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Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report.


Citation

Hasan, Md. Shariful and Basri, Hamidon and Lim, Poh Hin and Stanslas, Johnson (2011) Surgical remotion of a cysticercotic granuloma responsible for refractory seizures : a case report. Surgical Neurology International, 2 (177). ISSN 2229-5097; ESSN: 2152-7806

Abstract

BACKGROUND: Neurocysticercosis is the most common parasitic infestation of the central nervous system and an important cause of acquired epilepsy. Although endemic in developing countries, with an increased immigration from the endemic regions, it is also seen progressively in other parts of the world. Hence, there is an increased need for awareness of neurocysticercosis in the non-endemic areas. CASE DESCRIPTION: The case described here is of a 13-year-old girl who presented with refractory seizures. She had been on antiepileptic medication and had also received anti-parasitic treatment for neurocysticercosis. Surgical intervention was recommended because the seizures were resistant to treatment and also because the diagnosis could not be clearly established. Following surgery, the seizures have been under control and the patient has been doing well. CONCLUSION: Neurocysticercosis can be a potential cause of refractory seizure even in non-endemic countries. Some cases may be difficult to diagnose. Clinical presentation of seizure and brain imaging should be given priority over blood investigations for diagnosing neurocysticercosis and advanced neurosurgical intervention can be considered in suitable cases for better outcome.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.4103/2152-7806.90698
Publisher: Medknow Publications
Keywords: Neurocysticercosis; Refractory seizures; Stereotactic craniotomy.
Depositing User: Nur Farahin Ramli
Date Deposited: 25 Mar 2014 03:24
Last Modified: 14 Sep 2015 07:40
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.4103/2152-7806.90698
URI: http://psasir.upm.edu.my/id/eprint/24529
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