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Neurocysticercosis. Case report.

B Carangelo¹, S Erra, M L Del Basso De Caro

¹Department of Neurosurgery and Neuroradiology, Institute of Neurosurgery, University of Naples, Italy.

Journal of Neurosurgical Sciences

|July 24, 2001

Summary

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A solitary brain lesion initially diagnosed as cystic astrocytoma was found to be neurocysticercosis (NCC), a parasitic infection caused by tapeworm larvae. This case highlights the increasing importance of NCC in non-endemic regions due to immigration.

Area of Science:

Neurology
Infectious Diseases
Parasitology

Background:

Neurocysticercosis (NCC) is the most common parasitic infection of the central nervous system (CNS) globally.
Caused by the larval stage of the pork tapeworm, Taenia solium.
Endemic in Latin America, Africa, and parts of Asia; increasingly reported in Europe due to immigration.

Observation:

A 53-year-old woman presented with a solitary cerebral hemispheric lesion causing acute generalized seizures.
Initial clinical and neuroradiologic diagnosis suggested cystic astrocytoma.
Surgical specimen analysis revealed parasitic infection consistent with NCC.

Findings:

Microscopic examination confirmed neurocysticercosis, misdiagnosed initially as a brain tumor.

Related Experiment Videos

This case underscores the diagnostic challenges posed by NCC, especially in non-endemic areas.

The study emphasizes the need for increased awareness of NCC in regions with significant immigration from endemic areas.

Implications:

Highlights the importance of considering parasitic infections in the differential diagnosis of CNS lesions, even in non-endemic regions.
Suggests that immigration patterns may lead to a rise in NCC cases in countries like Italy.
Underscores the link between poor hygiene in certain communities and the prevalence of Taenia solium infections.