Radiological profile of neurocysticercosis in children in North India

Amitesh Yadav, Rajesh K. Yadav, D. K. Singh, Anu Sharma, K. Bharat, K. M. Shukla


Background: Neurocysticercosis (NCC) is defined as an infection of the brain and its coverings by tapeworm (Taenia solium). NCC is a leading cause of acquired epilepsy worldwide. There are few studies in children with neurocysticercosis.

Methods: 61 patients were selected for study (July 2012 to December 2013.) who met the definitive or probable diagnosis of neurocysticercosis as per the criteria for neurocysticercosis. Contrast enhanced CT scan (CECT) of the head was done in all 61 children.

Results: All 61 patients present with seizures. Focal seizures present in 34 (55.7%) children, were more common than generalized seizures. CECT brain single lesion was present in 57 (93.4%) patients. Most common site was parietal lobe in 38 (55.7%). In this study in CECT brain Colloidal stage, observed among 40 (65.5%) was the most common stage of NCC. Among cases, 30 (49.2%) of the patients, the size of lesion in CECT brain was 5-10 mm, in 20 (32.8%) it was <5 mm. However, the Size of lesion in CECT Brain was >10 mm in only 11 (18%).There was no statistical difference between the groups in Size of lesion in CECT Brain.

Conclusions: Majority of patients with NCC presented with clusters of symptoms comprising of seizure, headache and vomiting. Focal seizures were more common type of seizures .CECT brain evolved as the most useful modality of screening of patients with NCC. Most of the patients had solitary lesion on CECT brain. Colloidal stage was the most common stage on CECT Brain. Most of lesion involved parietal lobe.


CECT, Colloidal stage, Electroencephalography, Neurocysticercosis

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