Follow-up for Neurocysticercosis in Children

Frequency of Office Visits

• Frequency of postoperative consultations: Usually defined by pediatrician and neurologist. Neurosurgical consultations depend on clinical condition.
• Time of initial postoperative visit: Usually a week after surgery for wound check and suture removal.
• Time of first follow-up visit and who should be seen: This is typical one month after the first post-operative visit.  This visit is important for guiding the child’s parents about seizures, hydrocephalus and intracranial hypertension, possible sequelae, and rehabilitation.
• Subsequent visits: The frequency of subsequent visits will be determinated by evolution of the surgical wound, epilepsy and possible shunt problems. Child would be in a rehabilitation program with a multi-professional team including physiotherapists, psychologists, occupational therapists.

Frequency of Imaging

• MRI: Should be repeated at least every 6 months until resolution of the cystic component. New or worsening symptoms usually requires reimaging.