How should NCC be diagnosed? 1. While there is a wide range of clinical manifestations of neurocysticercosis, the 2 most common clinical presenta...

Neurocysticercosis (NCC) can be diagnosed through a combination of clinical evaluation and neuroimaging studies. The most common clinical presentations of NCC are seizures and increased intracranial pressure. Therefore, a careful history and physical examination should be conducted as part of the initial evaluation. Neuroimaging studies, such as CT scans or MRI, are also recommended to visualize the presence of cysts or lesions in the brain. In addition to clinical evaluation and neuroimaging, serologic testing can be used as a confirmatory test for suspected cases of NCC. The recommended serologic test is the enzyme-linked immunotransfer blot (EITB), which has a higher sensitivity and specificity compared to enzyme-linked immunosorbent assays (ELISA) that use crude antigen. ELISA tests should be avoided due to their lower accuracy. It is important to consult with a healthcare professional for a proper diagnosis and treatment plan for NCC.