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Albendazole therapy for persistent, solitary cysticercus granulomas in patients with seizures
1Department of Neurological Sciences, Christian Medical College Hospital, Vellore, India.
Abstract:
We treated 11 patients with a persistent (> 3 months), solitary small cysticercus granuloma and seizures with albendazole in a daily dose of 15 mg/kg body weight for 14 days. At repeat CT examinations performed at intervals of 2.5 to 6 weeks after initiation of therapy, the lesions had resolved in two patients and become significantly smaller (less than 50% of their pretreatment size) in two. Albendazole therapy in responders hastened the resolution of the lesions and confirmed the diagnosis.
Insights
Albendazole treatment for persistent neurocysticercosis granulomas showed promising results. In some patients, this medication helped resolve or shrink these brain lesions, aiding diagnosis.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Neurocysticercosis is a significant cause of seizures worldwide.
- Cysticercus granulomas are a common manifestation of neurocysticercosis.
- Persistent granulomas pose a diagnostic and therapeutic challenge.
Purpose of the Study:
- To evaluate the efficacy of albendazole in treating persistent, solitary small cysticercus granulomas.
- To assess the impact of albendazole on lesion resolution and size reduction.
- To determine if albendazole therapy can aid in confirming the diagnosis of cysticercus granuloma.
Main Methods:
- Eleven patients with persistent (> 3 months) solitary small cysticercus granulomas and seizures were treated.
- Albendazole was administered at a daily dose of 15 mg/kg body weight for 14 days.
- Repeat CT examinations were performed 2.5 to 6 weeks post-therapy.
Main Results:
- Lesion resolution was observed in two out of eleven patients.
- Significant lesion size reduction (less than 50%) was noted in two additional patients.
- Albendazole therapy hastened lesion resolution in responders.
Conclusions:
- Albendazole therapy can be effective in resolving or reducing the size of persistent cysticercus granulomas.
- Treatment response to albendazole may help confirm the diagnosis of cysticercus granuloma.
- Further studies are warranted to establish optimal treatment protocols.
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