Neurocysticercosis

B69.0 + (G99.8*)

DIAGNOSIS

Patients may present with seizures and/or focal neurological deficit. Typical cystic lesions are seen on neuro-imaging. Old calcified lesions are inactive and do not require treatment.

GENERAL MEASURES

Health education.

Surgery for treatable ventricular blockage or spinal or intraocular cysts.

MEDICINE TREATMENT

For active or viable cysts only:

  • Albendazole, oral, 12 hourly for 8 days.
    • ≥ 60 kg: 400 mg.
    • < 60 kg: 7.5 mg/kg to a maximum of 800 mg daily.
    • Do not use in pregnancy.

LoEII [64]

AND

  • Corticosteroids (intermediate-acting) e.g.:LoEIII [65]
  • Prednisone, oral, 60 mg daily for 8 days.LoEII [66]

Anticonvulsants, if required. See Epilepsy

REFERRAL

Uncontrolled seizures despite antiparasitic and anticonvulsant therapy.