From: Report of three imported cases of neurocysticercosis in Guadeloupe
Patient 1 | Patient 2 | Patient 3 | |
---|---|---|---|
Origin | Dominican Republic | Haiti | Haiti |
Age (years) | 25 | 52 | 41 |
Sex (W/M) | W | W | M |
Date of diagnosis (and onset of symptoms) | December 2014 | January 2015 | December 2014 |
Time in Guadeloupe | 1 year | 10 years | Several years |
Initial symptoms | Generalized seizure | Generalized seizure | Ischemic stroke and tonic-clonic seizuresa |
Number of colloidal cysts | 1 | 5 | 0 |
Number of vesicular cysts | 1 | 1 | 0 |
Number of calcified cerebral cysts | 3 | 9 | 30 |
T. solium antibodies in serum (ELISA) | Negative | Negative | Negative |
T. solium antibodies in CSF (EITB) | Negative | Positive | Not done |
Screening for taeniasis in index case | Negative | Negative | Negative |
Screening for taeniasis in household | Negative | Negative | Negative |
Treatment | Albendazole + Steroids + Valproic acid | Albendazole + Praziquantel + Steroids + Levetiracetam | Surgical removala + Albendazole + Steroids + Valproic acid |
Seizure recurrence in the first 6 months after treatment | Several | Multiple episodes in the first months after tapering steroids | No recurrence |