Hi, thanks for asking from HCM.
I can understand your concern. The
neurocysticercosis is a curable disease. It is intestinal
tapeworm infection which involves brain or
spinal cord. It is treated by
: Anti tapeworm medication -
Albendazole or Ivermectin-Albendazole or Paraziquantel therapy is given for 1 to 3 months. Dose is prescribed according to body weight. There is no set duration of treatment
: Anti-inflammatory - Steroids like
Dexamethasone is given to control edema and severe inflammatory reaction caused by parasite. Painkiller like Diclofenac sodium can also be given to control headache and inflammation.
: Anti-epileptics - Medication like Phenytoin or
Levetiracetam is given to control seizures. It commonly causes seizures.
CT brain is done after completion of treatment to evaluate the response. Decrease in edema, presence of calcification suggest death of parasite. However despite all this, seizures or focal deficit may persist throughout life.
Surgery is not considered as a good option as it can cause spread of parasite due to rupture. But cysts in ventricle or paraventricular location, large size with mass effect may need surgery.
Regarding precautions after full treatment
: Wait for subsidence of seizures. If it persist, continue medication as advised by doctor till full recovery. Seizure patient needs attention, full compliance to drugs, should do work which does not precipitate seizure attack. Supervision of patient is always needed
: Ask him to carry a card mentioning about his name, disease name, treatment and what to do in case of acute seizure attack.
: Always carry seizure medication whenever travelling outside or alone.
Hope it will help you. Thanks. Take care.
If still doubt,
consult doctor or ask another question.
Dr Ishu Bishnoi