Neurocysticercosis

A BSTRACT Neurocysticercosis (NCC) is a parasitic infection of the central nervous system caused by the larval stage of Taenia solium . It is endemic in regions with poor sanitation and poses a major health concern in developing countries. The condition frequently presents with neurological symptoms such as seizures, headaches, and focal deficits. We report the case of a 36-year-old male who presented with a 4-month history of involuntary movements involving all four limbs, accompanied by tongue biting and up-rolling of the eyeballs, occurring approximately twice a month. The last episode was reported 1 month prior to the presentation. The patient had a prior history of seizures occurring at night. Magnetic resonance imaging of the brain revealed multiple colloidal vesicular stage lesions of NCC involving the bilateral thalamic and periventricular white matter. A diagnosis of NCC was confirmed. This case highlights the importance of considering NCC in patients presenting with new-onset seizures in endemic regions. Early neuroimaging and appropriate antiparasitic therapy are crucial for effective management.