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Neurocysticercosis presenting as schizophrenia: a case report
B Bhatia1, S Mishra, A S Srivastava
1B. Bhatia, MD, DM(Neuro) Senior Resident.
Indian Journal of Psychiatry
|July 12, 2011
Summary
Neurocysticercosis, a parasitic infection, can cause psychiatric symptoms. This case report details a patient with neurocysticercosis who exhibited a schizophrenia-like illness, expanding the known psychiatric presentations of this condition.
Area of Science:
- Neurology
- Psychiatry
- Infectious Diseases
Background:
- Neurocysticercosis is a central nervous system infection caused by the larval cysts of the pork tapeworm, Taenia solium.
- Psychiatric manifestations are common in neurocysticercosis, typically presenting as organic psychosis.
- Atypical psychiatric presentations can occur, posing diagnostic challenges.
Purpose of the Study:
- To report a rare case of neurocysticercosis presenting with a schizophrenia-like functional psychiatric illness.
- To highlight the diverse range of psychiatric symptoms associated with neurocysticercosis.
- To emphasize the importance of considering infectious etiologies in unexplained psychiatric disorders.
Main Methods:
- Case report of a patient diagnosed with neurocysticercosis.
- Clinical evaluation of psychiatric symptoms.
- Review of relevant literature on neurocysticercosis and psychiatric manifestations.
Main Results:
- The patient presented with symptoms mimicking schizophrenia, a functional psychiatric illness.
- Neuroimaging confirmed the presence of neurocysticercosis.
- This presentation differs from the more commonly reported organic psychosis in neurocysticercosis.
Conclusions:
- Neurocysticercosis can manifest with a broader spectrum of psychiatric symptoms than previously emphasized, including schizophrenia-like presentations.
- Early diagnosis and treatment of neurocysticercosis are crucial for managing both neurological and psychiatric symptoms.
- This case underscores the need for a comprehensive diagnostic approach in patients with psychiatric disorders, considering potential underlying infectious causes.
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