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Seizures and skin crawling: neurocysticercosis with subcutaneous cysticercosis
  1. Dylan Selbst1,
  2. Sai Sachin Divakaruni2,
  3. Carly Weber-Levine3,
  4. Elias S Sotirchos2
  1. 1 Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
  2. 2 Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  3. 3 Department of Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  1. Correspondence to Dr Elias S Sotirchos; ess{at}jhmi.edu

https://doi.org/10.1136/pn-2024-004188

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    Case and discussion

    A 23-year-old man presented following a first-time generalised tonic-clonic seizure. He had been previously healthy and had moved to the USA from India 8 months before. He reported a ‘skin crawling’ sensation over the posterior scalp and neck. His neurological examination was unremarkable, but examination of the scalp and neck identified multiple 1–2 cm indurated, freely mobile subcutaneous nodules. MR scan of brain showed non-cystic enhancing lesions with surrounding vasogenic oedema in the left superior temporal gyrus and left superior vermis. These lesions showed no evidence of calcification on CT scanning or on MR susceptibility-weighted imaging (figure 1A–C). There was …

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    Footnotes

    • Contributors DS and SSD contributed equally to this paper. ESS is the guarantor.

    • Funding We thank the NINDS R25 NS065729 to SSD.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally reviewed by Agnes Fleury, Mexico City, Mexico.