Ischemic Cerebral infarction in a young man by disseminated Neurocysticercosis

Background: Disseminated variety with cerebral infarction is a rare manifestation of Neurocysticercosis.

Aims and Objectives: To study a case of disseminated Neurocysticercosis with left hemiparesis

Methods: A 26 year old apparently healthy man presented with recurrent generalized tonic clonic seizure and severe headache. His clinical examinations revealed left hemiparesis and brisk reflexes. His imaging studies revealed multiple ring enhancing lesions all over the brain parenchyma with a ‘Starry Sky’ appearance and right parieto-occipital lobe infarct. He was treated with anticonvulsants and steroids. In the 6th week of follow up his seizure is controlled and headache is relieved considerably but hemiparesis persists.

Results: He is diagnosed as a case of multiple Neurocysticercosis with right Temporo-parieto-occipital infarct. Study Limitations: Very few cases of disseminated Neurocysticercosis with hemiparesis are reported in recent times. Further studies are necessary to assess the correlation between disseminated Neurocysticercosis and infarction.

Conclusion: Neurocysticercosis should be kept in mind as a differential diagnosis of stroke in young.

Author(s): Shakya Bhattacharjee , Mona Tiwari , H. Kumar

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