Neurocysticercosis presenting as bipolar disorder: a case report  

作　　者：Surbhi Batra Sumit Kumar Lokesh Singh Shekhawat 

机构地区：[1]Department of Psychiatry,Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia Hospital,New Delhi,Delhi,India [2]Department of Radiology,Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia Hospital,New Delhi,Delhi,India

出　　处：《General Psychiatry》2021年第6期69-72,共4页综合精神医学（英文）

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.

关 键 词：CYSTICERCOSIS BIPOLAR PATIENTS 

分 类 号：R749[医药卫生—神经病学与精神病学]