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The role of CT scan in diagnosing neurocysticercosis in patients with seizures: a case report

Abstract

Background: Neurocysticercosis is the most common parasitic infectious disease affecting the human central nervous system in endemic countries. It is caused by the ingestion of Taenia solium eggs excreted in the faeces of human tapeworm carriers. The disease is often asymptomatic, but can also cause seizures, disorientation, visual disturbances, focal neurologic deficits, psychiatric symptoms, strokes, and elevated intracranial blood pressure. Neuroimaging remains the gold standard for diagnosis, which includes the CT scan. This case report aimed to discuss the role of the CT scan in the diagnosis of neurocysticercosis in a 40-year-old male patient with a history of seizures.

Case presentation: A 40-year-old male complained of seizures one hour before admission. Before the seizure, the patient reported that he was active as usual and had no complaints. The patient stated that he likes to eat pork and red lawar, which is made from raw pig blood. Physical examination revealed that the patient had a fever. Neurologic examination was within the normal range. Axial view CT scan of the head without contrast showed multiple calcifications with a hypodense area around them. Then, the patient was diagnosed with serial seizures due to symptomatic epilepsy and cerebral neurocysticercosis. He was treated with anthelmintic, antiseizure and symptomatic medication. After one month following therapy, there were no reports of headaches or seizures. The follow-up CT scan at the same slice as the lesion decreased the amount of calcifications, but the right frontal and left parietal regions were still visible.

Conclusion: Neuroimaging studies such as CT scans are among the tests that can be performed on seizure patients to detect neurocysticercosis in endemic areas.

References

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How to Cite

Luh Dindi Ayu Surya Kanti, I Gede Catur Wira Natanagara, Ni Kadek Antari Darmasih, & Agus Antara. (2023). The role of CT scan in diagnosing neurocysticercosis in patients with seizures: a case report. Intisari Sains Medis, 14(3), 1053–1057. https://doi.org/10.15562/ism.v14i3.1869

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Luh Dindi Ayu Surya Kanti
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ISM Journal


I Gede Catur Wira Natanagara
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Ni Kadek Antari Darmasih
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Agus Antara
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ISM Journal