Diagnóstico clínico-radiológico de neurocisticercosis: A propósito de un caso

Abstract

Background. Neurocysticercosis is the most frequent parasitic disease of the central nervous system and the first cause of acquired epilepsy in endemic areas. Our aim with this paper is to use clinical and radiological criteria to orientate diagnosis where there is suspicion of neurocysticercosis, presenting a clinical case as an example. Materials and methods. We present the case of a 43 year old woman of Bolivian origin, who came to accidents and emergencies after suffering a generalized convulsive crisis, witnessed by relatives of the patient. Results. A cranial computerized axial tomography was taken, which together with her clinical history led to suspicion of neurocysticercosis. She was admitted to the neurosurgery department for completion of the study, which confirmed the diagnosis of suspicion. She received treatment with albendazol and corticoids, with a good evolution. Conclusions. Neurocysticercosis is an emergent pathology in developed countries, due to the increase of immigration from endemic areas, mainly from Latin America. Epilepsy is the most frequent clinical expression, but presentation can vary greatly. A high degree of suspicion is necessary in order to be able to diagnose this disease.