Cysticercal encephalitis with cortical blindness.
The authors report a 6-year-old boy, who had presented with low-grade fever, altered sensorium, headache and seizure for 5 days. On examination, he had features of raised intracranial pressure with left VI cranial-nerve palsy and bilateral extensor plantar response. CT scan showed multiple calcifications in cerebral cortex. MRI cranium showed multiple cysts involving whole of the brain. He was diagnosed as having cysticercal encephalitis, based on immunological and imaging study. He was managed with 20% mannitol, phenytoin and albendazole, and regained consciousness 7 days later, but had residual neurological deficit as left-lower-limb monoparesis and visual acuity of just projection of rays (PR+) and perception of light (PL+).
Department of Paediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India. rajniti_prasad@hotmail.com
Rajniti
R
Prasad
Neha
N
Thakur
C
C
Mohanty
M K
MK
Singh
O P
OP
Mishra
Utpal Kant
UK
Singh
D015766:Albendazole / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D019575:Blindness, Cortical / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D001921:Brain / Q000473:pathology; D001929:Brain Edema / Q000175:diagnosis / Q000209:etiology; D002114:Calcinosis / Q000175:diagnosis / Q000209:etiology; D002648:Child; D003907:Dexamethasone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004660:Encephalitis / Q000175:diagnosis* / Q000188:drug therapy; D004830:Epilepsy, Tonic-Clonic / Q000188:drug therapy / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D008279:Magnetic Resonance Imaging; D008297:Male; D020019:Neurocysticercosis / Q000175:diagnosis* / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D000893:Anti-Inflammatory Agents; D003907:Dexamethasone; D011239:Prednisolone; D015766:Albendazole