How is neurocysticercosis typically treated?

Neurocysticercosis, which is an infection of the central nervous system caused by the larval stage of the Taenia solium tapeworm, typically requires a multi-faceted treatment approach. The correct choice of treatment includes the use of anti-parasitic agents such as albendazole and, in some cases, praziquantel, both of which work to eliminate the parasitic cysts.

Albendazole is often preferred because it is effective against the cysticerci and has good central nervous system penetrance. In some cases, particularly those with higher parasite loads or with significant inflammatory response, corticosteroids like prednisone may be used to manage the inflammatory reactions that can occur as the cysts die, hence reducing the risk of complications such as seizures. Phenytoin may be used to control seizures that arise as a result of the infection.

This combination of anti-parasitic treatment along with supportive steroids appropriately addresses both the infection and the resulting symptoms. Symptomatic treatment alone would not be sufficient as it would not target the underlying cause of the disease, and surgical intervention is typically reserved for cases with complications like obstructive hydrocephalus or large cysts that do not respond to medical therapy. Therefore, the selected treatment