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Fourth ventricular neurocystercercosis presenting with acute hydrocephalus.

Publication ,  Journal Article
Hanak, BW; Walcott, BP; Codd, PJ; Jones, PS; Nahed, BV; Butler, WE; Asaad, WF
Published in: J Clin Neurosci
June 2011

Neurocysticercosis is an infection caused by the larvae of the pork tapeworm Taenia solium. Parenchymal lesions commonly present with seizure activity and intraventricular lesions can cause hydrocephalus. A 33-year-old female patient presented in a comatose state with acute hydrocephalus and a fourth ventricle lesion. She underwent placement of an external ventricular drain. Resection of the fourth ventricle lesion through a suboccipital approach allowed for restoration of normal cerebrospinal fluid (CSF) flow and relief of midbrain compression. The lesion was resected intact and the patient returned to normal neurological function. No CSF diversion procedure was necessary. The patient was discharged on cysticidal and steroid therapy. We concluded that surgical resection of lesions in the fourth ventricle attributed to neurocysticercosis is appropriate when brainstem compression is prominent. Resection may also avoid the need for permanent CSF diversion. We also reviewed the evidence-based management strategies described in the literature.

Duke Scholars

Published In

J Clin Neurosci

DOI

EISSN

1532-2653

Publication Date

June 2011

Volume

18

Issue

6

Start / End Page

867 / 869

Location

Scotland

Related Subject Headings

  • Neurology & Neurosurgery
  • Neurocysticercosis
  • Magnetic Resonance Imaging
  • Hydrocephalus
  • Humans
  • Fourth Ventricle
  • Female
  • Adult
  • 1109 Neurosciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hanak, B. W., Walcott, B. P., Codd, P. J., Jones, P. S., Nahed, B. V., Butler, W. E., & Asaad, W. F. (2011). Fourth ventricular neurocystercercosis presenting with acute hydrocephalus. J Clin Neurosci, 18(6), 867–869. https://doi.org/10.1016/j.jocn.2010.12.002
Hanak, Brian W., Brian P. Walcott, Patrick J. Codd, Pamela S. Jones, Brian V. Nahed, William E. Butler, and Wael F. Asaad. “Fourth ventricular neurocystercercosis presenting with acute hydrocephalus.J Clin Neurosci 18, no. 6 (June 2011): 867–69. https://doi.org/10.1016/j.jocn.2010.12.002.
Hanak BW, Walcott BP, Codd PJ, Jones PS, Nahed BV, Butler WE, et al. Fourth ventricular neurocystercercosis presenting with acute hydrocephalus. J Clin Neurosci. 2011 Jun;18(6):867–9.
Hanak, Brian W., et al. “Fourth ventricular neurocystercercosis presenting with acute hydrocephalus.J Clin Neurosci, vol. 18, no. 6, June 2011, pp. 867–69. Pubmed, doi:10.1016/j.jocn.2010.12.002.
Hanak BW, Walcott BP, Codd PJ, Jones PS, Nahed BV, Butler WE, Asaad WF. Fourth ventricular neurocystercercosis presenting with acute hydrocephalus. J Clin Neurosci. 2011 Jun;18(6):867–869.
Journal cover image

Published In

J Clin Neurosci

DOI

EISSN

1532-2653

Publication Date

June 2011

Volume

18

Issue

6

Start / End Page

867 / 869

Location

Scotland

Related Subject Headings

  • Neurology & Neurosurgery
  • Neurocysticercosis
  • Magnetic Resonance Imaging
  • Hydrocephalus
  • Humans
  • Fourth Ventricle
  • Female
  • Adult
  • 1109 Neurosciences
  • 1103 Clinical Sciences