1988
DOI: 10.1007/bf01650762
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MRI in intraventricular neurocysticercosis: A case report

Abstract: A young Mexican female developed neurocysticercosis presenting as a lymphocytic meningoencephalitis with eosinophilia. Parasitic cysts in the fourth ventricle and pre-pontine cistern were well visualized by magnetic resonance imaging but not by computerized tomography. The meningoencephalitis recurred despite treatment with praziquantel and dexamethasone, and obstructive hydrocephalus eventually developed. The patient remains well one year after excision of the intraventricular cyst. This case emphasizes the d… Show more

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Cited by 6 publications
(4 citation statements)
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“…MRI is superior to CT in detection of intraventricular NCC. CT may fail to demonstrate thin walled small cysts that do not deform the ventricle, have cerebrospinal fluid (CSF) density, and do not show an enhancing wall or scolex [9][10][11]. On MRI, intraventricular NCC appears as a spherical cystic lesion.…”
Section: Discussionmentioning
confidence: 99%
“…MRI is superior to CT in detection of intraventricular NCC. CT may fail to demonstrate thin walled small cysts that do not deform the ventricle, have cerebrospinal fluid (CSF) density, and do not show an enhancing wall or scolex [9][10][11]. On MRI, intraventricular NCC appears as a spherical cystic lesion.…”
Section: Discussionmentioning
confidence: 99%
“…The diagnosis of intraventricular cysticercosis has traditionally been made by such invasive procedures as ventriculog‐raphy, CT ventriculography and pneumoencephalography 9 . With the introduction of MRI, it became possible to image intraventricular cystic lesions non‐invasively 10,11 . However, despite the improved depiction of tissue contrast and the multiplanar imaging capabilities of MRI, intraventricular NCC can be missed on routine MR sequences 11 .…”
Section: Discussionmentioning
confidence: 99%
“…28,30,52 A large intraventricular cyst may be seen on CT scans, even without hydrocephalus, if it deforms the ventricle and the cyst is outlined by the normal ventricular cavity. For several reasons CT scanning may fail to demonstrate small cysts that do not deform the ventricles: 1) they share the same density as CSF; 2) the cyst wall and the scolex are not visible; and 3) the cyst does not show contrast enhancement.…”
Section: Neuroimaging and Laboratory Diagnosismentioning
confidence: 99%
“…53 Because the mass effect of a cyst in the posterior fossa is less well tolerated than in supratentorial sites, the prognosis for patients with fourth ventricular cysts is guarded. 15,18,19,28 Although reinfection occurs occasionally, more commonly the reason is CSF obstruction by chronic adhesions and thickening from involutional cysts. Shunt surgery does not always ensure a good prognosis.…”
Section: Prognosis Of Nccmentioning
confidence: 99%