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April 1993

Albendazole Therapy for Giant Subarachnoid Cysticerci

Author Affiliations

Department of Neurology Hospital Luis Vernaza PO Box 671 Guayaquil, Ecuador South America

Arch Neurol. 1993;50(4):347-348. doi:10.1001/archneur.1993.00540040009006

To the Editor.  —I have read with great interest the excellent article by Del Brutto et al1 regarding the successful medical treatment of a giant subarachnoid cysticercus in four male patients with the use of albendazole. The computed tomographic (CT) and magnetic resonance images were impressive regarding the treatment results in such cases. However, the world experience is limited and the following case report will show the deleterious effect of albendazole treatment in a similar case.

Report of a Case.  —A 32-year-old woman was admitted because of headache, progressive visual loss, and slight right-sided weakness of 3 months' duration. The neurologic examination disclosed a bilateral optic atrophy and right hemiparesis. A CT scan of the head showed a giant subarachnoid cysticercus in the left sylvian region (Fig 1) and several smaller similar lesions in the suprasellar cistern, left ambient cistern, and both cerebellopontine angle cisterns. An intraparenchymal cysticercus was

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