A granulomatous reaction develops, leading to fibrosis and calcification. Symptomatic cysts outside the CNS require surgical resection and medical treatment with praziquantel and albendazole. Neurocysticercosis is harder to diagnose. CT and MRI are most useful. It is often impossible to treat surgically.
Drug therapy is usually the treatment of choice.
The patient was treated with praziquantel on initial presentation. Long term treatment with praziquantel or albendazole is suggested. Symptoms are reduced and cysts may regress with a decrease in seizure activity. Cyst death may cause increased local inflammation and transiently increased symptoms. The patient was treated with corticosteroids and albendazole when he presented in l991.