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Cerebral cysticercosis

K Ohnishi1, M Murata, M Nakane

  • 1Department of Infectious Diseases, Tokyo Metropolitan Bokutoh General Hospital, Japan.

Internal Medicine (Tokyo, Japan)
|July 1, 1993
PubMed
Summary
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A rare case of cerebral cysticercosis was diagnosed in a Japanese woman presenting with a brain cyst. Surgical removal and praziquantel treatment were successful for this parasitic infection.

Area of Science:

  • Neurology
  • Parasitology
  • Infectious Diseases

Background:

  • Cerebral cysticercosis is a parasitic infection of the central nervous system caused by the larval stage of Taenia tapeworms.
  • It is a significant cause of new-onset epilepsy and focal neurological deficits, particularly in endemic areas.

Observation:

  • A 44-year-old female presented with a right frontal craniotomy for a suspected metastatic brain tumor.
  • Surgical exploration revealed a cystic lesion containing a nodule.
  • Histopathological examination of the nodule confirmed a scolex with hooks and suckers, indicative of cysticercosis.

Findings:

  • The patient was diagnosed with cerebral cysticercosis, a rare parasitic infection of the brain.
  • The causative agent was identified as the larval stage of a Taenia species.

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  • The patient, a lifelong resident of Japan, had no history of international travel, suggesting local transmission or a long incubation period.

    • Implications:

    • This case highlights the importance of considering cysticercosis in the differential diagnosis of brain lesions, even in non-endemic regions or in patients with no travel history.
    • Early diagnosis and appropriate treatment with antiparasitic drugs like praziquantel are crucial for favorable outcomes.
    • Further research into the epidemiology and transmission dynamics of cysticercosis in Japan may be warranted.