Neurocysticercosis : An Analysis Of 206 Cases From An Indian Hospital

Abstract

The clinical features of Neurocysticercosis (NCC) are protean and include major cause of young and adult onset epilepsy in tropical countries. Neurocysticercosis is endemic in Latin America, sub-Saharan Africa, India, China, Eastern Europe and is encountered sporadically practically all over the world. Recent study we describe 206 cases of NCC identified over a 5 year period at the All India Institute of Medical Sciences, New Delhi. Materials and method: Medical records of 206 cases of Neurocysticercosis were reviewed and data obtained which included demographic, clinical features and neuro imaging. Result: Seziures were the commonest presentation in 92.2% of cases of which60% had simple partial seizures, headache, papillodema, and coma were other presenting features. Commonest CT finding was ring or disc lesion was found in 17.5% . Hydrocephalus and ventricular cyst were present in 5.8 and2% of cases respectively and 4.8% had ocular cysticercus. Conclusion: Our study reaffirms that the clinical presentation of NCC is protean and perplexing at times. Seizures are the commonest manifestation of NCC, We recommend that all cases of young and adult onset epilepsy should be investigated for Neurocysticercosis.