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March 1988

Ataxic Hemiparesis From Cysticercosis

Author Affiliations

Division de Neurologia Instituto Nacional de Neurologia y Neurocirugia Insurgentes sur 3877 CP: 14410, Mexico 22, DF, Mexico

Arch Neurol. 1988;45(3):246. doi:10.1001/archneur.1988.00520270016010

To the Editor.  —Ataxic hemiparesis is a heterogeneous syndrome caused by different types of lesions at both supratentorial and infratentorial levels.1-5 Etiologic considerations for this syndrome include infarction,1-3 hemorrhage,4 and neoplasms.5 Parasitic diseases of the central nervous system can conceivably produce this syndrome, but, to our knowledge, no such case has been reported. Herein, we describe a patient with neurocysticercosis (NCC) and ataxic hemiparesis.Computed tomographic scans showing (left) hypodense suprasellar mass with extension into right sylvian fissure, consistent with subarachnoidal cysticercosis, and (right) ill-defined area of low density just above right cerebral peduncle.

Report of a Case.  —A 38-year-old previously healthy man suddenly experienced weakness of the left leg and clumsiness of the left hand. On admission, his blood pressure was 130/80 mm Hg; his general physical examination was normal. Neurologic examination showed left hemiparesis with crural predominance, left Babinski's sign, and poor performance on

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