Neurocysticercosis is a neurologic disease caused by
infection with larvae of Taenia solium. It is most commonly transmitted by consumption of pork, water contaminated with T. solium or poor hygiene habits. As only few cases of
neurocysticercosis have been documented in Saudi Arabia, the authors report a case of
neurocysticercosis in a young Indian female residing in Saudi Arabia who presented with
generalized tonic-clonic seizures 6 days after a normal vaginal delivery. Her physical and laboratory investigations as well as chest X-ray and electroencephalogram were all normal. Computed tomography of the head revealed multiple calcified nodular lesions, and magnetic resonance imaging showed ring-enhancing lesion in the left frontoparietal area. Serum
enzyme-linked
immunosorbent assay (qualitative) was positive for
immunoglobulin G antibodies for
cysticercosis. A diagnosis of
neurocysticercosis was made, and the patient was treated with
dexamethasone and
levetiracetam for 4 days before discharge. At the 3-month follow-up, the patient's condition had significantly improved, and her
seizures had not recurred. This report recommends considering
neurocysticercosis as a differential diagnosis in patients presenting with new-onset
seizures, even if the symptoms do not initially indicate
neurocysticercosis or if the patient resides in an area where the disease is rare.