Neurocysticercosis presenting with psychosis

J Assoc Physicians India. 2004 Aug;52:663-5.

Abstract

Cysticercosis consists of infection with the small bladder-like larvae of the pork tapeworm Taenia solium. The life cycle of parasite is maintained between man and pig infected with cysticerci. Epilepsy is the most common presentation of neurocysticercosis; focal signs, headache, involuntary movements and global mental deterioration are other symptoms. Psychosis is a rare presentation and may be seen in up to 5% of patients. We present a 25 years old male, who had been under treatment from psychiatry OPD for psychosis for one year, developed generalized tonic-clonic seizures. CT scan of brain revealed multiple calcified and hypodense lesions with surrounding oedema. Histopathological examination of subcutaneous nodule confirmed the diagnosis of neurocysticercosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Antipsychotic Agents / therapeutic use
  • Cysticercus / isolation & purification*
  • Diagnosis, Differential
  • Follow-Up Studies
  • Humans
  • India
  • Male
  • Neurocysticercosis / diagnosis*
  • Psychotic Disorders / diagnosis*
  • Psychotic Disorders / drug therapy
  • Risk Assessment
  • Severity of Illness Index
  • Tomography, X-Ray Computed / methods

Substances

  • Antipsychotic Agents