Negative indirect hemagglutination (IHA) test neurocysticercosis in a buddhist’s cerebellar hemisphere

Abstract

Neurocysticercosis (NCC) is expected to be the most common parasitic disease of humans’ central nervous system, immunological tests and epidermiological data as well as clinical manifestations and neuroimagings are helpful to make the diagnosis. We report a case of NCC in a buddust’s cerebellar hemisphere, the indirect hemagglutination tests were negative, craniotomy was done and two transparent cysts with scolexes were removed, the patient was discharged with good outcome. Histological findings confirmed the diagnosis of NCC. NCC in cerebellar hemisphere is rare, it is more difficult to diagnose when immunological tests are negative, therefore, multiple tools are expected to develop diagnosis and evaluate the efficacy of treatment.