Dhakal Bishal, Sapkota Sachin, Shrestha Sheetal, Acharya Suchita, Parajuli Aakriti, Baniya Aashish, Paudel Raju
Nepalese Army Institute of Health Sciences Kathmandu Nepal.
Chitwan Medical College Bharatpur Nepal.
Clin Case Rep. 2022 Jul 22;10(7):e6131. doi: 10.1002/ccr3.6131. eCollection 2022 Jul.
Focal neurological deficit like monoparesis due to cortical lesions is a rare entity. In spite of the common presentations like seizures and headaches in neurocysticercosis, occurrence of reversible monoparesis is an atypical phenomenon. Even in the absence of infarct or hemorrhages, manifestation of neural deficit due to compressive effect only is an interesting finding. And on top of that, reversible nature of the deficit in space occupying lesion is a rare occurrence in the existing literature. Here, we describe a known case of neurocysticercosis with reversible acute monoparesis secondary to multiple neurocysticercosis. The variations with which neurocysticercosis can present broaden our understanding in its pathophysiology and management protocol.
由皮质病变引起的局灶性神经功能缺损,如单瘫,是一种罕见的情况。尽管神经囊尾蚴病常见的表现有癫痫发作和头痛,但可逆性单瘫的出现却是一种非典型现象。即使没有梗死或出血,仅因压迫效应而出现神经功能缺损的表现也是一个有趣的发现。而且,占位性病变中神经功能缺损的可逆性在现有文献中是罕见的。在此,我们描述一例已知的神经囊尾蚴病病例,该病例继发于多发性神经囊尾蚴病,出现了可逆性急性单瘫。神经囊尾蚴病可能呈现的多种变化拓宽了我们对其病理生理学和治疗方案的理解。