Racemose Neurocysticercosis with Psychiatric Symptoms: A Case Report
Background: Neurocysticercosis (NCC) is the most common parasitic disease of the central nervous system and a
serious public health problem. NCC is polymorphic and epilepsy is the most common manifestation, followed by headache,
focal signs and intracranial hypertension. Psychiatric disorders are less frequent and may include depression,
psychotic symptoms and even severe dementia.
Purpose: DThis paper describes the case of a patient with racemose NCC and psychiatric symptoms. A discussion
is also offered on neuroimaging findings of this uncommon form of presentation.
Methods: SA 39-year-old male patient presented with a two-month history of disorientation. The diagnosis was suggested
by computerized tomography and magnetic resonance, the images of which were compatible with racemose NCC.
Conclusions: Rapid diagnosis and prompt treatment allowed the complete resolution of the psychiatric symptoms
and regression of the lesions. These findings demonstrate the decisive role of neuroradiology in such cases.