Vaibhav Oberoi¹*, Inderjit Singh¹ and Pooja Bhandari²

¹Department of Neurology, Government Medical College, Amritsar, Punjab, India
²Department of Neurology, University of Mississippi Medical Center, Jackson, Mississippi, USA

*Corresponding Author: Vaibhav Oberoi, Department of Neurology, Government Medical College, Amritsar, Punjab, India.

Received: July 25, 2024; Published: September 25, 2024

Abstract

Neurocysticercosis (NCC) is a parasitic infection caused by the larval stage of Taenia solium, predominantly affecting the central nervous system. We present a case study of a 45-year-old gentleman who initially presented with migraine-like headaches and later developed vertigo, ultimately diagnosed with disseminated intracranial NCC. Despite an initial diagnosis of migraine and treatment with symptomatic medications, persistent symptoms prompted further investigation including a 3D MRI, revealing multiple cysticercal lesions throughout the brain parenchyma. The patient was subsequently treated with albendazole and corticosteroids, leading to resolution of symptoms but later experienced a seizure necessitating antiepileptic therapy.

This case highlights the atypical clinical presentation of Neurocysticercosis with migraine-like headaches and vertigo, initially obscuring the underlying parasitic etiology. Recognition of Neurocysticercosis in regions where the disease is endemic, even without classical symptoms such as seizures, is crucial for timely diagnosis and management. Our report underscores the importance of comprehensive radiological evaluation in patients presenting with vertigo, especially in endemic regions, to avoid misdiagnosis and delay in appropriate treatment. Early initiation of anthelminthic therapy and adjunctive corticosteroids can effectively control symptoms and prevent complications like seizures. Further research and awareness are needed to enhance diagnostic strategies and optimize treatment outcomes for Neurocysticercosis globally.

 Keywords: Cysticercosis; Neurocysticercosis; MRI

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Citation

Citation: Vaibhav Oberoi., et al. “An Unusual Case of Heavy Non-encephalitic Cysticercosis Presenting with Vertigo and Migraine: A Case Report”. Acta Scientific Neurology 7.10 (2024): 09-12.

Copyright

Copyright: © 2024 Vaibhav Oberoi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.