Migraine-like visual hallucinations in occipital lesions of cysticercosis.
Four Indian patients with occipital lesions of cysticercosis presented with visual hallucinations. Neuro-ophthalmic and systemic examinations were normal in all cases except for one patient who had a partial homonymous hemianopia. Electroencephalography was normal in all cases. Neuroimaging revealed ring-enhancing lesions in the occipital lobe typical of neurocysticercosis. In endemic regions like India, neurocysticercosis should be suspected in patients presenting with visual hallucinations, even when there are no other clinical findings.
Department of Neurosurgery (Neuro-Ophthalmology), Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Kumudini
K
Sharma
J
J
Wahi
R V
RV
Phadke
A
A
Varma
V K
VK
Jain
D000293:Adolescent; D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005938:Glucocorticoids / Q000627:therapeutic use; D006212:Hallucinations / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008881:Migraine Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D020019:Neurocysticercosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D009778:Occipital Lobe / Q000473:pathology*; D011239:Prednisolone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D000927:Anticonvulsants; D000981:Antiprotozoal Agents; D005938:Glucocorticoids; D002220:Carbamazepine; D011239:Prednisolone; D015766:Albendazole