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Neurocysticercosis presenting as pseudobulbar palsy
Arinaganahalli Subbanna Praveen Kumar1, Dharanitragada Krishna Suri Subrahmanyam2
1Department of Medicine, PES Institute of Medical Science and Research, Chittor, Andhra Pradesh, India.
Journal of Neurosciences in Rural Practice
|April 18, 2014
Summary
Neurocysticercosis (NCC), a common cause of epilepsy, uncommonly presented as pseudobulbar palsy in a patient with seizures. Standard NCC treatment proved effective, highlighting an unusual presentation of this parasitic brain infection.
Area of Science:
- Neurology
- Infectious Diseases
- Parasitology
Background:
- Neurocysticercosis (NCC) is a significant parasitic infection of the central nervous system (CNS).
- It is a primary cause of acquired epilepsy globally.
- Typical NCC symptoms include seizures and headaches.
Observation:
- This case report details an unusual presentation of NCC.
- A 38-year-old female exhibited partial seizures and pseudobulbar palsy.
- Brain MRI revealed multiple cysts with scolex and a large intraparenchymal cyst.
Findings:
- The patient's pseudobulbar palsy, a rare manifestation, was linked to bilateral corticobulbar disease caused by NCC.
- The observed MRI findings confirmed extensive cerebral cysticercosis.
- The patient showed a positive response to standard neurocysticercosis treatment and antiepileptic drugs.
Implications:
- This case expands the known clinical spectrum of neurocysticercosis.
- It underscores the importance of considering NCC in patients with pseudobulbar palsy, even with atypical presentations.
- Effective management of NCC can resolve unusual neurological deficits, including pseudobulbar palsy.
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