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Comunidad y Salud

Print version ISSN 1690-3293

Abstract

VELASQUEZ SALAZAR, Rosirys; ROJAS, Solimar; BRICENO, Adriana  and  PRIETO, Marco. Neurocysticercosis: an ignored, forgotten and emerging infectious disease. A case study. Comunidad y Salud [online]. 2016, vol.14, n.2, pp.14-23. ISSN 1690-3293.

The case is a male patient of 31 years of age, who started presenting headaches from mild to severe intensity without calm, and vomiting several times a month prior to admission to the emergency room at the Central Hospital of Maracay. Then, he had and intermittent fever of 39ºC and neurological symptoms characterized by an altered state of consciousness, right hemiplegia, motor aphasia, and a III, IV and VI level of cranial nerve paralysis. Computerized tomography showed extensive hypodense image in the right brain, irregular edges with mass effect deviated midline structures to the contralateral side. In the Brain Magnetic Resonance Imaging with contrast, revealed several numerous universal rounded images, which captured contrast on its periphery, including at the level of brain stem and midbrain, highly suggestive of neurocysticercosis. The patient died a few hours later. Clinical suspicion is important of this entity to guide studies for early diagnosis, due to the expected increase of incidence in the coming years. Pathogenesis, diagnosis and treatment of neurocysticercosis were reviewed.

Keywords : Neurocysticercosis; cestode; Taenia solium.

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