Jha Sanjeev, Kumar Rajesh
Department of Neurology, Sanjay Gandhi Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
J Neuroophthalmol. 2007 Dec;27(4):300-3. doi: 10.1097/WNO.0b013e31815bfa7a.
We report three patients with visual hallucinations as the initial manifestations of neurocysticercosis (NCC) in whom migraine was the first diagnosis. The correct diagnosis was suspected when electroencephalograms were abnormal and was confirmed by characteristic brain imaging. The visual hallucinations ceased promptly after treatment with antiepileptic and anti-NCC medications. We caution that NCC may present with focal seizures manifesting as visual hallucinations with features of migraine.
我们报告了3例以视幻觉为神经囊尾蚴病（NCC）初始表现的患者，他们最初都被诊断为偏头痛。当脑电图异常时怀疑有正确诊断，并通过特征性脑成像得以证实。使用抗癫痫和抗NCC药物治疗后，视幻觉迅速消失。我们提醒，NCC可能表现为局灶性癫痫发作，表现为具有偏头痛特征的视幻觉。
