The
study
has been
undertaken
to
identify
the
incidence,
clinical
presentation
and
response
to
treatment
of
nerurocysticercosis
(NC) in
Western
Orissa.
MATERIALS
AND
METHODS:
150
patients
presenting
with
convulsion
were
investigated
for NC
with CT
scan and
ELISA
and
confirmed
cases of
NC were
given
albendazole,
steroid
and
anticonvulsant
and were
followed
up at
regular
interval
for 3
months.
RESULT:
Out o
f150
patients
with
convulsion
40(26.6%)
were
diagnosed
to have
NC. Out
of 40
patients
of NC 8
(20%)
were
vegetarian
and
32(80%)
were
non-vegetarian
including
5 pork
eaters.
24 (60%)
cases
had
presented
with
focal
convulsion.
In 32
(80%)
cases CT
showed
single
ring
enhancing
lesion (SSEL)
and 8
(20%)
showed
multiple
enhancing
and
non-enhancing
lesions.
The
common
site of
lesion
is in
parenchyma.
In
30(75%)
cases
the
lesion
were
found in
the
parietal
lobe,
ELISA
for IgG
NC was
found
32(80%)
and
24(60%)
cases in
CSF and
serum
respectively.
Repeat
CT Scan
3 month
after
treatment
with
albendazole
(15
mg/kg/day
fro 28
days)
steroid
and
anticonvulsant,
showed
complete
resolution
in 36
(90%)
cases.
Remaining
4 (10%)
cases
those
not
resolved
were
calcified
lesion.
CONCLUSION:
NC is a
common
cause of
late
onset
focal
convulsion
in this
part of
country.
As very
few
5(12.5%)
cases
consumed
pork,
transmission
fo NC
through
raw
vegetable
is a
strong
possibility,
which
may be
due to
contamination
through
the
bio-fertilizer
commonly
used in
this
part of
the
country.
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