Logo image
Back
Intraventricular migration of an isolated fourth ventricular cysticercus following cerebrospinal fluid shunting
Journal article   Open access

Intraventricular migration of an isolated fourth ventricular cysticercus following cerebrospinal fluid shunting

Saifullah Khalid, Amber Obaid, Raman M. Sharma, Asad Mahmood and Sabarish Narayanasamy
Surgical neurology international, Vol.7(Suppl 39), pp.S952-S954
12/05/2016
DOI: 10.4103/2152-7806.195232
PMCID: PMC5180433
PMID: 28031989
url
https://europepmc.org/articles/pmc5180433View
Published (Version of record) Open Access

Abstract

Background: Isolated intraventricular neurocysticercosis (NCC) is less frequently seen and can be missed on plain magnetic resonance imaging (MRI). Three-dimensional constructive interference in steady state (CISS) sequence is an extremely helpful sequence in identifying the lesion but is rarely used routinely. Case Description: Here, we report a case of young male adult who presented with diminution of vision and headache. MRI of the brain revealed hydrocephalus, and on using CISS sequence only, the lesion could be identified in the fourth ventricle. He was treated with medical management, and ventriculoperitoneal shunting of cerebrospinal fluid was done to relieve the hydrocephalus. It resulted in immediate relief with aggravation of headache few days later. Repeat MRI revealed intraventricular migration into the left foramen of monro leading to left lateral ventricle dilatation necessitating endoscopic removal of the lesion. Conclusion: CISS sequence is definitely the sequence of choice in identifying intraventricular NCC. Ventriculoperitoneal shunting can result in the intraventricular migration of the cyst due to sudden decompression necessitating repeat surgery. Endoscopic removal of NCC has a high success rate with limited complications.
 Migration Case Report CISS sequence endoscopic intraventricular neurocysticercosis VP shunting

Details

Metrics

2 Record Views
Logo image