Cysticercosis mimicking brain tumor: the role of albendazole as a diagnostic tool

Brutto, Oscar H. Del; Quintero, Luis Alberto Zarco

doi:10.1016/0303-8467(95)00044-k

Cited by 19 publications

(4 citation statements)

References 8 publications

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“…Among many case series (19,20,34,36,(85)(86)(87)99), only three randomized, controlled trials of albendazole have been reported on patients with single enhancing lesions. Two studies demonstrated no significant difference in radiographic resolution (79,93).…”

Section: Vol 15 2002 Guidelines For Treatment Of Neurocysticercosismentioning

confidence: 99%

Current Consensus Guidelines for Treatment of Neurocysticercosis

et al. 2002

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Taenia solium neurocysticercosis is a common cause of epileptic seizures and other neurological morbidity in most developing countries. It is also an increasingly common diagnosis in industrialized countries because of immigration from areas where it is endemic. Its clinical manifestations are highly variable and depend on the number, stage, and size of the lesions and the host's immune response. In part due to this variability, major discrepancies exist in the treatment of neurocysticercosis. A panel of experts in taeniasis/cysticercosis discussed the evidence on treatment of neurocysticercosis for each clinical presentation, and we present the panel's consensus and areas of disagreement. Overall, four general recommendations were made: (i) individualize therapeutic decisions, including whether to use antiparasitic drugs, based on the number, location, and viability of the parasites within the nervous system; (ii) actively manage growing cysticerci either with antiparasitic drugs or surgical excision; (iii) prioritize the management of intracranial hypertension secondary to neurocysticercosis before considering any other form of therapy; and (iv) manage seizures as done for seizures due to other causes of secondary seizures (remote symptomatic seizures) because they are due to an organic focus that has been present for a long time

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Section: Vol 15 2002 Guidelines For Treatment Of Neurocysticercosismentioning

confidence: 99%

Current Consensus Guidelines for Treatment of Neurocysticercosis

et al. 2002

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“…11). These appearances are consistent with the colloidal stage, which may mimic intracerebral abscess or glioma [6,7,9].…”

Section: Discussionmentioning

confidence: 52%

Intracerebral neurocysticercosis mimicking glioblastoma multiforme: a rare differential diagnosis in Central Europe

Sabel¹,

Neuen-Jacob

Vogt

et al. 2001

Neuroradiology

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A 47-year-old Greek man presented with a 4-week history of speech difficulties. CT and MRI revealed a low-density multilobulated cystic frontal mass with peripheral ring contrast enhancement adjacent to the sylvian fissure. Examination was normal. Blood tests revealed leucocytosis (16,000 cells/microl) and an elevated erythrocyte sedimentation rate (30/52). A malignant brain tumour was suspected and surgically removed. Histological examination disclosed intracerebral neurocysticercosis.

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“…2,7) The differential diagnosis of cystic lesion in the cerebellum should include hemangioblastoma and cystic astrocytoma. 2) The diagnostic clues in this case were the non-enhanced mural nodule (which turned out to be the scolex), and a positive subsequent serological study, but these findings are not definitive differential diagnostic points.…”

Section: Discussionmentioning

confidence: 99%

Giant Neurocysticercosis Cyst in the Cerebellar Hemisphere-Case Report-

Kim

Suh

Kim

et al. 2006

Neurol. Med. Chir.(Tokyo)

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A 67-year-old man presented with dizziness, nausea, and ataxia. Magnetic resonance imaging showed a large (5.5 × 4 × 4 cm) cystic lesion in the left cerebellar hemisphere with internal septation, a mural nodule, and thin rim enhancement. Cystic cerebellar tumor such as hemangioblastoma was initially suspected. Following surgery, the cyst was identified as cerebellar neurocysticercosis. Neurocysticercosis is the most common parasitic disease of the central nervous system but is occasionally misdiagnosed as tumor because of the varying neuroimaging presentation. This case shows that neurocysticercosis should be considered in the differential diagnosis of giant cystic lesions in the cerebellum as surgical intervention may be unnecessary.

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Cysticercosis mimicking brain tumor: the role of albendazole as a diagnostic tool

Cited by 19 publications

References 8 publications

Current Consensus Guidelines for Treatment of Neurocysticercosis

Current Consensus Guidelines for Treatment of Neurocysticercosis

Intracerebral neurocysticercosis mimicking glioblastoma multiforme: a rare differential diagnosis in Central Europe

Giant Neurocysticercosis Cyst in the Cerebellar Hemisphere-Case Report-

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