Neurocysticercosis.

Am Fam Physician

University of North Dakota Family Practice Center, Grand Forks.

Published: April 1993

Neurocysticercosis can be a cause of new-onset seizures. Cysticercosis is caused by fecal-oral spread of the parasite Taenia solium, the pork tapeworm, from affected individuals. Neurocysticercosis results from parasitic invasion of the central nervous system. The clinical presentation ranges from headaches to acute obstructive hydrocephalus. Computed tomography or magnetic resonance imaging is usually diagnostic, while serologic tests are generally less reliable. Treatment consists of praziquantel or albendazole, generally prescribed in combination with oral corticosteroids.

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