Abstract

LOPEZ-DE GUIMARAES, Douglas; MEZARINA-VALVERDE, Jorge Eduardo; FLORES-PLATA, Jorge Antonio  and  PAJUELO-VERA, Margarita Amelia. Multiple lesions in the brain parenchyma due to neurocysticercosis in a high altitude native person: Report of a case. Acta méd. Peru [online]. 2017, vol.34, n.1, pp.57-60. ISSN 1728-5917.

A case of active multiple neurocysticercosis affecting the brain parenchyma is reported. This occurred in a 19 year-old woman born in Acobamba (2,518 meters above sea level), Yungay - Ancash, living in a rural area, who used to work in a farm breeding swine. The complained of intermittent headaches for the last four years. She never had seizures. One day before admission she presented with headache, nausea, vomiting, consciousness alteration, and agitation, so she was referred to Victor Ramos-Guardia Hospital in Huaraz. A CT scan of the head with no contrast substance revealed the presence of multiple hypodense images with some hyperdense structures inside of them corresponding to cysticercal scolices. Also, some lesions had edema surrounding them. Other testes were reported as negative. The first step in management was to reduce cranial hypertension and later albendazole, 800 mg/day was instituted, for 14 days. In the control assessment performed one month later, the patient was asymptomatic

Keywords : Neurocysticercosis; Zoonoses; Andean ecosystem.

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