Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Ceftriaxone and vancomycin
4%
3/73
Neurosurgical evacuation/excision
10%
7/73
Lorazepam
3%
2/73
Albendazole
81%
59/73
Detoxification
1%
1/73
Select Answer to see Preferred Response
This patient is presenting with new onset seizures in the setting of a head MRI demonstrating multiple fluid-filled cysts suggesting a diagnosis of neurocysticercosis. The best treatment for this pathology is albendazole or praziquantel. Neurocysticercosis typically occurs in patients who have eaten undercooked meat (typically pork) infected with Taenia solium. Suspect this diagnosis in patients who have new onset neurological symptoms (such as seizures) who have been exposed to questionable meat, or come from a background that could involve poor sanitation/preparation of food (e.g., immigrants from developing countries). Imaging of the head will demonstrate cysts throughout the brain. Treatment should be started with albendazole and praziquantel. Figure A is a MRI of the head demonstrating the multiple cysts seen in neurocysticercosis. Incorrect Answers: Answer 1: Ceftriaxone and vancomycin are appropriate initial antibiotics for bacterial meningitis, which presents with fever, photophobia, and neck stiffness/pain. Answer 2: Neurosurgical evacuation/excision would not be appropriate management. The cystic lesions are occurring secondary to an infectious process. Answer 3: Lorazepam is an appropriate initial therapy for patients having seizures (e.g., alcohol withdrawal seizures). Answer 5: Detoxification is appropriate management if this patient is presenting with acute intoxication; however, his seizures are more likely due to neurocysticercosis based on his MRI. Bullet Summary: Neurocysticercosis should be treated with albendazole or praziquantel.
5.0
(10)
Please Login to add comment