Title: Neurocysticercosis – Clinical and Radiological Appraisal from a Tertiary Centre of Bihar, India
Authors: Anju Kumari, Ravikant Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v7i1.169
Abstract
Little has been published on Neurocysticercosis (NCC) in the State of Bihar, India. This study was conducted to describe the clinical and radiological features of NCC.
Materials: Fifty patients of NCC presenting in department of medicine, PMCH, Patna were evaluated on preset proforma containing detailed demographic data, dietary habits, clinical features and neuroimaging findings.
Results: Out of 50 patients of NCC, 28 (56%) were male with most common age group being 21-30 years (36%). Seizure only is the most common presentation followed by seizure with increased intracranial pressure (70 and 14% respectively). Other presentation are seizure with psychotic symptoms, meningoencephalitis and ICSOL. CSF is inflammatory in 50% and ELISA is positive in 30 (60%). Multiple ring enhancing lesions either alone or in combination were seen on computerised tomography scans in 28 (56%) cases and parietal lobe involvement is the commonest site.
Conclusions: NCC is common public health problem in Bihar and one of the common cause of seizure. High level of suspicion is of paramount importance for diagnosis so that appropriate treatment can be started.
Keywords: Bihar, ELISA, NCC, neuroimaging, seizure.
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