Neurocysticercosis presenting with psychiatric manifestations

Cysticercosis is the most common helminthes infection of the human central nervous system[1]. Epilepsy is the most common presentation and occurs in 50-85% of patients. Psychiatric manifestations in a form of depressive disorders, cognitive decline and psychosis have been reported frequently[2]. A 19-year-old Nepalese male presented with severe headache, seizures, fears and anxiety for one week. ACT scan of the brain showed small calcified lesion in the right deep temporal white matter without perifocal edema. This was considered suggestive of a healed inflammatory granuloma-neurocysticercus cyst. Treatment with a combination of albendazol, dexamethazone, ranitidine, phenytoin, lorazepam and hydroxyzine resulted in a rapid recovery