Annals of Indian Academy of Neurology
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CASE REPORT
Year : 2013  |  Volume : 16  |  Issue : 1  |  Page : 88-90

Reversible dementia as a presenting manifestation of racemose neurocysticercosis


1 Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Manish Modi
Assistant Professor, Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh -160012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.107706

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Racemose cysticercosis is a less frequent presentation of neurocysticercosis (NCC). It's presentation and management is quite different from cerebral parenchymal NCC. Diagnosis of racemose cysticercosis is based on the combination of clinical, epidemiologic, radiographic, and immunologic information. Compared with cysticercus cellulose, which most commonly presents as seizures, racemose NCC due to its extraaxial location presents with raised intracranial pressure and meningitis, and frequently requires neurosurgical intervention. Dementia as a sole presenting feature of NCC is rare. We report a case of racemose NCC with dementia as the presenting manifestation. The outcome of dementia patients with NCC seems favorable in most cases therefore a high index of suspicion for NCC should be kept especially in endemic areas.


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