NEUROCYSTICERCOSIS WITH FIRST PRESENTATION AS GENERALISED TONIC CLONIC SEIZURES

Abstract

Neurocysticercosis (NCC) is an established form of cysticercosis which can have diverse manifestations. Seizures can be a dramatic presentation of NCC. We report the case of a 48 year old male with a first presentation of Gener- alised tonic clonic seizures. A Computed Tomography (CT) scan of his head showed multiple areas of cortical and subcortical hyperdense lesions. A lumbar puncture and CSF examination was unremarkable. Serum immunology was positive for cysticercosis antigen. The diagnosis of neurocysticercosis was made and he was treated by dexa- methasone and albendazole. This case report highlights the importance of careful interpretation of head CTs in the context of first presentation of seizures in appropriate clinical scenario.