IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-3-18238 Original Research Paper Computed Tomography scan and Therapeutic Response in Patients with Neurocysticercosis. Kumar Dr. Umakant Prasad Dr. March 2019 8 3 01 02 ABSTRACT

 

Abstract– Neurocysticercosis (NCC) is the most common parasitic disease of the nervous system with varied clinical and imaging spectrum. This study was conducted to describe the clinical , CT finding  and response to therapy of NCC.

Materials: Hundred (100) patients of NCC presenting in department of medicine, PMCH, Patna were  evaluated on  preset proforma containing detailed demographic data, dietary habits, clinical features  and neuroimaging findings and its therapeutic response.  Patients were treated with 28 days course of albendazole and repeat CT scan was done in 2 months after treatment. 

Results:  Out of 100 patients of NCC, 56 (56%) were male with most common age group being 21–30 years (36%). Only Seizure is the most common presentation followed by Seizure with featuers of increased intracranial pressure (70 and 14% respectively). Multiple ring enhancing lesions either alone or in combination were seen on computerised tomography scans in 56 (56%) cases and parietal lobe involvement is the commonest site. Complete resolution of CT scan lesions in 72 (72%) and partial resolution occurred in rest of patients.

Conclusions:  Neurocysticercosis is common public health problem and one of the common cause of seizure. It has varied imaging finding being ring enhancement is most common. Albendazole is highly effective therapy and should be started  at earliest to prevent morbidity and mortality.