Neurocysticercosis Presenting as Status Epilepticus

A 26-year-old healthy female with recent immigration from Nepal presented to the emergency department (ED) after experiencing four to five generalized tonic-clonic seizures at home. Workup in the ED revealed an abnormal calcification of the occipital lobe with vasogenic edema. The patient was given lorazepam and loaded with levetiracetam and dexamethasone. She was admitted to the hospital for new-onset seizures and workup of brain mass. An inpatient MRI revealed a solitary ring-enhancing lesion with punctate calcifications, consistent with a scolex, and blood analyses confirmed the diagnosis of neurocysticercosis. The patient was treated successfully with albendazole and corticosteroids and discharged after four days with no recurrence of seizures to date.