Neurocysticercosis

Neurocysticercosis is a topic covered in the Washington Manual of Medical Therapeutics.

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  • Neurocysticercosis should be suspected in patients from Mexico and Central and South America who present with seizures.
  • Ingested eggs of Taenia solium differentiate into larvae, which disseminate to brain and other tissues and form cysts.
  • Brain imaging reveals characteristic multiple unilocular cysts that eventually calcify.
  • Treatment consists of anticonvulsants, albendazole or praziquantel, with concomitant glucocorticoids to decrease the inflammatory response, and/or surgery.1

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  • Neurocysticercosis should be suspected in patients from Mexico and Central and South America who present with seizures.
  • Ingested eggs of Taenia solium differentiate into larvae, which disseminate to brain and other tissues and form cysts.
  • Brain imaging reveals characteristic multiple unilocular cysts that eventually calcify.
  • Treatment consists of anticonvulsants, albendazole or praziquantel, with concomitant glucocorticoids to decrease the inflammatory response, and/or surgery.1

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