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Unusual presentation of more common disease/injury
Cysticercal encephalitis with cortical blindness
  1. Rajniti Prasad1,
  2. Neha Thakur1,
  3. C Mohanty2,
  4. M K Singh3,
  5. O P Mishra1,
  6. Utpal Kant Singh1
  1. 1Department of Paediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
  2. 2Department of Anatomy, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
  3. 3Department of Opthalmology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
  1. Correspondence to Rajniti Prasad, rajniti_prasad{at}hotmail.com

Summary

The authors report a 6-year-old boy, who had presented with low-grade fever, altered sensorium, headache and seizure for 5 days. On examination, he had features of raised intracranial pressure with left VI cranial-nerve palsy and bilateral extensor plantar response. CT scan showed multiple calcifications in cerebral cortex. MRI cranium showed multiple cysts involving whole of the brain. He was diagnosed as having cysticercal encephalitis, based on immunological and imaging study. He was managed with 20% mannitol, phenytoin and albendazole, and regained consciousness 7 days later, but had residual neurological deficit as left-lower-limb monoparesis and visual acuity of just projection of rays (PR+) and perception of light (PL+).

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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