question-icon

Suggest treatment for neurocysticercosis

default
Posted on Fri, 22 Jul 2016
Question: Hi Doctor,

my maid 20 female was diagnosed with cysticercosis during Nov 15 post she suffered multiple seizures.

post that she is on medicine encorate chrono 200 mg morning and 400 mg night till date.. she was ok but since yesterday she is complaining eyes flicking and pain above and behind eyes. also at times she was complaining vertigo.
is it related to her ongoing disease or normal . what should we do now.
doctor
Answered by Dr. Neeraj Kumar (1 hour later)
Brief Answer:
Get EEG and consult treating doctor

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
In neurocysticercosis, recurrence may occurs even on treatment.
This may be partial type of seizure or complex partial seizures.
You should consult the treating doctor for need of increase in dose of drug.
Eeg may be required too. Repeat imaging may be required if symptoms are persistent.
Hope you found the answer helpful.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
default
Follow up: Dr. Neeraj Kumar (1 hour later)
treating doctor is not available. is there any suggestion like increasing dose
doctor
Answered by Dr. Neeraj Kumar (2 hours later)
Brief Answer:
Upload video of episodes

Detailed Answer:
Hello,
Not advisable to increase dose without eeg evidence or clear seizure semiology.
If there is no impairment of consciousness, frothing, tongue bite then continue with same dose.
Amitryptiline may be added for pain with these flickering.
You can also upload video of episodes if possible.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for neurocysticercosis

Brief Answer: Get EEG and consult treating doctor Detailed Answer: Hello, I have gone through your question and understand your concerns. In neurocysticercosis, recurrence may occurs even on treatment. This may be partial type of seizure or complex partial seizures. You should consult the treating doctor for need of increase in dose of drug. Eeg may be required too. Repeat imaging may be required if symptoms are persistent. Hope you found the answer helpful. Regards Dr N Kumar Neurologist