Chronic Long-Standing Headache due to Neurocysticercosis


  • Josef Finsterer MD, PhD,

  • Mei Li MD,

  • Kartrin Rasmkogeler MD,

  • Herbert Auer PhD

  • From the Krankenanstalt Rudolfstiftung, Vienna, Austria (Drs. Finsterer and Rasmkogeler); Otolaryngological Department, Krankenanstalt Rudolfstiftung, Vienna, Austria (Dr. Li); and Institute of Hygiene, University of Vienna, Vienna, Austria (Dr. Auer).

Address all correspondence to Dr. J. Finsterer, Postach 20, 1180 Vienna, Austria.


A 35-year-old Chinese woman presented with a 26-year history of persistent headache, relieved only by diuretics. Characteristic CT findings, peripheral eosinophilia, lymphocytic CSF pleocytosis, elevated CSF IgG, positive oligoclonal bands, antibody-positive ELISA, and Western blot results with Taenia solium antigen, and a favorable response to albendazole led to the diagnosis of neurocysticercosis.