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New Guideline Proposes Treatment for Neurocysticercosis. A new evidence-based guideline for adults and children with neurocysticercosis—tapeworm larvae seeded in the brain parenchyma—suggests that clinicians should consider treating patients with albendazole and either dexamethasone or prednisolone. Jul 17, 2018 Treatment of neurocysticercosis depends upon the viability of the cyst and its Guidelines issued in April 2013 by the American Academy of Nov 6, 2017 Neurocysticercosis may be parenchymal (occurring in the brain The choice of treatment for neurocysticercosis depends on the clinicalEvidence-based guideline: Treatment of parenchymal neurocysticercosis. Report of the Guideline Development Subcommittee of the. American Academy of Apr 13, 2018 Guidelines on diagnosis and treatment of neurocysticercosis were published in 2018 by the Infectious Diseases Society of America (IDSA) and We recommend that patients treated with albendazole for >14 days be monitored for hepatotoxicity and leukopenia (strong, moderate). 10. No additional monitoring is needed for patients receiving combination therapy with albendazole and praziquantel beyond that recommended for albendazole monotherapy (strong, moderate). Summary of Treatment Recommendations for Different Forms of Parenchymal Evidence-based Guideline: Treatment of Parenchymal Neurocysticercosis. Report of the Guideline Development Subcommittee of the American Academy of Symptomatic and anti-inflammatory medication. Corticosteroids are frequently used in patients with neurocysticercosis. The most frequent regimen is dexamethasone at doses of between 4.5 and 12 mg/day. Prednisone at 1 mg/kg/day may replace dexamethasone when long-term steroid therapy is required.