Neurocysticercosis misdiagnosed in pregnancy as Eclampsia : Outcome and management
Keywords:
Eclampsia, CT Head, Neurocysticercosis, Diagnostic dilemma
Abstract
First episode of Seizure in a pregnant women is always presumed as Eclampsia. Diagnosis of neurocysticercosis in pregnancy is often confounded by fact that associated symptoms of headache, nausea & vomiting, visual disturbance, neurological changes and seizures maybe presentation of Eclampsia Syndrome. In this series we report pregnant patients with atypical features which were misdiagnosed as Eclampsia but they were later diagnosed to be Neurocysticercosis on Neuroimaging.References
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2. Colli BO, Carlotti CGJr. Fissopatologia diagnostic e treatment da cisticercose do sistema nervosa central. Temas atuais de neurocirurgia: cisticercose do SNC, Sociedade de Neurocirurgia do Estado de Sao Paulo 2003;4-9.
3. Singhi P, Dayal D. One week versus four weeks of albendazole therapy for neurocysticercosis in children: a randomized, placebo-controlled double blind trial. Pediatr Infect J 2003;22:268-72.
4. Arriagada C, Nogales-Gaete, Apt W. Neurocisticercosis: aspectos epidemioogicos y terapeuticos. Santiago-Chile: Aeernog Ediciones,1997.
5. Bittencourt PRM, Adamolekun B, Bharucha N, et al. Epilepsy in the tropics: I, epidemiology, socioeconomic risk factors, and etiology. Epilepsia 1996; 37:1121-27.
6. Carpio A. La nurocisticercoses en el Ecuador: un Nuevo paradigm epidemiologico y clinic de la cisticercosis cerebral. In: Fierro R, Hermida C, Granda E, Jarrin H, Lopez R, eds. El Condor, la Serpiente y el Colibri. La OPS/OPM y la Salud Publica en Ecudor del Siglo XX. Quito: OPS/OPM, 2002:283-88.
7. Del Brutto OH, Santibanez R, Naboa CA, Aguirre R, Diaz E, Alarcon TA. Epilepsy due to neurocysticercosis: analysis of 203 patients. Neurology 1992;42:389-92.
8. Commission on Tropica Diseases of the International League Against Epilepsy. Relationship between epilepsy and tropical diseases. Pilepsia 1994;35:89-93.
9. Rajshekhar V, Chandy, MJ. Incidence of solitary cysticercus granulomas. In: Rajshekhar V, Chandy, M.J. (Eds.), Solitary Cysticercus Granuloma: The Disappearing Lesion. Orient Longmam, Chennai, 2002;12_/28.
10. Wani M A, Banerjee A K and Tandon P N. Neurocysticercosis some uncommon presentations; Neurol. India 1981;29:58-63.
11. Saigal R K, Sandhu S K, Sidhu P K and Gupta K. Cysticercosis in Patiala(Punjab); J Postgrad Med 1984;30:46-48.
12. Del Brutto OH, Rajshekhar V, White AC Jr, Tsang VC, Nash TE, Tankayanagui OM, Schantz PM, Evans CA, Flisser A, Correa D, Botero D, Sarti E, Gonzalez AE, Gilman RH, Garcia HH, Proposed diagnostic criteria for neurocystecercosis. Neurology. 2001;57(2):177-183.
13. Richards AC Jr. Neurocysticercosis cercosis: a major cause of neurological disease worldwide. Clinical Infect Dis. 1997;24(2):101-115. Doi:10.1093/clinids/24.2.101.
14. Carpio A, Escobar A, Hauser WA. Cysticercosis and epilepsy: a critical review. Epilepsia 1998;39:1025-40.
15. Dua T, Aneja S. Neurocysticercosis: Management Issues. Indian Pediatrics 2006;43:227-235.
16. Garcia HH, Evans C A W, Nash T E et al. Current Consensus Guidelines for Treatment of Neurocysticercosis. Clinical Microbiology Reviews 2002;15(4):747-756.
17. Flisser A, Madrazo I, Plancarte A, Schantz P, Allan J, Craig P. Neurological symptoms in occult neurocysticercosis after single taeniacidal dose of praziquantel. Lancet. 1993;342(8873):748.
Published
2016-09-30
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Section
Case Reports
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