P.024 An atypical presentation of neurocysticercosis: a Manitoban case

Background: Neurocysticercosis is the world’s leading cause of epilepsy and the most common helminthic disease affecting the human nervous system. It is relatively rarely seen in developed nations, and usually presents clinically with seizures. Methods: This case report was prepared using the patient’s hospital chart, and a review of the literature was undertaken using PubMed. This case was subsequently compared and contrasted to the known neurocysticercosis literature. Results: This is the case of an otherwise healthy 38 year old Nepalese female who presented with a history of headaches. Nonspecific in nature, they had worsened in the past couple of weeks, thus prompting appropriate imaging of the head. A large 4 cm ring enhancing lesion with edema and mass effect was discovered in the right anterior temporal lobe. No other neurological findings were found on exam. Pathological analysis confirmed a larval scolex of T. solium. Conclusions: Aside from being an unusual pathology to be seen in Manitoba, this case is unique in both its clinical and radiographic presentations. There were no seizures noted on presentation, and a significant amount of mass effect was seen around a large lesion, all unusual features for neurocysticercosis.