Epilepsy Caused by Neurocysticercosis: A Case Report

Area of Science:

• Neurology
• Infectious Diseases
• Public Health

Background:

• Neurocysticercosis is a leading global cause of acquired epilepsy.
• It is infrequently diagnosed in the United States, particularly in emergency settings.
• Delayed diagnosis can lead to severe neurological complications.

Purpose of the Study:

• To present a case of neurocysticercosis presenting as recurrent seizures in a young adult male in the U.S.
• To emphasize the importance of considering neurocysticercosis in the differential diagnosis of seizures.
• To highlight the diagnostic challenges in a globalized patient population.

Main Methods:

• Case report of a young adult male with recurrent seizures.
• Clinical presentation included post-ictal confusion and agitation requiring intubation.
• Diagnostic workup focused on identifying the etiology of seizures.

Main Results:

• The patient presented with recurrent seizures and confusion.
• The underlying cause was identified as neurocysticercosis.
• The case required intensive management including airway protection.

Conclusions:

• Neurocysticercosis should be considered in the differential diagnosis of new-onset epilepsy, even in non-endemic regions.
• A broad differential diagnosis is crucial for patients presenting with seizures, especially in a globalized society.
• Early recognition and treatment of neurocysticercosis can prevent long-term neurological sequelae.