TY - JOUR
T1 - Case report
T2 - An unusual presentation of neurocysticercosis: A space-occupying lesion in the fourth ventricle associated with progressive cognitive decline
AU - Kurz, Carolin
AU - Schmidt, Veronika
AU - Poppert, Holger
AU - Wilkins, Patricia
AU - Noh, John
AU - Poppert, Sven
AU - Schlegel, Jürgen
AU - Delbridge, Claire
AU - Da Costa, Clarissa Prazeres
AU - Winkler, Andrea S.
N1 - Publisher Copyright:
© 2016 by The American Society of Tropical Medicine and Hygiene.
PY - 2016/1
Y1 - 2016/1
N2 - We communicate a case of a middle-aged Brazilian patient with an unusual presentation of fourth ventricular neurocysticercosis: occurrence of two intraventricular cysts at different locations in the brain within 2 years and cognitive decline as the only neurological symptom. Neurocysticercosis was confirmed by magnetic resonance imaging, serology, histology, and genetic analysis. Neurocysticercosis should be considered as a differential diagnosis in cases with atypical neurologic or psychiatric symptoms, atypical neuroimaging and travel history. Especially, fourth ventricular cysts carry the risk of obstructive hydrocephalus and brainstem compression and therefore should be extirpated completely. If complete removal of the cystic structures cannot be proven in cases with surgically treated neurocysticercosis, anthelminthic therapy and thorough follow-up examinations should be conducted.
AB - We communicate a case of a middle-aged Brazilian patient with an unusual presentation of fourth ventricular neurocysticercosis: occurrence of two intraventricular cysts at different locations in the brain within 2 years and cognitive decline as the only neurological symptom. Neurocysticercosis was confirmed by magnetic resonance imaging, serology, histology, and genetic analysis. Neurocysticercosis should be considered as a differential diagnosis in cases with atypical neurologic or psychiatric symptoms, atypical neuroimaging and travel history. Especially, fourth ventricular cysts carry the risk of obstructive hydrocephalus and brainstem compression and therefore should be extirpated completely. If complete removal of the cystic structures cannot be proven in cases with surgically treated neurocysticercosis, anthelminthic therapy and thorough follow-up examinations should be conducted.
UR - http://www.scopus.com/inward/record.url?scp=84954243122&partnerID=8YFLogxK
U2 - 10.4269/ajtmh.15-0099
DO - 10.4269/ajtmh.15-0099
M3 - Article
C2 - 26621562
AN - SCOPUS:84954243122
SN - 0002-9637
VL - 94
SP - 172
EP - 175
JO - American Journal of Tropical Medicine and Hygiene
JF - American Journal of Tropical Medicine and Hygiene
IS - 1
ER -
