[Generalized tonic-clonic seizure in immigrant]

Area of Science:

• Neurology
• Infectious Diseases
• Parasitology

Background:

• Neurocysticercosis is a significant cause of adult-onset epilepsy, particularly in regions with endemic Taenia solium.
• Increased global travel and migration have led to a resurgence of neurocysticercosis in non-endemic areas.
• This condition necessitates a review of diagnostic criteria due to its growing public health importance.

Observation:

• A case study of a 47-year-old Ecuadorian woman presenting with generalized tonic-clonic seizures is detailed.
• Neurological examination revealed no abnormalities, but CT scans showed multiple cystic lesions with visible scolex.
• Cerebrospinal fluid serology confirmed Taenia solium infection.

Findings:

• The patient received cysticide treatment with albendazole, leading to complete resolution of CT scan lesions.
• Diagnosis was confirmed through a combination of clinical presentation, neuroimaging, and serological testing.
• The case highlights the importance of considering neurocysticercosis in patients with epilepsy and relevant epidemiological factors.

Implications:

• Neurocysticercosis must be considered in the differential diagnosis of adult-onset epilepsy, especially in patients with migration history from endemic areas.
• Prompt diagnosis and appropriate antiparasitic treatment are essential for favorable patient outcomes.
• Public health awareness and diagnostic preparedness are crucial for managing the increasing incidence of neurocysticercosis globally.