Bruns' syndrome and racemose neurocysticercosis: a case report

Rodriquez, Roberta Diehl; Crestani, Denise Neme da Silva; Soares, José Otávio; Franceshini, Paulo Roberto; Alves, Ronnie Petersen; Zimerman, Ricardo; Ferreira, Nelson P.; Barea, Liselotte Menke

doi:10.1590/s0037-86822012000200027

Cited by 13 publications

(11 citation statements)

References 9 publications

(12 reference statements)

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“…The MRI is superior to tomography for the diagnosis of neurocysticercosis. 6 When the ventricular form is accompanied by meningitis and hydrocephalus, mortality is greater than 50%, and most patients die within 2 years, even with the VPS. The prognosis of the intraventricular form is worse than that of the intraparenchymal form, and it follows a progressive course, due to obstructive hydrocephalus, intracranial hypertension and meningeal infection.…”

Section: Discussionmentioning

confidence: 99%

Bruns Syndrome Caused by Intraventricular Neurocysticercosis: Literature Review

2020

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Bruns syndrome is one of the clinical presentations of intraventricular neurocysticercosis, and it is characterized by episodes of headache, vertigo and vomiting. The intraventricular form of neurocysticercosis occurs in 7% to 20% of the cases, and it is more serious than the intraparenchymal form. The management is primarily surgical, associated with pharmacological therapy with anthelmintic drugs and corticosteroids. We report the case of a patient who presented Bruns syndrome due to neurocysticercosis.

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Section: Discussionmentioning

confidence: 99%

Bruns Syndrome Caused by Intraventricular Neurocysticercosis: Literature Review

2020

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“…Here we describe the cases of two patients who developed Bruns syndrome secondary to fourth ventricular neurocysticercosis and review 12 similar cases reported in the English literature [5][6][7][8][9] (Table 1). Cases were identified in the literature by a PubMed search using terms "intraventricular neurocysticercosis" and "Bruns."…”

Section: -9mentioning

confidence: 99%

Intraventricular Taenia solium Cysts Presenting with Bruns Syndrome and Indications for Emergent Neurosurgery

Shahani

Garnes

Mejia

2015

The American Society of Tropical Medicine and Hygiene

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Abstract. Bruns syndrome is an unusual phenomenon, characterized by attacks of sudden and severe headache, vomiting, and vertigo, triggered by abrupt movement of the head. The presumptive cause of Bruns syndrome is a mobile deformable intraventricular mass leading to an episodic obstructive hydrocephalus. Intraventricular tumors have been associated with Bruns syndrome; however, few cases of intraventricular neurocysticercosis have been reported to present with Bruns syndrome. We report the first series of fourth ventricular neurocysticercosis presenting with Bruns syndrome in the United States and review the other published cases where surgery was indicated.

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“…During the course of the disease, the patient had critical days with acute headache, dizziness, complete abnormal gait due to ataxia and lateralization with compromised state of consciousness, manifestations explained by Bruns syndrome (13)(14)(15).…”

Section: Case Presentationmentioning

confidence: 99%

Neurocysticercosis, unusual manifestations

et al. 2016

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CASE REPORT | Abstract |Neurocysticercosis is the most common parasitic infection in the central nervous system. This disease is presented when a person ingests Taenia solium eggs excreted in feces from another individual infected with taeniasis. In 50% of the cases, neurocysticercosis takes place in the brain parenchyma, and its appearance is less frequent in the posterior fossa and the spinal cord.The case of a patient with an atypical location of the parasite at the medulla oblongata, between parenchymal and spinal areas, is presented. The initial symptoms were common but its subsequent manifestations were similar to those of Bruns syndrome. Furthermore, the epidemiological profile of neurocysticercosis in Colombia, its control measures and prevention strategies were reviewed in this study. Keywords | Resumen |La neurocisticercosis es la infección parasitaria más frecuente en el sistema nervioso central; esta enfermedad se desarrolla cuando los huevos de Taenia solium excretados en heces de un individuo con teniasis son ingeridos por otra persona. La presentación de la neurocisticercosis tiene lugar en el parénquima cerebral en 50% de los casos, mientras que en la fosa posterior y en la médula espinal es menos frecuente.Se presenta el caso de un paciente que tuvo una ubicación exótica del parásito a nivel del bulbo raquídeo concomitando con la forma parenquimatosa y medular; las manifestaciones clínicas iniciales fueron las comunes, pero sus síntomas posteriores se caracterizaron por el síndrome de Bruns. Además, durante la investigación se revisó el perfil epidemiológico de la neurocisticercosis en Colombia y las medidas de control y de prevención. IntroductionThe most common parasitic infection of the central nervous system (CNS) is neurocysticercosis (NCC), caused by the larvae of the Taenia solium (1). In developing countries, there is a 90% prevalence of cases in which this disease is neglected (2), but due to the ease and accessibility of transportation and the large groups of migrant population, this disease can also be found in developed countries (3,4). The World Health Organization (WHO) considers cysticercosis as a serious public health issue (5,6). This infection appears in the brain parenchyma in 50% of cases, and less frequently, in intraventricular, subarachnoid, eye and cord areas (6).The case described in this research presents an unusual appearance in the medulla oblongata, along with the parenchymal and spinal form. NCC symptoms are very diverse, including, among the most frequently observed and described by the authors, headaches and convulsions (7). 80% of infections are completely asymptomatic and when symptoms arise, they are non-specific depending on the number of injuries, the development stage of the cysticercus and the larval location (8). The presence of cysticerci in the brain may be prolonged -10 to 20 years in asymptomatic state-(9,10) although, in many occasions, when headaches occur, this symptom is not considered important. The diagnosis of NCC is often confused with incide...

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Bruns' syndrome and racemose neurocysticercosis: a case report

Cited by 13 publications

References 9 publications

Bruns Syndrome Caused by Intraventricular Neurocysticercosis: Literature Review

Bruns Syndrome Caused by Intraventricular Neurocysticercosis: Literature Review

Intraventricular Taenia solium Cysts Presenting with Bruns Syndrome and Indications for Emergent Neurosurgery

Neurocysticercosis, unusual manifestations

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