Clinico-radiological profile of Neurocysticercosis among children with first onset seizure in Rural Medical College of North India.

Priyanka Choudhary; Amit Kumar Mital

Volume : VIII, Issue : IX, September - 2019

Clinico-radiological profile of Neurocysticercosis among children with first onset seizure in Rural Medical College of North India.

Priyanka Choudhary, Amit Kumar Mital

Abstract :

Background: Neurocysticercosis is a major public health problem in tropical developing countries where it affects patients of all ages. The aim of present study was to study the clinico-radiological profile of patients with first onset seizure diagnosed with neurocysticercosis. Materials and Methods: This was a hospital based prospective cross-sectional study carried out at rural medical college in northwest India. All consecutive patients diagnosed with neurocysticercosis, aged ≥ 1 year to 15 years (43 patients), admitted in pediatric emergency with first onset seizure for the period of 6 months were selected for study. Results: 90.7% were afeile, 46.5% presented with headache, 55.8% had vomiting and 86% had H/O loss of consciousness. 72.1% had generalized onset seizure followed by 25.6% with focal onset seizure and 2.3% with seizure of unknown onset. Duration of seizure was > 15 minutes in 60.5% of patients followed by 5-15 minutes in 23.3% patients and < 5 minutes in 16.3% patients.74.4% had single lesion and 25.6% had multiple lesions. Most common lobar involvement was of parietal lobe (44.2%) followed by > 1 lobe involvement (20.9%), frontal lobe (18.6%), occipital lobe (9.3%) and temporal lobe (7%).The most common stage of NCC with lobe involvement was colloidal type followed by vesicular type and granular type. Conclusion: NCC is common in first onset unprovoked seizure, so patients with unprovoked seizure should be investigated with neuroimaging. MRI is preferred as it better delineates the pathology.