INTRAVENTRICULAR NEUROCYSTICERCOSIS AT AN UNCOMMON SITE CAUSING UNILATERAL HYDROCEPHALUS: A RARE CONDITION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 14
Abstract
OBJECTIVE: Ventricular neurocysticercosis of a lateral ventricle causing unilateral hydrocephalus is a rare condition. They can be misdiagnosed as hydatid cyst thus presenting as a diagnostic dilemma as happened in our case. SETTINGS: Gandhi Medical College/Gandhi Hospital, Secunderabad, Telangana State, India. METHODS: A 34 year old male brought to casualty in a drowsy condition complaining of sudden loss of consciousness with a history of headache, one episode of vomiting, irritability and diminision of vision of short duration. CT brain (image-1) was suggestive of left unilateral hydrocephalus. MRI scan (images 2-4B) showed a left lateral ventricular cyst causing unilateral hydrocephalus suggestive of a neurocysticercal cyst / arachnoid cyst. The patient was operated with complete removal of the cyst. Grossly (image-5), the cyst was looking like hydatid cyst. But microscopically the cyst showed histopathological features of a cysticercal parasite. RESULTS: The patient showed immediate neurological improvement with reduction in headache, irritability and improvement of the vision. He showed gradual recovery on regular follow-ups. CONCLUSION: Intraventricular neurocysticercosis of lateral ventricle is an uncommon presentation, causing unilateral hydrocephalus which is a rare condition. Complications are prevented by treating acute obstructive hydrocephalus immediately and patient will recover completely as was seen in our case
Authors and Affiliations
Vijaya Nirmala B, Padmamalini K, Sreemani Kumar N, Moorthy N. L. N, Shravan Kumar O, Sreedharala Srinivasa Satyanarayana
Keywords
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- EP ID EP226872
- DOI 10.18410/jebmh/2015/315
- Views 89
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