Case Series on the Clinical Profile of Neurocysticercosis in Pediatric Age Group

Medical Journal of Dr. D.Y. Patil Vidyapeeth

article

Chalipat, Shiji S.¹  Chavan, Sanjay¹  Malwade, Sudhir D.¹  Agarkhedkar, Sharad R.¹  Kumari, Soni¹ 

[1]Department of Pediatrics, Dr. D. Y. Patil Medical College and Research Centre

关键词: Neurocysticercosis;    pediatric seizures;    seizures;   

DOI  :  10.4103/mjdrdypu.mjdrdypu_235_22

学科分类：社会科学、人文和艺术（综合）

来源: Wolters Kluwer Medknow Publications

【 摘 要 】

Introduction:  Neurocysticercosis (NCC) is a common infection of the nervous system caused by ingestion of Tenia solium eggs in undercooked pork or contaminated water. Most children present with seizures particularly focal seizures with or without signs of raised intracranial pressure (ICP). Diagnosis is made by computed tomography/magnetic resonance imaging (CT/MRI) scan which shows single/multiple ring-enhancing lesions with perilesional edema. Management involves the use of anticonvulsants for seizures and steroids for edema. Objective:  To establish a clinical profile of NCC patient in pediatric age groups. Material and Methods:  The Department of Pediatric Neurology at our institute conducted a retrospective study of 15 children with ring-enhancing lesions on MRI who were managed at this centre. The observations were further analyzed. Results:  Nearly 14 children presented with seizures, 50% of these children also showed signs of raised ICP. Only 1 child had presented with signs of raised ICP. All the children were treated with anti-cysticidal, anti-epileptic with pre-treatment steroids. At 6 months all children were seizure-free. Conclusion:  NCC should be ruled out in children presenting with focal seizures, especially in a country like India where the disease is endemic. Apart from antiepileptics, anthelmintic – Albendazole and Praziquantel are very effective against NCC with pre-treatment with corticosteroids and have been very effective in managing the disease.

【 授权许可】

CC BY-NC-SA