Dystonic head tremor and neurocysticercosis

Dear Editor,

We would like to share ideas on the publication “Dystonic head tremor secondary to neurocysticercosis.¹” A case of neurocysticercosis that manifested as partial seizures and a dystonic head tremor was documented by Puig et al. in Ref.¹ Movement difficulties are a rare early indication of neurocysticercosis, according to Puig et al., despite the wide range of clinical manifestations of this condition.¹ Puig and others mentioned this. But since this infectious condition is still being clinically characterized, we believe that dystonic head tremor should be a part of its clinical spectrum.¹

We both concur that cysticercosis may be the cause of the unusual clinical issue. The sickness is widespread in our environment in Indochina, and the patient typically exhibits a serious neurological condition. However, just like in the present case, a pathological investigation rarely yields a conclusive diagnosis. Additionally, additional parasite diseases that may induce neurological problems comparable to this one should be mentioned. Sparganosis serves as a nice illustration.² Finally, additional clinical disorders may co-exist with cysticercosis. For instance, the patient may have undiagnosed metabolic syndrome, which could be the unrecognized cause of the neurodegenerative condition.

Authors’ contribution

AK 50% ideas, writing, analyzing, approval.

VW 50% ideas, supervision, approval.

Conflict of interest

None.