2018, Number 5
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Med Int Mex 2018; 34 (5)
Ventricular neurocysticercosis: multimodal management and bibliographic review
Soto-Cossio E, Vicente-Hernández B, Pacheco G, Méndez-Rosito D
Language: Spanish
References: 18
Page: 797-803
PDF size: 485.49 Kb.
ABSTRACT
Neurocysticercosis (NCC) is the most common parasitic infection of the central nervous
system caused by
Taenia solium in its larval stage. It is estimated that there are millions
of people affected in developing countries, being the first cause of seizures and acquired
epilepsy. We present the case of a 40-year-old woman, with no relevant history, who
presented sudden loss of alertness and clinical data of intracraneal hypertension, which
was confirmed by CT in addition to finding non-communicating hydrocephalus, the
patient underwent to the placement of a ventriculo-peritoneal bypass valve without
complications and the approach was complemented by a magnetic resonance in a FIESTA
sequence in which the cysticercus cyst intraventricular was observed. The patient
underwent removal of the cyst by neuroendoscopy and treatment based on steroids
and cysticides. The patient evolved favorably, with full recovery of alertness and the
only sequelae was the alteration of work memory. In recent years, the development of
antiparasitic therapy and minimally invasive neurosurgery techniques has improved
the prognosis of patients.
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