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
Hauptverfasser: OKA, Yoshihisa, FUKUI, Keiji, SHODA, Daisuke, ABE, Tomohiro, KUMON, Yoshiaki, SAKAKI, Saburo, TORII, Motomi
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container_end_page 658
container_issue 9
container_start_page 654
container_title Neurologia medico-chirurgica
container_volume 36
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. 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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. 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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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