RESUMO
Neurocysticercosis (NCC) remains a major public health problem in developing countries as it is the most common helminthic infection of the central nervous system. Clinical manifestations are non-specific and pleomorphic. Case reports on uncommon presentations of NCC are few. We report six interesting cases of NCC with unusual clinical presentation that demonstrate this spectrum of pleomorphism. These include extrapyramidal disease (parkinsonism and focal dystonia), Kluver-Bucy syndrome, Weber's syndrome, dementia and cortical blindness. The clinical details and possible mechanisms for the uncommon presentations are also discussed. Thus, a high level of suspicion should be kept for NCC, especially in endemic zones and developing countries.
Assuntos
Neurocisticercose/complicações , Adulto , Cegueira Cortical/diagnóstico , Cegueira Cortical/parasitologia , Infartos do Tronco Encefálico/diagnóstico , Infartos do Tronco Encefálico/parasitologia , Criança , Demência/diagnóstico , Demência/parasitologia , Distúrbios Distônicos/diagnóstico , Distúrbios Distônicos/parasitologia , Feminino , Humanos , Síndrome de Kluver-Bucy/diagnóstico , Síndrome de Kluver-Bucy/parasitologia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Neurocisticercose/diagnóstico , Transtornos Parkinsonianos/diagnóstico , Transtornos Parkinsonianos/parasitologia , Tomografia Computadorizada por Raios XRESUMO
This case report describes a rare, non-epileptic manifestation of neurocysticercosis where a 22-year-old male presented with acute onset right 3rd nerve palsy with left hemiplegia (Weber syndrome). Computerized tomography and magnetic resonance imaging revealed cysticercus granuloma. The patient improved and became asymptomatic with steroid treatment. Recognizing this clinical entity would avoid unnecessary antituberculous treatment and surgical intervention.
