Display Settings:

Format

Send to:

Choose Destination
Indian J Crit Care Med. 2011 Jul;15(3):185-7. doi: 10.4103/0972-5229.84899.

Neurocysticercosis: Acute presentation and intensive care management of two cases.

Author information

  • 1Department of Neuroanesthesiology, MKCG Medical College, Berhampur, Orissa, India.

Abstract

Neurocysticercosis (NCC), a common helminthic infestation in developing countries, may cause acquired epilepsy and neurological morbidities. Acute symptomatic seizure is the most common manifestation. The other clinical conditions include headache, hydrocephalus, chronic meningitis, focal neurological deficits, and psychological disorders. Altered sensorium and raised intracranial pressure (ICP) may require ventilatory support in an intensive care unit (ICU). Definitive diagnosis is made by identification of parasites in tissues or by a radiological demonstration of the scolex in cystic lesions. Antiepileptic drugs are used to control seizures after NCC. Steroids are generally administered along with antihelminthics, in order to control the edema and intracranial hypertension that may occur as a result of antiparasitic medications. In patients with intracranial hypertension, the priority is to manage the ICP before considering other treatment options. Antiparasitic drug treatment is never the mainstay of treatment, especially in the setting of elevated ICP. Here, we present the ICU management of two such cases.

KEYWORDS:

Cerebral edema; intensive care management; intracranial pressure; neurocysticercosis; seizures

PMID:
22013314
[PubMed]
PMCID:
PMC3190473
Free PMC Article

Images from this publication.See all images (2)Free text

Figure 1
Figure 2
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Medknow Publications and Media Pvt Ltd Icon for PubMed Central
    Loading ...
    Write to the Help Desk