Abstract
Fourty six patients with radiographically proven NCC primarily involving the right insula lobe, the left insular lobe or both, attending to neurocysticercosis clinic and/or neurology clinic at Umtata General Hospital or Nelson Mandela Academic Hospital (South Africa) between January 1999 and January 2005 were selected for this study. All patients were assessed for neglect, dysphagia, dysphasia, cardiac disturbances and insular epilepsy among other disorders. CT scan, Elisa test for cysticercosis, ECG, and EEG tests were done.Commonest problems found were functional dysphagia, visual and somesthetic neglect, neurogenic heart, ECG abnormalities such as: ST segment depression and QT interval prolongation. Insular epilepsy was characyterized by laryngeal discomfort, thoracic oppression, unpleasant paresthesia, and sensation of levitation. Similar findings about insular NCC were not reported before.Insular neurocysticercosis should be listed among causes of sudden death, SUDEP, and neurogenic heart.
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