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BMJ Case Rep. 2010; 2010: bcr0520091837.
Published online Oct 21, 2010. doi:  10.1136/bcr.05.2009.1837
PMCID: PMC3027425
Unusual presentation of more common disease/injury
Cysticercal encephalitis with cortical blindness
Rajniti Prasad,1 Neha Thakur,1 C Mohanty,2 M K Singh,3 O P Mishra,1 and Utpal Kant Singh1
1Department of Paediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
2Department of Anatomy, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
3Department of Opthalmology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
Correspondence to Rajniti Prasad, rajniti_prasad/at/hotmail.com
Abstract
The authors report a 6-year-old boy, who had presented with low-grade fever, altered sensorium, headache and seizure for 5 days. On examination, he had features of raised intracranial pressure with left VI cranial-nerve palsy and bilateral extensor plantar response. CT scan showed multiple calcifications in cerebral cortex. MRI cranium showed multiple cysts involving whole of the brain. He was diagnosed as having cysticercal encephalitis, based on immunological and imaging study. He was managed with 20% mannitol, phenytoin and albendazole, and regained consciousness 7 days later, but had residual neurological deficit as left-lower-limb monoparesis and visual acuity of just projection of rays (PR+) and perception of light (PL+).
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