of convulsions she had slight slurring of speech. She is P2L2, fifth post-natal day, delivered by full term normal vaginal delivery. She had regular antenatal check-ups and had no h/o pre-eclampsia or HTN in either of the pregnancies or any history of convulsions in the past. Antepartum, intrapartum periods were uneventful. She consumes mixed diet and is a pork eater, sleep and appetite normal, bowel and bladder habits regular. On examination, patient was conscious and was responding to verbal commands. There was no evidence of pallor, icterus, and lymphadenopathy. She was afebrile, normotensive and her vitals stable. Systemic examination was normal including the CNS examination. Fundoscopy was normal. Her complete blood counts, urine albumin, Renal and Liver function tests, coagulation profile, serum electrolytes, ECG, chest X- ray were normal. MRI brain did not have any evidence of thrombosis or PRES. MRI brain showed 10 mm ring lesion with tiny hypointense scolex in the left parietal lobe cortex with perilesional oedema suggestive of cysticercosis. There was no evidence of proglottids or eggs in stool examination. Hence diagnosed as neurocysticercosis. She was treated with injection phenytoin, injection levetiracetam and injection dexamethasone 8mg TID. She was started on oral Levipil 500 mg BD and tablet Albendazole 400 mg BD. Rest of her hospital stay was uneventful and discharged on POD 15 on oral Levipil, albendazole and oral prednisolone, asked to review in outpatient basis for further follow-up. Preventive measures advised.
Authors and Affiliations
Divya H. S, Ramesh B, Manasa G. V, Rashmi G. B, Renuka Ramaiah, Karthik S, Sreelatha Sreelatha
Keywords
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- EP ID EP610074
- DOI 10.18410/jebmh/2019/41
- Views 72
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