title: Clinico-radiological aspects of neurocysticercosis in pediatric population in a tertiary hospital.
abstract: BACKGROUND
  Neurocysticercosisis common in developing countries including Nepal. Clinicalpresentations vary depending on the CT scan findings of head. Adequate information of neurocysticercosis in children from Western Nepal is lacking. This study was conducted with an objective of evaluating the most common clinical and radiological picture in children suffering from NCC at a tertiary care teaching hospital in Western Nepal.
  
  
  METHODS
  Hospital records of all pediatric inpatients, admitted from 16th June 2010 to 15th December 2012, consistent with the diagnosis of Neurocysticercosis were reviewed.
  
  
  RESULTS
  Forty nine cases of neurocysticercosis were enrolled. Their age varied 2.6 years to 14 years with the mean age of 10.6 years and the peak age was at 12 years with slight male predominance, ratio being male:female 1.2:1. The commonest presentation was seizures (n=38; 77.5 %); partial seizures being most common. Most of the lesions were single (n=44; 89.8%), predominantly in the parietal region (n=20; 40.8%) and most were in transitional stage (61.22%) in Computed tomography (CT).However, number of lesions from CT scan of head showed no significance in association with seizure types (p=0.84). In addition, perilesional edema and scolex within the lesion were noted in 67.34% and 18.36% of the cases respectively.
  
  
  CONCLUSIONS
  Any child presenting with acute onset of afebrile seizure should be screened for neurocysticercosis provided other common infective and metabolic causes are ruled out. CT scan is the valuable diagnostic tool to support our diagnosis.
authors.affiliation: Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
authors.forename: Bandana
authors.initials: B
authors.lastname: Shrestha
authors.affiliation: Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
authors.forename: Prabha
authors.initials: P
authors.lastname: Mainali
authors.affiliation: Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
authors.forename: Sujan
authors.initials: S
authors.lastname: Sayami
authors.affiliation: Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
authors.forename: Om Kumar
authors.initials: OK
authors.lastname: Shrestha
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D000818:Animals; D002648:Child; D002675:Child, Preschool; D003552:Cysticercus; D004244:Dizziness / Q000469:parasitology; D004487:Edema / Q000000981:diagnostic imaging*; D005260:Female; D006261:Headache / Q000469:parasitology; D006801:Humans; D008297:Male; D009390:Nepal; D020019:Neurocysticercosis / Q000150:complications / Q000000981:diagnostic imaging*; D009460:Neurologic Examination; D009485:Neuroradiography; D010291:Paresis / Q000469:parasitology; D010296:Parietal Lobe / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D012640:Seizures / Q000469:parasitology; D041201:Taenia solium; D062606:Tertiary Care Centers; D014057:Tomography, X-Ray Computed; D014474:Unconsciousness / Q000469:parasitology