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A case of neurocysticercosis with an unusual presentation on high seas
Affiliations- Medical Centre, Mumbai, India
open access
Abstract
Every seafarer undergoes a medical examination prior to joining a ship. Some disorders cannot be detected and they may appear while at sea. Diagnosing and managing them becomes extremely difficult for the Master being the caregiver on board. Large crude carriers often perform long voyages and due to their sheer size, do not enter any port. Helicopter evacuation of a sick or injured crew is the norm. They operate under strict chartering time lines which do not permit deviation from course. A case of hemiparesis on left side of body in a young hitherto healthy seafarer which was later diagnosed as a case of neurocysticercosis is described.
Abstract
Every seafarer undergoes a medical examination prior to joining a ship. Some disorders cannot be detected and they may appear while at sea. Diagnosing and managing them becomes extremely difficult for the Master being the caregiver on board. Large crude carriers often perform long voyages and due to their sheer size, do not enter any port. Helicopter evacuation of a sick or injured crew is the norm. They operate under strict chartering time lines which do not permit deviation from course. A case of hemiparesis on left side of body in a young hitherto healthy seafarer which was later diagnosed as a case of neurocysticercosis is described.
Keywords
medical examination of seafarers; Radio Medical Advice; neurocysticercosis; seizure; Taenia solium
About this articleTitle
A case of neurocysticercosis with an unusual presentation on high seas
Journal
Issue
Article type
Case report
Pages
278-280
Published online
2020-12-30
Page views
661
Article views/downloads
466
DOI
10.5603/IMH.2020.0047
Pubmed
Bibliographic record
IMH 2020;71(4):278-280.
Keywords
medical examination of seafarers
Radio Medical Advice
neurocysticercosis
seizure
Taenia solium
Authors
Ajit C. Kulkarni
References (7)- Guidelines on the Medical Examination of Seafarers. International Labour Office Geneva, IMO. ISBN 978-92-2-127462-9.
- International Maritime Organization: Section A-VI/4, STCW Conference. 2/34, 3 August 2010.
- Garcia HH, Nash T, Brutto OD. Clinical symptoms, diagnosis, and treatment of neurocysticercosis. Lancet Neurol. 2014; 13(12): 1202–1215.
- International Guide for Ships. 3rd Edition, World Health Organization. 2007. ISBN 978 924 154720. Page 118-121.
- Malla BA. An overview of neurocysticercosis. J Pharmacognosy Phytochemistry. 2018; 7(6): 303–312.
- Prasad KN, Prasad A, Verma A, et al. Human cysticercosis and Indian scenario: a review. J Biosci. 2008; 33(4): 571–582.
- Varma A, Gaur KJ. The clinical spectrum of neurocysticercosis in the Uttaranchal region. J Assoc Physicians India. 2002; 50: 1398–1400.
