Annals of Internal Medicine: Clinical Cases (May 2025)

Subarachnoid Racemose Neurocysticercosis in a Patient From India: A Case Report

  • Lucy Cai,
  • Hannah Kern,
  • Michael Preziosi

DOI
https://doi.org/10.7326/aimcc.2024.1257
Journal volume & issue
Vol. 4, no. 5

Abstract

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Neurocysticercosis is endemic in Latin America, Africa, and Asia. However, the subarachnoid form is a rare manifestation of neurocysticercosis that often is overlooked. Subarachnoid racemose neurocysticercosis consists of the proliferation of lobulated cysts and can present with headaches, intracranial hypertension, and infarcts. We report a rare case of subarachnoid racemose neurocysticercosis in a patient from India. She showed improvement on clinical and radiologic testing after initiation of high-dose steroids and dual anthelmintic therapy.