Cerebral Cysticercosis Manifesting as Hydrocephalus —Case Report
A 70-year-old female presented with gait disturbance and dementia. Cerebrospinal fluid examination revealed mild aseptic meningitis. Magnetic resonance images showed multiple cystic lesions and mural nodules in some of the cysts in the cerebral parenchyma. Metrizamide computed tomography clearly dem...
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Veröffentlicht in: | Neurologia medico-chirurgica 1996, Vol.36(9), pp.654-658 |
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container_title | Neurologia medico-chirurgica |
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creator | OKA, Yoshihisa FUKUI, Keiji SHODA, Daisuke ABE, Tomohiro KUMON, Yoshiaki SAKAKI, Saburo TORII, Motomi |
description | A 70-year-old female presented with gait disturbance and dementia. Cerebrospinal fluid examination revealed mild aseptic meningitis. Magnetic resonance images showed multiple cystic lesions and mural nodules in some of the cysts in the cerebral parenchyma. Metrizamide computed tomography clearly demonstrated multiple intracisternal cysts. Some cysts were surgically excised and a ventriculoperitoneal shunt was implaced. Postoperatively, her gait disturbance and dementia disappeared. Histological examination revealed cysticercosis with viable larva. Ten months after the initial surgery, she presented with right hemiparesis due to enlargement of the remaining cysts in the left frontal lobe. These cysts were removed. Postoperative neurological examination showed slight right hemiparesis. We recommend ventriculoperitoneal shunting for hydrocephalus due to cisternal cysticercosis and praziquantel administration for parenchymal lesions. |
doi_str_mv | 10.2176/nmc.36.654 |
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Cerebrospinal fluid examination revealed mild aseptic meningitis. Magnetic resonance images showed multiple cystic lesions and mural nodules in some of the cysts in the cerebral parenchyma. Metrizamide computed tomography clearly demonstrated multiple intracisternal cysts. Some cysts were surgically excised and a ventriculoperitoneal shunt was implaced. Postoperatively, her gait disturbance and dementia disappeared. Histological examination revealed cysticercosis with viable larva. Ten months after the initial surgery, she presented with right hemiparesis due to enlargement of the remaining cysts in the left frontal lobe. These cysts were removed. Postoperative neurological examination showed slight right hemiparesis. We recommend ventriculoperitoneal shunting for hydrocephalus due to cisternal cysticercosis and praziquantel administration for parenchymal lesions.</description><identifier>ISSN: 0470-8105</identifier><identifier>EISSN: 1349-8029</identifier><identifier>DOI: 10.2176/nmc.36.654</identifier><identifier>PMID: 8913084</identifier><language>eng</language><publisher>Japan: The Japan Neurosurgical Society</publisher><subject>Aged ; Animals ; Antiplatyhelmintic Agents - therapeutic use ; Brain Diseases - complications ; Brain Diseases - diagnosis ; Brain Diseases - drug therapy ; Brain Diseases - parasitology ; Brain Diseases - surgery ; cerebral cysticercosis ; Combined Modality Therapy ; Cysticercosis - complications ; Cysticercosis - diagnosis ; Cysticercosis - drug therapy ; Cysticercosis - epidemiology ; Cysticercosis - surgery ; Cysticercosis - transmission ; Dementia - etiology ; Female ; Humans ; hydrocephalus ; Hydrocephalus - etiology ; Hydrocephalus - surgery ; Japan - epidemiology ; Korea - ethnology ; Magnetic Resonance Imaging ; Meat - parasitology ; Praziquantel - therapeutic use ; Swine - parasitology ; treatment ; Ventriculoperitoneal Shunt</subject><ispartof>Neurologia medico-chirurgica, 1996, Vol.36(9), pp.654-658</ispartof><rights>The Japan Neurosurgical Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4294-22dee533a191b2ee966fb90a4afd33b7527016f6ce46801ea8110409c6edb72f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8913084$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OKA, Yoshihisa</creatorcontrib><creatorcontrib>FUKUI, Keiji</creatorcontrib><creatorcontrib>SHODA, Daisuke</creatorcontrib><creatorcontrib>ABE, Tomohiro</creatorcontrib><creatorcontrib>KUMON, Yoshiaki</creatorcontrib><creatorcontrib>SAKAKI, Saburo</creatorcontrib><creatorcontrib>TORII, Motomi</creatorcontrib><title>Cerebral Cysticercosis Manifesting as Hydrocephalus —Case Report</title><title>Neurologia medico-chirurgica</title><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><description>A 70-year-old female presented with gait disturbance and dementia. Cerebrospinal fluid examination revealed mild aseptic meningitis. Magnetic resonance images showed multiple cystic lesions and mural nodules in some of the cysts in the cerebral parenchyma. Metrizamide computed tomography clearly demonstrated multiple intracisternal cysts. Some cysts were surgically excised and a ventriculoperitoneal shunt was implaced. Postoperatively, her gait disturbance and dementia disappeared. Histological examination revealed cysticercosis with viable larva. Ten months after the initial surgery, she presented with right hemiparesis due to enlargement of the remaining cysts in the left frontal lobe. These cysts were removed. Postoperative neurological examination showed slight right hemiparesis. We recommend ventriculoperitoneal shunting for hydrocephalus due to cisternal cysticercosis and praziquantel administration for parenchymal lesions.</description><subject>Aged</subject><subject>Animals</subject><subject>Antiplatyhelmintic Agents - therapeutic use</subject><subject>Brain Diseases - complications</subject><subject>Brain Diseases - diagnosis</subject><subject>Brain Diseases - drug therapy</subject><subject>Brain Diseases - parasitology</subject><subject>Brain Diseases - surgery</subject><subject>cerebral cysticercosis</subject><subject>Combined Modality Therapy</subject><subject>Cysticercosis - complications</subject><subject>Cysticercosis - diagnosis</subject><subject>Cysticercosis - drug therapy</subject><subject>Cysticercosis - epidemiology</subject><subject>Cysticercosis - surgery</subject><subject>Cysticercosis - transmission</subject><subject>Dementia - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>hydrocephalus</subject><subject>Hydrocephalus - etiology</subject><subject>Hydrocephalus - surgery</subject><subject>Japan - epidemiology</subject><subject>Korea - ethnology</subject><subject>Magnetic Resonance Imaging</subject><subject>Meat - parasitology</subject><subject>Praziquantel - therapeutic use</subject><subject>Swine - parasitology</subject><subject>treatment</subject><subject>Ventriculoperitoneal Shunt</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1KAzEURoMotdRu3AuzFqbmbzLJUgdrhYogug5J5qYdmc4MSbvozofwCX0SU1q6uRfu-fjgHoRuCZ5RUoqHbuNmTMxEwS_QmDCucompukRjzEucS4KLazSNsbEYUy45k-UIjaQiDEs-Rk8VBLDBtFm1j9vGQXB9bGL2ZrrGQ7p0q8zEbLGvQ-9gWJt2F7O_n9_KRMg-YOjD9gZdedNGmJ72BH3Nnz-rRb58f3mtHpe541TxnNIaoGDMEEUsBVBCeKuw4cbXjNmyoCUmwgsHXEhMwEhCMMfKCahtST2boPtjrwt9jAG8HkKzMWGvCdYHFTqp0EzopCKF747hYWc3UJ-jp8cTr478O27NCs7chCShhUMVUYU61J1Gaj1TtzZBQ8f-AcYvcjM</recordid><startdate>1996</startdate><enddate>1996</enddate><creator>OKA, Yoshihisa</creator><creator>FUKUI, Keiji</creator><creator>SHODA, Daisuke</creator><creator>ABE, Tomohiro</creator><creator>KUMON, Yoshiaki</creator><creator>SAKAKI, Saburo</creator><creator>TORII, Motomi</creator><general>The Japan Neurosurgical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>1996</creationdate><title>Cerebral Cysticercosis Manifesting as Hydrocephalus —Case Report</title><author>OKA, Yoshihisa ; FUKUI, Keiji ; SHODA, Daisuke ; ABE, Tomohiro ; KUMON, Yoshiaki ; SAKAKI, Saburo ; TORII, Motomi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4294-22dee533a191b2ee966fb90a4afd33b7527016f6ce46801ea8110409c6edb72f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Animals</topic><topic>Antiplatyhelmintic Agents - therapeutic use</topic><topic>Brain Diseases - complications</topic><topic>Brain Diseases - diagnosis</topic><topic>Brain Diseases - drug therapy</topic><topic>Brain Diseases - parasitology</topic><topic>Brain Diseases - surgery</topic><topic>cerebral cysticercosis</topic><topic>Combined Modality Therapy</topic><topic>Cysticercosis - complications</topic><topic>Cysticercosis - diagnosis</topic><topic>Cysticercosis - drug therapy</topic><topic>Cysticercosis - epidemiology</topic><topic>Cysticercosis - surgery</topic><topic>Cysticercosis - transmission</topic><topic>Dementia - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>hydrocephalus</topic><topic>Hydrocephalus - etiology</topic><topic>Hydrocephalus - surgery</topic><topic>Japan - epidemiology</topic><topic>Korea - ethnology</topic><topic>Magnetic Resonance Imaging</topic><topic>Meat - parasitology</topic><topic>Praziquantel - therapeutic use</topic><topic>Swine - parasitology</topic><topic>treatment</topic><topic>Ventriculoperitoneal Shunt</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OKA, Yoshihisa</creatorcontrib><creatorcontrib>FUKUI, Keiji</creatorcontrib><creatorcontrib>SHODA, Daisuke</creatorcontrib><creatorcontrib>ABE, Tomohiro</creatorcontrib><creatorcontrib>KUMON, Yoshiaki</creatorcontrib><creatorcontrib>SAKAKI, Saburo</creatorcontrib><creatorcontrib>TORII, Motomi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Neurologia medico-chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OKA, Yoshihisa</au><au>FUKUI, Keiji</au><au>SHODA, Daisuke</au><au>ABE, Tomohiro</au><au>KUMON, Yoshiaki</au><au>SAKAKI, Saburo</au><au>TORII, Motomi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral Cysticercosis Manifesting as Hydrocephalus —Case Report</atitle><jtitle>Neurologia medico-chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>1996</date><risdate>1996</risdate><volume>36</volume><issue>9</issue><spage>654</spage><epage>658</epage><pages>654-658</pages><issn>0470-8105</issn><eissn>1349-8029</eissn><abstract>A 70-year-old female presented with gait disturbance and dementia. Cerebrospinal fluid examination revealed mild aseptic meningitis. Magnetic resonance images showed multiple cystic lesions and mural nodules in some of the cysts in the cerebral parenchyma. Metrizamide computed tomography clearly demonstrated multiple intracisternal cysts. Some cysts were surgically excised and a ventriculoperitoneal shunt was implaced. Postoperatively, her gait disturbance and dementia disappeared. Histological examination revealed cysticercosis with viable larva. Ten months after the initial surgery, she presented with right hemiparesis due to enlargement of the remaining cysts in the left frontal lobe. These cysts were removed. Postoperative neurological examination showed slight right hemiparesis. We recommend ventriculoperitoneal shunting for hydrocephalus due to cisternal cysticercosis and praziquantel administration for parenchymal lesions.</abstract><cop>Japan</cop><pub>The Japan Neurosurgical Society</pub><pmid>8913084</pmid><doi>10.2176/nmc.36.654</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
subjects | Aged Animals Antiplatyhelmintic Agents - therapeutic use Brain Diseases - complications Brain Diseases - diagnosis Brain Diseases - drug therapy Brain Diseases - parasitology Brain Diseases - surgery cerebral cysticercosis Combined Modality Therapy Cysticercosis - complications Cysticercosis - diagnosis Cysticercosis - drug therapy Cysticercosis - epidemiology Cysticercosis - surgery Cysticercosis - transmission Dementia - etiology Female Humans hydrocephalus Hydrocephalus - etiology Hydrocephalus - surgery Japan - epidemiology Korea - ethnology Magnetic Resonance Imaging Meat - parasitology Praziquantel - therapeutic use Swine - parasitology treatment Ventriculoperitoneal Shunt |
title | Cerebral Cysticercosis Manifesting as Hydrocephalus —Case Report |
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