Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report.

BACKGROUND: Neurocysticercosis is the most common parasitic infestation of the central nervous system and an important cause of acquired epilepsy. Although endemic in developing countries, with an increased immigration from the endemic regions, it is also seen progressively in other parts of the wo...

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Main Authors: Hasan, Md. Shariful, Basri, Hamidon, Lim, Poh Hin, Stanslas, Johnson
Format: Article
Language:English
English
Published: Medknow Publications 2011
Online Access:http://psasir.upm.edu.my/id/eprint/24529/
http://psasir.upm.edu.my/id/eprint/24529/1/Surgical%20remotion%20of%20a%20cysticercotic%20granuloma%20responsible%20for%20refractory%20seizures.pdf
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author Hasan, Md. Shariful
Basri, Hamidon
Lim, Poh Hin
Stanslas, Johnson
author_facet Hasan, Md. Shariful
Basri, Hamidon
Lim, Poh Hin
Stanslas, Johnson
author_sort Hasan, Md. Shariful
building UPM Institutional Repository
collection Online Access
description BACKGROUND: Neurocysticercosis is the most common parasitic infestation of the central nervous system and an important cause of acquired epilepsy. Although endemic in developing countries, with an increased immigration from the endemic regions, it is also seen progressively in other parts of the world. Hence, there is an increased need for awareness of neurocysticercosis in the non-endemic areas. CASE DESCRIPTION: The case described here is of a 13-year-old girl who presented with refractory seizures. She had been on antiepileptic medication and had also received anti-parasitic treatment for neurocysticercosis. Surgical intervention was recommended because the seizures were resistant to treatment and also because the diagnosis could not be clearly established. Following surgery, the seizures have been under control and the patient has been doing well. CONCLUSION: Neurocysticercosis can be a potential cause of refractory seizure even in non-endemic countries. Some cases may be difficult to diagnose. Clinical presentation of seizure and brain imaging should be given priority over blood investigations for diagnosing neurocysticercosis and advanced neurosurgical intervention can be considered in suitable cases for better outcome.
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spelling upm-245292015-09-14T07:40:18Z http://psasir.upm.edu.my/id/eprint/24529/ Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report. Hasan, Md. Shariful Basri, Hamidon Lim, Poh Hin Stanslas, Johnson BACKGROUND: Neurocysticercosis is the most common parasitic infestation of the central nervous system and an important cause of acquired epilepsy. Although endemic in developing countries, with an increased immigration from the endemic regions, it is also seen progressively in other parts of the world. Hence, there is an increased need for awareness of neurocysticercosis in the non-endemic areas. CASE DESCRIPTION: The case described here is of a 13-year-old girl who presented with refractory seizures. She had been on antiepileptic medication and had also received anti-parasitic treatment for neurocysticercosis. Surgical intervention was recommended because the seizures were resistant to treatment and also because the diagnosis could not be clearly established. Following surgery, the seizures have been under control and the patient has been doing well. CONCLUSION: Neurocysticercosis can be a potential cause of refractory seizure even in non-endemic countries. Some cases may be difficult to diagnose. Clinical presentation of seizure and brain imaging should be given priority over blood investigations for diagnosing neurocysticercosis and advanced neurosurgical intervention can be considered in suitable cases for better outcome. Medknow Publications 2011 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/24529/1/Surgical%20remotion%20of%20a%20cysticercotic%20granuloma%20responsible%20for%20refractory%20seizures.pdf Hasan, Md. Shariful and Basri, Hamidon and Lim, Poh Hin and Stanslas, Johnson (2011) Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report. Surgical Neurology International, 2 (177). ISSN 2229-5097; ESSN: 2152-7806 http://surgicalneurologyint.com/ 10.4103/2152-7806.90698 English
spellingShingle Hasan, Md. Shariful
Basri, Hamidon
Lim, Poh Hin
Stanslas, Johnson
Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report.
title Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report.
title_full Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report.
title_fullStr Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report.
title_full_unstemmed Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report.
title_short Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report.
title_sort surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report.
url http://psasir.upm.edu.my/id/eprint/24529/
http://psasir.upm.edu.my/id/eprint/24529/
http://psasir.upm.edu.my/id/eprint/24529/
http://psasir.upm.edu.my/id/eprint/24529/1/Surgical%20remotion%20of%20a%20cysticercotic%20granuloma%20responsible%20for%20refractory%20seizures.pdf