Case Report: A case of neurocysticercosis presenting as a movement disorder

Neurocysticercosis (NCC) is the most common parasitic infection of the central nervous system caused by Taenia solium larvae (pork tapeworm) 1-3. Seizures are the most frequent clinical manifestation; however movement disorders (MDs) can occur in a small percentage of individuals with NCC and are an uncommon presentation that can pose diagnostic challenges.7-9 This case describes an elderly male who presented with fever and neck rigidity, PSP was the initial clinical suspicion or a syndromic presentation, not the final diagnosis which showed good response to levodopa. The overlap of acute febrile illness with chronic neurodegenerative signs and neurocysticercosis and myocysticercosis created a diagnostic challenge. This case highlights the importance of considering various presentations of neurocysticercosis and having neurocysticercosis in patients presenting with movement disorder and in a patient with history of Pork consumption as a differential diagnosis.