Publication: Human neurocysticercosis managed at Nepalganj Medical College, Teaching Hospital, Kohalpur, Nepal
Date
2007
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
Introduction: Neurocysticercosis is the most common parasitic infection of the central nervous system. It is
endemic in Central Europe, South Africa, South America and parts of Asia including Nepal.
Objective: This study has been conducted with the objectives to know the diagnostic criteria for neurocysticercosis
and the outcome of treated cases.
Methodology: This retrospective study was done at Nepalganj Medical College, Teaching Hospital, Kohalpur, by
reviewing the record of the patients managed as case of neurocysticercosis in one financial year,
Results: All patients presented with seizure as a main symptom started in adult life. The mean age was 21 years;
80% were male and 20% female. The diagnosis seemed to be based on clinical presentation, CT scan findings and
high index of suspicion. All were put on albendazole, steroids and anticonvulsant drugs; 93% was discharged when
fits got controlled, one patient left against medical advice. Follow up record was not available to comment on
resolution.
Conclusion: Neurocysticercosis is difficult to diagnose and has a significant socioeconomic impact because of
chronic morbidity, variable mortality, decreased productivity of affected persons, and high cost of medical diagnosis
and treatment. It is therefore suggested to develop criteria for diagnosis of neurocysticercosis to be followed at
national level.
Key words: Neurocysticercosis, Seizure, Nepalganj Medical College, Nepal
Description
RM Piryani
Assistant Professor
SC Kohli
Professor
G Shrestha
Professor & Head of Department
A Shukla
Department of Medicine
TB Malla
Medical Recorder Assistant, Nepalganj Medical College, Teaching Hospital, Kohalpur / Nepalganj, Nepal