Neurocysticercosis presenting with psychosis.
Cysticercosis consists of infection with the small bladder-like larvae of the pork tapeworm Taenia solium. The life cycle of parasite is maintained between man and pig infected with cysticerci. Epilepsy is the most common presentation of neurocysticercosis; focal signs, headache, involuntary movements and global mental deterioration are other symptoms. Psychosis is a rare presentation and may be seen in up to 5% of patients. We present a 25 years old male, who had been under treatment from psychiatry OPD for psychosis for one year, developed generalized tonic-clonic seizures. CT scan of brain revealed multiple calcified and hypodense lesions with surrounding oedema. Histopathological examination of subcutaneous nodule confirmed the diagnosis of neurocysticercosis.
Mahajan
S K
SK
Department of Medicine, Indira Gandhi Medical College, Shimla, HP - 171 001.
Machhan
P C
PC
Sood
B R
BR
Kumar
S
S
Sharma
D D
DD
Mokta
J
J
Pal
L S
LS
D000328:Adult; D000818:Animals; D014150:Antipsychotic Agents / Q000627:therapeutic use; D003552:Cysticercus / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007194:India; D008297:Male; D020019:Neurocysticercosis / Q000175:diagnosis*; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000188:drug therapy; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed / Q000379:methods
D014150:Antipsychotic Agents