Review Article
Year: 2023 | Month: February | Volume: 10 | Issue: 2 | Pages: 135-140
DOI: https://doi.org/10.52403/ijrr.20230218
Diagnosis Challenge of Neurocysticercosis in the Rural Area
Indra Pramnaasari
Department of Neurology / Prof. Dr. WZ Johannes General Hospital, Kupang, East Nusa Tenggara, Indonesia
ABSTRACT
Neurocysticercosis (NCC) is caused by infection with the larvae of Taenia solium and is the leading preventable cause of adult‑onset seizure worldwide. The most common route of transmission is by ingestion of T. solium eggs through the fecal–oral route. Common causes of this infection include consuming undercooked food, especially pork, water contaminated with T. solium or uncooked vegetables as well as poor hygiene habits. Epilepsy is the most common clinical manifestation of 70-90% in endemic areas. The case of a 45-years-old woman with history of 4 minutes episode of tonic-clonic seizure 30 minutes before go to the emergency department (ED). There is a history of 2 weeks of progressive headache and fevers with 3 day of acutely worsening headache, nausea and vomiting. Approximately 4-6 weeks earlier, the patient had begun to experience mild headache and fatigue. She was born and lived in East Nusa Tenggara and work as a farmer in Kupang. On physical examination, the patient had Babinski pathology reflexes is positive in left lower extremity. Patient have been head CT-Scan with contrast. Patients were treated with Albendazole, dexamethasone, phenytoin and omeprazole.
Keywords: Neurocysticercosis, diagnosis, rural area
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