Outcome of Therapies for Neurocysticercosis in Children

  • Several factors effect outcome: Type of NCC, cyst location (parenchymal better than extraparenchymal), and number of lesions (solitary ring-enhancing lesion better than multiple). Outcomes seem to be better with endoscopic removal than with open procedures (30)(44).
  • Solitary ring-enhancing lesion has a good prognosis: More than 60% of solitary, ring-enhancing lesions will disappear within 6 months. Good control of seizures is expected (44).
  • Poorer prognosis in children with encephalitis and the racemose forms of NCC: Cysts that lodge or develop within the subarachnoid spaces of the brain, including cisterna magna and sylvian fissure, usually have considerable morbidity (30,44).
  • Seizure outcome: Nearly 80–85% of patients with SHL have a good seizure outcome after resolution of the lesion and early withdrawal of anti-epileptic drugs. A higher risk of recurrence is observed when follow-up CAT scans show calcified residual granuloma (44,45)