Neurocysticercosis epilepsy diagnosed by Magnetic Resonance Imaging

Abstract

Neurocysticercosis is prevalent in most developing countries where pork is consumed. It is estimated that approximately 30% of cases of  epilepsy may be due to neurocysticercosis. We present a case of a middle-aged man who presented to a health facility in the city of Juba  in South Sudan with tonic-clonic seizures and left-sided weakness. He was originally diagnosed as having epilepsy and Transient  Ischaemic Attacks (TIA). Post-seizure confusion and odd behaviour prompted referral to a psychiatrist but was referred to the Juba Medical Complex (JMC) for a medical opinion and further management. The diagnosis of cysticercosis was confirmed on Computerised  Axial Tomographic (CAT) scanning and Magnetic Resonance Imaging (MRI). Verbal consent was obtained from the patient to publish his  clinical details anonymously.