Author Response: Seizures and Epilepsy in Association With Neurocysticercosis: A Nosologic Proposal

Sander J.W.; Singh G.; Garcia H.H.; Del Brutto O.H.; Coyle C. · Neurology (2026) · DOI: 10.1212/wnl.0000000000210294

Resumen

We are delighted that Carpio and colleagues read our article1 with interest, and we thank them for their thoughtful comments. They state that the use of the term “acute symptomatic seizures” in the setting of chronic brain infection does not lend clarity. We agree that the uncertainty may apply equally to other chronic infectious and inflammatory brain disorders. For the reasons provided by Carpio et al. we suggest that seizures in association with neurocysticercosis be characterized according to the evolutionary stage/s of the cysticerci. In a previous article, we alluded that classification according to evolutionary stages might also serve to alert the physician about the need for antiparasitic and/or anti-inflammatory agents in addition to antiseizure medications.2 Of note, antiparasitic treatment improves prognosis significantly and meaningfully in viable stages.