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Neurocysticercosis in a preschool-age child: case report
M M Vasconcelos1, M R Ramos, P J Schwan
1Hospital Universitário Antônio Pedro, Universidade Federal Fluminense. mmvascon@centroin.com.br
Insights
Neurocysticercosis, a common cause of seizures, is rarely diagnosed in young children. This case highlights the importance of considering neurocysticercosis in preschoolers with new-onset seizures and brain lesions.
Area of Science:
- Neurology
- Infectious Diseases
- Pediatrics
Background:
- Neurocysticercosis is a significant cause of epilepsy and neurological disorders globally.
- It is characterized by a prolonged incubation period, making it uncommon in very young children.
Observation:
- A case study of a 2-year-old child presenting with new-onset seizures is detailed.
- The child exhibited diagnostic features and neuroradiologic findings consistent with neurocysticercosis.
Findings:
- The study emphasizes that neurocysticercosis should be suspected in any child, regardless of age, presenting with new-onset seizures.
- Diagnostic suspicion should be heightened when CT or MRI reveals cystic or contrast-enhancing rounded lesions in the brain.
Implications:
- Early diagnosis and treatment of neurocysticercosis in children can prevent long-term neurological sequelae.
- This case underscores the need for increased awareness and diagnostic vigilance for neurocysticercosis in pediatric populations presenting with seizures.
Abstract:
Neurocysticercosis is a frequent cause of epilepsy and other neurologic abnormalities in all age groups, however by virtue of its prolonged incubation period as well as young children's nutritional habits, it is rarely seen in preschool-age children. The objective of this study is to report the case of a 2 year-old child who presented with new-onset seizures. Her diagnostic features, including neuroradiologic findings, are described and compared with the literature. No matter how young he or she may be, every child who presents with new-onset seizures or other unexplained neurologic features and whose CT or MRI shows cystic lesions or contrast-enhancing rounded lesions should raise a suspicion of neurocysticercosis.
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