Comparative Study of the Clinical Profile and Imaging Features of Neurocysticercosis and Challenging Central Nervous System Tuberculomas
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Date
2023-12
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International Research Organization for Life & Health Sciences
Abstract
Background and Objective: Neurocysticercosis (NCC) is a common parasitic disease in the central nervous system (CNS). In India and other less developed countries, the diagnosis of NCC is frequently difficult because several other prevalent disorders can present with similar clinical and neuroimaging pictures. These imaging features are shared by infective conditions such as tuberculoma, fungal granuloma, neoplastic condition such as cerebral metastasis and toxoplasma, and CNS lymphoma in HIV-positive patients. Materials and Methods: This is a prospective and retrospective study with indoor patients of a tertiary care center. The duration of the study was for 18 months. The sample size is 20 cases of NCC and 20 cases of CNS tuberculoma (who pose a diagnostic dilemma. Results: In the present study, 36 indoor patients from the general medicine ward were included in the study. Among 36 patients, 21 were diagnosed as NCC and 15 as CNS tuberculoma. Rest based on various parameters, the results are depicted in tables. Conclusion: NCC is the most common parasitic infection of the brain caused by Taenia solium. NCC is one of the most common leading causes of seizures in India. Disease is more common in people with non-vegetarian diet but vegans also may get infected through the fecal-oral route. A scenario in which a patient presents with a ring-enhancing lesion if posing a diagnostic dilemma between NCC and tuberculoma must be resolved to avoid antitubercular treatment in cases of NCC.
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Keywords
Central nervous system, Disease, Neurocysticercosis
Citation
Chate A, Kumbhar T, Tidke P. Comparative Study of the Clinical Profile and Imaging Features of Neurocysticercosis and Challenging Central Nervous System Tuberculomas. International Journal of Scientific Study. 2023 Dec; 11(9): 26-33