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Year : 2020  |  Volume : 10  |  Issue : 2  |  Page : 158-162

Nightmares with a starry sky – Treating neurocysticercal encephalitis, how far to go


1 Department of Neurology, Institute of Neurosciences, Kolkata, West Bengal, India
2 Department of Neuroradiology, Institute of Neurosciences, Kolkata, West Bengal, India
3 Department of Neurocritical Care, Institute of Neurosciences, Kolkata, West Bengal, India
4 Department of Neuro-Ophthalmology, Institute of Neurosciences, Kolkata, West Bengal, India

Correspondence Address:
Anirban Ghosal
185/1, A.J.C. Bose Road, Kolkata - 700 017, West Bengal
India
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DOI: 10.4103/tp.TP_65_20

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Cysticercosis, an infection caused by the larval stage of tapeworm Taenia solium, is the most common parasitic disease of the human nervous system and the single most common cause of acquired epileptic seizures in the developing world. Here, we describe the stormy course of a 67-year-old female with neurocysticercosis (NCC) having a recurrent encephalitic presentation. She went through the most severe spectrum of this disease, namely NCC encephalitis and disseminated cysticercosis and had a classical starry sky brain in neuroimaging. In contrary to the popular practice of avoiding antihelminthic drugs in such extreme presentation, as a desperate measure, we had to use albendazole in this case, which showed clinical and radiological improvement.


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