Abstract

Neurocysticercosis is frequent in Madagascar. Its clinical presentations depends on the topography of the lesions. We report a case with gait and cognitive disorders. A 49-year-old man, right-handed, with progressive gait disorders (small steps with magnetization). On examination, he had gait disorders, associated with frontal syndrome with Frontal Assessment Battery (FAB) scale of 10/18, a Mini-Mental Status Examination (MMSE) scale of 24/30, a constructive apraxia and a clock test disturbance. The brain CT scan showed massive lesions of fronto-parietal and temporal neurocysticercosis, meningeal neurocysticercosis with racemose forms. Lesions had different ages associated with a communicating hydrocephalus. Gait disturbance and cognitive function were improved after an evacuating lumbar puncture and cysticidal treatments. This case illustrate the importance of neurological examination in a patient with neurocysticercosis. Neurocysticercosis could be a curable cause of dementia.

Details

Title
Gait and cognitive disorders revealing massive neurocysticercosis: a case report
Author
Rabearisoa, Parany Haja 1 ; Rasaholiarison, Nomena Finiavana 2   VIAFID ORCID Logo  ; Razafimahefa, Julien 1 ; Tehindrazanarivelo, Alain Djacoba 1 

1  Neurology Department, Befelatanana University Teaching Hospital , Antananarivo, Madagascar 
2  Neurology Department, Andrainjato University Teaching Hospital , Fianarantsoa, Madagascar 
Publication year
2024
Publication date
Jan 2024
Publisher
Oxford University Press
e-ISSN
20538855
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1093/omcr/omad145
ProQuest document ID
3171406044
Copyright
© The Author(s) 2024. Published by Oxford University Press. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.