NEUROCYSTICERCOSIS ¨C AN
E.S.I EXPERIENCE
Swapna K1, Mathur YC2
1 E.S.I. Hospital, Hyderabad, India
2 C.D.R. Hospital, Hyderbad, India
Objective: To
study the clinical features, pathology, pathogenesis, EEG and Radiological
Findings and Management of Neurocysticercosis.
Methods: Sixty-three
cases with seizure disorders from age 3-12 yrs, brought to Pediatric OPD /
hospitalized at E.S.I Hospital, Hyderabad from 6/1990 to 7/1999 were
studied. Children fulfilling
the criteria of febrile seizures were excluded from the study group. All cases were subjected to
detailed clinical examination, routine stool, urine, complete blood
picture, mantoux test, radiology of chest, skull, serology for Taenia
solium antibodies, EEG and C.T. scan Brain.
Results: The
incidence of infectionwith Taenia Solium was found to be 16 cases (25 ¨C
39%) out of 63 studied. Nine
cases (56.2%) presented with generalized seizures. EEG was abnormal in 6 cases (37.5%)
slow wave pattern or spikes were seen. C.T. Scan Brain. Findings showed Single (62.5%) or
multiple (37.5%) ring-enhancing lesions and with perilesional oedema in 6
cases (37.5%). Serology for T.
Solium antibodies was done for all 63 cases. Serology was positive for 16 cases (25-39%).
Conclusion: The incidence of Neurocysticercosis in this study was
found to be 25 ¨C 39%. Most
cases presented with seizure disorders. Serological tests. EEG and C.T. scan Brain is helpful in
diagnosis. Ellisa shows
presence of antibodies against Taenia Solium antigen in serum, EEG shows
slow and spike activity and C.T. Scan Brain shows ring enhancing lesions
and calcifications.
Albendazole is the treatment of choice.