English

Abstract

A 20 year old male who presented in Neuro-Psychiatric clinic in a confusional state, was talking irrelevant, not responding to the surrounding stimulus & did not recognize his family members. There was a history of multiple episodes of seizures (8-10) the previous day. The patient was already under anti-convulsant medication for 4 months and was maintaining full compliance. His routine investigations and electroencephalogram (EEG) study were not contributory. On CT scan of Head, a small ring enhancing focus with central hyperdense dot and perifocal edema was seen in left frontal lobe suggesting possibility of Neurocysticercosis (colloidal vesicular stage).The patient was put on anti-helminthic treatment with Albendazole and steroids for 3 weeks along with the continuation of anti-epileptic treatment. He showed clinical improvement but repeat CT Scan Head done 2 months after that, did not show major changes in the lesion (granulomatous lesion, probably cysticercosis). Neurosurgery and consequent removal & biopsy of the lesion confirmed the diagnosis of Neurocysticercosis (Degenerated cysticercal cyst). This case is reported as an uncommon case of single lesion Neurocysticercosis in frontal lobe presenting as complex partial seizure with secondary generalization and progressing to Status Epilepticus.