Affiliations: Department of Neurology, Sanjay Gandhi PGIMS, Lucknow,
UP, India | Department of Neurosurgery, Sanjay Gandhi PGIMS,
Lucknow, UP, India
Note: [] Correspondence: Sanjeev Jha, MD, Additional Professor,
Department of Neurology, Sanjay Gandhi PGIMS, Lucknow, India. E-mail:
sjha@sgpgi.ac.in
Abstract: Neurocysticercosis (NCC) is a major public health problem as it is
the most common helminthic infestation of the central nervous system in
developing countries. Clinical manifestations are nonspecific and pleomorphic,
but case reports on uncommon presentations of NCC in children are relatively
few. We report four cases of NCC in children, with unusual clinical
presentations, which exhibit the spectrum of clinical pleomorphism. These
include cases presenting with syndrome of cerebellar ataxia, focal dystonia,
stroke and dementia. Their clinical details and possible mechanism for these
uncommon presentations are also discussed. Thus, a high level of suspicion
should be kept for NCC, especially in endemic zones and developing countries.
It is important that neurologists become familiar with this disorder, as they
are involved in the diagnosis and management of NCC and will play an important
role in efforts to control the disease.