[A case of neurocysticercosis presenting as focal seizure].
In Japan neurocysticercosis is a rare disease. We report a case of neurocysticercosis with a review of the literature. A 29-year-old man presented focal seizure on the left side. Physical and neurological findings on admission were unremarkable. CT and MRI showed a mass with ring-like enhancement and perifocal edema in the right frontal lobe, as well as multiple small masses with calcification. The main mass measuring 8 mm in diameter, was suspected as the eliptogenic focus, and was totally removed via the transcortical approach. Postsurgically seizures did not recur, and histological examination of the mass confirmed a cysticercus. A therapeutic course of albendazole and praziquantel administered postsurgically was effective for the multiple intraparenchymal masses.
Sugiyama
M
M
Department of Neurosurgery, Ebina General Hospital East, Japan.
Okada
T
T
Higuchi
H
H
Yabe
Y
Y
Kobayashi
N
N
Teramoto
A
A
D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D001927:Brain Diseases / Q000150:complications* / Q000628:therapy; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D020019:Neurocysticercosis / Q000150:complications* / Q000628:therapy; D019635:Neurosurgical Procedures / Q000379:methods; D011223:Praziquantel / Q000627:therapeutic use; D012640:Seizures / Q000209:etiology*
D000871:Anthelmintics; D011223:Praziquantel; D015766:Albendazole