This is a 43-year-old woman, born in Bolivia, who came to the emergency department of the Hospital de Navarra after presenting at home a generalized convulsive crisis, witnessed by family members, with a period of intense headache.
One hour before, the patient developed paresthesia in the right hand.
She had no family history or personal history of interest.
Physical examination showed normal pressure, frequency and temperature constants and a Glasgow score of 15.
He had no neck stiffness or meningeal signs.
No neurological focus was found.
The patient was sweating, with associated anxiety, which was successfully resolved with 0.25 mg alprazolam.
The rest of the exploration was normal and there was no new crisis.
In the emergency department ECG, chest X-ray, both normal, and laboratory tests with biochemistry, blood count and coagulation tests were performed, also within normal parameters.
Urgent skull CT was performed, which showed a cystic lesion of 3 cm in diameter in the left frontoparietal region, which did not capture contrast, with nodular calcifications in its periphery.
The patient was admitted to neurosurgery with a diagnosis of suspected NCC.
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During admission, a morphology study was completed with an EEG (EEG), which was normal, a cranial magnetic resonance imaging, which confirmed the existence of cysticerci in vesicular phase, and a small size x-ray of the thigh.
Treatment was initiated with dexamethasone, albendazole and oxcarbazepine, with good tolerance, and the patient was discharged with the diagnosis of left rolandic epilepsy secondary to systemic cysticercosis and ended the outpatient treatment.
