Massive Neurocysticercosis. A Case Report and Literature Review

• Main Authors: Osvaldo Ramón Aguilera Pacheco, Dámaris González Vidal, Francisco Gómez Álvarez
• Format: Article
• Language: Spanish
• Published: Universidad de las Ciencias Médicas de Cienfuegos 2021-02-01
• Series: Revista Finlay
• Subjects: neurocisticercosis; enfermedades parasitarias; informes de casos
• Online Access: http://www.revfinlay.sld.cu/index.php/finlay/article/view/805

Neurocysticercosis is an infection of the central nervous system caused by the accidental ingestion of eggs of Taenia Solium, constituting the most frequent parasitosis of the system itself. It is a common problem in many Latin American, Asian and African countries; in endemic areas, it is considered the main etiology of late-onset epilepsies. The case of a 39-year-old male patient with a history of behavioral disorders and several seizures for a year is presented. For this reason he was transferred to the Main Military Hospital of Luanda and admitted to the Psychiatry Service with a presumptive diagnosis of hysterical neurosis. A month after his discharge, he was referred again this time to the Neurology Service of the hospital itself. A physical examination was performed, supplementary tests were indicated, and a chest X-ray and tomography were performed, which showed images suggestive of active neurocysticercosis. Pharmacological treatment and physiotherapy were indicated. After eighty days, the patient was discharged, conscious, oriented, and asymptomatic. The objective of the presentation is to draw the attention of specialists who collaborate in different parts of the world as it is an extremely rare disease in Cuba and which they must face with certain frequency in other latitudes.