Neurocysticercosis presenting as bipolar disorder:a case report

• 作者: Surbhi Batra Sumit Kumar Lokesh Singh Shekhawat
• 来源期刊: 综合精神医学
• 年，卷（期）: 2021,（6）
• 所属期刊栏目: Case reports
• 页码范围: 381-384
• 页数: 4页
• 语种: 中文
• DOI: 10.1136/gpsych-2021-100663

摘要

Neurocysticercosis is the most common neuro-parasitosis caused by the larval stage of Taenia solium.The most common manifestations include seizures and hydrocephalus.Psychiatric abnormalities are relatively rare but depressive symptoms are frequent in patients with neurocysticercosis.However,mania as a presentation is relatively rare.Pregnancy and the postpartum period are relatively vulnerable times and they can lead to reactivation of existing neurocysterci lesions.We are discussing the case of a 23-year-old female patient with neurocysticercosis leading to the reactivation of lesions in the peripartum and postpartum period leading to bipolar affective disorder.Improvement in the patient was seen with a combination of antipsychotics,antihelmintics,antiepileptics and steroids,along with improved radiological signs of neurocysterci lesions.Although neurocysticercosis is a common illness,its prevalence presenting as a manic episode is merely 2.6％and,hence,missed easily.Therefore,it is important to rule out organic aetiology in patients even with a classic presentation of bipolar affective disorder and those having any other neurological symptoms and signs.